Should I get a facelift or a face massage? (Weird problem)

Question

So this is quite embarrassing but I'm not sure who to ask for this certain problem. But when I was young, I used to press down on my cheek bones because I felt they were too protruding. I pressed down hard to try and make them look what I felt was "normal". After college, I quit doing this, but naturally, it led to my cheek drooping downwards and no longer looking normal. Is there anything I can get to fix this? Would a facelift help reverse what I did or would a face massage help?

Selcuk Inanli, MD · Answer

Hello! Thank you for your question.
As far as I can understand from your question, if you can send your photos at 95-degree angles from the front and side profile, we can make a more accurate evaluation. Massage will not provide a permanent solution.
It would be better face to face consultation.
Best regards!

Salvador Medina, MD · Answer

Hello Generous729548
To know what would be better for you, it is important to know your age, and see your skin quality.
Face massage is ok, but when the skin  and the support mechanism of the muscle layer is loose, the massage will not help, and we would need to do a face lift.

Let me know if you have any questions.

Dr. Medina

Lexie Wang, MD · Answer

Hi! You could consider filler to try to give you some of that gentle lift to pull the cheek fat back up but if it has truly fallen, the only thing to do for it would be to bring it back up with a surgical lift. Good luck!

Michelle Copeland, MD, DMD · Answer

Thank you for your question! Thanks to the advent of new technologies we can do a lot less and achieve more positive, natural-looking results. With a mini-lift, only the lower face-- from cheek to chin-- is lifted, which effectively eliminates jowls and redefines the cheekbones. As with a face-lift, the mini- lift is often accompanied by a neck lift, which removes fat from below the chin and tightens the neck's platysma muscles, all though a tiny incision under the chin. The best candidates for the mini-lift are those who are unhappy with the contour of their lower face and neck, and whose skin has good resiliency. Additionally, an effective non-surgical option that might benefit you is Thermage. Thermage is a non-invasive (no incision!) treatment that can tighten skin, renew facial contours, and stimulate your body to make healthier collagen. The procedure uses radiofrequency technology that has been clinically proven to tighten and gently lift skin to smooth out wrinkles and renew facial contours. Fast and easy, Thermage requires no downtime from normal activities. You may also be a candidate for a Threadlift. A non-surgical face-lift that is minimally invasive and addresses signs of aging in the face, including droopiness of the skin of the brow, cheeks, jowls, and neck without incisions or scars. The procedure can be performed using local anesthesia, and most patients can return to normal activities the next day. There are a number of other options to help with facial lines. Liquid Facelift uses advanced techniques to gently lift, soften lines, and contour facial features without surgery and little downtime. Fillers such as Juvederm, Volbella, Voluma, Radiesse, Sculptra, and even your own fat can lift your skin and recontour your face restoring a more youthful appearance. Lips that thin with aging can be made plumper and more kissable, fine lines around the lips be reduced, and volume added to your cheeks to improve contour. I suggest making an appointment with a board-certified plastic surgeon to discuss your options.

Mats Hagstrom, MD (license on probation) · Answer

I don’t think your auto-manipulation caused a permanent change to your face.
Without including pictures, we can’t begin to make an assessment. I suggest having a few in person consultation with senior board-certified plastic surgeons in your community who have extensive experience with facial aesthetics.
Best,
Mats Hagstrom, MD

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