Don't have Endotine Midface lift!

Otto Joseph Placik, MD answers: Endotine midface lift: preventative or corrective procedure?

I'm in my 20s but am already beginning to notice the signs of sagging in my face. Unfortunately, I was genetically saddled with a lot of fat in my cheeks and a good portion of it is going down, down... So my question is, can an endotine midface lift be considered a preventative procedure as well as a corrective one? That is, if I have one performed now, will I have offset some of the aging I would otherwise accrue through my late 20s, etc.? (Side question: how many facelifts can one get in one's life and still look fairly normal/decent? For sure very few people get facelifts in their 20s, but since it's only a ribbon lift and it's not as invasive, I feel okay with getting one at this point. However, if this means I can't get more extensive facelifts in the future, then I would obviously opt to wait. Thanks so much!)


Otto Joseph Placik, MD
9 months ago

I join in agreement with my colleagues in discouraging you from undergoing this procedure.

I have seen 10 year old children having the appearance of a "falling cheek", does that mean they should undergo a ribbon lift?

Any surgery carries risk. With that risk comes a judgement of whether the risks are worth the benefits. Clearly, we as professionals, concur that the risk (given the relatively minor problem you complain of) is not worth it. How would you feel if one cheek settled differently from the other? Would you be willing to undergo a revisionary procedure? None of us would rate your degree of aging as sufficient to merit surgical correction. Now the other part of this decision making process, we think you look great now but how much does it bother you?

If you find that this sufficently occupies your thoughts, you may want to consider a camouflage procedure such as a filler along the junction of the cheek and eyelid (the "tear trough") to try out the look.

In regards to your inquiry about slowing the aging process, this is speculation and I am not aware of any study that would support this concept.

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