One of the most useful things a surgeon’s before-and-after gallery can do is show you how a specific set of concerns was addressed, so you can get a better visual idea of the kinds of results you might expect for yourself. This particular case is a male patient treated by Dr. James Koehler at Eastern Shore Cosmetic Surgery and is a good example of what a well-executed deep plane facelift looks like five months out.
You can view the before and after photos for this case directly in the gallery.
What This Patient’s Starting Point Looked Like
Before surgery, this patient presented with a combination of changes that are common in men as they age but can be particularly pronounced: significant jowling along the lower jaw, substantial skin and tissue laxity in the neck and downward displacement of the corners of the mouth that can give the face a heavier, more tired expression than the patient feels.
Taken together, these changes had blurred the jawline, softened the chin’s prominence and altered the overall balance of the lower face. Addressing them comprehensively required working at a deeper structural level than skin-tightening alone would allow.
What the Deep Plane Approach Achieved
Because the deep plane technique repositions the underlying facial tissues rather than simply pulling the skin taut, it’s particularly well-suited to cases like this one where there is significant skin laxity across multiple areas.
You can see from the photos that the jowling along the jawline is dramatically reduced. Where the lower face previously blurred into the neck without a clean transition, there is now a defined jaw edge.
For the neck, the loose tissue that had accumulated beneath the chin has been resolved, and the result is a smoother, more youthful-looking neck profile. Critically, the tightening of the neck also has the effect of making the chin appear more prominent without the need for a chin implant or other augmentation.
The corners of the mouth, which had drawn downward with age, have been lifted back toward a more neutral and natural position. This subtle change makes the resting expression of the face appear more alert, energized and youthful while still maintaining a very natural and authentic look.
How Mobile-Area Patients Can See the Best Results
Male facelift patients often have specific concerns about results looking natural and age-appropriate rather than obviously altered. This case reflects the kind of outcome Dr. Koehler consistently works toward: structural improvement that looks like the patient, only refreshed.
For men and women in the Mobile, AL area considering facial surgery, cases like this one are worth taking a look at. You can browse the full facelift gallery to see a range of results to get an idea of the level of results that Dr. Koehler is able to achieve through the deep place facelift technique.
If you’re ready to take the first step toward loving your new look, contact us online or call 251-929-7850 to schedule a consultation.


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