Is a mini facelift or fillers recommend for a 42 year old who has loss of volume? (Photo)

A mini lift with fat grafting to add volume to your cheeks, lower lids, lips, and brows would be indicated.  This would allow you to look very natural and roll the years back. 

I am sorry to hear about your loss, the pain experience can definitely take its toll on our skin laxity and appearance.  Thank you for your pictures, a lower facelift and neck lift would definitely provide you with a smooth, contoured jawline and neck.  The Concept™ facelift is suitable for patients wanting to reduce sagging in the lower face and neck and regain a more natural, rejuvenated appearance.  The procedure is less invasive than a traditional facelift and there is less scarring, bruising and swelling for a significantly quicker recovery period.  The Concept™ Facelift can be performed under local anaesthetic (some people may opt for twilight sedation)

What are the benefit of The Concept Facelift, under local anaesthetic?

Minimally invasive as it is a short scar faceliftThere is minimal bruising and swelling, especially when compared to traditional faceliftsAs the procedure is performed under local anaesthetic, you can go straight home following the procedureFull recovery in a matter of days rather than monthsSignificantly less risk than Facelifts performed under general anaestheticFresh, youthful and long lasting resultsThe Concept facelift procedure targets the muscle and skin therefore giving a longevity of 7-10 years, the same as a traditional facelift. 

Please make sure you find a reputable and qualified plastic surgeon who can assess you properly to give you a realistic idea of what outcome you can achieve.  Please think area what are your main concerns then your procedure choice when discussed with a surgeon can reflected this.

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All The Best