Cheek Filler or Mid Face Lift?

Thank you for your question.  Thank you for your picture.  It would be too premature to perform a mid facelift as you do not have enough skin laxity.  I would suggest creating some volume within Juvederm Voluma Filler.  This would create a lovely contour and fullness.  This is also temporary and can be dissolved if you didn't like it.  The filler lasts approximately 9-18 months.  All The Best 

One's age is best guessed by the appearance of their face. If you feel that your face does not reflect how young you feel inside, you may be a candidate for a facelift.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.If you are not a #candidate, your surgeon can make other suggestions to address your concerns and objectives.

Dear Deni;It looks that your cheek bones are smaller, condition that is known as malar hypoplasia. People with such a bone structure will experience signs of "aging" much sooner then those with normally developed bones. Hollow, concave cheeks, elongated, hollow lower eyelids, tear trough (groove between cheek and eyelid) are typical signs of this condition.To correct bone deficiency (malar hypoplasia)  best option would be to place cheek silicone implants on top of cheek bones. That will correct the size of cheeks, lift and stretch soft tissue on top of it.  That may be all what you need. If additional volume is needed to create fuller and firmer cheeks, fat grafts or soft tissue filler (Juvaderm Voluma, Radiesse, Restylane) can be placed in soft tissue above implants. This relatively simple surgery is done through an incision inside of the mouth or inside of the lower eyelid. Both implants and fat grafts (soft tissue filler) can be done in the same time.Other option would be simply adding volume to build soft tissue only. In my hands this is best achieved with patient's own tissue in form of fat grafts. Soft tissue fillers, however, may be a useful first option just to give you an impression of how much improvement you may expect with any form of cheek augmentation.This is how you can get your heart shape face back. Good luck.