What are my options for sagging midface, extremely sunken cheeks, and deep nasolabial folds (26 year old male)? (Photo)

Usually a combination approach is needed to get the most improvement to these areas. I recommend fillers or fat for the cheeks and folds themselves and to provide anatomical support in combination with Sculptra for collagen building, lasers and microneedling/prp to improve texture and tone along with ultherapy/rf treatments for skin tightening and lift. I recommend getting a formal evaluation with a cosmetic dermatologist for a short and long term treatment plan. Best, Dr. Emer

Thank you for your question. I believe the best option for you would be dermal filler injections. This would be less invasive than a face lift, which would leave you with permanent scars. I would inject the mid-face with a hyaluronic acid filler such as Restylane Lyft. A hyaluronic acid filler can easily be dissolved with hyaluronidase if you are unhappy with the results. You can start with 1-2 syringes and add more later on if you want to. I recommend having a consultation with an expert injector to discuss your concerns and determine the best treatment plan for you. Best of Luck!

Seeing that you are so young it would be a good idea for you to first look into non-invasive treatments first. There are a few treatments that you can do that will give you great results with little to no down time. For the concerns that you have enumerated, you could look into doing Ultrasound Radio Frequency for skin tightening, and fillers for the area where you believe you do not have enough volume. To ensure that you would achieve your desired results, choose your provider wisely.

Dear jws049:Looking at your photos, I would recommend initial augmentation of your cheeks with a filler like Voluma which can sometimes soften and lift your nasolabial folds.  Please see an expert injector for best results.  Remember less is more.  Best wishes.

I think that I would strongly discourage you from having a face lift at 26. Many males have thin cheeks. You didn't say if this is how you've noticed this or if it has always been this way. You can safely add volume in this area. The best filler for this kind of loss would likely be Sculptra which stimulates your own collagen. One of the side benefits of Sculptra is that it often does enhance the skin as well. There are other options to improve the skin texture and tone once you have got the volume where you  want it to be. Sculptra is a tricky filler to use, however, so just make sure that you see someone with good experience. Hope this helps. 

Looking at your pictures I would suggest that you start with dermal fillers. This should give you the lift to the cheeks and softening of the folds. Fat transfer is also another option.  Long term options for fillers would include sculptra or bellafil.  For the texture of your skin you may want to do some laser resurfacing or microneedling with RF. Both of these procedures will also tighten the skin and give additional lift to your face.

Filler injections would be much less invasive than a face lift.  A face lift would leave permanent scars around the ears which are difficult to hide in a man.  I prefer to inject the mid-face with a hyaluronic acid filler such as Restylane Lyft.  Injected with a cannula, there is virtually no bruising and no recovery time.  You can start conservative and add more filler over time.  See an experienced physician injector to be evaluated in person and learn about your treatment options.Regards,Dr. Ort

Injectable fillers are an amazing way to increase cheek volume and smooth deep nasolabial folds. There are multiple products available, but I would recommend trying Voluma to increase cheek volume. It in itself will replenish the volume you have loss and at the same time raise the cheeks to lessen the nasolabial folds. If the nasolabial folds persist, than another filler such as Juvederm can be injected to smooth the contour between the cheek and upper lip. 

Filler injection is a great treatment option for facial volume loss whether it be due to aging or recent weight loss. In your case, I would probably recommend Sculptra. Sculptra is a filler consisting of poly-L-lactic acid particles, and these particles, when in injected in the skin, stimulate the body to produce its own collagen. This collagen corrects volume loss and can be injected in a way to lift the face. I would start by injecting Sculptra into your midface, nasolabial folds, and prejowl. A hyaluronic acid based filler such as Juvederm or Restylane could then be layered on top as needed to further improve nasolabial folds, lift up the corners of the mouth, and soften the tear troughs. Men have different facial features then women and so injections in men are slightly different then in women. I recommend you see an experienced injector for best results. 

Hello, and thank you for your question.  A Liquid Facelift would be a great option for you.  In areas such as your nasolabial folds, those sunken lines that go from your nose to the corners of your mouth, a wrinkle filler is the best option. That is exactly what products like Juvederm Injectable Gel, Restylane, Radiesse, and Sculptra Aesthetic are designed for. These dermal fillers and volumizers restore lost volume to your face, giving you back the appearance of youth again.  I recommend first scheduling a consultation with an experienced physician to explore your options.  Best of luck to you!