I’m 34 and have always had big cheeks and a round face, but have started to notice signs of ageing around my neck, jowels, smile and marionette lines. I’ve had Botox on my forehead, a filler in my frown line, but looking for more permanent options. Am I too young for a micro facelift? What about PDO threads? O I am worried filler would just make my cheeks look bigger, but is this an option?
Answer: Facial Rejuvenation: Deep Plane Facelift, Bichectomy & PDO Threads Based on what I can observe from your photos, the combination of full cheeks, a round facial shape, and early signs of aging in the lower face (such as jowls, neck laxity, and marionette lines) suggests that a deep plane facelift combined with buccal fat removal (bichectomy) could be an effective and long-lasting solution. The deep plane facelift lifts not only the skin but also the deeper facial structures, providing a more natural and long-term improvement in sagging—especially along the jawline and neck. Bichectomy reduces midface volume by removing buccal fat, creating a more defined and feminine facial contour without relying on fillers, which you understandably prefer to avoid. Additionally, PDO thread treatment can be considered as a less invasive alternative or complementary procedure. PDO threads are biodegradable sutures placed under the skin that create a lifting effect and stimulate collagen production, helping to tighten and rejuvenate the skin. This method can be effective for early signs of aging and mild sagging, with a shorter recovery time compared to surgery. However, a physical examination is crucial to more accurately assess your facial anatomy, skin quality, and soft tissue dynamics. This will help determine the most suitable personalized treatment plan for you.
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Answer: Facial Rejuvenation: Deep Plane Facelift, Bichectomy & PDO Threads Based on what I can observe from your photos, the combination of full cheeks, a round facial shape, and early signs of aging in the lower face (such as jowls, neck laxity, and marionette lines) suggests that a deep plane facelift combined with buccal fat removal (bichectomy) could be an effective and long-lasting solution. The deep plane facelift lifts not only the skin but also the deeper facial structures, providing a more natural and long-term improvement in sagging—especially along the jawline and neck. Bichectomy reduces midface volume by removing buccal fat, creating a more defined and feminine facial contour without relying on fillers, which you understandably prefer to avoid. Additionally, PDO thread treatment can be considered as a less invasive alternative or complementary procedure. PDO threads are biodegradable sutures placed under the skin that create a lifting effect and stimulate collagen production, helping to tighten and rejuvenate the skin. This method can be effective for early signs of aging and mild sagging, with a shorter recovery time compared to surgery. However, a physical examination is crucial to more accurately assess your facial anatomy, skin quality, and soft tissue dynamics. This will help determine the most suitable personalized treatment plan for you.
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June 10, 2024
Answer: Mini facelift A mini facelift will lift your cheeks and eliminate the lines around your mouth and fullness in the lower face. This would be the best procedure to address your issues.
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June 10, 2024
Answer: Mini facelift A mini facelift will lift your cheeks and eliminate the lines around your mouth and fullness in the lower face. This would be the best procedure to address your issues.
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April 15, 2024
Answer: Aging Hi! Since you are looking for a more "permanent" option, then the best bet would be to go ahead and do the surgical face lift and also some fat grafting to build up volume. After that, then you can get into maintenance nonsurgical treatments. Don't do PDO threads.
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April 15, 2024
Answer: Aging Hi! Since you are looking for a more "permanent" option, then the best bet would be to go ahead and do the surgical face lift and also some fat grafting to build up volume. After that, then you can get into maintenance nonsurgical treatments. Don't do PDO threads.
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April 11, 2024
Answer: Facelift, Filler or threads in facial rejuvenation Hi thanks for the interesting question and the photos. This is a great question. My Personal feeling is that fillers and facelift whether it be called micro, mini or anything else are good at addressing two different things. Fillers are good at replacing volume which we do lose as we age whereas all facelift techniques address structural laxity in the face. So as we age our tissue become more lax and then with gravity migrate south leading to some of the changes you describe like jowls marionette lines and neck laxity. When we use fillers to camouflage changes in laxity this is when things start to look unnatural and overfilled in my opinion. It is unlikely that when you are young that you would develop structural laxity but this is the key for me rather than a specific age . If you have structural laxity whether you are 34 or 54 then a facelift may be able to address this effectively to give a natural looking result. Looking at your photos I dont think adding volume with fillers is the answer but you do have some structural laxity. You mention round face as an issue and buccal fat reduction may be an option to slim the face but I would discourage you from doing this at a young age as we tend to lose fat from our face as we age and so surgically removing it when young doesn't make sense for most people. Thread lifts are not very effective long term and also make facelifting more challenging too as you find threads in the face and often in locations you wouldnt expect or at depths which you wouldnt accept. The terms micro , mini etc when it comes to faclift are also a little meaningless as it means different things to different surgeons so I would have a long conversation with the surgeon of your choice Hope this helps Kshem Yapa
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April 11, 2024
Answer: Facelift, Filler or threads in facial rejuvenation Hi thanks for the interesting question and the photos. This is a great question. My Personal feeling is that fillers and facelift whether it be called micro, mini or anything else are good at addressing two different things. Fillers are good at replacing volume which we do lose as we age whereas all facelift techniques address structural laxity in the face. So as we age our tissue become more lax and then with gravity migrate south leading to some of the changes you describe like jowls marionette lines and neck laxity. When we use fillers to camouflage changes in laxity this is when things start to look unnatural and overfilled in my opinion. It is unlikely that when you are young that you would develop structural laxity but this is the key for me rather than a specific age . If you have structural laxity whether you are 34 or 54 then a facelift may be able to address this effectively to give a natural looking result. Looking at your photos I dont think adding volume with fillers is the answer but you do have some structural laxity. You mention round face as an issue and buccal fat reduction may be an option to slim the face but I would discourage you from doing this at a young age as we tend to lose fat from our face as we age and so surgically removing it when young doesn't make sense for most people. Thread lifts are not very effective long term and also make facelifting more challenging too as you find threads in the face and often in locations you wouldnt expect or at depths which you wouldnt accept. The terms micro , mini etc when it comes to faclift are also a little meaningless as it means different things to different surgeons so I would have a long conversation with the surgeon of your choice Hope this helps Kshem Yapa
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April 11, 2024
Answer: A real face and neck lift Despite your age, You have descent of your midface with jowling. Mini- or micro- face lifts are an old concept that hasn't stood the test of time. Any facelift expert will tell you that the younger you are, the more important proper separation of layers before pulling on is to getting a lasting result. Mini facelifts yield mini-results for a minimum amount of time, as in one year at the most. Same for threads of any material; threads are garbage that's enjoyed social media misrepresentation.
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April 11, 2024
Answer: A real face and neck lift Despite your age, You have descent of your midface with jowling. Mini- or micro- face lifts are an old concept that hasn't stood the test of time. Any facelift expert will tell you that the younger you are, the more important proper separation of layers before pulling on is to getting a lasting result. Mini facelifts yield mini-results for a minimum amount of time, as in one year at the most. Same for threads of any material; threads are garbage that's enjoyed social media misrepresentation.
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