Do I need a facelift, or fat grafting, or fillers? (Photo)

Question

Dear Drs. My wish: A triangular face: visible high cheekbones and chin. I like my cheeks a little hollow. Fill in all around the eyes, temples, cheekbones, lips, chin, nasolabial folds. Balance my profile: nose not straight and chin receding. Filler for the nose? I'd like my eyelids to be flatter, easier to apply make-up. A more feline look, without exaggeration. Remove the fat in the neck, jaw line pulled. I would like a real rejuvenation, not a small repair. What would you do to my face?

Suleyman Tas, MD, FEBOPRAS · Answer

Dear helenakali, 
Thankyou for providing pictures for reference. As per your pictures you seem to experience face laxity, meaning your skin is losing its firmness and tightness which could be because of many factors like pregnancies weight loss stress, etc. In such a case a full-face lift is most beneficial for a permanent solution it would target neck, midface and temporal area combined with neck lift, upper and lower blepharoplasty to target the excess sagging skin around the upper and lower eyelid as well. I would suggest to look into expert surgeons who deals in scarless endoscopic vertical facelift which would give you a natural look after full recovery. Scarless would mean that it will hide the lift incisions in your hairline and after full recovery it will be invisible to see. I recommend vertical face lift so that you don't get a pulled or artificial look. Furthermore, fat injections is also a technique I would suggest for the areas around your mouth for any deep wrinkles or smile lines, it would greatly fill in the lack of volume. Furthermore, fillers are temporary so if you are looking for more permanent ways to enhance your overall look definitely look into the above mentioned procedure. As for your nose, it would be best to get a closed atraumatic rhinoplasty which would not only fix your deviation but also help to get a slimmer nose and define your bulbous tip. 
Best Regards, 
TAS TEAM

Jonathan Kulbersh, MD · Answer

Hello, thank you for posting your question. The great thing about working with an expert, a board-certified facial plastic surgeon is that they can perform multiple procedures and create a combination treatment plan that addresses many of your needs in one surgery. A face and neck lift can target many of the concerns you listed, like sagging skin, cheekbones, and facial lines and folds. Depending on what you want for your nose, a rhinoplasty can be completed with a facelift, or there are options for liquid nose jobs. Working with an expert allows you to find a unified vision that works for your facial structure and needs. If you have combination procedures like a facelift and rhinoplasty, it is critical to find a surgeon with expertise performing both procedures to get your desired results.

Alan Gonzalez, MD, FACS · Answer

Dear @helenakali, thank you for your question and showing your pictures. Based on the photos, and considering the results you want, I recommend a facelift for the second and third thirds of your face. This includes the first third of the neck. With upper blepharoplasty and an eyebrow lift (pexy), this would be a complete surgical plan for you to obtain better results. During this type of procedure, it is important to develop a surgical plan that considers the relationship between the areas to be treated and the other areas of the face to achieve a balanced, harmonious and long-lasting result. Best wishes! Alan Gonzalez MD, FACS.

Kerem Sami Kaya, MD · Answer

Hi,The deep plane facelift surgery has a long-term and natural effect and also the best method to solve these symptoms that occurs in the middle and lower face with ageing. I think facelift surgery, lateral brow lift and also fat grafting may help you for better front appearance and symmetry. Besides rhinoplasty is the best solution for your nose deformities than the fillers.Have a nice day.

Ronald J. Edelson, MD · Answer

The laxity of your cheeks. Neck and jawline will only be addressed with a properly done facelift. I’m not crazy about facial implants or fillers or fat injections. You may also benefit from eyelid surgery as well as the facelift. Those other things are a waste of money

Do I need a facelift, or fat grafting, or fillers? (Photo)

Answers (9)

Answer: Natural rejuvenation of your face.

Answer: Natural rejuvenation of your face.

Answer: Facelift

Answer: Facelift

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Everything you need to know about Facelift

Our mission is to create a world where every investment in modern beauty is Worth It.

Do I need a facelift, or fat grafting, or fillers? (Photo)

Answers (9)

Answer: Natural rejuvenation of your face.

Answer: Natural rejuvenation of your face.

Answer: Facelift

Answer: Facelift

Browse related questions

Recommended reading

Everything you need to know about Facelift

Our mission is to create a world where every investment in modern beauty is Worth It.