55, loose skin - face filler or a Facelift? (Photos)

With loose skin around the mouth subtle differences can be achieved with filler but larger volumes with change the facial shake in an unnatural way . In your situation a wonderful improvement can be achieved with a deep plane facelift and perioral fat grafting. You Woukd benefit from some added volume in the perioral region and fat is more permanent than filler.

At 55, when the primary issue is loose skin around the mouth and lower face, fillers are not the right solution.
Fillers do not lift loose skin. They add volume, but they cannot tighten or reposition sagging tissue. In fact, in patients with skin laxity, fillers often make the lower face look heavier, wider, or overfilled without addressing the real problem.
If the concern is jowling, laxity around the mouth, or loss of jawline definition, a face and neck lift is the treatment that actually corrects the issue. A properly performed lift repositions deeper structures and removes excess skin, restoring a more youthful contour in a way fillers simply cannot.
Fillers can be useful in select areas for volume loss, but they are not a substitute for surgery when skin laxity is present. In your case, pursuing fillers would likely lead to disappointment and unnecessary expense.
A personalized in-person evaluation with a board certified plastic surgeon is essential, but based on what you’re describing, a face and neck lift is the appropriate and effective option.

Great question and photo.
I think either option could be helpful though it is important to delineate what each procedure offers. Filler is minimally invasive (when performed correctly) and can blunt the melolabial/cheek fold to some extent. A lower facelift is great at addressing excess skin and descent of soft tissue that occurs with aging at the neck and jawline. This can also be performed with fat transfer which can soften some of these other areas aroudn the mouth and under the eyes. Ultimately it comes down to how much improvement you want and the amount of downtime (surgery) you would be okay with to get this result.
Hope this helps and best of luck!

At age 55, with visible skin laxity around the mouth and lower face, a deep plane facelift combined with fat grafting would likely provide the most effective and long-lasting results compared to fillers alone. This technique lifts the deeper facial layers while restoring volume in a natural, harmonious way. That said, the current photo angles are limited, and a full assessment can't be made without an in-person consultation and physical examination. This is essential to tailor the approach specifically to your facial structure and goals.

Thank you for your question. Fillers address volume, not skin laxity, so they may only provide short-term camouflage and can look puffy if used to chase sagging. The definitive treatment is a lower facelift, sometimes combined with perioral resurfacing (laser or peel) for fine lines and limited fat grafting for deflated areas. A “mini lift” can help with very early laxity, but if there is excess laxity, it may become less effective and less durable than a full lower facelift. Use fillers only as an adjunct or if you’re delaying surgery and consider energy-based tightening (RF microneedling/ultrasound) for modest improvement if you’re not yet ready for a procedure. You need an in-person exam with a board-certified surgeon to evaluate skin quality, jowl/neck laxity, dentition/occlusion, and to determine whether a mini or full lower facelift (with or without resurfacing and small-volume fat grafting) best matches your goals.

Deepplane face lift and fat injection at the same time would be a good choice for you. But this picture is not enough to decide

This degree of laxity is not going to get much better with just volumization without adding so much volume that you don't look like yourself. A facelift to tighten and smooth the tissues with some targeted volume in the form of fat transfer would give you a better and more balanced result.

Thank you for your photo. Fillers would give some improvement, though temporary, to your concerns. Trying to add too much filler to the skin can make one’s appearance look puffy. A better option would be the smoothing of your skin achieved with a mini-facelift. This would accent your cheeks, smooth and straighten your jawline and smooth the skin at the corners of your mouth. A mini facelift can typically be done under local anesthesia with some sedation if you are amenable to that. Best wishes.

Based on your photo, you are a great candidate for improvement. A minifacelift will lift and tighten along the jawline with a natural result. At the same time, precisely injected fat can fill creases where you've lost tissue over time. Together, they do a great job of improving the problems that occur with facial aging. Be sure to see a facial expert for consultation.

Thank you for your question! Although it’s difficult to fully assess from photos alone, your question highlights an important distinction: loose skin typically requires surgery (such as a facelift or mini lift), while volume loss is best treated with filler or fat transfer.

Filler is a great option for restoring youthful volume, but it’s a common misconception that it can correct or delay sagging skin. Overfilling in an attempt to lift can sometimes create an unnatural appearance because it’s not addressing the true cause of laxity.

It’s hard to determine from your photos whether a mini lift would achieve your goals, as every surgeon defines and performs a “mini lift” differently. I’d recommend researching thoroughly, scheduling consultations with two to three double board-certified facial plastic surgeons, and reviewing plenty of before-and-after photos to find a provider whose aesthetic results align with your goals.