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

Unlike other tightening treatments, Ultherapy only requires a single treatment every one to two years and has long-term effects in skin stimulation and collagen production. Ultherapy is ideal for men and women who are experiencing mild to moderate skin laxity and desire a noticeable and long-term skin tightening treatment without the complications and risks of more invasive surgical procedures. Ultherapy can be combined with dermal fillers, Botox treatments, chemical peels, skin tightening lasers, and skin facials. Our plastic surgery and cosmetic center in Santa Monica offers Ultherapy as a complement to other skin treatments and cosmetic rejuvenation procedures.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Based on this photo, which does not reveal much of your neck and face, it is very likely that lower face and neck lift should be a procedure of choice. In person or teleconference consultation with a board certified plastic surgeon with good reputation in face lifts is recommended. Good luck.

You can try fillers if you like and you don’t yet want a facelift. The facelift is the ideal solution. I would advise a facelift. You’ll get a great result!

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.

I recommend an eccentric lip lift. This does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners. At the same time, fat transfers can be performed in the nasolabial folds and marionette deformities. This takes about 1 hour to perform under local anesthesia and costs $4,000.

Best Wishes,

Gary Horndeski, M.D.

No fillers at all, why so? fillers only fill up, anlarge, make the face globulous, is this what you want? I believe not, fillers do not, at all, treat the loose skin and facial sagginess.

Second, mini-facelifts are proscribed within a serious facial rejuvenation practice, it is the facelift of the poorly-trained/skilled, the facelift for those patients who don't want a facelift because that sounds "gruesome"; erred focus, you either get a facelift or get nothing but deforminies and money wasted.

You are a tad too young for a facelift, in a few years you'll be a good candidate, in between... to fill the waiting with mythical and magical treatments.

Based on only one posted photo, it is difficult to give an accurate recommendation. Most likely a mini face neck lift with muscle plication in combination with either HA fillers or backdrafting with Endo laser. That combination fees could range from $6000-$10,000. Best to virtual consult with for better understanding.

it is common that patients in their 50's start noticing tell-tale signs of aging- this often includes loss of volume in the midface, laxity of the lower face, jowling, and laxity/platysmal bands of the neck. In the limited photo you have shown, you can see signs of volume loss in the midface and laxity of the lower face. I typically caution patients with progressive signs of aging that facial filler is not designed to provide a lifting effect, despite what you may here from some injectors. For skin laxity, jowling, and aging neck- surgery (ie lower face/neck lift) is going to give you a result that you are happy with. In my practice, I almost always include facial fat grafting as a component of this to both reset the tissue position of the face as well as restore the volume that has been lost. Find a surgeon who you feel comfortable with who can comprehensively address your face and come up with a surgical plan that fits your goals and anatomy.
Sean M. Fisher Aesthetic Plastic SurgeonSeattle, WA