Hollow cheeks persist despite face and neck lift and two fat transfers

Question

I am a 60 year old woman and I am thinking about cheek implants as my face is both gaunt and narrow. I have had fillers in the past which helped but need a permanent solution. I am puzzled as to why my cheeks are still hollow following the face and neck lift. It appears as though my jaw line and under chin area of the neck have slackened off When I asked my surgeon if the face lift needed revising to tighten this up he said it would just slacken off again as the skin is elastic?

Lucian Ion, FRCS · Answer

Hello,

Thank you for sharing your concerns regarding the appearance of your face following a facelift, neck lift, and two fat transfers. Based on your photograph, I can see that there are relatively hollow contours in the mid-cheek area and some volume excess along the lower part of the cheeks and jawline.

Here are a few points and potential solutions to consider:

1.	Type of Facelift Procedure: It would be beneficial to find out whether you had a deep plane facelift or a different type of intervention. The impact can vary significantly, especially in the presence of more significant laxity. Deep plane facelifts tend to address deeper structures and provide more lasting results, which might affect the outcome you’re experiencing.
	2.	Scar Placement and Lift Vector: Another important aspect to consider is the pattern of scar placement. The temporal extension of facelift scars allows for a more vertical vector of lift, which can help change the volumes of the face and maintain the results better. If your scars are placed in a way that doesn’t support this, it might affect the overall contour and longevity of the lift.
	3.	Non-Surgical Alternatives: One non-surgical option to enhance the mid-cheek volume and improve facial proportions is Sculptra. Sculptra can help provide a smoother contour for the cheeks by stimulating collagen production. While it requires more frequent repeat treatments compared to fat transfers, it can be effective in producing volume where fat transfer has not been sufficient.

I recommend discussing these aspects first with your surgeon to understand the specifics of your previous procedures and to explore the best approach for achieving the desired facial contour.

Hollow cheeks persist despite face and neck lift and two fat transfers

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Hollow cheeks persist despite face and neck lift and two fat transfers

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Everything you need to know about Cheek Lift

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