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Midface Lift or Other Procedures for Sagging Face (Age 24)?

asked 1 year ago by Eleiria
Latest answer by Sam Naficy, MD
Question viewed 1,216 times
Tags: age 18-24, female, options

Hello. I am reposting my question with more pictures. I am 24 and my face looks old and sagged, applecheeks are almost lost, nasolabial folds quite prominent, lower eyelids unnaturally droopy, there seems to be too much skin yet hollows in the middle of my cheeks (also under my eyes when I laugh). I want to have a younger looking face and tighter cheeks, but do not know what to do. Thanks for your time.

25 answers to Midface Lift or Other Procedures for Sagging Face (Age 24)?

Sagging face at 24 is very unlikely.

Sagging face at 24 is very unlikely-unless you have lost 50 lbs. You have deep nasolabial creases which can be filled with Radiesse as well as the corners of your mouth. Surgery is NOT the answer! See an experienced facial surgeon to get a good opinion.

Toby Mayer, MD
Beverly Hills Facial Plastic Surgeon

www.bevhills.com

Facelift and Acne Scarring

Hi Eleiria- I would recommend beginning with subcision of the acne scarring and filler augmentation. Subcision is release of the acne scar attachments under the skin. This will create a more uniform space under the skin in which to place the filler. I do not think Facelift surgery will meet your goals. Sincerely, Tom Kaniff

Thomas E. Kaniff, MD
Sacramento Facial Plastic Surgeon

www.facialcosmeticsurg.com

Facelift in a 24 year old?

From your pictures, it is apparent that you have lost volume (fat) in your face. This might be genetic or due to weight loss. There are also very apparent acne scars around the cheeks. I would recommend adding volume to your face to remove the tear trough, nasolabial, and marionette lines. This can be accomplished with a temporary filler or autologous fat injections (permanent). I would also recommend facial resurfacing with fractionated CO2 laser (Active and Deep FX). Hope this helps. more

Frank Agullo, MD
El Paso Plastic Surgeon

Sagging face and midface lift

I would strongly recommend a laser resurfacing procedure which would give you excellent improvement of the facial scarring from acne as well as a fat transfer to revolumize the nasolabial folds, cheek and tear trough region, as well as the mentolabial folds (corner of the mouth). I think this would give you the best result overall and save you from needing any surgery at your age that is over aggressive and unneccessary. After those treatments you would be able to make an honest... more

Shepherd G. Pryor, MD
Scottsdale Facial Plastic Surgeon

Facial Fillers (Liquid Facelift) and 1540 Non ablative Erbium laser scar treatments will give you the best result not a Facelift

A Facelift will not give you the result you are looking for. The hollowness and cheek changes that bother you are best treated with filler injections with a strong long lasting filler like Perlane or Radiesse. These fillers can also be used to plump the deeper acne scars. The 1540 Fractional Non-ablative laser can help the acne scars-it is the best laser method for plumping scars but it takes at least 4 treatments 6 weeks apart. A Facelift will not correct the problems that bother... more

Brooke R. Seckel, MD
Boston Plastic Surgeon

www.drseckel.com

24 is too young for a facelift.

You pictures don't reveal anything that justifies a facelift. Sometimes in younger patients with deep acne scarring a modified facelift can be performed to help the appearance. I don't think these procedures help all that much but are occasionally employed. Enjoy your youth while you still have it.

Vincent N. Zubowicz, MD
Atlanta Plastic Surgeon

Sagging face at age 24

I do not recommend a facelift at your age. I think that some skin resurfacing will improve the overall appearance of your face. A lot of the hollowing you talk about also seems to be from your acne scarring. I recommend you see a plastic surgeon in consultation so he/she can examine you. More importantly they will be able to discuss your particular anatomy and help you formulate realistic expectation about what procedures would be appropriate for you and how much... more

Catherine Huang-Begovic, MD
Beverly Hills Facial Plastic Surgeon

Sagging midface at age 24 is best treated with cheek implants

The best treatment for nasolabial folds is injectable filler such as Restylane or Juvederm. Unfortunately, it is only temporary and lasts approximately 4-6 months. The buccal fat pad atrophy and hollowing of the cheek area can be best addressed with malar or submalar implants. This will augment the cheek area and create a youthful appearance.

William Portuese, MD
Seattle Facial Plastic Surgeon

www.seattlefacial.com

Options for 24 year old

I do not recommend surgical facial rejuvenation for you. Rather, as many of my colleagues have stated, a multi-modal non-surgical approach would likely help with your concerns including: skin care with topical therapy/laser treatment, fillers just as juvederm, or perhaps fat micrografting.

C. Bob Basu, MD
Houston Plastic Surgeon

Treatment of Facial Changes in a 24 Year Old Female

The changes youn describe are very unusual in a 24 year old lady. Consult with an experienced Dermatologist to determine if you have some unusual skin condition. If there is no skin pathology cheek implants, fat liposculpture, or fillers such as Radiesse are all reasonable alternatives.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon

Heavy skin from acne causing drooping at age 24

Thanks for the photos. I am impressed with the variety of recommendations you have received from my colleagues so far, and many are excellent points to consider. Because your skin has been thickened and weighted from the apparent acne inflammation, I don't know how much improvement you will see with volume replacement alone. This could work against you by adding more weight to your cheeks. I suggest a variation of the minimal access cranial suspension... more

Randy Wong, MD
Honolulu Plastic Surgeon

Midface Solution

I carefully examined your picture and I believe a great option for you is a tri modality. You have 3 distinct issues : 1. loss of volume 2. acne scarring and 3. loose skin. To address these things a good treatment plan would be : 1. volume replacement with either your own fat or product( Radiesse, Sculptra) . 2. C02 laser for the acne scarring and texture. and 3. Finally radio frequency firming of your skin with Thermage or accent. By attacking all three problem areas... more

Ritu Chopra, MD
Beverly Hills Plastic Surgeon

Midface lift at 24?

Dear Eleiria, thank you for the additional photos they are much more helpful in helping answer your questions. It is apparent by your photographs that you have lost volume in your face and have some acne scarring in the lower cheek region. I would recommend some fat transfer to the cheek area and nasolabial folds. Co2 fractionated laser skin resurfacing would be helpful in treating the acne scarring. The combination of these two procedures should give you a lot of improvement in the... more

Michael Elam, MD
Orange County Facial Plastic Surgeon

Sagging cheeks in a young face

I agree with several of the other posts. I would advise against any surgical lifting procedures at your age. Instead, non-surgical treatments are both more appropriate and lower risk. You could benefit from volume augmentation to your cheeks and nasolabial folds with either Perlane, Radiesse, or fat. This may help camouflage some of the acne scarring on your cheek. You may also benefit from a fractional laser treatment which would help resurface your skin providing improved texture, color,... more

Gregory J. Vipond, MD
Pasadena Facial Plastic Surgeon

Sagging midface

The major problem in your face/cheeks is poor bony cheek support and loss of fat, resulting in the saggy look you describe. The best option for you is volume augmentation of the cheeks, using implants and/or fillers (such as your own fat or synthetic fillers such as radiesse, juvederm/restylane). Dr Taban

Mehryar (Ray) Taban, MD, FACS
Los Angeles Oculoplastic Surgeon

Facelift for 24 year old woman?

Let me be blunt and strongly recommend against midface lift surgery at age 24. You would be much better off considering volume enhancement with injectable fillers or facial fat grafting. As a side effect, your skin will benefit. I have seen quite remarkable improvement of acne scarring after facial fat transfer.

Frank P. Fechner, MD
Worcester Facial Plastic Surgeon

www.drfechner.com

Facelift for sagging midface

You appear to have lost volume in the midface/lower eyelid region, however I would not advocate for a facelift at 24 years old. Restoring volume can be achieved with fillers such as Radiesse and Sculptra. Skin resurfacing for the deep acne scars will also be beneficial I would recommend a chemical peel or dermabrasion to deal with these areas effectively.

Kristin Egan, MD
Manhattan Beach Facial Plastic Surgeon

Face Lift, Mini Face Lift, The Palmer Celebrity Face Lift

Your face appears to have lost volume, secondary to acne scar production in the cheek area and the nasolabial folds as well as parts of the lower face have what appears to be excess fat. This all results in the front portion, of your cheeks being a bit flat instead of full and round. I have fould this one area to be the major source of discontent that women have with their faces. Before I tell you what I think will help, let me explain why a Face Lift is not the answer to the... more

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

Sagging ? Face

I would on consider doing a facelift on you. I do however think you have some atrophy secondary to acne. I would recommend if your acne is quiet, to do lipoinjection into the cheek. You could also do scupltra cosmetic, but I would opt for fat first to give you want you need. Good luck, Dr. Schuster in Boca Raton.

Steven Schuster, MD
Boca Raton Plastic Surgeon

Midface lift in a 24 year old?

At 24 years of age, you really are too young to consider facelifting procedures. Based on your pictures, you look like you would benefit from some jawline liposuction and midface fillers. These procedures are minimally invasive, less expensive and can make some nice improvements. Good Luck.

David Shafer, MD
New York Plastic Surgeon

www.ShaferPlasticSurgery.com

Midface sagging

I agree with my colleagues that surgery is not the answer. I have found that a combination of deep volume fillers plus "surgical needling" which is a form of percutaneous collagen induction can give you the lift that you desire and tremendously improve the scarring on your face. Good luck to you.

Andres Gantous, MD
Toronto Facial Plastic Surgeon

You facial fat was damaged by your cystic acne.

The loss of the cheek fat due to inflammation and scaring results is loss of volume and support for your cheek. The answer for you is not midface surgery. The answer is non-surgical treatment with a filler like Perlane which will do wonders for your cheeks and transform your appearance.

Kenneth D. Steinsapir, MD
Los Angeles Oculoplastic Surgeon

Sagging face at 24?

I'm not sure I'd say your face is sagging. Have you lost a lot of weight? Sometimes that can give a "deflated look" but your pictures do nost look so saggy. It looks like you have some scarring of your cheeks likely from acne or some other issue. Laser skin resurfacing may help to improve the appearance of your cheeks, and maybe a little filler in your nasolabial folds will make your happier with the appearance of your midface. But some people just... more

David S. Rosenberg, MD
Beverly Hills Plastic Surgeon

Sagging face age 24

Your face is more in need of volume than surgery. Injectable fillers or fat grafting are both reasonable options

Sam Naficy, MD
Seattle Facial Plastic Surgeon

Facelift

I would consider some fillers and an examination by a local Board Certified Plastic Surgeon for your problem. Consider Sculptura for this as well. Thank you for your question and good luck with everything.

Vivek Bansal, MD
Danville Plastic Surgeon

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