I have developed malar bags and mid face sagging. I am 44 years old. I have tried fillers and botox but they make my cheeks heavier and I would prefer something more permanent. I am also being treated for a chronic sinus infection, deviated septum, and enlarged turbinates so I know I need to have these addressed first. Would I benefit from a mid face or cheek lift for a fresher appearance? Thank you for any advice
Answer: Mid-Face or Facelift Candidate? I would recommend volume enhancement using a number of techniques ranging from fat to synthetic fillers which will help symmetry. Once facial aging progresses to skin laxity and dissent, I recommend a micro or many facelift. I actually have found that patients who get treated surgically sooner end up looking better longer. Sincerely, Philip J. Miller, MD, FACS Double Board Certified Facial Plastic Surgeon
Helpful 1 person found this helpful
Answer: Mid-Face or Facelift Candidate? I would recommend volume enhancement using a number of techniques ranging from fat to synthetic fillers which will help symmetry. Once facial aging progresses to skin laxity and dissent, I recommend a micro or many facelift. I actually have found that patients who get treated surgically sooner end up looking better longer. Sincerely, Philip J. Miller, MD, FACS Double Board Certified Facial Plastic Surgeon
Helpful 1 person found this helpful
August 20, 2018
Answer: Mid Facelift or Cheek Lift can usually be an option on most realistic patients anytime after the age of 35-40 A Mid face or cheek lift Facelift can usually be an option on most realistic patients anytime after the age of 35-40. It really depends on your anatomy and genetics. It is best to talk to your surgeon because everybody has different techniques and recovery time is usually based on a number of factors. If we are just talking about a short scar or midface lift, this can typically be done in the office under local anesthesia. Usually there are no drains, no outside stitches, and patients can go out in public the same day, although I usually recommend they low for the first couple days. Most of the initial swelling is from the numbing medicine and your body absorbs it within the first 4-6 hours. Obviously the body heals with swelling and inflammation and usually that maxes out at two days and then starts getting better. Most of these patients take no pain medicine and usually feel very comfortable going out in public within a few days. I usually call my patients the night of surgery and check on them the next day. If everything is fine the next day, I then let them shower and they do not need a dressing over their incisions. They can usually start using make up after a few days. At the two week check up, I usually have people start working out and then after six weeks they can do whatever they want. I routinely tell people to take a few days to a week off work and to hide out but some people are very nervous especially celebrities and I usually tell them to hide out for two weeks. As with any scar on the human body, initially scars are red, hard and raised and it typically takes six months to a year for them to become a soft thin white line. Additionally with recovery, there're many things we do to expedite healing such as nerve blocks during surgery, oral supplements, skin care and scar therapy recommendations, lymphatic massage sessions that are included in our pricing.I strongly feel that it's very important to have an honest conversation with your surgeon about your particular situation, lifestyle, work environment and specifically which procedures you're having done so that you both have the most honest answer about your recovery and are realistic with expectations and results.Surgery is not for everyone. In today's day and age, there are many nonsurgical options to consider although surgery usually gets the most improvement specifically of the jowls.I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of facelifts but also offers all the nonsurgical options such as injectables and laser treatments. Go over your concerns with them and make sure above all, you walk out of there with several options and an idea of the pros and cons to each of them as well as realistic expectations. I hope this helps and wish you all the best in your surgery and event. If it does, please take a moment to up vote this answer on the “respond” button on the top right.
Helpful 1 person found this helpful
August 20, 2018
Answer: Mid Facelift or Cheek Lift can usually be an option on most realistic patients anytime after the age of 35-40 A Mid face or cheek lift Facelift can usually be an option on most realistic patients anytime after the age of 35-40. It really depends on your anatomy and genetics. It is best to talk to your surgeon because everybody has different techniques and recovery time is usually based on a number of factors. If we are just talking about a short scar or midface lift, this can typically be done in the office under local anesthesia. Usually there are no drains, no outside stitches, and patients can go out in public the same day, although I usually recommend they low for the first couple days. Most of the initial swelling is from the numbing medicine and your body absorbs it within the first 4-6 hours. Obviously the body heals with swelling and inflammation and usually that maxes out at two days and then starts getting better. Most of these patients take no pain medicine and usually feel very comfortable going out in public within a few days. I usually call my patients the night of surgery and check on them the next day. If everything is fine the next day, I then let them shower and they do not need a dressing over their incisions. They can usually start using make up after a few days. At the two week check up, I usually have people start working out and then after six weeks they can do whatever they want. I routinely tell people to take a few days to a week off work and to hide out but some people are very nervous especially celebrities and I usually tell them to hide out for two weeks. As with any scar on the human body, initially scars are red, hard and raised and it typically takes six months to a year for them to become a soft thin white line. Additionally with recovery, there're many things we do to expedite healing such as nerve blocks during surgery, oral supplements, skin care and scar therapy recommendations, lymphatic massage sessions that are included in our pricing.I strongly feel that it's very important to have an honest conversation with your surgeon about your particular situation, lifestyle, work environment and specifically which procedures you're having done so that you both have the most honest answer about your recovery and are realistic with expectations and results.Surgery is not for everyone. In today's day and age, there are many nonsurgical options to consider although surgery usually gets the most improvement specifically of the jowls.I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of facelifts but also offers all the nonsurgical options such as injectables and laser treatments. Go over your concerns with them and make sure above all, you walk out of there with several options and an idea of the pros and cons to each of them as well as realistic expectations. I hope this helps and wish you all the best in your surgery and event. If it does, please take a moment to up vote this answer on the “respond” button on the top right.
Helpful 1 person found this helpful
August 20, 2018
Answer: Mid face or cheek lift Thank you for your question and photos. You appear to have some mid-face volume loss and ptosis. Also moderate jowling and neck laxity. I would recommend a full face lift with fat transfer to your mid-face and malar areas. This will give you long lasting improvement.
Helpful 1 person found this helpful
August 20, 2018
Answer: Mid face or cheek lift Thank you for your question and photos. You appear to have some mid-face volume loss and ptosis. Also moderate jowling and neck laxity. I would recommend a full face lift with fat transfer to your mid-face and malar areas. This will give you long lasting improvement.
Helpful 1 person found this helpful
August 20, 2018
Answer: Do you think I would benefit from a mid face or cheek lift? Facelift candidate A significant degree of sagging is best remedied with a full rhytidectomy (facelift) which will have long lasting results. With volume loss in the mid face, this can be improved with fat grafting done during the facelift which can also help asymmetry. I do recommend a neck lift with platysmaplasty to fix any sagging of the chin and neck, plus a chemical peel to improve the wrinkling and stimulate the production of new collagen. Microneedling could help improve the scars. I hope this helps!
Helpful 1 person found this helpful
August 20, 2018
Answer: Do you think I would benefit from a mid face or cheek lift? Facelift candidate A significant degree of sagging is best remedied with a full rhytidectomy (facelift) which will have long lasting results. With volume loss in the mid face, this can be improved with fat grafting done during the facelift which can also help asymmetry. I do recommend a neck lift with platysmaplasty to fix any sagging of the chin and neck, plus a chemical peel to improve the wrinkling and stimulate the production of new collagen. Microneedling could help improve the scars. I hope this helps!
Helpful 1 person found this helpful
Answer: Facelift Thank you for your question and pictures. There are multiple factors that contribute to facial aging. One is fat loss. As we age, we lose fat in our faces which causes a hollowed out look under the eyes and allows the skin to sag. Another factor is sun exposure. It destroys the structural component of our skin and causes discoloration and pigment changes. When rejuvenating the face, it is best to take all of these problems into account. Fat grafting can add volume to depleted areas bringing a youthful appearance back to the face. In our office, we perform the fat grafting in conjunction with our rapid facelift and necklift. This is done in the office with local anesthetic. The patients walk out of the office feeling great and recover quickly. We also offer 3D imaging to give our patients and accurate idea of what their final result will look like. Good luck!
Helpful 1 person found this helpful
Answer: Facelift Thank you for your question and pictures. There are multiple factors that contribute to facial aging. One is fat loss. As we age, we lose fat in our faces which causes a hollowed out look under the eyes and allows the skin to sag. Another factor is sun exposure. It destroys the structural component of our skin and causes discoloration and pigment changes. When rejuvenating the face, it is best to take all of these problems into account. Fat grafting can add volume to depleted areas bringing a youthful appearance back to the face. In our office, we perform the fat grafting in conjunction with our rapid facelift and necklift. This is done in the office with local anesthetic. The patients walk out of the office feeling great and recover quickly. We also offer 3D imaging to give our patients and accurate idea of what their final result will look like. Good luck!
Helpful 1 person found this helpful