Hello, I am a 35-year old female. I have maintained a reasonably fresh look using Botox, and dermal fillers in the mid face, tear trough, temple and naso-labial fold area. My fillers cost approx USD3000/12-14 months, and my doctor is board certified. I was a satisfied customer, but my skin is becoming looser. Upon visiting a plastic surgeon, I was advised that I was wasting $ on quick fixes. He recommended a midface lift. My dermatologist disagrees. Pls PM for pictures - Thank you
Liquid Lift Vs Midface Lift?
Doctor Answers (19)
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liquid lift versus midface lift
The normal aging of the face and cheek area creates facial volume loss. This is the normal aging process. Rather than a mid-face lift or continuing injections the permanent solution would be to place a small Silastic cheek implant over the maxilla. These are placed through an intra-oral approach usually under brief general anesthesia. The implants come in a variety of sizes and shapes, which is determined at the time of the consultation and examination.
Try Ulthera instead of a mid-facelift in a 35 yr old
The middle part of the face is often the earliest to show signs of aging, but for a 35 yr old this is not likely to be significant enough to justify a facelift. One optioin for longer lasting volume is fat grafting. Skin toning can be achieved with nonsugrical treatments including Ulthera, Thermage, or some types of lasers. However, no one can make a definitive recommendation without seeing you personally.
Mostly so-called midface surgery is a disaster.
Fillers are very good when done properly.
There is no single agreed upon method of performing a midface lift.
Many of the methods lead to disfiguring consequences. In no way should you consider it a reliable method with predictable outcomes. The biggest complications I deal with are: 1. loss of volume in the temple due to the dissection, 2. alterations in the lower eyelid contour that necessitate complex and expensive reconstructive surgery, 3. disfiguring alterations in the shape of the corner of the eyelids leading to dissatisfaction.
Caution is advised. Certification in plastic surgery, facial plastic surgery or even fellowship training in oculoplastic surgery does not adequately prepare a surgeon to offer reliable mid face surgery. Proceed with caution.
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Liquid Lift Vs Midface Lift?
This question can be answered only in person. If you're getting good results I would continue with nonsurgicals into your 40s. I usually like a patient to be in their late 40s to early 50s before doing proper face lifting
Facelift v. fillers
Thirty five is young for a facelift. Of course, without photos, it is impossible to tell. The amount of money you have spent on fillers does not necessarily equate to a set amount of product. Your skin should not be loosening excessively wtihin a year. Certainly, as we age, even from 25 to 35, the face can change but it is important to strategize wisely and not to rush into an early surgical procedure which has its own risks and will, in all likelihood, need to be repeated.
Midface volume loss is an early sign of facial aging
If you have had good results with dermal fillers and would like to see a more permanent change - mid facial fat grafting makes sense for you. Its probably too early for a facelift
Fillers or Midface Lift
Midface lift has its own set of complications. If you do not like the cost paid for the fillers every year, you could consider fat grafting. These are the two choices I offer all of my patients in your situation. Kenneth Hughes, MD Los Angeles, CA
Maintaining youth with fillers is probably a better option than a facelift in a 35-year-old.
35 would be extremely young for facelift or some related procedure. Fillers and Botox probably are better choice at this time. Eyelid surgery might be indicated if heavy lids or familial trait.
Liquid Facelift vs. Midface Lift
Thanks for this important question. A liquid facelift is not really a facelift, though it can give the appearance of a change in facial shape. Essentially, a combination of fillers and Botox are used to give the appearance of more volume in the upper cheek region and smooth out the deeper folds of the face. Botox is used to treat fine lines around the eyes and to reduce the forehead frown lines. It is physically impossible, however, to lift something by adding more volume to it. A midface lift, on the other hand, separates the cheek soft tissues from the underlying bone and literally lifts them. This works very well for people with adequate facial volume but early signs of gravity (sagging). If there isn't enough volume, then fat grafting may be considered as an additional therapy with the lift.
The only way to achieve permanent results is surgery. Fillers are costly and very temporary. Dermatologist are not surgeons, so you may want to consult with Plastic Surgeons regarding a facelift. It is good to get a couple of opinions. Be sure to go to someone with lots of experience and Board Certified.
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.