Ali Riza Öreroglu, MD

Based on the information you’ve provided, if there is sufficient fat under the chin (submental) and along the jawline, I would initially recommend submental liposuction combined with a lower facelift. At 27 years old, your skin is likely still quite elastic, which is a significant advantage for achieving smooth and natural results. Submental liposuction can remove excess fat from beneath the chin, helping to define the neck and jawline. If there is also skin laxity or soft tissue descent in the lower face (such as around the jawline and underneath the cheeks)—which can occur even in the early 20s—a lower facelift can reposition the underlying structures and tighten the skin, giving you a more youthful, heart-shaped appearance. A mini facelift alone may not be enough if both volume and skin laxity need to be addressed. This combined approach would provide a more defined, balanced jawline and a natural look appropriate for your age. A physical examination is necessary to finalize the treatment plan.

Based on what I can see from the photos, you appear to be a good candidate for both facelift revision and breast lift surgery. However, a thorough physical examination is absolutely necessary for a complete and accurate assessment. For your face, a revision facelift could be performed first. With aging, gravity and changes in skin quality can lead to sagging, even after a previous facelift. In such cases, a secondary procedure can be highly effective. In healthy patients like yourself—with a low BMI and a consistent exercise routine—a deeper technique such as the deep plane facelift is often recommended. This technique goes beyond the superficial layers and repositions the deeper structures, including the SMAS layer beneath the facial muscles. It provides more natural, longer-lasting results, especially in the midface, cheeks, and jawline, creating a refreshed appearance without the pulled look. As for your breasts, I believe a breast lift (mastopexy) would be the primary approach. During an in-person evaluation, we would assess breast tissue, skin elasticity, and nipple position. If there is adequate natural tissue, a lift alone may provide a satisfying result. However, since you mentioned wanting more upper pole fullness, augmentation with implants can be added if you're a suitable candidate. Implant choice should be tailored to your body type, skin quality, and aesthetic goals—typically favoring a natural shape and proportion that harmonizes with your figure.I would recommend Motiva ergonomix series for a natural result . When done thoughtfully, the result can look beautifully balanced and far from artificial, even at age 66.

Based on the photos I’ve seen, there is sagging mainly in the lower face and around the jaw area. In this case, Lower Facelift would be the most suitable option. A Lower Facelift is an effective surgical method to correct sagging and looseness in the lower face, define the jawline, and tighten the area around the chin. This procedure targets sagging that occurs with age and provides a younger, firmer appearance. If the sagging is only in the lower face, this procedure on its own may be sufficient. However, to make a final decision, a physical examination will be necessary.

Based on the photos I’ve seen, you are a good candidate for procedures like Deep Plane Facelift, Neck Lift, and fat grafting. The Deep Plane Facelift is an effective option to address sagging in the lower face and jawline, providing great results for sagging caused by reduced skin elasticity and gravity over time. The Neck Lift is ideal for correcting double chin and sagging in the neck area. Additionally, fat grafting can add volume to your face, especially filling in hollows in the jawline and lower face. These procedures, when combined, can provide both tightening and volume restoration, giving you a youthful and fuller appearance. That being said, to determine the best option for you, a physical examination will be necessary to make a definitive decision.

From the photos, it seems that you are a good candidate for Botox. Forehead muscles, especially in the glabella area (between the brows), can cause downward pull and wrinkles. Botox is the most effective non-invasive solution to relax these muscles, softening forehead wrinkles and preventing the brows from drooping. Botox is natural and doesn’t require surgery. If there is more pronounced sagging in the forehead and a significant brow drop, forehead lift or lateral brow lift may be considered. However, if your forehead muscles are strong, these surgeries might provide temporary results, which is why Botox is usually preferred. For mild sagging or subtle changes, a lateral brow lift might be enough. But if you need a broader correction, a coronal brow lift (forehead lift) could be more appropriate. Ultimately, Botox is the most suitable and least invasive option for your forehead muscles. However, a physical examination is necessary to make the final decision.