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31, F – Lower Face Heavy, Hollow Under Eyes – Temporal Lift or Midface Lift? (Photos)

Sarah1222___Feb 21, 2026

Hi doctors — I’m 31 and trying to determine what procedure would best address my concerns. My face feels noticeably lower-face heavy, with most of my cheek fullness sitting in the mid-to-lower face instead of higher under the eyes where it used to be. As a result, my under-eye area looks hollow and tired, and overall my face appears droopier and less youthful than I feel. When I gently lift the skin at my temples, I like how it redistributes the volume upward, makes my cheeks appear higher under the eyes, and creates a subtle natural cat-eye effect. I’m unsure whether a temporal/lateral brow lift, midface/cheek lift, or mini facelift would be most appropriate. I’m not interested in threads or temporary treatments — I would prefer a surgical option with longer-lasting results if indicated. I also have natural cheek fullness and can pinch tissue in my lower cheeks both with my fingers on the exterior and with the sides of my teeth inside my mouth/inner cheeks; I’ve heard mixed opinions about buccal fat removal and worry it could age me or worsen skin laxity long term. I would really appreciate guidance on the safest and most effective way to achieve a more lifted, "snatched", youthful contour.

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