San Diego Facelift doctors

You are to be sincerely congratulated and commended for losing the extra weight, and hopefully, you'll be able to keep it off.  A smile will instantly lift your face, which is why so many surgeons post photos of their post surgical facelift patients smiling.  I don't see sagging in your face or neck at all.  Your upper lid marginal reflex distance is lower than normal, and you have about 1 mm scleral show beneath your corneoscleral limbus and lower eyelid-cheek junction is clearly demarcated, with lower eyelid contour irregularities.  Your canthal tilt is beautiful.  The corners of your lips turn up nicely, and only if the nasal labial furrows bother you would I treat them with filler.

The treatment I would recommend depends on which of your features bothers you, what your budget is, available recovery time, and risk tolerance.  Also, how strongly you feel about a permanent (or very long lasting) result is germane.  Specifically, what exactly is the distasteful "sagging" you reference?

Midface lift with dentures.

Having dentures should not pose a problem with midface lift. In fact, having dentures long term can produce midface deficiency by gradual loss of the underlying skelton, causing shortening of the vertical height of the maxilla (the midface bone) and recession. Midface lift can be safely performed through the lower eyelid, through the temporal region or through the mouth. The incision in the mouth may need to be adjusted to avoid the dentures from rubbing against the incision. Regional considerations such as augmentation of the soft tissue or bone may need to be considered along with midface lifting to fully realize an excellent outcome. Hope this is of help.

I think most would agree that this woman looks better before than after. For someone this young and pretty I would have recommended waiting or doing something less invasive. I am not sure what she had done, but here are the things I see different. It does not look like she had a severe brow lift, but the angle of the eyes looks more slanted, suggesting a canthopexy. Something is different with the mouth. The lips have probably been augmented and the corners of the mouth are a straight line with the center of the lip, whereas before the corners of the mouth are lower than the center of the lip when smiling. This creates a more attractive smile. Most people think the upper mouth turns up with a smile, but if you study many pictures of beautiful smiles, you will note that the upper lip creates an upside down smile, while the lower lip curves up with an upright smile. She also looks like the cheeks are fuller and this may be due to fat or filler.

A subperiosteal MFL is often recommended in younger patients with some early midface change, who may not be candidates for facelift surgery. In my opinion, the midface is a tricky, difficult area, and the two most common outcomes are no change vs. bad change. In my opinion, too many beautiful 35-45 year old women submit to early plastic surgery because they hate the early changes of aging, and in a short time they destroy their faces. Just look at Real HW of BH and you see these faces everywhere.

Be very careful. Make sure to ask a lot of questions, look at pictures, talk to patients who have had the same thing done and look at their pictures. Show these pics to your doc and see what he/she has to say about them.

Good luck.