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Mid Face Lift or Lower Face Lift with Chin Implant?

asked 11 months ago by meetingpoint in California
Latest answer by Richard Galitz, MD
Question viewed 723 times
Tags: age 35-44, chin, lines, female, comparison, implant, indentation

I am in early forties and I'm noticing indents on the corner of my upper mouth and lines around my mouth. I was wondering if I shall go in for mid face lift or lower face lift with chin implant? Also, I have undergone rhinoplasty which had gone bad.

I have asymmetrical nostrils with too much cartilage removed on one side. Two months ago I got juvederm on my upper lips, and it looks overly done. Also, I have some radiasse on my cheeks which too appears looking crooked.Please help. Thanks.

13 answers to Mid Face Lift or Lower Face Lift with Chin Implant?

Midface/ Lower Facelift

I would start with a conservative approach to address your areas of concern and then take it from there. I would recommend a personalized consultation in person as your concerns would be better addressed with a more customized evaluation.

Kimberly Lee, MD
Beverly Hills Facial Plastic Surgeon

www.beverlyhillsfacialplastic.com

Mild Aging Options

Okay, slow down. You have had 3 procedures that you are not happy with. I wouldn't jump into another surgery right now. I agree with your critiques but I still think your aging changes are mild. You look thin and have some volume loss. I would start with a conservative procedure such as fat grafting. That can address several of your issues in moderation. It is also a way to get to know your surgeon and gain trust. Discuss further with your... more

Hannah Vargas, MD
Kansas City Facial Plastic Surgeon

Unhappy with fillers?

You are a beautiful woman, but that just makes it easier for me to make you gorgeous. Your eyes are pretty but they are surrounded by so little soft tissue that I can almost see the hollows of your skull. Fat transfer all around your eyes would correct that, but it might have to be done twice to make them absolutely gorgeous as the upper lid crease is way too deep especially medially (nose side) and less of the transferred fat lives in areas that move a lot. The wrinkles around your mouth... more

James W. Goodnight, MD
Ridgewood Facial Plastic Surgeon

Face lift and ckeek implant

Looking at your limited pictures, I would recommend a mini or lower face lift with a submalar cheek implant and not necessarily a chin implant. You definitely need more midface volume and a conservative mini or even MACS lift can bring the face into a nice balance. I believe you would also benefit from a fractional CO2 peel and routine skin care to improve skin texture and pigmentation. As you have seen, soft tissue fillers and fat grafting are extremely operator dependent and asymmetry and... more

Edwin Ishoo, MD
Boston Facial Plastic Surgeon

Facial rejuvenation with fat transfer

I can not agree that face/midface lift is a good choice for you. I would consider to use fat trasnfer, AFG to restore voulme on midface, filling smile line, use of chin implant to improve your facial profile, revision of rhinoplasty and using Botox to improve the lip's corner position ( to raise the corner of upper lip)

M. Ryan Khosravi, MD
Los Angeles Plastic Surgeon

Fourties seeking face lift

I have performed Face Lifts for over 20 years and IMHO, from your photos: the cheeks are a bit angular and could be more soft and rounded which make the face appear soft, feminie and youthful. The nasolabial folds display excess subcutaneous fat which appears more on the right than the left. There is evidence of jowls on both sides and excess skin. The chin appears a bit weak and there is excess skin and fatty tissue under the chin. IMHO a minimum incision Face Lift... more

Francis R. Palmer, III, MD
Beverly Hills Facial Plastic Surgeon

Facial Rejuvenation with fat Injections, Chin Augmentation and Revisional Rhinoplasty

The issues that you have around your mouth are not correctable by any form of facelifting procedure, albeit a midface or lower facelift. You simply don't have enough of skin sagging to justify such efforts. The use of injectable fillers or fat grafting for some mild volume restoration could prove helpful however. Your chin is mildly deficient in the one side view and a small chin implant may be beneficial but it would be helpful to see some predictive computer imaging... more

Barry L. Eppley, MD, DMD
Indianapolis Plastic Surgeon

Facelift vs cheeklift and rhinoplasty revision for unatural nose.

You have many issues and I would like better photos. I don't think you are a mid facelift candidate. The excess skin and muscle of your face and neck can be improved with a facelift and fillers. Your nose surgery is not natural. The tip is pinched, the nostrils retracted, etc. These can be improved by grafting your septal cartilage to the areas where too much has been removed and lengthening your short nose to give less nostril show.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

Mid-facelift, or lower facelift

In your early forties, for some a soft or mini-facelift can make sense to improve the jawline and early jowl, and also will allow filling of cheek hollows. However without any of these issues lower facelift is out of the picture, and with a fairly high cheek so is a mid-facelift. We would suggest sticking with injectables, or consider structural facial fat grafting to improve facial shape. Chin implants as well have a very strong impact on facial shape and appearance and in your forties... more

Peter E. Johnson, MD
Chicago Plastic Surgeon

Please be careful what you look for.

Dear Meetingthepoint You could be one overdone surgery way from becoming a social recluse. Rather than having an over committing surgery, I would recommend considering fixing your upper eyelid ptosis and getting facial fillers. I personally think that perlane in the chin is much better than any chin implant that we have. You could have restoration of cheek volume by having Restylane at the tops of the cheeks instead of a midface lift. Midface lifts are often... more

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Pre-Auricular Face Lift or Fraxel Laser

If the lines around your mouth are caused by drooping of the tissues you will need at least a pre-auricular facelift. If there is little drooping but age related lines I would suggest CO2 fraxel or Erbium laser to smooth the skin. The results are long lasting and often more natural looking than a dermal filler.

Richard Galitz, MD
Miami Facial Plastic Surgeon

www.aventuraplasticsurgery.com

Options for facial aging

A chin implant is placed through a submental incision and is used to augment the mandible. The implants are made of solid silicone and come in many different shapes and sizes. If needed, they can easily be removed. A lower face/neck lift is best performed on patients with significant jowling and/or laxity in the neck. A midfacelift will not raise the corners of the mouth. Consider cheek implants to augment flat cheek area rather than fillers in the lower face... more

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Mid face or lower lift

Those lines by your mouth and upper lip will not be fixed by any implant, mid face or lower neck lift. Mini lifts can improve the jawline but I don't think you have enough laxity there yet to justify the degree of invasiveness of the procedure. I would stick to fillers here. Your nose is to short and over rotated for your face. It makes the middle third out of balance with the upper and lower thirds and exaggerates the length of the skin of your upper lip. It is also rounded on the tip... more