Start with what you noticed.
Nobody wakes up wanting a particular operation. They wake up unhappy with a jawline, or a neck, or the way they look in photographs. These pages start there and work backward to what is causing it.
Jowls and a softening jawline
The jawline was once a clean line and now breaks up on either side of the chin.
Read moreNeck bands and fullness
Vertical cords, a lost angle under the chin, or fullness that does not respond to weight loss.
Read moreLooking tired when you are rested
Heaviness in the upper lid, shadowing or puffiness below, and being asked whether you slept badly.
Read moreA face that looks hollow or deflated
Flatter temples, less fullness over the cheekbone, shadowing that reads as gaunt.
Read moreSkin texture, tone and sun damage
Fine lines, roughness, enlarged pores and pigment from decades of sun.
Read moreA chin that sits back
A profile that reads as flat, or fullness under the chin that is really a geometry problem.
Read more
Most faces involve more than one of these at once, in a proportion specific to that face. Working out which is which is what a consultation is actually for. See the procedures
Next step
You may need less than you think.
Plenty of consultations end with a smaller plan than the patient arrived expecting. I would rather tell you that than sell you an operation you did not need.
