Sagging, puffiness, and overall tired look. Midface Rejuvenation? Suggestions more permanent than fillers?. (Photos)

Question

Hello. I'm a woman in my mid 30's and I'm dealing with sagginess, puffiness, and overall tiredness look around my eyes and cheeks area (midface area) I'm wondering what procedures would be more beneficial for me. I do tend to get very puffy around my cheeks (malar area) as well as my eyes and I also have laxity. The wrinkles under my eyes really bother me I don't like fillers but anything more permanent would be very helpful. Thank you

Robert M. Tornambe, MD · Answer

I appreciate your concerns, however, you do have options. These options range from fillers and Botox to MACS  mini facelift. I have performed this type of mini facelift procedure successfully on patients your age range who were reasonable candidates.Come see me or another board certified plastic surgeon in our area to explore the best options for you. Good luck.

Zoran Potparic, MD · Answer

Based on these photos, it appears that moderate malar hyperplasia (small cheek bones) is the cause of your tired look. A combination of transconjuctival lower blepharoplasty and cheek augmentation with cheek implants or fat grafting (or both) would be my suggestion. Good luck.

Muhsin Yilmaz, MD · Answer

Based on your description, it sounds like you could benefit from a combination of surgical approaches for the most natural and long-lasting rejuvenation.
Upper and lower eyelid (blepharoplasty) surgery is very effective for addressing both puffiness and skin laxity around the eyes. This procedure removes excess skin and reduces fat bulges, resulting in a fresher and less tired appearance.
For the lower eyelid and midface (malar/infraorbital) area, fat grafting is an excellent option. Transferring your own fat to these regions can restore lost volume, improve contour, and address the hollow look that often develops in the infraorbital and malar areas with age. Fat grafting provides natural, long-lasting results compared to temporary fillers.
Additionally, considering your age and midface sagging, an endoscopic midface lift may be recommended. This technique can lift and tighten the midface tissues, enhance cheek projection, and create a more youthful facial contour. The results are more permanent and natural compared to injectable fillers.
Overall, you are a good candidate for a comprehensive surgical rejuvenation of the eye and midface region. Of course, a detailed in-person evaluation is necessary to tailor the best treatment plan to your anatomy and goals.

Darryl J. Blinski, MD · Answer

Based on the close-up post of photos, which need more distant full face photos to really review your issues. I recommend a virtual consultation most likely a mid face mini type lift with the Endo laser could be a benefit. Expect fees to range from $10,000-$15,000. Best of virtual consult with

Sagging, puffiness, and overall tired look. Midface Rejuvenation? Suggestions more permanent than fillers?. (Photos)

Answers (4)

Answer: Midface, aging effects of swelling and laxity

Answer: Midface, aging effects of swelling and laxity

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Sagging, puffiness, and overall tired look. Midface Rejuvenation? Suggestions more permanent than fillers?. (Photos)

Answers (4)

Answer: Midface, aging effects of swelling and laxity

Answer: Midface, aging effects of swelling and laxity

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Recommended reading

Everything you need to know about Facelift

Our mission is to create a world where every investment in modern beauty is Worth It.