What Type of Facelift Would Maximize Results? (photo) Doctor Answers, Tips
Facelift: Q&A
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What Type of Facelift Would Maximize Results? (photo)

Hi, I am 37 and my face has always been bottom heavy. I have very thick skin and my cheeks have the appearance of being pulled downward instead of up and outward. My main concern is to have the cheeks addressed but i would also like to address my perioral and nasolabial folds. I feel it would give my face a less severe look. I have spent a lot of money on fillers, they have not addressed this issue. I am also considering a subnasal lip lift. please let me know what you think. Thank you!

16 Doctor Answers | Asked by ajelly
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What Type of Facelift Would Maximize Results

Of course, it would be easier for me to address your concerns in person; however, a great deal depends on skin tone and elasticity. It’s certainly not unheard of to perform facelift on someone your age, if you are, indeed, a candidate. I often suggest to patients that they try the “temporary” fillers initially, and if they are pleased, then go to the autologous fat grafting, which lasts considerably longer. You may require a combination of lifting, and... more
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Suspension Cheek Lift is Best Choice, Possibly with Subnasal Lip Lift

At age 37, you are quite young to be considering a traditional surgical facelift. Besides the fact that such procedure would not adequately address your primary concerns: 1) heavy, drooping in the cheek area, and 2) overly long distance between your upper lip and the bottom of your nose. Given the description of your concerns along with limited photos, it appears as if the best surgical approach would be for you to consider a suspension midface/cheek lift, which is designed to... more
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SubNasal Lift Lift and Fat Grafting

A subnasal lip lift is reasonable to reduce the nasolabial distance. I would recommend fat grafting to the corners of the mouth as well. Your nasolabial folds do not appear to troubling from the pictures, but a physical exam would be more instructive. Facelift techniques, no matter what they are, will not improve the nasolabial folds to any significant degree.

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+1

Choice of procedure

Based more on your description, the pix are limited, I would say that cheek implants is a good option. Women do look better with high cheek bones. Your upper lip is long, ie the distance from your nose to the pink lip is somewhat long. That tends to give a severe look. A subnasal lip lift is not a bad option but beware of the scar especially because of your thick oily skin. Get several consults.
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At 37, some fillers will be a better solution than any surgery.

There are, from the photos, some visible transitions from the cheek to the nose and mouth. These can be blunted with the use of fillers leaving a more youthful looking face.
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Mini Facelift

Based on the limited views of the pictures provided, I do see you have thick skin with deep nasolabial folds. Your anterior and lateral cheeks appear flat. The height of your chin is good but it appears to point slightly to the left. At this time, a mini facelift or cheek lift will improve your nasolabial folds. Fat transfer or filler (i.e., Radiesse, Sculptra) will improve the appearance of the cheek area. I would recommend meeting with a experienced plastic... more
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What a facelift does

Allow me to let you into a secret. What a facelift does well is correct sagging necks and jowls. Cheeks, nasolabial folds and perioral wrinkles, not so much. Having said that, I am sure there are many surgeons out there who would love to operate on you! Caveat emptor! I would advise you to stick with fillers and surface treatments. Visit a Board Certified Plastic Surgeon or Dermatologist and don't be afraid to get a second opinion.
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Lift vs filler

More pictures and a physical examination would be helpful for us. However, to address your question briefly, have you tried fat transfer? I have had wonderful results with this procedure in your age demographic with your specific concerns. Otherwise a conservative facelift would improve your jowls and marionette area.
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Yes it would function complete face and nose lift with autoplastma-fat grafting/ podria funcionar un face y nariz levantamiento

Yes you might try a complete nose and face lift together with autoplastma and fat grafting simoultaneously, this will surely solve and get your improvement easealy. si podrias tratar el levantamiento de la punta nasal y un face lift completo mas un autorrelleno de grasa y plasma y estoy mas que seguro que quedarias muy satisfecha
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Midface lift

To lift cheeks your best option is to have a sub-periosteal mid-face lift secured with an Endotine device. Done correctly, you should have a fabulous result. Talmage Raine MD FACS
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Facelift in patient in their 30's

The experienced doctors below are absolutely right: before doing a facelift in a 37 year-old, there has to be a very good reason and a very good plan that justifies performing a facelift in a young patient. The facelift procedure, if it is even the best option, should address specifically the problems that bother you, and have a great, easily understood solution, and a solution that weighs the scars vs. the likely benefit. With the sagging in the midface, that almost certainly... more
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Mini-facelift in Los Angeles

Many middle age women develope sagging skin around their mouth and nasolabial folds. this can be addressed by a mini-facelift. obviously your entire face needs to be analized since your pictures do not show everything.
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Best facelift to improve bottom heavy face

A subnasal lip lift would likely improve the appearance of the long distance from the nose to the upper lip as seen on the photos. The description of your other concerns is not well illustrated by the submitted photos. An in-person examination might lead to a surgical plan.
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What Type of Facelift Would Maximize Results?

The areas of concern you express can be improved. The cheeks and nasolabial folds can be addressed to give you a lifted appearance but the photos provided only give a limited view. A subnasale lip lift will help improve the appearance of your upper lip. Please consult with a board certified specialist who can help assist you in achieving the results you seek.
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Droopy face and what to do.

Your photos do not show enough of your face to give a proper answer. A lip lift is not the answer. See an experienced face lift surgeon to discuss face lifting or cheek lifting etc.
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What Type of Facelift Would Maximize Results?

Aesthetically speaking, the cheeks are flat and the chin is weak. These areas should be addressed, with Cheek Implants and a Chin Implant as well as removal of excess skin (jowls) using a minimal incision Face Lift like our "Celebrity Face Lift".
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