I’m 35 but feel I have significant sagging. What procedures should I consider? (photos)

This is not fat but formed from a muscle confluence ending close to the corner of the mouth. At some point, it can be lifted with a deep plane lift. Also in case you were wondering, it is not buccal fat and cannot be treated with buccal fat removal.

​Fillers such as Restylane Silk, Belotero, or Juvederm can work well to treat lines around the mouth, but the best first option is laser resurfacing or deep peels to induce collagen production. Superficial radiofrequency devices and microneedling can help as well and are less invasive. I suggest going to an experienced cosmetic dermatologist with expertise in lasers and fillers. Best, Dr. Emer​

Hello, and thank you for providing photos along with your question. Based on these images, it appears significant volume loss has made the muscles on the side of your mouth more prominent. Fillers may help restore volume, enhance facial contours, and improve symmetry and facial balance.

For a longer-lasting approach that will provide more dramatic results, you may opt for a mini lift. A mini facelift is a minimally-invasive surgical procedure that’s less aggressive than a traditional facelift (rhytidectomy) or a neck lift with platysmaplasty. A mini facelift might be your best choice if you have early signs of aging, such as slight jowl formation and mild to moderate skin laxity.

I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon. Whether injectables or surgery, specific techniques and steps for performing the procedures can vary from surgeon to surgeon. It is essential to find the most skilled and experienced facial plastic surgeon to perform your procedures to make the lasting improvements you want. Because facial plastic surgeons only perform procedures on the face, their knowledge of facial anatomy and refined techniques ensure you enjoy the best possible results from your procedure.