28 - What options do I have? Mini facelift? (Photo)

Question

I am 28 (nearly 29) and am very disappointed with how I have aged over the last 5 years. For context, I have had 3 children and led a very stressful life until fairly recently. Now I have completed my family and have more freedom, I want to feel more confident but my face looked old and tired. I always look tired, people always say I look tired, pale or sick, I have big smile lines and am just starting to develop the prominent family jowls that all women in my family have. I am already self conscious of my face due to old acne scars, which has probably made the laxity of my lower face skin worse over the years. I don't mind having acne scars if I look healthy and fresh now, but I don't. I have so much volume loss in my face, and even when I was pregnant and heavier it didn't change. I want to look more fresh, plump, and atleast my age. I like my nose and my lips. I get Botox for my crows feet which are quite bad, but want to avoid maintenance procedures besides this such as futher botox, facials and fillers. Also don't want thread lifts. What options do I have? I am guessing most will say I am too young for surgical procedures?

Zoran Potparic, MD · Answer

What is most striking in your face photos is deficiency of cheeks and midface; this is due a small cheek bones, condition known as malar hypoplasia. A correction can be achieved by maens of augmentation with cheek implants (my preference), fat grafts or both. Augmentation with a filler like Voluma, although temporary, may give you some idea about what kind of result to expect. In person or teleconference conultation with a board certified plastic surgeon familiar with facial implants and facial fat grafting is recommended. Good luck.

Gary M. Horndeski, MD · Answer

Unfortunately, you have not provided a true lateral view.  However, it appears you may benefit from a chin implant.  You may also want to consider some fat transfers to the face.  I do not think a face lift would provide any significant improvement at all.  I think you should try gaining some weight would help you.

Best Wishes,

Gary Horndeski, M.D.

Anil R. Shah, MD · Answer

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. It sounds like you’re feeling frustrated with the changes in your appearance and are looking for ways to rejuvenate your look without committing to ongoing treatments or more invasive procedures. Here are some options and approaches to consider:

1. Skincare Routine
A solid skincare routine can make a significant difference. Look for products that address hydration, firmness, and brightness:
-Hyaluronic Acid: Helps with hydration and plumping.
-Retinoids: Can improve skin texture and stimulate collagen production.
-Vitamin C: Brightens the complexion and helps with pigmentation.
-Peptides: Support skin elasticity and firmness.

2. Lifestyle Changes
-Diet: Eating a balanced diet rich in antioxidants, vitamins, and healthy fats can improve skin health.
-Hydration: Drink plenty of water to keep your skin hydrated.
-Sleep: Ensure you’re getting enough quality sleep to help your skin repair and rejuvenate.
-Stress Management: Chronic stress can impact your skin. Practices like meditation, yoga, or even therapy might be beneficial.

3. Non-Invasive Treatments
If you want to avoid regular procedures, consider treatments that might offer longer-lasting results without the need for frequent maintenance:
-Laser Treatments: Fractional lasers or non-ablative lasers can improve skin texture and stimulate collagen.
-Radiofrequency (RF): RF treatments can help with skin tightening and improve overall firmness.
-Microneedling: Can improve skin texture and stimulate collagen production.

Remember, the goal is to feel confident and happy with yourself, regardless of the changes you’re seeing. Combining skincare, healthy habits, and occasional professional treatments can offer a balanced approach to achieving your desired look. I hope this helps and best of luck!

Connie Hiers, MD, FACS · Answer

No matter what you do, there is always maintenance, or the aging process just continues. I would start with micro-needling with radiofrequency, like Secret, to treat acne scars, fine lines, and tighten your face and neck. This can be continued periodically as needed for maintenance and preventive. Sculptra injections cold also give some nice overall volume to your face.

Thanapoom Boonipat, MD · Answer

Yes we can plump up your face and reshape it so that you don't have such a 'long' face, with fat grafting. This will add volume to your cheek and undereyes, which is making you look tired. Radiofrequency microneedling is used to treat acne scar but will also tighten the skin slightly. The combination of the above will reshape your face to make you look your age.

28 - What options do I have? Mini facelift? (Photo)

Answers (6)

Answer: Face

Answer: Face

Answer: Facial sculpturing

Answer: Facial sculpturing

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Everything you need to know about Mini Facelift

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28 - What options do I have? Mini facelift? (Photo)

Answers (6)

Answer: Face

Answer: Face

Answer: Facial sculpturing

Answer: Facial sculpturing

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Recommended reading

Everything you need to know about Mini Facelift

Our mission is to create a world where every investment in modern beauty is Worth It.