Facelift: Q&A
Ask a QuestionCan 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
+2
Submalar Cheek Implants Recommended
As an oculofacial cosmetic plastic and reconstructive surgeon, practicing in New York for over 15 years, I would be more inclined to suggest the placement of submalar implants as the area below your eyes are relatively lacking in volume. Looking at your photos,You may also consider a filler such as Radiesse or Sculptra to correct this relative volume loss. I wouldn't recommend a facelift as the benefits would be limited and the incisions as well as the change in your hair bearing skin on...
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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.
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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...
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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...
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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.
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Face lift for malar bags
Simply stated, a facelift will not help your situation. Maybe others will have a better answer for you.
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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.
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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...
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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....
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Charlotte Facial Plastic Surgeon
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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
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.
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