Droopy Cheeks, Hollow Eyes? (photo)

Hi Kate. For both your cheeks and tear troughs (under-eye hollows) I would suggest having a dermal filler like Radiesse or Restylane injected. These fillers add tissue volume and firmness, are minimally invasive, and are temporary. Radiesse is especially good for achieving the appearance of pronounced cheekbones because it is a firmer filler and can be molded into a structural support under the skin. Injections are a favorable option to surgery in young patients. Since you are young and don’t have visual signs of aging, I advise you not to do anything drastic. Radiesse lasts about 9 to 12 months and Restylane lasts up to 9 months. Be sure to screen all doctors with thorough research and questioning, and choose one who is experienced. Also, doctors with a certification in dermatology or plastic surgery are highly preferable.

"I suggest reaching out to an expert for a formal consultation. I like to recommend my patients start a combination of facial rejuvenation treatments.

1) Skincare with products and microneedling/PRP
2) PDT Light Therapy a few times per month with growth factors
3) Laser treatments like Clear + Brilliant regularly and others (Fraxel, Moxi, Viva, CO2, Erbium, Halo) a few times per year
4) Sculptra injections a few times per year for collagen production with fillers like Juvederm, Restylane, Belotero, Radiesse, and/or Bellafill
5) Thermage/Ultherapy for yearly skin tightening with or without PDO or cone-based Instalift threads for lifting
6) Botox every 2 to 3 months to stop movement lines and prevent lines at rest

Best, Dr. Emer."

Hello kateproxxA facelift will:
smooth out major folds and wrinkles,tighten the tissues beneath your skin,remove sagging and excess skin.A facelift can also reduce excess skin around the neck and jawline

  I certainly agree that at age 27, you are too young to have surgery.  Also, I had difficulty appreciating your areas of concern.  But certainly, you might consider fillers to provide a little volume and and a little lift and I think that is all that you need (I am not even sure that you need that as your face looks youthful and attractive now).

I would suggest filler and/or cheek implants to give your face a little more shape and lift the appearance of your cheek bones.  As for the eyes I would suggest fractionated CO2 laser to help with the darkness seen in the first picture.  For the hollow shadowing I would put just a little filler in the bottom lid.    

You would benefit more from fillers than from surgery - save it for later if/when you'll get a bigger bang for your buck.  I'd recommend starting out with a temporary filler, and if you like the results, doing fat grafting for a more permanent solution.

The best and most effective method of soft tissue augmentation of hollow undereyes and sagging cheeks is fat injections. Volume needs to be added from underneath, not some treatment done on top of the skin.

You are young, you do not have any sign of aging.
If you wish to have higher cheeks, talk with your board certified plastic surgeon about options, fillers, fat transfer, or implants