Would a mini facelift be suitable to fix the issues I have highlighted in my pictures?

Question

I am a 43 year old female. My problem areas are a deep wrinkle around my mouth, my nasolabial folds, and the skin from my chin to my neck which has started to sag. I'm happy with my upper face so I thought a mini facelift would be suitable? or would something less invasive work as well? I have tried check fillers which made no difference, and RF therapy, which did absolutely nothing.

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Oliver Chang, MD · Answer

Based off your photos without addition angles and view so the entire face to fully understand your facial anatomy - looks like deepened NL folds asymmetrical along with some looseness / laxity of your anterior neck with a few deepened folds there as well. There are actually a few options to tackle these areas and different levels of surgery with different levels of risks - but I think surgical intervention now is needed since you have tried all the non-invasive procedures already. Likely you will need to get your fillers dissolved prior to anything surgical and make sure to let your surgeon know everything you've had done and where. 
Midface lift / rejuvenation - this would address your cheek bones and the NL folds; fat grafting can be added to the procedure as a combination to really move all your facial anatomy more vertical back to where it was when you were younger (an analysis of your eyes and brows would help to also see if a brow lift could also add more youthfulness back to your face) This can be done through an incision hidden in your temporal hairline. 
Neck rejuvenation - can try some lipo and skin tightening versus a neck lift (incision behind the ears or submental incision) The first has lesser incisions but also a lesser guarantee if the skin will be as tight and clean as the second option. 
CO2 laser can also be added to any area where you have fine wrinkles or under eyes, where skin is just a tiny bit loose.

Anshu Gupta, MD · Answer

A mini face lift procedure will help address neck laxity. However, it will not improve the nasolabial folds or the deep creases at the corners of the mouth. For nasolabial folds, appropriate treatment options include dermal fillers or a midface lift (also known as a malar fat pad lift). The deep crease at the corner of the mouth will need to be examined in person, but potential treatments could include a small amount of Botox, subcision (rigotomy), or fat injections. Wishing you all the best!

Would a mini facelift be suitable to fix the issues I have highlighted in my pictures?

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Would a mini facelift be suitable to fix the issues I have highlighted in my pictures?

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Everything you need to know about Mini Facelift

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