Cheek filler to define and lift lower face? Or facial tightening treatment?

Dear mcmom2:  At your age, the laxity must be very mild. Whether filler or a tightening procedure would be more appropriate will depend upon the cause(s) of your laxity and your facial contours. Sometimes a little of both is the best approach. Voluma can lift the face significantly with small amounts. RF alike Pellevé can tighten the skin significantly, and the results are not temporary. Ultherapy can lift more and does not cause fat atrophy especially when performed with attention to the ultrasonic images of the facial structures. Starting a good regime of topical cosmeceuticals in your 20's or 30's is critical to a youthful look over the decades and more healthy skin (see below).  Share your concerns with a board-certified dermatologist or plastic surgeon who offers all of these procedures.All the best,   Dr. Clark

Dear mcmom2, 
Juvederm or Voluma is a great lifting and contouring filler. When placed appropriately in the cheeks, you will see some of the “sagging” issues modestly dissipate. Another option is using a tightening device like Ulthera to help with the sagging skin.
Best,
Shamim