Would a facelift be the best procedure to correct sagging and volume loss? 29 y/o

Hi there. From your photos it appears you have taut skin without any fine wrinkles, and that is a sign of youth. The only thing I think might be giving you the impression that you look older is you have some fullness in your submental region (the upper neck/chin area). This fullness or laxity in this area that might give the appearance of fullness is something that starts to occur from our mid-twenties onwards. When that area looks "full" (for lack of a better term), it takes away from the definition of our jaw line. This is all to say, this lack of 'contrast' between the neck and the lower face may give us the appearance that we look older sometimes. You might be a good candidate for either neck liposuction or a neck lift depending on what a clinician can assess/exam at a consultation appointment. A facelift addresses frank wrinkles, pronounced smile/marionette lines and frank/obvious signs of skin laxity in the lower and mid-face. Rest assured, you don't have any of these signs from your pictures. Other than a consultation for a possible neck liposuction or neck lift, you can consider a more conservative procedure like microneedling with radiofrequency (ie. Morpheus8). This is generally done at least 3 times, 1 month apart (depending on the operator protocol and machine settings). This helps tighten skin and stimulate collagen production in the skin, which is something we lose once we hit our mid-twenties and onwards. Hope this information helps!

Hello, hope you are well. Thanks for posting your questions and photos. Based on these photos and your age, there is simply not enough skin/soft tissue laxity to justify undergoing any type of facelift surgery. Instead, I would recommend that you consider a procedure like FaceTite (bipolar RF) to tighten the soft tissue envelope.

Cheers,
Dr. Tower

Hello @Dazzling25704, thank you for your question. At 29 years old, you are likely too young to consider a Surgical Facelifting. Before considering such an invasive procedure, it's important to explore the non-surgical options available to you. Non-surgical treatments such as Morpheus 8 or Ultherapy use radiofrequency energy which helps stimulate collagen production in the skin and ultimately provides improvement of structural features like sagging jowls or marionette lines. These procedures also don’t typically involve any fat loss. Be sure to talk openly with your doctor about all treatment options available so that together you can decide what will work best and make a non surgical protocol according to your goals and needs! Best wishes!

Alan Gonzalez MD, FACS. American Society of Plastic Surgery Member (ASPS), International Federation for Adipose Therapeutics and Science” Member (IFATS), American Society of Plastic Surgery Member (ASPS), Colombian Society of Plastic Surgery member (SCCP).