I have facial sagging and drooping. Why and what should I do? (photos)

Thank you for your question. Overall, you have pretty favorable facial structures that should be able to withstand the effects of aging quite well. However, there are several aging changes that contribute to somewhat older appearance of your face. Each of these changes by itself is fairly subtle (hence hard to pinpoint) but in combination, they make your face appear much older than it would look otherwise. Three things, in particular, stand out. First, deep frown lines contribute significantly to the aged appearance of the forehead and make you look "worried". Second, hollowness under the eyes makes the cheeks look saggy and give your eyes a tired look. And finally, early jowls change the overall shape of the face, shifting facial volume from the cheeks (where it looks attractive and youthful) to the lower face and jawline.The good thing is that, at this point, all of these aging changes are quite easy to reverse. The first two problems would require a fairly small minimally-invasive treatment. Frown lines would respond quite well to injection of Botox (Dysport, Xeomin). Hollowness under the eyes would improve with the help of a filler. The jowls is the only aging change that would require more significant procedure to get rid of. I would recommend a facelift the most reliable and long lasting solution to the sagginess of the lower face and neck. Other treatments could be tried, but (in my opinion) would have a limited and short lasting effect on the appearance of the jowls.Best wishes!Dr. Konstantin

A short scar facelift is a great option for many people. The recovery & downtime is very minimal. There are usually no drains, most people can go out the same day, you can shower the next day, there're no scars behind the ears and you can wear your hair up anytime and most patients take no pain medicine. The result is usually the same in selected patients as a full scar facelift but it really depends on your exam.
Surgery is not for everyone. In today's day and age, there are many nonsurgical options to consider although surgery usually gets the most improvement specifically of the neck and jowls.
I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of mini facelifts and neck lifts but also offers all the nonsurgical options such as injectables and laser treatments. Go over your concerns with them and make sure above all, you walk out of there with several options and an idea of the pros and cons to each of them as well as realistic expectations. 
I hope this helps and wish you all the best in your surgery and event. If it does, please take a moment to up vote this answer on the “respond” button on the top right.

During your #consultation, your skin texture and elasticity, as well as your underlying skin structure and your facial bone structure will be evaluated. Based on this evaluation, your board certified plastic surgeons will create a custom surgical plan, detailing specific techniques and recommendations to meet your goals. In doing so, he or she should be sure to have a full understanding of what results you expect. It is possible to #combine #surgeries. In fact, I commonly recommend other procedures to go accompany a facelift, such as blepharoplasty or a midface (cheek) lift, to name a few. The combination of multiple of facial procedures may create an optimal result. The best procedure approach will be discussed in greater detail during your one-on-one #consultation. I invite you to visit PacificCenterPlasticSurgery.com to view a complete list of surgeries commonly performed. If you are not a #candidate, your surgeon can make other suggestions to address your concerns and objectives. It is extremely important to seek a board certified plastic surgeon highly trained with your desired procedures. I also encourage you to look at before and after photos of the surgeons actual patients. Also, reading patient reviews of those who have had combined surgeries will be beneficial. Gathering all of this information will help you make a well-informed decision.