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

I am sorry to hear about how stressful your life has been. As you've experienced, stress can take its toll on our faces. Chronological age never determines which procedure is best to help you feel better about how you look. Fillers are temporary, must be redone and will not be a sufficient remedy for your sagging and jowling. A mini-lift with fat grafting will give your face a real boost, taking at least five years off and lasting for about eight years. The repositioned fat will give your lift a real “wow” effect. I hope this helps.

In our practice, we perform a non-surgical face lift / skin resurfacing treatment using Renuvion Helium Plasma Radiofrequency. ​To get the most improvement with skin tightening, we combine Renuvion (formerly J-Plasma) with lasers (Fraxel, Clear + Brilliant, CO2), microneedling/PRP, Ultherapy and InMode FaceTite. I suggest getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer​​​​

During your #consultation, your skin texture and elasticity, as well as your underlying skin structure and your facial bone structure will be evaluated. Based on this evaluation, your board certified plastic surgeons will create a custom surgical plan, detailing specific techniques and recommendations to meet your goals. In doing so, he or she should be sure to have a full understanding of what results you expect. If you are not a #candidate, your surgeon can make other suggestions to address your concerns and objectives.It is possible to #combine #surgeries. In fact, I commonly recommend other procedures to go accompany a facelift, such as blepharoplasty or a midface (cheek) lift, to name a few. The combination of multiple of facial procedures may create an optimal result. The best procedure approach will be discussed in greater detail during your one-on-one #consultation. I invite you to visit PacificCenterPlasticSurgery.com to view a complete list of surgeries commonly performed. It is extremely important to seek a board certified plastic surgeon highly trained with your desired procedures. I also encourage you to look at before and after photos of the surgeons actual patients. Also, reading patient reviews of those who have had combined surgeries will be beneficial. Gathering all of this information will help you make a well-informed decision.

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

Dear Mendy,Sorry to hear about your loss.  Such major stress can accelerate the aging process and cause the loss of facial volume and contour.  Replacing the volume would go a long way to rejuvenating your look.  In your situation I would give a serious consideration to fat grafting over temporary fillers.  I believe, fat grafting would be a lot more effective and much longer lasting.  A facelift would not be able to replace the lost volume; however, it will help to improve the sagging skin of the jowls and neck.  Both facelift and fat grafting would likely be necessary to achieve the best facial rejuvenation for you.Best wishes!Dr. Konstantin

Mendy.   So sorry for the hard times you are experiencing. While cosmetic surgery may not make things all good again, it may allow you to feel better about yourself in a small way. Judging from your photos, you do have mid-face deflation, and I believe that a MACS Mini-Facelift along with fat grafting to your mid-face and lower eyelids are an excellent option. Check out the link below to an article I wrote about the subject. Be sure to consult with a board certified plastic surgeon. Good luck!

Thank you for the great question.  The photos show an individual who has a combination of volume loss and moderate signs of facial aging (jowls, etc.).  Adding volume to the face with Sculptra or Voluma would correct parts of this problem. but will not necessarily lift the jowl area.  A modified facelift approach will re-define the jawline, "self-volumize" the cheeks, and create a more ovoid shape for the face.  Individuals age at different rates, and some will benefit from surgical procedures at an earlier age.  It would be best to have a consultation or two to determine the approach that works best for you.  I have included a patient example of what a "lift" can do for a patient in a similar age group. 

I am so sorry for your loss.  I can't imagine the pain of losing a child.  This may not be the best time to have surgery and perhaps just working on your skin with good products and fillers such as Voluma to help add some volume might be the way to go.  I would recommend you go for several consultations and consider less invasive procedures at this time. I wish you the best.

Dear Mendy, Taking care of yourself can help you continue the already successful start in your journey to thrive after such losses.  You are on the right track as to the types of procedures that can help you.  It appears that you have thinning lower eyelid skin, mid facial volume loss and mild skin laxity in the mid and lower face - good options include fractional CO2 laser skin resurfacing of the lower eyelids, fat grafting (filler injections are also an option) and facelift surgery.  You could certainly stage these and start with the laser and fat grafting.