Mid Face Lift or Lower Face Lift with Chin Implant?

Okay, slow down.  You have had 3 procedures that you are not happy with.  I wouldn't jump into another surgery right now.  I agree with your critiques but I still think your aging changes are mild.  You look thin and have some volume loss.  I would start with a conservative procedure such as fat grafting.  That can address several of your issues in moderation.  It is also a way to get to know your surgeon and gain trust.  Discuss further with your surgeon.  Good luck!

Based on your photos, and your recent experiences, I would find a reputable plastic surgeon who specializes in faces and consult with them to first add volume to your face.  Filler or fat transfer would both work well.  You should be able to get away with volume addition.  If you have surgery, you're still going to need the volume so start there.  Hope that helps. 

During your #consultation, your skin texture and elasticity, as well as your underlying skin structure and your facial bone structure will be evaluated. Based on this evaluation, your board certified plastic surgeons will create a custom surgical plan, detailing specific techniques and recommendations to meet your goals. In doing so, he or she should be sure to have a full understanding of what results you expect. It is possible to #combine #surgeries. In fact, I commonly recommend other procedures to go accompany a facelift, such as blepharoplasty or a midface (cheek) lift, to name a few. The combination of multiple of facial procedures may create an optimal result. The best procedure approach will be discussed in greater detail during your one-on-one #consultation. I invite you to visit PacificCenterPlasticSurgery.com to view a complete list of surgeries commonly performed. If you are not a #candidate, your surgeon can make other suggestions to address your concerns and objectives. It is extremely important to seek a board certified plastic surgeon highly trained with your desired procedures. I also encourage you to look at before and after photos of the surgeons actual patients. Also, reading patient reviews of those who have had combined surgeries will be beneficial. Gathering all of this information will help you make a well-informed decision.

You have many issues and I would like better photos. I don't think you are a mid facelift candidate. The excess skin and muscle of your face and neck can be improved with a facelift and fillers. Your nose surgery is not natural. The tip is pinched, the nostrils retracted, etc. These can be improved by grafting your septal cartilage to the areas where too much has been removed and lengthening your short nose to give less nostril show.

Dear Meetingthepoint

You could be one overdone surgery way from becoming a social recluse.  Rather than having an over committing surgery, I would recommend considering fixing your upper eyelid ptosis and getting facial fillers.  I personally think that perlane in the chin is much better than any chin implant that we have.  You could have restoration of cheek volume by having Restylane at the tops of the cheeks instead of a midface lift.  Midface lifts are often associated with unexpected post-surgical changes, not all of which are desirable .