Thread lift V liquid face lift, fillers and Botox? (photos)

Question

I'm a 33 year old female and I feel I have really lost a dramatic amount of tone in my face in the last 2 to 3 years. I am interested in surgeons views on Botox and then filler in the cheeks and chin to try to even my face back out, or going for a thread lift. I cannot at the moment afford expensive and drastic treatments unfortunately & would welcome any advice. I was once told filler in cheeks will just make my face look fatter but I miss having cheeks, there's just no shape at all any more!

Jason Emer, MD · Answer

I suggest seeing a facial contouring specialist, you would do very well with fillers for volume and lifting.  Botox can help too.  Lasers will help complexion.  Best, Dr. Emer.

Martie Gidon, MD, FRCPC, FAAD · Answer

Please consult a cosmetic dermatologist or plastic surgeon who can assess your face and recommend appropriate treatments for you.  Botox and fillers, such as Restylane or Juvederm, can restore a youthful appearance.

Aric K. Park, MD · Answer

First, I would not undergo thread lifting. I don't think it will benefit you and will waste your time and money. Second, it is helpful for you to bring in a photo from an age where you liked the volume in your face. In your thirties, you begin to lose fat in your cheeks and thus will have some room for fillers to improve the contours and re-establish some of the youthful curves you have lost. I would have a discussion with your surgeon about chin implantation. You have a small chin vertically and an implant could improve some of the harmony between the lower, middle and upper third of your face also decreasing your need for revolumization. Finally, when you have decided what your goals are, you should then determine whether you want to use fat, hyaluronic acid, or other types of fillers with your surgeon.

T.G. Khan, DO, FACS · Answer

I would start with fillers. 1/2 syringe of Radiesse per cheek bone, 1/2 syringe of Restylane silk per lower lid/tear trough, 1 syringe of Juvederm spread around the mouth region. Then I recommend doing Ultherapy for the upper neck and lower face.

Dean P. Kane, MD, FACS · Answer

Dear mp1238mp: Thanks for sharing your photos! I understand your dilemma! While fillers are the way to go for you, they are more temporary and do not diminish the soft tissue descent from the cheek to the jowl. Lipocontouring the lower cheek, jowl and if you need it, the neck with fat grafting the cheeks from the harvested fat may be the answer for you. For well selected patients, Thread Lift has worked beautifully!Please see the link and gallery photos.I hope this helps. Good luck and Happy Holidays!

Thread lift V liquid face lift, fillers and Botox? (photos)

Answers (7)

Answer: Fillers and tone

Answer: Fillers and tone

Answer: The beginnings of Facial Aging: soft tissue descent

Answer: The beginnings of Facial Aging: soft tissue descent

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Thread lift V liquid face lift, fillers and Botox? (photos)

Answers (7)

Answer: Fillers and tone

Answer: Fillers and tone

Answer: The beginnings of Facial Aging: soft tissue descent

Answer: The beginnings of Facial Aging: soft tissue descent

Browse related questions

Recommended reading

Everything you need to know about Botox

Our mission is to create a world where every investment in modern beauty is Worth It.