Boston Cheek Lift doctors
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Frank P. Fechner, MD
Worcester Facial Plastic Surgeon
428 Shrewsbury Street, Worcester |
3 answers | |
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Edwin Ishoo, MD
Boston Facial Plastic Surgeon
1000 Plain St First Floor , Marshfield |
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1 answer |
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Kimberley O'Sullivan, MD
Boston Plastic Surgeon
14 Denton Road, Wellesley |
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Brooke R. Seckel, MD
Boston Plastic Surgeon
131 Old Road Nine Acre Corner - Suite 700, Concord |
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William P. Adams, MD
Boston Plastic Surgeon
18 Newbury St St # 400, Boston |
Recent Answers
I have a slight double chin and obvious jowls. The jowl on my left is visibly larger than on my right. Oddly, I'm quite thin and have been so all my life, but my cheeks have always been puffy and my nasolabial folds are deep (bad genes?). When I lay down on my back (second photo), the jowls totally disappear. Does that mean this isn't sagging muscles, but fat deposits? I don't want to admit that I need a face lift already at 32, so any/all options to get rid of puffy cheeks & jowls are welcome.
Looking at your photos, I don't see significant lipomatosis or lipodystrophy of the face and neck You appear to have low midfave volume with poor cheek projection. I wonder if you are a runner or engage in regular high impact activity as I have seen this in such indiduals at an early age due to the shearing of the facial soft tissue with repeated impact. I also see this kind of midface soft tissue sagging in patients who have fluctuated their weight frequently with recent weight loss. This is due to soft tissue laxity and not necessarily excess fat or skin. I believe that liposuction of the jowls in this case can hollow the area unnaturally and I don't see anything to lipo on the neck from these pictures. A good option may be cheek implants with malar and submalar components. The deep prejowl sulcus can be treated with a prejowl implant or soft tissue fillers to minimize the step-off in this region. The cheek implats will establish good facial skeletal contour and lift the jowls without risk of contour irregularity seen occasionally with liposuction of the face. Use of soft tissue fillers and fat transfer for midface volume lift are extremely operator dependent and mistakes may be difficult to correct. You should seek a surgeon experienced in these modalities.
Following my orthodontics treatment, I will have mandibular advancement surgery. But as you can see from the pictures, I also need a mid-face lift. I got different opinions from different surgeons regarding the order of the operations.I'm really confused.
I would recommend to have the boney framework surgery done first. This procedure will re-allign the facial balance permanently. Wait for the healing to be near-complete (3-6 months) and reassess your facial aesthetics at that point.
To be quite honest, when I look at your photos, I am not so sure that a midface lift is a true "need" for best aesthetics. Establish the appearance you want to achieve and investigate then, how to get there (rather then zooming into a particular surgical procedure). But wait until after the advancement surgery.
I am 31 years old. I have extremely hollow flat cheeks, hollow eyes, and now pre jowls and lots of new lines forming and dents on chin. My skin is very much lacking elasticity as it feels loose and no firmness. All of this happenend within 1 year (ever since I turned 30). I believe I have prematurely aged (8 to 10) years sooner than normal as I have been a smoker. I am extremely depressed about these changes. I used to have a heart shape face and now it looks long & flat, pre jowls. Help?
Looking at your photo, I do see lack of midfacial volume. You really do not appear to have droopy cheeks. Therefore, I would certainly not recommend a midface lift because it will give you marginal improvments at best. Volume restoration can be achieved with injectable fillers, facial fat grafting or cheek implants. All of these are of value and carry their own sets of pros and cons.
If in doubt, start with temporary fillers to see how you like the results before commiting to procedures that require a longer recovery.
