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.

Randal Haworth, MD, FACS · Answer

Based on your photo, you could be a good candidate for an elastic lift, which is the best procedure to address nasolabial folds (see link below).

Best of luck !

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

Nelson Lee Novick, MD · Answer

Unfortunately, probably due mostly to Dr. Google & Dr. Tiktok, etc., you have internalized the misinformation so well as to exclude what is likely to be the easiest and fastest way to achieve the results you desire: An HA Filler Nonsurgical "Facelift."  First, let me emphasize what my regular followers already know well: that the hard science to promote the use of expensive, here-today-gone-tomorrow "bells and whistles" fraxel lasers, RF and ultrasound gizmos lags well behind the heavy marketing hype and social media buzz that surrounds them. From the photo provided, there appears to be a substantial amount of volume loss that is in the cheeks in the upper and mid-cheek regions accounting for the under-eye issues, cheek deflation and deep smile folds. In the hands of an experienced, cosmetic dermatologist filler expert, an appropriately robust HA volumizing filler properly placed would likely substantially remedy each of these problems The procedure should take no more than about fifteen minutes, engender little to no significant dowtime and generate immedate, on-the-spot results. Hope this helps and best of luck.

Ryan Welter, MD · Answer

For midface concerns such as laxity, under-eye hollows, and nasolabial folds, we offer several options tailored to achieve a subtle, natural lift without surgery. Based on your goals and our expertise, a combination of treatments may provide the best results.

One highly effective option is the ALMI (Autologous Lipocyte Micronized Injection) procedure, which uses your own fat and stem cells to restore volume, improve skin quality, and stimulate collagen production. This natural approach ensures long-lasting, rejuvenated results while minimizing risks associated with fillers.

For tissue tightening and a more defined contour, non-invasive treatments like Silhouette InstaLift—a thread-lifting procedure—can elevate the midface with minimal downtime. Additionally, PRP (Platelet-Rich Plasma) injections can further rejuvenate the skin by stimulating collagen and improving texture.

If you prefer targeted skin tightening, Accent Prime or Skin Tightening using radiofrequency or ultrasound technologies may address laxity effectively while protecting fat layers from excessive melting. These technologies are designed to be gentle and safe while enhancing elasticity and firmness.

Your specific needs and goals will determine the most suitable treatment plan. We encourage a consultation to discuss these options and design a personalized approach that achieves the refreshed, youthful appearance you desire.

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.

Nuket Eroglu, MD · Answer

Hello; the first thing you need to do is definitely increase your tissue quality. That's why; I kindly recommend for you Thermage FLX treatment method. Thermage FLX technique, is number one all around the world in non-surgical face lifting treatments. This is the first preference of Hollywood stars as well. It is FDA approved treatment style for non-surgical face lifting. Noticed that; you have depressions in your Midface and Nasolabial line areas. I refer for these areas to implement Radiesse method. Radiesse lifting is an effective filler. It makes your face look more vigorous and younger. Thermage FLX is sufficient for detention. In addition to these, succinate molecule, such as Electri, which lightens the color under your eyes and is also anti-aging, can be used. Thermage FLX is a high-technology face lifting treatment that raises the subcutaneous area to 80° temperature and protects the skin surface by keeping it at 20°temperature. It does not melt the fat tissues under the skin. We use Ultheraphy; when we desire to melt facial fat. To eliminate excess fat in areas; such as the jowls or chin contours, we use Ulthera's ultrasound waves specially designed for fat melting.

Leonard Grossman, MD · Answer

It is nothing unusual for an individual in their 50s to notice that their face is getting considerably narrower and flatter as they are aging. This is a natural process of the loss of volume everywhere on the face and body. This loss of volume involves the decrease in fat and muscle bulk. The easiest way to restore the youthful appearance in the face is with your own fat. Fat grafting, when performed by an expert fat grafting, Plastic surgeon, produces natural and practically permanent results. I hope this helps and all the best from New York City Plastic Surgery.

Early 50s - Need Lift in Midface (Photo)

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