30 y F- seeking to correct tired appearance and sagging lower face and deficient midface, what is recommended in my case?

Question

I would like to address my deficient midface, hollow upper and lower eyelids, and lower face side fullness which as I aged has seemed to sag- overall I want to look less tired. I previously thought having fillers on upper&lower eyelids &chin, and buccal fat pad partial removal would help (I wanted to hold off on blepharoplasty because I wanted to make me sure sure I liked the change). But I received different opinions including doing blepharoplasty only,not doing chin fillers, or buccal fat rem

Zoran Potparic, MD · Answer

Based on these photos, you seem to have small cheek bones (malar hypoplasia) what is the main reason for your tired look. Augmentation of the cheeks with implant, fat grafting or fillers may improve this condition to a significant degree. However, this is a case for an expert; in person evaluation with a board certified plastic surgeon familiar with these techniques. Good luck.

Derek Fletcher, MD · Answer

Thank your for your question. Your photos suggest volume deficiency of the tear trough and cheek. You may also have pseudoherniation of the lower lid fat pads. Volume can be corrected with either filler or micro fat grafting. Lower lid fat pads can be contoured with a transconjunctival blepharoplasty. A detailed, in-person examination with an experienced facial plastic surgeon is necessary to determine your optimal treatment plan.

Brian K. Machida, MD, FACS · Answer

There is a definite imbalance between your mid face and larger lower face. You do not need eyelid surgery and adding volume to your mid face without addressing the lower face would make it too bulky. Buccal fat removal is a consideration. Although some might think otherwise, a deep plane lift will sharpen your lower face contour, can remove buccal fat, and transpose some weight from the nasolabial folds up on the mid face. It’s best to have a personal consultation.

30 y F- seeking to correct tired appearance and sagging lower face and deficient midface, what is recommended in my case?

Answers (3)

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