Saggy Face At 48. What Can I Do? (photo)

I am noticing that my face is dropping and one day will fall on the ground!!!! I am 48 and look much older that my counterparts. I have searching and searching for a solution but this is only increasing my confusion. Face lift, mini face lift, injections, fillings and lately face tite I really appreciate your kind opinion regards Juamer

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9 Doctor Answers | Asked by juamer

Doctor Answers (9)
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Forget the Face Lift, Keep it Simple and Natural

Hi Juamer, Based only on your pictures I think that a good start would be to have a "mini" necklift or platysmaplsty done. That would improve the appearance of your profile and the loose skin that is evident under your chin. Certainly looks like you have early sagging along the jaw line but a face lift might very well result in making your jaw line too feminine (a heart shaped face works for women but not for men). Also given the short length of your hair the incision... more

Kamran Jafri, MD

New York Facial Plastic Surgeon

www.custom-lift.com

Saggy Face At 48 Can Benefit From Facelift or Fillers

Thank you for your question. A Facelift will improve the sagging of the cheeks, jawline and neck in particular. Because you do not have full hair, care and expertise is necessary to hide your Facelift Scars. Only a Facelift or Neck Lift will tighten your neck line. Filler Injection such as Perlane, Sculptra or Radiesse or Fat Injection will give you a nice improvement in your cheeks without surgery. However only surgery will improve your neck.

Saggy Face At 48. What Can I Do?

Aestheically speaking, from the photos provided, the cheeks are very flat which has allowed the midface to sag unabaited towards the nose and mouth. The chin is also weak which has created an excess of skin in the center, of the neck. The lower eyelids also show evidence of herniated fat. A minimal Incision facelift "Celebrity Facelift" combined with Cheek Augmentation, Chin Augmentation, sub-mental skin ellipse and a lower Eyelid Surgery would seem... more

You could get a lot of benefit from fractionated resurfacing followed later by filler or fat transfer.

Thank you for you question and the photos. You are going to get many different answers for your question. You could get a lot of benefit from fractionated resurfacing followed later by filler or fat transfer. Others will have differing opinions. To be sure, see two or more board-certified plastic surgeons in your area for a full and complete evaluation to make sure you are a good candidate and that it is safe for you to have surgery. I hope this helps.

Saggy Face At 48. What Can I Do? (photo) #facelift

You exhibit so many of the features that everyone of us will have over time. Gravity wins! You have lost mostly the midface volume that you once had higher over the cheek bones. From top to bottom here are many things you could do. neurtoxin such as Botox or Dysport to help with lines in the forehead and between the eyes. You could also benefit from lower eyelid surgery to alleviate the tired look with bags that we all get. I can not tell if you need upper eyelid surgery or eyebrow surgery... more

Sagging face suggestions

The major aging feature of your face based on these photos is what appears to be lipoatrophy. This is often associated with certain medical treatments, weight loss or heredity. A combination of facial filling along with tightening rocedures (face lift, nasolabial fold excision) may work for you.

Liquid Facelift is a Great Start

After looking at your photo's I think you could benefit from the following fillers: Radiasse Sculptra Juvederm Restylane And of course, with a mid face lift to pull up the neck and lower face. You need to be examined by a Facial Plastic Surgeon to talk about scars and expectations. Of course, lasers would get some retraction of the skin along with some better texture. Hope this helps...

Saggy Face At 48. What Can I Do?

The most striking issue apparent in your photos is volume loss in the middle and lower face. This can be remedied with injections of dermal filler material, Radiesse, Scuulptra or fat transfer. This will remedy much of the atrophy of your facial tissue. Volume is the best place to start. This can always be followed with laser resurfacing or surgery to tighten the skin but the primary issue that you're noting is loss of facial volume. I hope this information is helpful. Stephen Weber, M.D... more

A Facelift and Eyelid Surgery Would Be Very Helpful For You.

You also demonstrate significant loss of volume in the cheeks and the reality is that facial fillers alone could also make a significant difference. I recommend that you do your home work and find the highly qualified surgeons in your area and seek several opinions. Someone will make sense to you and this will be your surgeon.