Fillers or facelift
At age 34, you probably would benefit more from fillers than a facelift. Also because the lip is thin, fillers can feel more lumpy. In the face, the skin is thicker and the fillers are injected deeper and don't feel as lumpy.
I agree that your lower face has a square shape from cheek fat descent. Fillers will not address this. Although you are young for this procedure, a mini lift can help recreate a more oval shape to your lower face. A better option in your age group is Voluma or fat grafting to your malar eminence.
Natural face lift techniques for minimally invasive lifts
Facelifting techniques, even the minimally invasive approaches with Minilifts are far too premature at this point for you.
It appears that you might be lacking a bit of bone support both below the eye area along the orbital rim as well as out in the zygomatic arch- at the cheek bone.
1.) The first condition is know as a negative vector midface and predisposes to early aging changes relative to the bags under the eyes, or hollowing. Essentially this is just a result of having less bone support to the under eye structures such as skin and fat.
2.) The second area along the arch refers to a weaker malar prominence or cheek bone. Remember that we all begin life with full lower eyelids and cheeks and these tend to shrink as we age.
I believe you would love virtually any filler that you might choose for both areas at the same time. I would probably recommend Voluma but you could use anything really. I know you can find an injector that can inject this successfully without lumps.
Which would you recommend; Fillers or Facelift?
Given your photos and age, I think it is premature to consider a facelift. If you would like to accentuate your cheeks, injectable fillers would be a reasonable approach at this stage in your life. Deeper fillers such as Voluma should avoid lumpy results. Seek out a boars certified plastic surgeon with extensive facial rejuvenation experience.Best wishes, Dr. Lepore.
Fillers before facelift in younger patient
It is not likely that you would benefit from a facelift at age 34, but the addition of volume to the midface can often be helpful. this can be done with fat grafting, or with a deep filler such as Voluma. Because the filler is placed more deeply, it is much less likely to feel lumpy.
Fillers or facelift?
Your face cannot be completely evaluated with just the frontal view photos that you provided, but there is nothing in the pictures that would demonstrate that you would be a good candidate for a facelift. Fillers, when used in the appropriate patients, can help to address hollows under eyes and can provide some mild lifting. Another potential treatment for patients that are not good surgical candidates would be Ultherapy. This treatment can also provide some mild lifting in some patients.
Addressing cheeks vs facelift
Without a proper exam you cannot make decisions about exactly what you would need. Filling the cheek and under eye area can give you a much brighter appearance and shift the balance of your facial contours to a more aesthetically favorable configuration. This can also be addressed by placing permanent implants in the cheek area. Given your age it is unlikely that you are a candidate for a facelift procedure, but Visiting with a facial plastic surgeon or plastic surgeon can help you to formulate a treatment plan suitable for your aesthetic goals. Best regards.
Facial Fillers will Improve the Mid-Face
A facelift is great for laxity of the lower face and neck. In a youthful face these areas will not be benefited by a facelift. Facial fillers such as Radiesse and Voluma, when properly placed will enhance the cheek and mid-face area of the face. In doing so, the hollows below the eyelids will be improved, as the fallen or absent cheek volume is lifted and contoured with these remarkable facial fillers. Radiesse is a calcium based product and Voluma is hyaluronic product. Both are well tolerated by the surrounding tissues and will lift, contour and shape the cheeks. Artistically placed, these facial fillers will rejuvenate the face, especially one that has either lost or has less mid-face volume.
Here's Why I Recommend Fillers & Fat
At your age and from your photos,
it is unlikely that you would benefit much from an invasive procedure such as a
facelift. Volume loss in the cheeks can be addressed by thicker fillers such as
VOLUMA or RADIESSE. Fat transfer can be done, as well, and is the best, longest-lasting
option. If placed deeply, these should all not be lumpy. Under the eyes, I like
to use BELOTERO. It is thin and smooth and usually can correct the tear trough
depression without lumps and without the potential for turning blue as with
other hyaluronic acid fillers. I also like it for the lips for the same
reasons. Consult with a specialist in these options to learn what's best for
Fillers & Fat Would Be Best
Thanks for your question. At age 34,
you have minimal skin laxity, and so a traditional facelift would give you
minimal benefit. I have on occasion done a midface lift in patients in their 30s
with pleasing results. However, I would start with a filler underneath your
eyes for the circles. I favor fat; it is the smoothest and most natural in
appearance but requires more experience than filler injections for optimal
results. For the cheeks, a long-acting filler such as JUVÉDERM VOLUMA XC or
RADIESSE probably is the best option, although fat grafting can also be done to
the cheeks. Good luck with your decision!