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Dr. Shitel Patel has received overwhelmingly positive reviews for his expertise in various plastic surgery procedures including

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As a double board-certified plastic surgeon with fellowship training in craniofacial surgery from UT Southwestern, I bring a unique depth of expertise to every procedure. My 15,000+ successful surgeries span complex reconstructions to refined cosmetic enhancem
Asked By: Nurturing221002
ANSWER
Usually you want to solve the problem with same type of solution. Replace lost volume with volume. Fat grafting is a great option for facial balancing and then addressing the skin laxity. The skin laxity can be addressed with biostimulators, peels, lasers, sofwave, etc... At your age and stage, a facelift may be overkill. Please get a few consultations so you can evaluate your options.
Asked By: X_O_X_O
ANSWER
This all depending on what technique is used for the facelift and the discussion with the surgeon for the ultimate goal. Release the ligaments will provide a significant improvement to the folds but a skin-only facelift will not do much since there is no foundation of improvement. Also, fat grafting to the face can also help re-volumize areas that may be sagging...
Asked By: Creative7316
ANSWER
I'm sorry you're dealing with this, persistent under-eye/malar fullness after tear trough filler is a recognized complication that can be frustrating and make people look more tired. It sounds like possible malar edema (swelling in the cheekbone area due to lymphatic issues) or a festoon/malar mound that the filler worsened or highlighted. This often happens because filler can obstruct lymphatic drainage in the thin tissues around the eyes and midface. At 37, you're not "too young" for targeted procedures if non-surgical approaches fail and it's significantly affecting your quality of life. Many in their late 30s/early 40s get interventions for early midface issues. The "pulling back" improvement you notice suggests some tissue descent or laxity contributing. Lower blepharoplasty (eyelid surgery) with fat repositioning or removal, possibly combined with midface lift — This directly addresses tear troughs, bags, and malar areas. Can be minimally invasive.Mini-facelift or deep-plane techniques focused on midface — For repositioning without a full traditional facelift. Results look natural when done conservatively. Surgery has downtime (weeks of swelling) but can provide more definitive, long-lasting correction than filler ever could in complicated cases.
Asked By: Dinosaurmom12
ANSWER
There are many nonsurgical options that can help improve the skin and volume but they will be temporary (last 9 months to 2 years). A deep-plane facelift with lower eyelid surgery can make you look 10-15 years younger and you will carry that forward. So you will always look 10-15 years younger as you grow older. The investment for a facelift is lower than repeating non-surgical options over time. Hope you find your happy and awake solution that fits your life.
Asked By: philsfan
ANSWER
To fix the indentation, the best option is fat grafting (own versus off the shelf). Another option may be fillers to the area to make sure you are happy with the outcome prior to fat grafting. There is no way to tell at this point if the suture was too tight but the volume is the issue to help curve out the upper outer cheek.
Asked By: Helpful815461
ANSWER
Looks like you have some extra tissue under the chin (from photo). This can be addressed in a couple of ways: 1. Liposuction +/- muscle repair (pull in the middle)2. Necklift + liposuction (pull behind ears) An exam would be required to see what the best option would be. For the fat grafting portion, I dont see any contour irregularities from a single view photo(needs to be examined). Self exam for you would be: to look in the mirror and see if you pulled your neck up behind the ears or if you pulled your neck together in the middle. Depending on which one you like the look of in the mirror then you would have your answer...
Asked By: Generous762587
ANSWER
Looks like the facelift did not completely address the jowls. This could be from the direction of pull or the amount of ligaments that were released. From your preop photos it looks like you had a bit of extra volume in the jowls and maybe liposuction would have been helpful and may still be. You may need a revision since this is 9 months out from surgery now to redrape the deep tissue to smooth out those jowls. I recommend seeing a board certified plastic surgeon to see what your options are.
Asked By: gisele82
ANSWER
Great Question! A midface lift would help the cheeks be lifted. This can be done endoscopically or with an open approach. At your age, I would think an endoscopic approach may be the best since there is no need for skin removal. Usually an endotine is use to hike the cheek up. This result can last for many years. Hopefully, this provides some clarity!
Asked By: Graceful6143
ANSWER
Sculptra does not generally cause a loss of volume. A deep plane facelift can be done as early as 3 months after sculptra but I would also do a little research about fat grafting to improve the volume in the areas you think are hollow. Depending on what your goal is a deep plane facelift may not be the best choice. A consultation with a Board Certified Plastic Surgeon will help guide you down the right path.
Asked By: pattysmithredditt
ANSWER
Yes, breast augmentation can be combined with procedures to reduce the size of the areola and nipples if you’re concerned about their appearance. This is often done with a periareolar reduction, where excess skin around the areola is removed to make it smaller and more proportionate to your new breast size. If this is important to you, be sure to discuss it with your surgeon during consultation. They can customize your surgery to address both volume and areola/nipple size for the best aesthetic outcome.
Dr. Shitel Patel has received overwhelmingly positive reviews for his expertise in various plastic surgery procedures including









