I have aged drastically in the last three years. What procedures do you recommend to improve my appearance? (Photos)

Question

I have aged drastically in the last 3 years. What can be done for me to look better? The large picture was 3 years ago and the other two are now. i am hoping to have something done in the next few months. What do you advise?

Alejandro Nogueira, MD · Answer

I strongly recommed you get a proper forehead and eyebrow lift, that'd massively rejuvenate you; I am hesitant about a midface facelift, that'd be also beneficial but might be a tad too soon for you, normally is done at older ages (to be discussed, nevertheless).

Ancillary non-rejuvenating procedures:
-strongly recommend a reduction genioplasty
-and rhinoplasty would be of great benefit too

In the link associated to this answer you can find further information and images related to your problems.

Andrew Miller, MD · Answer

Based on your photos, you are a great candidate for facial plastic surgery. First of all working on the brow, eyelids, upper lip, and facial hollows would give you great results for sure. It's kind of hard to see your neck and jawline, but a lower face and neck lift might be needed as well. Be sure to see a facial specialist for consultation to work out the best plan for you.

Jake Thayer, MD · Answer

Thanks for the question! This is an open ended question and the answer depends on what specifically bothers you but common facial rejuvenation options that would be great for you would include upper blepharoplasty with or without brow lift, face and neck lift with fat transfer to cheek area to restore some lost volume. Don't forget about skin care, sunscreen, lasers to address pigmentation (BBL) and resurfacing (Halo, CO2 or Erbium). Thanks!

Tanveer Janjua, MD · Answer

Browlift to open up the eyes and filler in the cheeks. Down the road a facelift with blepharoplasty
Regards
Dr. J

Lexie Wang, MD · Answer

Well, you didn't state that you DON'T want to do anything in particular so I'm going to be very broad. The biggest change I see is volume loss and likely associated tissue falling with that. To me, the highest yield is going to be adding volume back into your face, either with filler or fat grafting. A lift with that would be best, and I'd ask your surgeon to discuss a comprehensive facial aging treatment for you, like the brows needing to be addressed, maybe doing skin procedures, etc.

George Marosan, MD · Answer

Thank you for your question and photos. Difficult to compare photos since you have large sunglasses on covering the lower brow and midface and you are smiling which makes your cheek fuller. Based on the "aged" photo, you would do best with a deep plane facelift (repositions the soft tissues which slid off the cheek bones inferiorly and anteriorly), shorten the upper lip with a lip lift. The periocular area can be rejuvenated with a brow lift and an upper and lower blepharoplasty. See a board certified plastic surgeon for an in person consultation/evaluation. Good luck.

Gary M. Horndeski, MD · Answer

You would benefit from a facelift and browlift. The browlift will lower the hairline and pull your eyebrows up higher. The facelift will pull up the hanging skin, particularly around your eyes and neck. You may also benefit from an eccentric lip lift. This 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. You would also benefit from a rhinoplasty. You have a bulbous tip that can be refined.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Ronald J. Edelson, MD · Answer

You are an excellent candidate for a facelift as well as eyelid surgery. I recommend going on some consults with surgeons in your area. You will likely get different recommendations but the selection of the right surgeon is the mist important decision

Ozge Ergun, MD · Answer

Thank you for this excellent question and for sharing your photos. I'm Dr. Özge Ergün. If we can make a detailed plan for your situation,

Comprehensive Facial Rejuvenation Strategy
The plan you've outlined is a highly effective, multifaceted approach to counter the dual effects of significant weight loss and aging: Volume Loss (Atrophy) and Tissue Laxity (Sagging). To achieve a truly balanced and durable result, both issues must be addressed concurrently.
Here is a surgical breakdown of the recommended plan:
1. The Foundation: Addressing Sagging and Laxity
Deep Plane Facelift
The deep plane technique is superior for patients with moderate to significant tissue laxity, especially those who have experienced substantial weight loss.
• Mechanism: Unlike superficial facelifts, the deep plane technique elevates the skin, the deep muscle layer (SMAS), and the attached fat pads as a single unit. This allows for the entire cheek and mid-face complex to be repositioned to its youthful, higher location.
• Key Advantage: By working under the deeper structure (the deep plane), the tension is placed on the underlying muscles and ligaments, not the skin. This ensures an exceptionally natural, long-lasting lift that avoids the "pulled" or "wind-swept" look.
• Target Areas: Provides excellent correction of jowls, significant definition to the jawline and neck, and repositions the descended cheek fat pads.
2. The Enhancement: Restoring Lost Volume
Facial Fat Injection (Fat Grafting)
Kilo kaybı sonrası yüzdeki gençlik dolgunluğunun kaybı (hacim kaybı) yaşlanmış bir görünüme neden olur. Yağ enjeksiyonu bu sorunun en doğal çözümüdür.
• Mechanism: This procedure harvests your own fat (typically from the abdomen or thighs), purifies it, and then meticulously grafts it into hollow areas of the face.
• Key Advantage: Since it uses autologous fat (your own tissue), there is no risk of allergic reaction, and the results are considered permanent for the fat that successfully grafts (usually 50-70%).
• Target Areas: Essential for re-establishing contour in the temples, filling the hollows of the cheeks (malar area), and softening deep lines like nasolabial folds and marionette lines. It complements the lift by providing underlying support and fullness.
3. Periorbital (Eye) Refinement
Lower and Upper Eyelid Blepharoplasty
The eyes are a focal point, and loose skin or herniated fat can create a tired appearance that a facelift alone cannot fix.
• Upper Blepharoplasty: Removes excess skin and sometimes fat from the upper lid to restore a clear eyelid crease and a more alert, open-eyed look.
• Lower Blepharoplasty: Addresses undereye bags (fat pockets) and skin laxity. In most modern techniques, the fat is repositioned to fill the hollows (tear troughs) rather than simply removed, ensuring a smooth, rested transition from the lower lid to the cheek.
4. Perioral (Mouth) Refinement
Lip Lift (Subnasal Lip Lift)
The upper lip is key to lower-face aesthetics and often lengthens with age or appears thinner post-weight loss.
• Mechanism: A precise, inconspicuous incision is made directly under the nose. A small, measured amount of skin is removed, shortening the distance between the nose and the upper lip.
• Result: This roll-out effect makes the pink vermillion (lip itself) appear fuller and more youthful, often allowing a subtle, aesthetically pleasing amount of the upper teeth to show at rest. This provides a permanent enhancement to the mouth without relying solely on temporary fillers.
In summary, this is a masterful combination: The Deep Plane Facelift provides the necessary structural support and lift; Fat Grafting restores youthful volume; and the Blepharoplasty and Lip Lift offer detailed, non-negotiable refinements to the eye and mouth areas. The synergy between these procedures achieves a balanced, harmonious, and globally rejuvenated appearance.

Darryl J. Blinski, MD · Answer

Based on the three-year photo and the recent photo, did you have severe weight loss recently? The sagging and laxity of skin of the total head neck face area is noted. Best of virtual consult with most likely you would need stage surgeries. First surgery should be a full face neck lift with muscle plication with upper lower lid, eyelid, surgery, and possible brow surgery Along with fat grafting that fee would be $25,000-$30,000. Secondary surgery would be any touchups needed with a rhinoplasty. Best of virtual consult with for more understanding. Regards

I have aged drastically in the last three years. What procedures do you recommend to improve my appearance? (Photos)

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