Early 50s - Need Lift in Midface (Photo)

Question

I have minimal lines/wrinkles but too much laxity. Area of concern is midface. Skin under eyes/upper cheek starting to drop, causing under eye hollows and nasolabial folds to increase. I want a subtle lift and to look more taut. I need to increase fat/collagen, and be careful not to cause fat loss or melt collagen from heat devices. Would you suggest microcurrent, radio frequency, lasers, ultrasound, other? Fillers make me nervous for the long term. Thoughts?

Hung William Song, MD · Answer

Hi thanks for posting your photo. It does not look like you are in need of surgery at this point and if you are reluctant to have fillers, you have some great options. A facial fat transfer would be perfect for volume to the mid cheeks, under eyes and nasolabial folds and the stem cells from the fat willimprove the skin laxity and wrinkles. The results are long lasting, possibly a lifetime. The other option is AutoCorre procedure which uses a gel made from your own blood plasma this can be combined with a samll amount of dermal fillers or biostimulators to give you lasting results similar to a fat transfer.

Jeffrey S. Rosenthal, MD · Answer

Laxity along the jawline is common.  There are non-surgical procedures available to improve the jawline and neck.  Endolift Laser is a remarkable procedure using a fiber placed beneath the skin to tighten skin and smooth out fat.  This in conjunction with PDO threads to reposition fallen tissue and stimulate collagen are ideal.  These procedures are office procedures with minimal down time.

Jonghyun Hong, MD · Answer

Hello, It is Dr.Hong from Fresh PS Clinic, S.Korea Seoul.In your case non-surgical treatment won't give result you are looking for. Under eye : fat reposition ( or lower blepharoplasty if laxity too bad) Mini-face lift (with very small incision less then 2cm near ear, to lift up lower part. Lose volume (fat) can be covered by facial fat transfer. 
Hope my answer will help^^Best RegardsDr.Hong

Raffy Karamanoukian, MD, FACS · Answer

Ultherapy is a non-invasive procedure that lifts the neck, chin and brow, and improves lines and wrinkles on the upper chest. As we age, collagen breaks down, resulting in loss of skin strength and elasticity. For tissue tightening, Ultherapy is ideal for the lower face and neck and we often combine it with CO2 laser or Morpheus8 to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Camille Cash, MD · Answer

From the photos you appear to have a loss of volume and skin laxity.  You will have the best result from a surgical face lift.  If you are considering only nonsurgical options you can consider FaceTite which uses RF technology to tighten skin.  Results can be enhanced with Morpheus8 treatments to address overall skin tone and texture.  Fillers would be a consideration to help restore volume.  See a board certified plastic surgeon near you to learn more.

Early 50s - Need Lift in Midface (Photo)

Answers (5)