Saggy skin around mouth! Is a face-lift my only option? (Photo)

You have early aging changes around the mouth which are due to tissue relaxation and not predominantly loss of volume. Therefore, a maximum correction that looks most natural will be a facelift in which the deep plane is dissected and repositioned. This technique repositions the overlying subcutaneous fat and skin in a truly natural way that does not look tight.
Regarding filler or fat, the latter is generally my preference since it’s more natural and longer lasting, but it requires greater downtime. Both can soften the lines, if done well, without producing a chipmunk look. But they have significant limitations, which is why physicians tend to overcorrect.  Microneedling will provide subtle skin tightening, which may or may not be enough to make a meaningful difference. However, it is safe and well tolerated. Perhaps the combination of filler or fat and microneedling would give you enough improvement to be satisfied, but it would only be a partial solution. If a facelift would produce an improvement that is major, I would put the improvement from filler and microneedling at the modest range — and they’d be temporary — while the benefits from a facelift should last 10 years or more.

Hello,The answer to your question really depends upon your vision of what you want to look like. Many women would be happy to look like you do now. I do understand you concerns and have performed  facelifts on patients' in their 40's. I also performed a revision facelift on a 36 y/o woman because she was still unhappy with her result, see the link below. You have many options, surgical and non-surgical depending upon your desired end result. This is the value of a face to face consultation. Sincerely,Dr K

If you feel that your face does not reflect how young you feel on the inside, a facelift may be the solution to help you look and feel younger. During your consultation, your doctor will evaluate your skin texture and elasticity, as well as your underlying skin structure and your facial bone structure. Based on this evaluation, he/she will create a custom surgical plan, detailing specific techniques and recommendations to meet your goals. Your doctor should make sure you have a full understanding of what results to expect.Always insist on a board certified surgeon!
#drright #facelift