Most reliable way to correct sunken eyes and mid face sag? (photo)

Thanks for your question and thanks for including the photo as well. You do have tear troughs and fairly prominent nasolabial folds which is a bit unusual for a 31 year old, although we do see this in our clinics. My first recommendation is to see a board-certified dermatologist or plastic surgeon and to discuss with them the various options that exist to minimize these areas and make them look better than they appear to be at this time. Fillers, with the proper injectors using them, are the perfect fit here, and depending upon who is doing this, one type of HA filler, with or without a second type, might be optimal here. I would recommend Restylane or Belotero in the tear troughs, and yes Juvederm can be done for this area as well. For the nasolabial folds, one might use Restylane, Perlane, or one of the Juvederm products. Some providers might suggest Voluma into the cheeks to soften the hollows around the eye and folds — from the picture, this would not be my first way to proceed, but with a proper examination and discussion, this may be a nice alternative. Good luck.

Unfortunately your photo is not of much help. In general, I find mid-face lifts to be extremely powerful. The lift adds volume to the cheek area improves the nasolabial fold and help with the hollow under the eyes. Recover is longer, swelling is longer but the results are greater.Good LuckStephen M. Davis, MD, FACSGreen Hills Plastic SurgeryNashville, Tennessee