I always had very low and saggy cheeks, what type of procedure would rejuvenate my whole face ? (Photo)

Question

I've been highly considering a face lift for years now, I always had saggy cheeks and nasolabial lines. I’ve had some fillers it did look better but did not really fix the sagging. Should I do something more drastic even for my young age ?

Semih Yildiz, MD, FEPOBRAS · Answer

The photo shows mild midface and cheek descent with some nasolabial fold prominence, but from this single view I do not see the kind of severe loose skin that would make a full facelift the automatic first choice. Fillers can soften this area by restoring cheek support, but they cannot truly lift descended tissues, and too much filler can sometimes make the face look heavier rather than younger.

The best option depends on where the sagging is coming from. If your main concern is low cheeks and nasolabial folds, a focused discussion about midface support, conservative fat grafting or filler, skin quality treatments, and in selected cases a midface lift or deep-plane facelift may be appropriate. A standard lower facelift is usually better for jowls, jawline, and neck laxity than for isolated nasolabial folds.

I would not decide based only on age or a front photo. Have an in-person consultation with a board-certified plastic surgeon or facial plastic surgeon who can examine your skin elasticity, cheek position, jawline, neck, and facial proportions. If surgery is recommended, it should be because your anatomy matches the procedure, not because fillers did not fully solve the problem. A good plan should also explain scars, recovery, longevity, and what changes are realistic.

Steven H. Wiener, MD · Answer

The procedure that would improve your appearance is a mid-face lift.  This can be performed via different approaches, but the goal is to lift your mid-face or cheeks.  This has a much longer duration then repeated fillers.

Gary M. Horndeski, MD · Answer

You would benefit from fat transfers to the cheek bones. You may also benefit from a lip lift. A lip lift does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Barry M. Weintraub, MD, FACS · Answer

Thank you for asking your question in this forum. I believe that our duty as surgeons is to know when to say "no." You have absolutely no reason to seek a facelift! Your skin quality and elasticity are excellent. I am sure that others will agree. Please remember that patients often see themselves very critically, as you are viewing yourself.

I always had very low and saggy cheeks, what type of procedure would rejuvenate my whole face ? (Photo)

Answers (4)

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