My cheeks lost volume and are saggy after weight loss. Is it possible to have a deep plane cheek lift only? (Photos)

Question

I am a woman (30 years old) My weight always fluctuated a lot, and I lost 10kg , my face lost volume so now is saggy, specially in the cheekbones,. Is it possible to do make only deep plane cheek lift by a small incision over the ear? I saw some surgeons do endoscopic facelift using deep plane technique, but I don’t need brow lift only cheek lift. In addition I had bichectomy before my weight loss, which made it.

Sinyoung Song, MD · Answer

Hi, this is Dr. Song.Based on your photos, I noted a loss of facial volume from rapid weight loss, as well as relatively thick skin with a noticeable degree of sagging. There is also some hollowing below the cheekbones (zygomatic area).
Through a minimal incision hidden within the scalp at the temples, we can perform a midface lift using the deep plane facelift technique, as you mentioned. While the surgical extent may be more targeted than a full facelift, it effectively lifts the midface. This will help soften the nasolabial folds you are concerned about and create the appearance of a shorter, more balanced facial profile. Furthermore, unlike a conventional full facelift, the vector of elevation in this procedure tends to pull more vertically upward. Given your relatively young age, this approach would be particularly effective.
To address the hollowing below your cheekbones, combining the lift with a subtle volume restoration procedure would yield better results. In Korea, treatments like Juvelook Volume or dermal fillers are frequently used for this purpose.
If I had the opportunity to evaluate your full face in person, I could provide a more precise recommendation tailored to enhancing your overall facial aesthetics.
Thank you.

Richard Tyrell, MD · Answer

Good Morning,There are a few options for midface (Cheek) lifting. Endoscopic approach uses a camera and small incisions in the scalp to release the ligaments, lift the cheek, excess skin is often removed along the lower eyelid if needed. With less dissection of the forehead, the cheek can be lifted endoscopically while minimizing the affect on the brows. Other approach's would place a scar more posterior in the scalp, (Temporal lift) and combination approaches involving incisions inside the mouth as well. 
BestRichard Tyrell MD FACS

Ronald J. Edelson, MD · Answer

What you are illustrating is not the result you would actually get. I would not operate on you but there are many surgeons out there who would. If you consult with a surgeon who does the type of procedure you describe they might advise the procedure and you may be pleased with it

Emre Guvercin, MD, FEBOPRAS · Answer

At 30, I would generally not recommend a traditional deep plane facelift solely for this type of midface and cheek deformity, as a standard deep plane facelift may be insufficient for specifically elevating the descended midface tissues. In your case, especially after significant weight loss and previous buccal fat removal, an endoscopic transtemporal deep plane midface lift may be a more appropriate option. This technique allows the cheek and midface tissues to be released and repositioned vertically through limited temporal incisions, without necessarily performing a brow lift or a full facelift. It can restore a higher cheek position and improve the sagging appearance while being more appropriate for a younger patient with predominantly midface concerns.

My cheeks lost volume and are saggy after weight loss. Is it possible to have a deep plane cheek lift only? (Photos)

Answers (4)

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