Can a Face-lift Help Wih Malar Bags and Sagging Skin at 40? (photo)

Even as a young man I lacked a defined mid-face structure : flat cheekbone and low cheek with mouth corners pointing downward. At 35, and my tear troughs started being pretty hollow and that made me look tired and gaunt. I had some injections that actually did fill my under-eye part (with no lumps) bu the tear trough was then replaced by a malar bag and its disgraceful shadow. Would a plain facelift help ? Because i know that the cheek-lift is very hazardous and unpredictable.

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22 Doctor Answers | Asked by Man on Mars_74 in Marseille

Doctor Answers (22)
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Facelift will not help malar bags and sagging skin of 40 yo

At age 40 it is pretty unusual to see true facial sagging and excess skin. Malar bags can only be minimally helped with a facelift and consideration should be given to small cheek implants. The implants are placed over the maxilla to restore fullness to the cheek area and reduce gaunt appearance. This can be done as an outpatient procedure under brief general anesthetic and takes approximately 30 minutes to perform.

Malar cheek pockets

Malar cheek bags are very difficult to change, because the skin often has a loose quality that can not be improved with the usual facelift, namel the lift that tends to pull the facial skin slightly upward but more commonly in a posterior fashion. The better approach would be to perform a more vertical lift. One may also have to undermine the skin and deep facial tissues over the malar bones and subsequently elevate the cheek skin vertically, as well as to... more

Sagging midface and cheek skin treatment

A standard facelift won't address the midface area that is concerning you. A midface (or cheek) lift would help address some of the lack of volume in the cheek area. However, as I see it you don't have enough volume in the area to reposition. Much of this issue, like you mentioned, is related to your relatively flat midfacial bone structure. With the additional skin volume loss that naturally occurs starting in the late 20s/early 30s the gauntness and tired appearance then became... more

Facelift at 40

Some type of a facelift might be good to reposition your cheek fat pads on your cheek bones. It would also improve lower eyelids. Recent studies have shown that facelifts under the age of 50 last longer and have higher patient satisfaction than those done in the fith or sixth decade. See my blog on that subject.

Face lift for malar bags

Simply stated, a facelift will not help your situation. Maybe others will have a better answer for you.

Malar bags are challenging

Malar bags are challenging to address. They result from a combination of excess skin, edema (swelling) from the lymphatics in your face, and anatomic changes in the underlying muscle and connective tissue. Most surgical procedures including lower eyelid surgery, midface lifts, facelifts, and even direct excision of the area have been inadequate in treating malar bags. Discuss your particular situation with an experienced Facial Plastic Surgeon to find out what options you may have. more

Face lift at 40 ?

Dear man on Mars, It is true that age 40 is early for face lift, however , surgery is done on humans and not on numbers. From careful observation of your face you will benefit dramaticaly from a face lift technique called MACS lift. This procedure is very powerful because of lifting the saggy fat and muscles under the skin . It fills the depressed areas , highlights the cheek bones and lifts the corners of the mouth. Additionally, the vertical lifting of... more

Improving the appearance of malar bags

Sometimes, bags under the eyes can be genetic, and certain individuals may be predisposed to them at a younger age. The skin around the eyes is very thin, and can easily show a defect. 35 is pretty young for a facelift, and there are other ways to treat malar bags without performing a facelift. A new treatment that works very well is to place filler under the malar bags, and then augment the cheek. As a result, the malar bag will compress, and will not be as visible.... more

Malar bags and sagging skin

Forget facelift. You need volume and a lot of it.The best volme is your own fat. Forget fillers or you will be going back twice or more a year. An expert in fat grafting will achieve a natural contour ypu will be proud of

What can I do about my mid face?

A standard lower facelift will not address aging in the mid face. A lower facelift corrects jowling and laxity in the neck and creates a more defined jawline. A mid face lift addresses sagging in the cheeks. Often times, especially in younger people, volume replenishment will correct the problem in a very natural way. Products such as Juvederm, Radiesse, and Restylane are a good way to start. It sounds like you have tried this with good results. If you want more aggressive re-volumization... more