What Works to Tighten Sagging Skin on Your Cheeks?

I have a lot of skin laxity in my cheeks, and I am wondering what I can do about it. Thank you, Triss.

Sort 6 expert answers by:
+3

"A lot of laxity" requires surgery for the best result

When you say that you have significant laxity in the cheeks, there is nothing like properly done surgery to improve the situation. Sometimes, when the laxity is less severe, volume enhancement with injectable fillers or fat injections can tighten the skin and lift it a bit. Lasers and medical grade skin care can also add a sense of tightening to the lax skin. Combinations of these treatments are sometimes prescribed to maximize the benefits. Consult with an excellent plastic surgeon... more
Richard P. Rand, MD, FACS
Seattle Plastic Surgeon
+2

Facelift, cheeklift, laser

There are many ways to reduce the appearance of wrinkles on the skin. If the patient is looking for a temporarily or minimal solution, light peels, Juvederm, radiofrequency devices, etc wil help somewhat. We have been discouraged by the string and ribbon lifts as they seem to have very limited longevity. For patients wanting to obtain a more permanent result, a facelift will tighten lateral cheek skin best. If a volume enhancing facelift is performed, especially with SMAS elevation and... more
Brent Moelleken, MD
Beverly Hills Plastic Surgeon
+2

Many options

There are many options for sagging cheeks. If the problem is a volume issue, fat transfer from the abdomen or thighs can be a good option. This is a permanent solution but can take a time or two to get the desired result. For a quicker fix, artificial cheek implants are a good option. If you do not like the result, removal is easy and you are back to where you started. If skin laxity is a concern, a midface lift may be your solution. This helps to lift and tighten sagging tissues. Ablative... more
D.J. Verret, MD
Dallas Facial Plastic Surgeon
+1

Multiple different approaches

Facelifting is the most obvious answer. This can help elevate soft tissue that has fallen and take up extra skin. There are some lasers that can tighten the skin, but in my hands they only give about a 20% improvement. The advantage to the lasers are that they result in very little down time and are ideal for the patient with only mild laxity and who doesn't want to undergo a facelift. Facial skin laxity can also be the result of "deflation" or the face or facial fat atrophy.... more
Steven Wallach, MD
Manhattan Plastic Surgeon
+1

Silhouette/Ribbon Thread Lifts are the quickest, easiest and safest of the quick fixes

Dear Triss, Of course the standard surgical facelift gives the longest results but is expensive and carries more risks than the quick fixes. Most people prefer a quick easy safe procedure which is done under local anesthesia and gets you back to work in a few of days. This describes the Silhouette/Ribbon Lifts which are threads and devices which are easily slipped under the skin to raise up the sagging skin. They can last up to 3-5 yrs and cost roughly $3500-5000. Other adjunctive... more
David Hansen, MD
Beverly Hills Dermatologic Surgeon
+1

Autologous fat grafting is great option

I specifically recommend the option of autologous fat grafting for your sagging cheeks. As you have learned by now, aging changes related to volume loss are best addressed by volume correction. Autologous fat grafting is easily performed using your own fat (taken from belly, arm, thigh) which is then "purified" and reinjected into your cheek area to provide a natural lifting and filling effect. It very well may require additional injections (your fat can be stored and frozen for... more
Kamran Jafri, MD
New York Facial Plastic Surgeon
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