Should I Get a Laser Face Lift or Lower Face Lift? (photo)

I sent my picture to a surgeon telling him about the concerns that I have with the chubbyness of my cheeks. I told him I want to get buccal fat removal but he told me to go with a lower face lift..I'm only 20 so I'm kind of scared to get something so drastic done, so I found out about the laser face lift, and was wondering if that would be a better option to lift and tighten my lower face area after buccal fat removal?

Doctor Answers 19

Should I get a laser face lift or lower face lift?

According to your photo, you definitely are too young and your skin is too firm for a lower face lift. You do not have any fat deposits under your chin either. You do have fat deposits in your lower cheeks that give you that undesirable roundness to the face. I recommend that you get the Buccal Fat Bag removal. You would benefit greatly from this procedure. It is performed inside the mouth and the fat deposits are removed. The removal of these fat bags will create more definition on the jawline and the cheek bones. The surgery is performed with local anesthesia and sedation. The surgery lasts about one hour and the results are visible in one month!!!

Mexico Plastic Surgeon
4.0 out of 5 stars 26 reviews

You don't need a face lift at 20

You are correct that addressing the buccal fat will be a much better option than a face lift.  A photo is not always the best way to assess things, and so rather than sending a photo, go to see a board certified plastic surgeon for a proper evaluation and good care.

Adam David Lowenstein, MD, FACS
Santa Barbara Plastic Surgeon
4.9 out of 5 stars 56 reviews

Facelift usually not indicated for patients in their twenties

You are not a candidate for a lower facelift. If you are at your optimal weight and are concerned you may want to investigate limited and conservative liposuction and/or buccal fat lift. An evaluation and lengthy discussion with a board certified aesthetic surgeon would be important.

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
4.9 out of 5 stars 157 reviews

Laser facelift or lower facelift?

20 years old is a very young age to consider having any type of facelift performed, and you will not benefit from any type of facelift, including one where lasers are used. To help improve the appearance of chubby cheeks, the following may help:

1) General weight loss
2) Healthy lifestyle
3) Buccal fat removal (in more extreme cases) to create more definition in the face


At this point, I would recommend a consultation with a qualified surgeon. If he or she examines you in person, they may be able to see if you are a candidate for a buccal fat removal procedure. Thank you and best of luck!

Jonathan Kulbersh, MD
Charlotte Facial Plastic Surgeon
5.0 out of 5 stars 69 reviews

The best procedure to address heavy cheeks

In someone your age, a lower face lift is not necessary and will not give you the results you desire.  The fullness in your lower face is not the result of deflation and sagging which is what a facelift is designed to correct.  Don't have a facelift performed.

Conservative liposuction is an option, but you will want make sure this is not overdone which will leave you looking hollow and overly aged.



If your weight is otherwise stable, most women have a natural slimming of their cheeks with age.  It is hard to get an appreciation for your overall body habitus by the one photo.


Michael Bowman, MD
Roanoke Facial Plastic Surgeon
5.0 out of 5 stars 10 reviews

Facelift at 20?

You have a fairly typical problem for a young woman. Contouring a "round" face that is not really too fat is a risky proposition in that it is a well known fact that removing fat from the cheeks causes premature facial aging especially if there is some weight loss as all young ladies plan. The only exception to this rule is the buccal fat removal which does provide modest cheek contouring without the premature aging side effect. Lose 15# and your issues will probably resolve.

Paul S. Howard, MD, FACS
Hoover Plastic Surgeon
5.0 out of 5 stars 7 reviews

Laser or lower facelift in a 20 year old

My answer would be to do neither!  I think it is irresponsible to take money from a postadolescent for either procedure.  Honestly, your skin is tight and you do not need a facelift.  As to the buccal fat, let me tell you that I have plenty of patients in their 50s who would give anything to get those fat pads back!  Operating now is basically a guarantee that, as you age, your face will have a hollow appearance. Try to make the most of what you've got.   Additionally, surgical consultations should be in person and not via email in order to make appropriate recommendations.

Robert L. Kraft, MD, FACS
New York Plastic Surgeon
5.0 out of 5 stars 42 reviews

Face lift vs laser

Thank you for the question and for the photo. Although it is difficult to make an exact determination based on photos alone, it doesn't look to me like you would need either procedure. There are a variety of different laser options to treat the face. However, all of these options focus on tightening the skin and perhaps slightly lifting the tissue. Likewise, a facelift focuses on lifting the tissues and tightening the skin. This is not your issue at all.

Your photos and description show increased volume of your cheeks. This can be treated with liposuction or , in some cases, with buccal fat pad reduction. However, you can to be very judicious in the use of these procedures as the face will naturally lose volume as it ages. Too much volume reduction now could lead to a deflated, skeletonized face later in life. Be sure to discuss this with a board certified plastic surgeon who is experienced in these procedures and is conservative in nature. They should be able to safely help you out while looking out for your long-term results.

Best of luck with your face.

Jeff Rockmore

Jeffrey Rockmore, MD
Albany Plastic Surgeon
5.0 out of 5 stars 71 reviews

Face lift at 20

  • I do not see the indications for a face lift in your photo.
  • I do not think a laser face lift will help either.
  • Buccal fat removal tends to hollow the face as you get older.
  • A very careful liposuction of the lower face might be safest and best for you.

I would get several other face-to-face opinions from  Board Certified Plastic Surgeons in your area.

Best wishes!

Elizabeth Morgan, MD, PhD
Atlanta Plastic Surgeon
4.6 out of 5 stars 43 reviews

Face Lift Candidates

Based on your photograph and description, you do not appear to be a candidate for a face lift procedure. Consult with 2 - 3 experienced and expert board certified plastic surgeons to determine if you are a candidate for other procedures.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 42 reviews

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.