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Endoscopic Midface Lift, MACS Lift or Other Procedures for Tired Face (Age 24)?

I'm 24& really bothered with my face. I look old& tired. I have thick skin and there are also acne scars on my cheeks. A surgeon I've talked to told me to have CO2 laser for scars, another one suggested Sculptra -but I'm afraid it'll make my face look even bigger (and I've heard fillings cause cists, is it true?) And another surgeon suggested a midface lift. MACS lift also seems helpful in my case. It may be early for these but I don't see any point in waiting to get older when I'm so unhappy...

Doctor Answers 15

How young is too young for facelifting? 24 is.

The image you posted (thanks) tells part of the story.   Even though you are smiling I detect a somewhat full cheeked look, along with acne scarring.  IF the active acne is behind you for sure, and there have been no lesions for some time, CO2 laser is helpful.  Consider buccal fat removal for a more sculpted, less jowled look.

Beverly Hills Plastic Surgeon
5.0 out of 5 stars 17 reviews

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Fractionated laser, skin care, restylane to reshape

I would suggest fractionated laser, a good skin care regimen, and restylane hyaluronic filler to reshape the face.

Babak Azizzadeh, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 4 reviews

No Facelift at 24 try 1540 Non ablative Erbium laser for Acne Scars

You have a full young face with nice cheek volume. A Facelift will only give you more scars and may even make your cheeks to full. You are young looking for your age and your face will mature with time and you will feel better about your face.

Don't have CO2 resurfacing it can make acne scars worse.

Non ablative 1540 Erbium laser treatments are best for scars and can produce very nice results if done properly.

Endoscopic mid facelift vs. Laser skin resurfacing at age 24

I would not advise you to have an endoscopic brow lift or facelift at this young age for your complaints. Your photograph shows some acne scars that would best be addressed with a comprehensive skin care regimen to treat the acne. After this is under control a laser skin resurfacing procedure would be advantages to help with the acne scarring and skin tone. See a good dermatologist first and then consult a facial plastic surgeon specializing in laser resurfacing. Best regards!

Michael Elam, MD
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 154 reviews

Facelift at age 24

Given your complaints and photo, I certainly would advise against any facelift (midface lift; MACS lift etc.). Acne scarring is difficult to treat but commonly involves skin resurfacing (laser, peels, dermabrasion), and medical skin care. Sometimes, tiny alliquots of injectable fillers can improve depressed scars. In addition, collagen induction therapy ("medical needling") has been successful in some surgeons' hands.

For the remainder of the face, it would be important to analyze your aesthetics in repose (not smiling) and truly understand your anatomy and your concerns. Facial balance is the final goal; but a midface lift is certainly not what I would include in a possible menu of procedures.

Frank P. Fechner, MD
Worcester Facial Plastic Surgeon
4.5 out of 5 stars 35 reviews

First things first

From your picture I can see you are struggling with the acne problem. Do first things first, start with the skin and the acne problem. See a board certified dermatologist and get some advice on how to treat the acne. It is amazing how much better you can feel getting the acne problem under control. The solution can be as easy as just stop drinking milk.  Once it is under control, then see a board certified plastic surgeon to handle any residual scarring from the acne and find techniques to brighten up your face. Hope this is helpful. Jon I Sattler, MD Board Certified Plastic Surgeon

Jon Sattler, MD
Glendora Plastic Surgeon
3.0 out of 5 stars 16 reviews

Facial resurfacing

In a patient's 20's one should almost never need a facelift.  I would begin with non - invasive skin resurfacing with either a peel or laser.  This will improve the quality and texture of the skin.  Make sure your surgeon is certified by the American Board of Plastic Surgery.

Samer W. Cabbabe, M.D.

Board - Certified Plastic Surgeon

St. Louis Plastic Surgery Consultants


Samer W. Cabbabe, MD, FACS
Saint Louis Plastic Surgeon
4.5 out of 5 stars 12 reviews

Facelift surgery at 24 years old

There are many options to recontour your face, but I would recommend against having a midface lift, facelift, MACS lift, or other rejuvenation procedure when you are 24 years old. The reason is that these procedures have been designed to lift tissues that have been dragged down by gravity over time back to their original positions. If you already have very prominent and heavy cheeks at 24, raising them higher may not provide you with the aesthetic result you desire. 

You may be able to use fillers and other non-invasive techniques to improve the appearance of your face at this time. Botox can thin the lower face if used appropriately, and everything from lasers to dermabrasion to micro-needling for your acne scarring. 

You don't need to wait to look better, but rejuvenation surgery at 24 may not be the best answer for your cosmetic concerns. Best of luck - J Chow, MD

Jen Yuan Chow, MD
Pasadena Facial Plastic Surgeon

Facelift surgery at age 24

There are many options for recontouring the face and improving skin tone.  Some of these choices are age related.I would opt for more non-invasive choices for you at this time.  For acne scarring and improving texture I favor a micro-needling technique.   I would not recommend a face lift at this time in your life.

All the best,

Tal Raine MD FACS

Talmage J. Raine, MD
Champaign Plastic Surgeon
4.5 out of 5 stars 8 reviews

Try to understand what you would like to have improved about your facial appearance first


Thank you for the question.  One of the most important things that you can do for yourself is to try and identify what exactly you do not like and how you would like the appearance of your face changed.  Doing so before seeking consultation is important.  I would start out small and reassess as opposed to going for broke.  Most mid-20 year old patients just need some better skin care, maybe a better diet, and an understanding of what their options are for looking better.  That would be a good start in my opinion.

All the best,

Dr. Remus Repta

Remus Repta, MD
Scottsdale Plastic Surgeon
5.0 out of 5 stars 115 reviews

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