Facelift or midface lift at 27? (Photos)

Question

I am a 27 year old female with very saggy skin and severe nasolabial folds. I have never been overweight. I have worn SPF 50 sunscreen daily since 19 and use been using tretinoin and a moisturizer every night for a few years. I don't drink or smoke, am active, and I eat a plant-based diet, but I have eaten sugary foods in the past, so I assume that is the cause. Could I be a good candidate for a facelift or midface lift? I've had a lip lift 6 months ago + revision 3 months ago for my very long philtrum (since childhood).

Ramin Behmand, MD, FACS · Answer

Your photos clearly illustrate your concerns, and it's evident that you're attractive with no signs of facial skin laxity. However, there's a noticeable loss of facial volume, particularly in the mid-face region. A straightforward solution would involve non-surgical filler injections. You might be amazed by the transformative effect that one or two precisely placed syringes of filler can have in restoring shape and volume to your face. Additionally, you're an excellent candidate for surgical facial volume augmentation, such as fat grafting. This method offers a more permanent solution, and I recommend researching a specialist in your area who frequently performs this procedure.

You're likely to be disappointed with any skin tightening procedure, whether non-surgical or surgical. This applies to you because your concern isn't actual skin laxity but rather deflation of skin with excellent tone. The solution to deflation lies in adding volume, not tightening.

Dr. B.

You're likely to be disappointed with any skin tightening procedure, whether non-surgical or surgical. This applies to you because your concern isn't actual skin laxity but rather deflation of skin with excellent tone. The solution to deflation lies in adding volume, not tightening.

Dr. B.

Ali Riza Öreroglu, MD · Answer

Your photos show that the sagging of your skin and the deepening of your nasolabial folds are influenced by genetic factors and gravity. For cases like yours, especially with noticeable sagging at a younger age, I personally prefer a deep plane facelift.
This technique does more than just lift the skin; it repositions the deeper underlying facial tissues, providing a natural lift in the mid and lower face, significantly reducing nasolabial and marionette lines, and delivering long-lasting results. Because the skin is not excessively stretched, the outcome looks youthful and natural.
For a more detailed assessment and to determine the most appropriate approach for your face, a physical examination in person is essential.

Gurkan Kayabasoglu, MD · Answer

Hi dear. When we look at your photos, I don't see a saggy face. Facelift surgery is too early for you. Please contact us for more detailed information and consultation

Warren Schutte, MD · Answer

Thanks for the question with photographs. Your facial aesthetics are in a much better place than you think. You are also doing all of the correct skin care and health habits. You are currently too early for facelift work. To continue looking your best and defying time, it is a good idea to being aggressive skin work to boost collagen and promote a healthy dermal layer. Things like Lasers, RF microneedling, regular botox treatment to forehead and crows feet are all a good idea to start at any time.

Ruslan Zhuravsky, DO · Answer

Hello, A patient’s age is not the main determining factor for deciding on a facelift, but it is certainly a factor to take into consideration. The reason is that with time and age, facial laxity will eventually reoccur and additional procedures will need to be done. This can 10 or 20 years down the line, but it should be taken into consideration. You also do not want the treatment to be out of proportion to the results. Based on your photos, a surgical lift would NOT be my first choice for your face. Due to the fact that you are younger, your results with alternative treatments would actually better than those in older patients with the same level of laxity.In cases like yours, I have been able to achieve good results with properly executed treatments like Morpheus8 (or other RF microneedling) and Acutite (or other similar energy devices). With younger more collagen-rich skin and robust healing, the results tend to be better for those in similar situations. If used properly, Morpheus can help shrink the nasolabial fat pad and tighten the surrounding skin, especially along the lower face. It is important to avoid using the same setting on other parts of the face in order to preserve fullness. I hope this helps. Good luck!

Ronald J. Edelson, MD · Answer

You would not benefit from any type of facelift at this point of your life. I’m sure you could find a surgeon to do it, but i advise  against it.  Total waste of money

Zoran Potparic, MD · Answer

It does not look that any type of lift would change your cheek/periorbital areas;  definitely not NLF. It is possible that small volume increase by means of filler or fat grafts would create improvement. Transconjuctival lower blepharoplasty may be the way to address tear through? In person consultation with a board certified plastic surgeon and discussion about your goals and options would help. Good luck.

Jacob Tower, MD · Answer

Hello, hope you are well. Thanks for posting your information and photos. I would strongly advise against pursuing facelift surgery. You are much better off engaging with minimally invasive anti-aging interventions that won't produce scarring and have a significantly lower risk profile. Morpheus8 would be an excellent option (RF microneedling), as well as botulinum to the corrugator muscles.

Best,
Dr. Tower

Best,
Dr. Tower

Lexie Wang, MD · Answer

You are STUNNING!!! You don't really need any surgery! However, the main thing that I see is midface deficiency, and that is likely what is causing everything to "fall down" and give you that appearance as if you need a lift. I would not do a standard face lift for you; if you needed surgery, the best route to go would be a midface lift and/or fat grafting, but even that I feel is a little extreme. Are you not open the idea of filler/fat grafting at all? Bc that might be the better route for you to go at this time since it'll address the underlying problem (building up your maxilla). An alternative if you're inerested in it to build up the maxilla is to consider jaw advancement surgery and/or midfacial implants.

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.
As far as I can understand from your question yes you are a suitable candidate for a full face lift.For get rid of this image I recommend you total face lift surgery.
It would be better face to face consultation.
Best Regards!

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