Would a mini facelift help target puffiness in the mouth or should I consider other options? 31 y/o (photos)

Question

I’m 31 and have had this puffy area around my mouth that you can really see when it shadows. I’ve had fillers to try and disguise it but it’s really hard too when it’s so puffy and I don’t want to add further volume to my lower face. My cheeks have good volume. Would a mini face lift help?

Jonathan Kulbersh, MD · Answer

Thank you for your question and photos. Since you don’t appear to have substantial signs of aging, a non-invasive treatment such as RF microneedling may be the best solution for treating the area you’re referring to. 
RF microneedling treatments can tighten and contour the skin while stimulating the body’s natural collagen and elastin production. Lower face sagging can be diminished and the skin’s appearance can become more firm and supple, with results lasting up to five years or more. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can assess your concerns and suggest the best treatment option.

Jason Emer, MD · Answer

In our practice, we perform a non-surgical face lift / skin resurfacing treatment using Renuvion Helium Plasma Radiofrequency. ​To get the most improvement with skin tightening, we combine Renuvion (formerly J-Plasma) with lasers (Fraxel, Clear + Brilliant, CO2), microneedling/PRP, Ultherapy and InMode FaceTite. I suggest getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer​​​​

John Michael Thomassen, MD · Answer

A mini facelift will lift the cheeks and correct the jowl area.  Unfortunately there are few other options for treating this area.

Warren Schutte, MD · Answer

Hello, First of all, your facial aesthetics are great. I would recommend you move very slowly with filler to the more 'hollow' lower part of the face as the filler can appear lumpy/bumpy in this area and be irregular. I would allow the filler to dissolve and focus on skin resurfacing technologies. Modalities such as laser/microneedling etc will help boost the skin's collagen production and create thicker, plumper more even textured skin.

Brian K. Machida, MD, FACS · Answer

Your puffiness behind the marionette lines are very distal to the lift entry point that a mini lift will not have any effect and a traditional SMAS lift may not have the pull you desire. An extended deep plane lift will likely get you the greatest effect on the area.

Darryl J. Blinski, MD · Answer

Great posted photos! YES a mini FL/NL with SMASplication will help you achieve desired look. Fee $5,000+. Best to virtual consult with...

Would a mini facelift help target puffiness in the mouth or should I consider other options? 31 y/o (photos)

Answers (6)

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