I’m a 29 year old male with concerns about my nasolabial folds and loss of volume in my mid face causing excess skin around my mouth and sagging cheeks. I also would like to address my eyes, my right eye seems to be lower than my left, I’m unsure if it’s because of the skin or the orbital. I’m pretty skinny at around 140 pounds and about 5’8”. I feel like the concerns I have about my face make me appear older than I am, the volume loss began to appear a couple years ago. What’s the best solution?
December 1, 2023
Answer: Midface Volume Hello, hope you are well. I would be very interested to see a profile view of your face (from the side). My impression from these views is that you lack forward projection of the cheek--essentially a deficiency of volume and structure. You should consider submalar cheek implants to improve the foundation for the soft tissue envelope and secondarily conservative microfat grafting under the eyes and for the nasolabial folds. I would suggest the implants first and then wait 3 months before proceeding with any further fat grafting (or filler). Good luck! Best,Dr. Tower
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December 1, 2023
Answer: Midface Volume Hello, hope you are well. I would be very interested to see a profile view of your face (from the side). My impression from these views is that you lack forward projection of the cheek--essentially a deficiency of volume and structure. You should consider submalar cheek implants to improve the foundation for the soft tissue envelope and secondarily conservative microfat grafting under the eyes and for the nasolabial folds. I would suggest the implants first and then wait 3 months before proceeding with any further fat grafting (or filler). Good luck! Best,Dr. Tower
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Answer: Treatment of typical facial aging Mid face volume and nasal labial folds are best treated with the use of fillers. It’s important to recognize that there is a significant component of skill involved with getting quality outcomes. Finding the right provider is key to get quality outcomes. Not all practitioners offering these treatments have mastered the art of facial aesthetics. Consider taking a look at the website of Dr. David Marbrie MD in San Francisco. He has an impressive collection of before and after pictures of patients who had facial volume restoration using only fillers. I’m not suggesting everyone fly to San Francisco to get fillers but seeing his results can be inspirational and let people understand what the gold standard is and what can be achieved using only volume restoration. Look for other providers in your community who can do that type of work and you may be all set. Best, Mats Hagstrom MD
Helpful 1 person found this helpful
Answer: Treatment of typical facial aging Mid face volume and nasal labial folds are best treated with the use of fillers. It’s important to recognize that there is a significant component of skill involved with getting quality outcomes. Finding the right provider is key to get quality outcomes. Not all practitioners offering these treatments have mastered the art of facial aesthetics. Consider taking a look at the website of Dr. David Marbrie MD in San Francisco. He has an impressive collection of before and after pictures of patients who had facial volume restoration using only fillers. I’m not suggesting everyone fly to San Francisco to get fillers but seeing his results can be inspirational and let people understand what the gold standard is and what can be achieved using only volume restoration. Look for other providers in your community who can do that type of work and you may be all set. Best, Mats Hagstrom MD
Helpful 1 person found this helpful