Facelift or Fillers? (photo) Doctor Answers, Tips
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Facelift or Fillers? (photo)

I am only 45 and I hate the way my mouth and peri-oral area are aging. I feel like this area of my face makes me look 10 years older. My neck and jawline are still fairly decent so I'm not sure if its time for a facelift already or would a liquid facelift have a worthwhile effect on this area? Please advise, I'd like to take as many years off as possible in one procedure. Thanks!

12 Doctor Answers | Asked by lilangelmommy in san diego
+2

Central lower 1/3rd of the face is often the first zone to age

Lilangelmommy: The perioral area is the 2nd most frequent area I treat, (after the upper 1/3rd/brow). Your photos demonstrate good jaw and neck definition but also deflation of your cheeks, tension around the upper lipstick "bleed lines" and the beginning of a left mandibular jowl. Liquid facelift usually means the use of collagen stimulatory fillers (Sculptra, Radiesse) and both of these would be suitable for correcting the vertical lines or "fish gill" deformity, which many slender... more
+2

Facelift or Fillers?

Hi There, You may certainly benefit from a facelift, but for someone like yourself with more concentrated wrinkles around the mouth, I would recommend a combination Pixel and fillers. Pixel is a fractionated carbon dioxide laser that can help you achieve reduced wrinkles, create tighter skin and lead to a more even complexion with several days of downtime, depending on the amount of improvement desired. We often add the Erbium laser at the same time to lessen or eliminate the... more
+2

The aging mouth...Lift v. Peel v. Volume...What to do?? Ask Dr Ellen

Hello Lilangelmommy, I can actually feel your pain, as I am in the same boat! It's so frustrating to see your mouth slip away at a faster rate than the rest of you and it seems that there should be a simple solution to fix the problem without getting into a lot of surgery, etc. And there are some remedies, so keep reading... Here is my take on the perioral area: Aging is a 3 Dimensional Problem- 1. volume/soft tissue loss contributes to loss of lip... more

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+2

Facelift or fillers?

From your pictures, I see three issues that cause aging to your mouth and lower cheek area. First, there are some vertical lines on your upper and lower lips. Second, there is an area on the sides of your cheeks where there is some volume loss. Third, there is an area on both sides of your face, between the mouth and the area with the loss of volume on your cheeks, that has a bit of a protrusion. A facelift, by itself, would only help with the third issue. The... more
+1

Would A Liquid Facelift Correct The Aging Around My Mouth?

For your upper and lower lips, a liquid facelift to include fillers in your lips, usually Restylane, in the white rolled border between the red and white lip, Perlane to fill the body of the lips, and Belotero in the wrinkles (ritids) of the upper and lower lips. The wrinkles on either side of your mouth and onto the cheeks are due to a loss of collagen in the skin and also excessive skin. Here, you will be best served by a standard lower facelift with the injectibles done at... more
+1

Should you get fillers or a facelift?

From your photos I can see that you are slender and that has led to the loss of fullness in your cheeks, resulting in vertical lines. If you rely on the use of fillers you will need to use quite a large volume and repeat this treatment every couple of years. I have used a simple rule of thumb for advising women like you what to do. Fillers are expensive and if you need to use more than 3-4cc per year then you are better off "saving your pennies" for a surgical lift. In your case, I... more
+1

Facelift for area around mouth

From your photos it appears that you have a lot of aging in the cheeks as well as around the mouth. Ther is certainly loss of volume in the lips, especially the upper lip with a lot of lines in that area. Your neck is still quite good except for a slight laxity in the submental area. I would perform a short scar 2 layer facelift which would improve the cheeks and jowls as well as tighten the neck some. This does not reach the area aound the mouth since if we pulled tightly enough to... more
+1

With or without a face lift, volume is crucial to youthful appearance

Volume loss can attribute more to aging than just about anything else. Volume loss can be solely loss of natural fat or it can be a combination of fat loss, bone shrinkage (yes, our bones "shrink") and muscle atrophy. Losing those underpinnings of facial structure means there are correction needs that aren't always immediately obvious. Volume can be recreated through collagen stimulating agents like Sculptra and instant fillers like Restylane or Perlane or Juvederm or Radiesse - or even... more
+1

Yes. A facelift will give you the most improvement.

Not just pulling the skin tighter, but adding permanent volume with fat grafting as well, with micro injections, and repositioning the soft tissues to correct the obvious laxity of the skin. Fat can be added to the lips as well to improve the vertical wrinkles. Dermabrasion would also be helpful. Are you a smoker? Pursing your lips may be contributing to your aging changes, together with the effects of the nicotine etc.. The non-surgical techniques may give you a slight improvement, but if... more
+1

One procedure may not be the answer

Lilangelmommy, I have read many options that may work for you by other plastic surgeons and dermatologists. However I think that rejuvenating your lower face and ignoring the rest of your face could lead to a disappointing overall result. My suggestion is to make an appointment with a well known/referred plastic surgeon near you. He/she will guide you the right path.
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