I'm 23 Years Old and my Face Sags. Would a Mid-Facelift Help?

Hi malaka ,

20's is generally too young for facelift surgery, including midface lift. Other aesthetic options to improve one's appearance at this age include such treatments as skin care, laser, light peels, or tretinoin.

Based on the photographs, your jaw bone may be relatively small and unbalanced with the face. This small chin or jaw may contributing to the "sagging around the mouth" that concerns you. Jaw surgery, with or without chin implant, may possibly improve the appearance. In addition, fat injections or injectable fillers may also improve the area.

Only after a comprehensive evaluation by a plastic surgeon can he/she help determine appropriate options for you. Best of luck.

Dr. Chaboki

"I suggest reaching out to an expert for a formal consultation. I like to recommend my patients start a combination of facial rejuvenation treatments.

1) Skincare with products and microneedling/PRP
2) PDT Light Therapy a few times per month with growth factors
3) Laser treatments like Clear + Brilliant regularly and others (Fraxel, Moxi, Viva, CO2, Erbium, Halo) a few times per year
4) Sculptra injections a few times per year for collagen production with fillers like Juvederm, Restylane, Belotero, Radiesse, and/or Bellafill
5) Thermage/Ultherapy for yearly skin tightening with or without PDO or cone-based Instalift threads for lifting
6) Botox every 2 to 3 months to stop movement lines and prevent lines at rest

Best, Dr. Emer."

I commonly address issues like the ones you are complaining of at your age with either Juvederm or autologous fat.  Stay away from any permanent products as the complications down the road can be severe.  you may also benefit from some modest skin tightening using a BBL device.  I would recommend starting with a HA filler such as Juvederm.

From your pictures, it seems that you have some marionette lines, or lines from the corner of your mouth down toward your chin. You don't have any jowling, so a surgica procedure is probably not needed. I would recommend filling the folds with Juvederm or Restylane. I'm sure you will be very happy with your results.

Andrew C. Campbell, M.D.

Board Certified Facial Plastic Surgeon
 

Looking at your photos, I see an attractive, young lady.  You do not need surgery at this point in your life. Besides, midface lifts are a lot of surgery for a subtle change.

At this time, the only treatment I might consider for you would be a little filler injection - to smooth out the line that runs downward from the corner of your mouth ("marionette" line).  

All the best,

From the first picutre it appears you have a small jaw which may contribute the the apperance of jowls. Occasionally this can be associated with an overbite. Corrective surgery may require orthognathic intervention. Alternatives include chin implants with prejowl augmentation, as well as the use of fillers. Fillers would allow a reversible and lower risk option with the benefits of reversibility.

I think that fillers -especially Juvederm might be a good start-Juvederm is also reversible which is a huge advantage over more permanent fillers like Radiesse.

Also, having a chin implant as an adjunct might me a good option.  It's best to get several opinions in person-to person consultations-you are too young for aggressive surgeries so let's stay focused on a path that's realistic for your age and will give you the resukts inh line with your expectations.

Good Luck!

Thank you for the photos. Two things I notice: 1. you have a small chin and 2. it seems that your left cheek is slightly smaller than your right one. I would start with injectables or fat grafts to balance the asymmetry. You might benefit from a chin implant to balance your profile view.

I agree with the above.  It would be best to start more conservatively with fillers or possibly cheek implants.  It is best to have a consultation with a board-certified plastic surgeon to go over all of your options.

 

Good Luck.

For the most part, a patient who is only 23 is too young for any facial surgery.  I would really recommend trying a more conservative approach, like fillers or fat injections.  A mid-face lifit can be a pretty extensive surgery with  a long recovery.  Unless you have some underlying medical condition that causes your tissues to be lax, I would think that Juvaderm/Restylane or fat would do a good job of restoring midcheek volume and contour with the lower lid junction.  I hope this helps.