25yrs old and my face is sagging loads. Do I need a facelift or fillers/ fat removal etc? (Photo)
Doctor Answers 24
Too Young For Facelift
I think your face is sagging because your cheek bones are relatively flat. A small or flat cheek bone is undesirable because it allows the skin and fat of the face to shift downward. Consider a filler treatment both in the cheek and under the eye to improve the overall shape of your face. Fillers such as Voluma act to lift the cheek naturally and thereby diminish the appearance of the jowl. The result could be made even better if combined with conservative measures to diminish fat in the lower face such as liposuction or minimally invasive radiofrequency (ThermiTight).
Too young for a facelift?
Too young for a facelift?40 to 50% of my patients come from out of town or abroad and therefore the corresponding number of consultations are done via photographs and telephone only. Though very useful, this consultation cannot supersede an in-person consultation where the physician can assess the quality of your skin/elasticity and get a three-dimensional view of yourself. Keeping this in mind, judging by your photographs, your skeletal structure of your midface (the area between your lower eyelid and corner of your mouth) is rather flat and therefore the overlying soft tissue is prematurely drooping, This is evident in your prominent nasolabial fold and palpebralmalar groove (The inferior extension of your "tear trough"). You have have four options:
1. Do nothing
2. Utilize fillers (temporary such as hyaluronic acids/Voluma ® , etc.) and permanent ones (Bellafill ®, Fat transfer, etc.)
3. Alloplastic malar augmentation with a cheek implant
4. An endoscopic mid facelift. This takes one and a half hours and elevates the saggy soft tissue back onto the cheekbone. You'll not only get facial rejuvenation but also glamorous cheeks that you've never had before-all with your own natural tissue. As with a cheek implant, recovery is involved with not in significant swelling, especially in the first 2 to 3 weeks after surgery.
I hope this helps any reader of this question.
25yrs old and my face is sagging loads. Do I need a facelift or fillers/ fat removal etc?
A dermal filler such as Voluma will give you a nice result. Do the filler first to see if you like the effect before considering fat injection which is more permanent.
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A. Dean Jabs M.D., Ph.D.
Board Certified Plastic Surgeon
Bethesda MD/McLean VA
Start with Fillers and consider fat
25 with sagging face
Facelift, Fillers or Fat reduction of the face?
Thanks for sharing your photos. These comments are based on the limited information from your pictures. Please seek a well experienced Board Certified Plastic Surgeon to evaluate you and offer you your best options.
Based on these photos, you appear to have excellent elasticity and collagen resiliance in your skin. The folds I see are due to mild descent of the skin folds like a wave at the ocean.
I think that fillers in the cheeks will fill the wave and pull back the nasolabial fold. You may need a touch of filler there too.
There are many options including the newest 2 year rated filler, Voluma.
I hope this has been helpful. All the best!
Facial rejuvenation in the 25 year old crowd...
1. You do not need a face lift.
2. You have a little bit of a line at the melolabial area (smile lines)
3. Your neck is taught.
Based on these findings, I do not feel that you need a face lift. I would recommend filler agents into the melolabial folds. Your options are a Hyaluronic acid. In this category, I would recommend either Juvederm, or Juvederm XC. Another option would be semi-permanent millers such as Radiesse.
Facelift not indicated in 23-year-old.
Unhappy with facial changes at 25
YOur photo suggests that fillers will be your best treatment.
You still have the facial fullness of youth in many areas so I wouldn't use fat injections at this time.
Always see a Board Certified Plastic Surgeon.
Hope this information helps. Best wishes.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.