Mid Facelift, Mini Lift or Fillers for Marionette Folds and Slight Jowls at 37?

hello,i m 37 with quite ok skin quality(no deep wrinkles,few fine lines etc.),i always looked young for my age,however,in the last 2 years my face which was always quite round and a bit chubby(depends on my weight) start to look gaunt in the middle and the heaviness became more predominant around my mouth and jowls(plus the corner of my mouth are downwards)which makes me look older and almost "masculine".Which procedure would be the best option for me??

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25 Doctor Answers | Asked by missmagic73 in London

Doctor Answers (25)
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Options for treating slight jowls

The jowls and marionette lines are best treated with either a mini lift or a face/neck lift. If jowls are the only problem, a mini lift will usually suffice. If there are neck issues, such as interplatysmal cords or subplatysmal fat in the neck, then a lower face/neck lift must be performed. Cheek implants can also be inserted over the maxilla when a gaunt or hollowed cheek area is present. These could be in the form of either malar or submalar implants depending upon the patient’s... more

Stick with nonsurgical options for facial rejuvenation at 37

Loss of fat in the face is one of the things that contributes to aging, so injectable fillers are often first line therapy. More permanent volume restoration can be achieved with fat transfer. At 37, you should also get a great response to nonsurgical skin toning treatments such as Ulthera or Thermage.

A Mini Facelift is better than fillers for lower face and mouth laxity

Although soft tissue fillers work will to plump the Nasal Labial Fold and cheek I find them less helpful to improve laxity around the mouth and jawline. I think this is related to the fact that the mouth has less rigid tissue (bone) supporting it than does the cheek. A Mini Facelift does a better job (In my opinion) tightening the mouth, lower cheek and jowl area than do filler injections. You are young, with good skin, and a properly done Mini Facelift should give you an... more

Another option for facial rejuvenation

I think you got it right. You lost volume from your face and what you see now is the "skeletonization" of the face and developing a more angular, masculine look. The "chubby" look conveys youth. You are blessed with high cheek bones which gives you the inverted cone of youth. What you are experiencing is fat loss from the face. I personally would skip the temporary fillers, would not subject you to a facelift but do panfacial micro fat grafts to better balance and... more

Mid facelift works for 37 year olds.

Hi. As you can see from all the different answers, this is an art more than a science. But this is my experience. A well done mid facelift (through the mouth, no scars) will correct gaunt look and lift the corners of your mouth.

Forget surgery for now.

Your best option is having hyaluronic acid fillers to address the various hollows in your face. The treatment is entirely non-sugical and will provide benefit for one or two years without surgery. No surgery will address all of your issues or be as effective as having filler treatment. You task is finding the right injector.

Kenneth D. Steinsapir, MD

8 reviews

Los Angeles Oculoplastic Surgeon

Fillers Versus Facelift for signs of early aging

Dear missmagic- as you can see from the answers there are no clear cut solutions for your issue. The biggest issues I see from your photos are the jowls and indentation of the jawline just in front of the jowl. This deformity is a characteristic sign of aging and very uncommon in people under 40. Fillers could give you a temporary result but they could last up to a year, and you could avoid major surgery. If you want to go for surgery then a lower facelift, not a... more

Mini-face lift or fillers

Thank you for the photo. A mini-face lift will give you a permanent improvement in the areas that bother you. A mid-face lift will not correct the jowls. Fillers are temporary and for these problems, disappointing at best. You are beautiful. Early aging has squared your face a little. You should be thrilled with a face lift result. Best wishes.

Face lift at 37?

Dear missmagic73, I have examined your picture carefully and here are my observations : Noticable jowls, hollow cheeks, deep tear trough grooves and downturned corners of the mouth.Fillers like Restylane can improve, but they are temporary and do not help the big picture outlined above. Fat injection are also limited in the total improvement. In my opinion, your best bet is a face lift based on the MACS lift technique ( developed in Europe by Dr Tonard from... more