What can I do about this line/the sagging? Facelift? (Photo)

Question

My skin is sagging around my mouth and jaw I am only 26. I can see the line vertical from my lip getting worse each day, it’s from sleep and not expression. It disappears when I smile. I take good care of my skin and always wear moisturizer and sunscreen but I’m always a bit dry. What can I do about this line/the sagging? Do I need a mini facelift on the lower half of my face?

Yasin Kursad Varsak, MD · Answer

When it comes to facelift terminology, it can be quite confusing. I would advise you to research thoroughly what is meant by a "mini facelift." If you're considering a mini facelift to correct your lower face, which involves only skin removal and is performed using a technique that involves incisions in front of the ears, I strongly advise against it. This is because the issue is not with your skin alone. While some people may experience aging earlier and may require surgery sooner, remember that just because you're young doesn't mean you should opt for a mini facelift, which offers limited effectiveness in addressing the real problem. This could lead to your face returning to its previous state shortly afterward, prompting you to seek other surgical options.

Anil R. Shah, MD · Answer

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin. This is a great question. I highly recommend scheduling an in-person consultation in order to better assess your areas of concern and discuss an appropriate treatment plan to help achieve your aesthetic goals. Our office phone number is: (312) 944-0117. I hope this helps and best of luck!

Kenneth D. Steinsapir, MD · Answer

You might benefit from judiciously performed Restylane hyaluronic acid filler. Please understand who does your filler makes an enormous difference. Bargain shopping does not pay off for this service. You are asking a skilled injector to sculpt your face. No the non-medical technician at the hair salon is not going to get you the service you need. Less is more. If you have prior filler in your face, I would recommend removing every bit of that before tackling your facial volume needs.

Gary M. Horndeski, MD · Answer

You should consider a lip lift. However, very little would be taken out centrally but the majority would be taken out laterally. This will correct the lines that are forming at the corner of your mouth. You may also benefit from fat transfers at the same time.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Paul Fortes, MD · Answer

At 26 years of age, your facial skin is as healthy and firm as it will ever be.  I think it's a bit early for a facelift.  Some young people do benefit from facelift surgery, but these cases are much more often a result of extreme weight gain followed by extreme weight loss.  I think hyaluronic-type fillers would work very nicely for you for these "lines" that bother you.  The volume enhancement of filler can also be used conservatively to "lift" areas that appear sagging.  I recommend that you see either a plastic surgeon or nurse injector with lots of experience in injectables for an evaluation and treatment.  The nice thing about the HA fillers is that they are reversible if you are not satisfied with how they look.  Best of luck!

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