Can a facelift fix droopy face & overfilled Radiesse? (Photo)

Sagging of the cheeks is not common at your age but sometimes seen after severe weight loss or unusual skin condition. Unfortunately, there is a widespread belief that fillers are an appropriate response to saggy cheeks. Just like too much putty, their overuse often results in the “Pillow Faces” often seen these days.
Radiesse can certainly highlight flat cheek bones or weak chins, etc. but do not effectively lift saggy cheek pads and jowls.
Reasonable amounts of filler are relatively inconsequential as the hyaluronic component can be dissolved and the permanent residue created during surgery.
At any age, if facing the mirror and lifting your upper cheek with two fingers produces a refreshed, sharper look and improved jawline (minus the jowls) a vertical facelift is the likely answer.
Mini-lifts, traditional lifts, lifestyle lifts, etc. are generally not effective in lifting the upper cheeks and may produce windswept looks unbecoming in a younger age group.
My Refresher Lift is designed to do both, lift the upper cheek and tighten the jawline, producing a younger more dynamic look and effectively at any age. You can check multiple before and after on my website link.

First Radiesse is a horrible product. It is horrible simply because it can not be adjusted once it is placed. That is a problem because if you are not happy with a service, your only treatment option is to twiddle your thumbs. The filler will disappear but it takes a year or more. Don't make the mistake of getting further bad service as a reaction to this bad treatment. What you can do now is get an under eye Restylane treatment. This will help move you toward a heart shaped face by putting volume in the under eye circle area. This is a fussy service. I see many individuals from the Dallas area for this sort of service. That tells me that it will be very challenging to get the help you need locally. Study the video I have attached below. There is help for you.

The effects of Radiesse are not permanent and will be gone soon if it’s has been 11 months. I would not jump into any surgery at this point.

It doesn't look on these photos that there are significant irregularities and/or asymmetry related to filler. Within a year or so, most of the filler will be degraded and absorbed by your body. You do not look like a candidate that would have any benefit from facelift.

You do not need a facelift and probably the raiders has been absorbed long ago. Don’t let anybody operate on your face. You don’t need it. You’re gorgeous exactly as you are.

Radiesse is a biostimulatory filler that cannot be dissolved like hyaluronic acid fillers. You will see a gradual reduction of the filler volume over time as your body reabsorbs some of the material. Looking at your pictures, I do not think that a facelift procedure is going to benefit you. One alternative that you might consider is buccal fat pad removal which will diminish some of the fullness in your lower face. I would recommend waiting at least 6 to 9 months after your last Radiesse treatment before considering any surgery.

My experience with Radiesse injections is that the fullness begins to decrease within 6-8 months and continues to diminish for the next several months. Unfortunately, I am not aware of any chemical that will dissolve the Radiesse like hyaluronidase that will dissolve hyaluronidase fillers such as Juvederm or Restylane. However, I do expect that the filler effect will resolve and at your age, I would not expect any permanent looseness or sagging from that. Also, at your age, I would not suggest a facelift, as I really doubt that you have enough looseness to warrant the surgery and permanent scars. However, selective hyaluronic acid fillers in the marionette folds and nasolabial folds would help smooth out those depressions and camouflage any slight fullness in the lower jowl region by your jawline.

Hello and thank you for your question and photo's. You are too young for a facelift by at least 20 years. Sometimes filler can help by injecting to upper cheeks to slightly pull up the lower face.

Unfortunately, the best option at this time is to wait. Although the manufacturer of the product states Radiesse lasts 1 year, the truth is it can last 2 years or more. Unlike other facial fillers, Radiesse cannot be dissolved.
Regarding a facelift, you are very young. You would have to be evaluated in person by a plastic surgeon for better assessment. I would recommend waiting a minimum of 2 years after Radiesse injection and determine any subsequent potential interventions at that time. After injection, Radiesse disperses into the tissues and it is impossible to remove all the product with surgery without significant damage and distortion of the tissue at the injection site

Dear evangeline jamie,

Thanks for sharing your photos. It is helpful but you will still need a in-person evaluation to determine what is best for you. Bring your pre-Radiesse photos with you to that consultation to assist the Physician’s recommendations.

The “art” in filler therapy is choosing the experienced, artful injector who understands which filler to use where, what layer and how to get the results desired.
The “science” in filler use is that they all coalesce into a more firm, ball-like or tubular form and to use dissolvable hyaluronic acid (HA) clear gel fillers if one is not fully secure in achieving the desires results.

• I like Radiesse in patients with dark under-eyes and flat or low orbital-cheek bones, catheter injected along the bone.
• I use layer HA fillers for volume, as you mentioned like the “apple or cheek bone” areas where projection and fill are needed.
• I have found fat to be an excellent volume filler but responds poorly to projection and in the eyelids themselves.

A facelift can elevate the tissues lateral to the “mid-face” or apple-cheek area in the direction of the temples. For the descended, hollow, tear trough, lower lid crease and fat bag areas, you will need to consider a Mid-Facelift which can redistribute the fallen cheek tissues and separations of the cheek fat compartments directly upward toward the pupil. There are many concerns to consider regarding this advanced surgical technique.

Please consult with a experienced, Board Certified Plastic Surgeon skilled in under eye surgery techniques to determine what will be best for you.

I hope this helps. All the best!