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Juvederm Injection vs Midface Lift

I'm in my 30's. I would like the nasolabial folds and mouth corners lifted as they are drooping.. (FYI, I've lost 20 pounds in 2 months). Do you think fillers can fix my problem? or I need a midface lift?

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26 Doctor Answers | Asked by hanna19

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Dermal fillers or Midface lift

The nasolabial folds at mouth corners are best treated with dermal filler injections and not a midfacelift. Midfacelifts give inconsistent results and will not help the corners of the mouth or the nasolabial folds.

Juvederm for Naso-Labial Line Problems vs. Mid Facelift

I think Juvederm and possibly a mild pre-auricular facelift would work best to solve the naso-labial line problem. I am not a fan of mid facelifts as them tend not to last very long and can look unnatural if too much pull is used to alleviate the naso-labial line problem.

Nasolabial Folds - Filler vs. Midface Lift.

Dear Hanna19: This is an excellent question. In order to achieve the best possible outcome in rejuvenating the midface, it is best to first carefully analyze the face and determine the main cause of aging. From your photo, it is somewhat hard to tell but it would appear that the main issue is descent of the midface tissues and therefore the ideal result will be with a surgical repositioning procedure such as a midface lift. Although fillers will give some some degree... more

Facial sagging- facelift vs cheeklift vs fillers

Fillers help a bit to fill in wrinkles, to a point. Midface and cheeklifts help to elevate the cheeks. From your picture, you would most benefit from a facelift along with a cheeklift, maybe not the answer you were looking for, but that is what would be your most effective option. The other procedures will also help, just not be as dramatic.

Juvederm vs. Mid-Facelift

Obviously, if you are in your 30’s you usually would not benefit from a mid-facelift. A mid-facelift has significant downtime and more morbidity in the periocular area and does not justify its use, in most cases. If you’re in your 30’s, the use of fillers in the fat compartments in conjunction with Botox will help you reshape and contour your face.

Rod J. Rohrich, MD

10 reviews

Dallas Plastic Surgeon

Juvederm Injection vs Midface Lift

At your age you should try injection of Juvederm or Restylane if your main concern is the folds. If you want fuller, more lifted cheeks you should consider fat grafting

Sam Naficy, MD

80 reviews

Seattle Facial Plastic Surgeon

www.seattleface.com

Facelift

I would first try the filler. Juvederm is a good option as is Radiesse. If this is not enough, see a Board Certified Plastic Surgeon for a consultation.

Juvederm or Facelift

I see many patients that come in wanting Juvederm or Restylane to correct lines and wrinkles, when often they would benefit more from a surgical rejuvenation. As we get "less young" our face (and the rest of our body) undergoes changes. Part of the change is a laxity in the skin and soft tissues, while part of the change involves a deflation or thinning of the soft tissues. Recent trends in surgical rejuvenation involve not only removing excess skin, but re-suspending... more

Juvederm Vs. Midface Lift

At age 30 I would recommend the non-invasive approach of Juvederm and possibly laser skin tightening. If yoiu are continuing to lose weight you should consider more gradual weight loss so the elasticity of your skin will not be dramatically affected.

Michael Law, MD

17 reviews

Raleigh-Durham Plastic Surgeon

michaellawmd.com

You will need a Facelift to lift the corners of your mouth plus a filler like Perlane or Radiesse to improve the NL folds

Filler injections alone will not lift the corners of your mouth. Perlane and Radiesse can plump the cheek and improve the Nasal Labial Folds. A Facelift can lift the corners of your mouth and will help tighten the face especially after weight loss has caused the facial skin to sag. Neither a Facelift or fillers will eliminate the Nasal Labial Folds as they are caused by the pull of the smile muscles which will continue to pull on the area after a Facelift or filler more

Midface v. juvederm

Since you are in your 30's and have recently lost 20lbs. i would favor fillers like radiesse for the folds and downturned corners of the mouth. don't forget to lightly treat the prejowl area to de-emphasize your full cheeks. if you need more after fillers or further weight loss a cheek lift is always possible. good luck

MalarPlication for mid face droop

A simple procedure such as a malar plication is a simple long term answer for you issues. This procedure is done under local and oral Valium. Sutures are placed through small incisions in the Nasolabial fold and the suture has a small patch placed into the suture and pulled up and anchored to the tough tissue near your sideburns. Minimal recovery, reasonable price. Please look into it.

Juvederm vs Midface Lift

Given your age and photo, you could benefit from either Juvederm and/or a midface lift. The Juvederm could help with the deep nasolabial folds and help elevate the corners of the mouth. the midface lift will better address the lax skin and lift/reposition the lower cheek fat. Their effects are additive, so there would be on problem if you started with Juvederm injections and if you desired further improvement you could elect to have the facelift performed at a later date. more

Juvederm Midface or Facelift

Dear Hanna: First off, congratulations on your weight loss. What an accomplishment for you. Juvederm, Radiesse, Sculptra and other fillers can be an easy and fast, though temporary means to help rejuvinate the nasolabial folds and corners of the mouth. Another thought is fillers into the nasolabial folds and Botox injections into the muscles which pull the mouth down called the depressor anguli oris. This can help turn the corners of the mouth upward. I would wait for 6 months to a year... more

Facelift and Juvederm

Dear Hanna, Given your age and your photo, I would advise starting with fillers, they may not completely resolve all the lines, but they will help. You can always have a facelift down the line, but if you are in your 30s, it might be a little too young to have one. Best, Nima Shemirani

Nasolabial and marionette lines, fillers or surgery?

Injectable fillers are great for softening the harshness of these lines, but as other colleagues have mentioned, they are limited to the extent of improvements. Beware of the overfilled effects that can leave you with heavier cheeks and bigger jowls. Your photo is helpful and you are more a candidate for a surgical lift as I believe you will be disappointed with fillers alone.

Fillers or Face Lift

From the photos, your face has evidence of NLF's, Jowls with laxity of the skin and facial SMAS layer. Fillers like Perlane, Juvederm, Radiesse or Restylane can fill in the NLF as well as the Marrionette Lines (in front of the Jowls) and you will look better. The fillers could also be used to fill out the front portion of your cheeks that appear flat. Full, round cheeks make a woman's face appear soft, youthful and naturally attractive. The question of... more

Facelift compared to filler

Facelift procedures are generally beneficial to reposition tissue to a more youthful location. filler procedures deposit material such as Juvederm or Restylane to augment cheeks or fill in Nasolabial folds, for example. all procedures have pros and cons. the best way to find the answer right for you is to pursue a consultation

Juvederm may not be the right product for you.

Juvederm can be an excellent filler product for certain facial applications. However, Restylane and Perlane have proven to be better choices for the type of filling you need. This products seem to hold better that the Juvederm. This is of course a clinical impression. I would recommend that you remain open about which of the hyaluronic acid fillers are used to help correct your face. A cosmetic dermatologist is a good choice for this type of treatment. more

Kenneth D. Steinsapir, MD

8 reviews

Los Angeles Oculoplastic Surgeon

Filler vs Mid-facelift

The descent of your skin after deflation from weight loss is quite common. A lot if the resultant folding at the mouth corners and naso-labial folds can be improved with fillers. This is, therefore, an excellent way to disguise the areas while you wait for your weight to stabilize. Once it has, the only real treatment is a Facelift, or Facelift and lower Blepharoplasty and cheek lift. This is because the problem is descent of the entire face, not just the central face. more

Fillers are likely to be a great help, but you will need a "liquid lift" approach with multiple fillers.

I could better analyze your face with a side view, because it appears that some of your problem may be a weak chin. Patients after weight loss sag of their face seem to do best with volume restoration throughout the face rather than in single area. In order to give maximum durability and lowest cost we chose different fillers for each area. Usually this means Radiesse in the Nasolabial folds and to support the chin and marionette lines; Juvederm in the lips, and Restylane in the... more

Nathan Mayl, MD

7 reviews

Fort Lauderdale Plastic Surgeon

Filler for smile lines and folds

At age 30 it seems premature to consider a lift. Juvederm is the perfect solution to level the aging curve and soften the cheek folds and upturn the corner of the mouth. It is non invasive, reversible, and cost effective while you 'wait' for a facelift in your future. Best of luck, peterejohnsonmd

You may try Juvaderm first

You have moderate sagging and you will need to have face lift and not mid face lift. You can try the filler for the temporary fix if you are not ready for surgery.

Kamran Khoobehi, MD

28 reviews

New Orleans Plastic Surgeon

Juvederm will not correct a lot of sagging.

Hi. I am a big believer in fillers, but you have to know their limitations. Going by your picture, you probably need surgery. And a mid face lift alone will not correct the jowling. You may need a more conventional face lift. Fat injections can be done together with the face lift. These give you more permanent upper cheek fullness.

Fillers Can Often Act as Mini Facelift for Early Signs of Aging

First, congratulations on your weight loss....I assume you have been trying to loose the pounds! Because you have had a significant loss in a relatively short time, and since your skin elasticity appears to be fairly good, there is a possibility that your skin has not had ample time to retract yet... so you may get a "slight" improvement without doing anything as time goes by. For that reason, I would certainly not rush into a surgical procedure. Based on your... more

Fillers ought to do

I think based on your age and photo that fillers ought to do the job of correcting the nasolabial folds, and a "corner-of-the-mouth" lift can be done with fillers as well. I doubt you need a midface lift at your age. Obviously, a face-to-face consultation is required to fully assess you.