Madonna - What Has She Done? (photo)

A minifacelift would certainly help with the lower face area. Unfortunately, part of the problem with skin laxity is loss of volume of the face. A conservative amount of fat transfer to the midface region would be very beneficial.  Isolated midface lifts have fallen out of popularity. Complex anatomy and surgery for subtle improvement.  The comination of fat with a minifacelift would be very powerful. Best wishes.

A mini face/neck lift makes a big improvement and looks very natural and can be all done under local anesthesia.  It tightens and smooths the jawline, jowls and neck for roughly $6000. Sincerely,

David Hansen,MD