Asian female, age 40. Collagen loss and sagging. Can you recommend a procedure? (photo)

If you have too much fat then I do not recommend anymore fat transfers to the face. One thing you can consider is a lip lift. A lip lift does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners. The procedure takes 1 hour to perform under local anesthesia and costs $4,000. The other alternative is a mini face lift. This can pull up some of the jowls and cheeks.

Best Wishes,

Gary Horndeski, M.D.

It sounds like you are a candidate for a Mini-Facelift. My favorite technique is the MACS short scar Mini-Facelift. Developed in Europe, it is the ideal approach for the younger patient, not ready for a full facelift, or patients who desire a less invasive procedure with a shorter recovery time. It addresses both the mid face area (especially the jowls) as well as the neck, if needed. Come see me or another board-certified plastic surgeon in our area. Good luck.