Ask a doctor

Do I require a facelift for my sagging cheeks? I hate the sagging around my mouth. (Photo)

Doctor Answers (20)

Do I require a facelift for my sagging cheeks?

+1
Thanks for your question and photos. I don't see much skin looseness or soft tissue laxity in your face. That being said, I suggest injectable fillers to address the sagging in the cheeks.

Thanks,
Dr. Mentz


Houston Facial Plastic Surgeon
4.5 out of 5 stars 13 reviews

Too early for a facelift

+1
It appears from your pictures that you have very early lower face laxity.
This would probably be better addressed with nonsurgical treatments such as skin tightening devices and injectable fillers. I would recommend consulting with a facial plastic surgeon to determine the best option.

Mark Hamilton, MD
Indianapolis Facial Plastic Surgeon
5.0 out of 5 stars 10 reviews

volume loss.

+1
 You do not have skin laxity at this time but rather demonstrate a loss of volume around the mouth and cheek area. This can create deepening of the nasolabial  crease and make it appear as if your skin is sagging. Find a reputable surgeon who is board-certified to discuss possible fillers in the cheek and nasolabial area.

Christopher Khorsandi, MD
Las Vegas Plastic Surgeon
5.0 out of 5 stars 72 reviews

You might also like...

Do I require a facelift for my sagging cheeks? I hate the sagging around my mouth.

+1
You are too early for a facelift.  You could try injectable fillers or fat grafting to replace to volume loss.  An Ulthera may also be beneficial if added to volume replacement.

Stephen J. Ronan, MD, FACS
San Francisco Plastic Surgeon
4.0 out of 5 stars 3 reviews

You would be a good candidate for fillers or Ultherapy

+1
Your photos show some early changes of volume loss and laxity around the mouth.  These can usually be treated effectively with Voluma and Juvederm injections.  You may be thinking about surgery, but starting surgery too young may not be the best answer.  Ultherapy can provide a nonsurgical improvement that is safe and effective.

Bharat Shah, MD, FACS
Springfield Plastic Surgeon
5.0 out of 5 stars 2 reviews

Adding volume to your face with dermal fillers is a better option than a facelift.

+1
You are very young and do not need a facelift.  The sagging that you see in your cheeks and around the mouth is due to volume loss in the mid face.  The use of dermal fillers such as Voluma or Perlane can give you a nice result.

Brooke R. Seckel, MD, FACS
Boston Plastic Surgeon
4.5 out of 5 stars 31 reviews

Sagging cheeks and jowls

+1
You don't appear to be "ready" for a facelift as the potential benefits weighed against the cost and recovery are not there yet. In our practice we would recommend seeing our skin care consultants and start with a really good skin care program and possibly an in office skin peel, IPL, etc.. also perhaps fillers in the nasolabial folds or cheeks might be beneficial.. Thanks for the commonly asked question !

G. Wesley Price, MD
Bethesda Plastic Surgeon
4.5 out of 5 stars 3 reviews

Sagging cheeks and jowls

+1
You are kind to post a photo and appear young with mild oiliness possible pigmentation, volume loss and laxity of the skin and underlying tissues. You may have lost weight giving you this appearance also.  It is best to undergo a proper evaluation including your concerns, medical and surgical history, examination and budget are all required to provide a realistic response.

Various options for facelifting and skin texture improvements are available according to the skin laxity and areas of lift or tightening you wish or need. Both surgical and minimally invasive / non-surgical options are listed below.

1.Surgical lifts would be likened to pulling the bedspread and or top-sheet of your bed up to the head-board and removing the excess material.
2.Minimally invasive procedures such as fillers provide volume such as adjusting a pillow under the bedspread.
3.Botox and Dysport act by pulling the top-sheet which drags the bedspread upwardly. If the bedspread (or skin) continues to fall to the foot of the bed despite fillers, Botox or Dysport you will need to consider a facelift.
4.Minimally invasive procedures such as Sculptra will firm the bedspread with improvements in folds, lines and wrinkles.
5.Non-invasive options such as laser and light therapies, skin tightening products and technologies perform their tightening and smoothening of the skin similar to sending your bedspread to the dry cleaners. A more refreshed, even colored, glowing smoother and tighter spread covers the surface of the bed. 

My thoughts for you would start with a therapeutic skin care program such as ZO Obagi Skin Health, IPL and fractionated erbium laser and filler injections. Properly performed by a well experienced injector with proper skills you would achieve better facial balance, reduction in folds and improvement in skin texture.

I hope this has helped.
All the best!

Dean Kane, MD, FACS

Dean P. Kane, MD, FACS
Baltimore Plastic Surgeon
5.0 out of 5 stars 14 reviews

A facelift would not help you with your concerns.

+1
Hello marco30,
Thanks for your question.  I have to say that in your picture, you look really young.  You don't exhibit the skin laxity in the neck and jawline that would be improved by a facelift.  For these reasons, I don't believe that a facelift is a good procedure for your concerns.  From what you have written it seems that your biggest complaint is about volume loss in the mid face and perioral areas.  For young patients, I prefer to use injectible filler to add volume back to the face in strategic ways that fill and lift without making the face look fat or puffy.  I would recommend that you find an expert in injectible fillers in your area to see how this minimally invasive modality could alleviate your concerns.
Good luck,
Dr. Shah

Manish H. Shah, MD, FACS
Denver Plastic Surgeon
5.0 out of 5 stars 19 reviews

Do I need a facaelift?

+1
There are a number of ways to rejuvinate the face, some surgical and others non surgical

In a younger patient it is likely the preference will be for a non surgical options if it will achieve the result desired, and I think this may best suit you.  In an older patient the injectable fillers may not be powerful enough to achieve the desired outcome, so surgical facelift may be a better option.

Injectable fillers can be used to reinflate the tissue and this will lift sagging skin to a degree. Thier use needs expertise and a full assessment and this is where you need to start- a full consultation

I hope that is of some help

All the best

Jeremy Hunt

Jeremy Hunt, MBBS, FRACS
Sydney Plastic Surgeon
5.0 out of 5 stars 58 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.