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

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

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.

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.