I had cheek and jaw implants removed in November, but now I have laxity and visible scar tissue.

Thank you for the picture. I do see some volume loss in the cheek area and skin excess in the lower face. I am not clear as to the scar tissue you are referring to, and that is something that can be examined during a physician examination. You are right, you would do great with volume enhancement with facial fat grafting and some type of facelift- such as a mini lift or a lower facelift. This combination of procedures would greatly address your concerns with natural results!. 

I would counsel you away from grafted fat-it is like injecting scar tissue.  The face has many glide planes and these fat grafts scar these delicate planes.  I do not believe that your photographs are adequate for assessing what you need.  I suspect you would benefit from a vertical mid face lift over a hand carved orbital rim implant.  If you are open to it, hyaluronic acid fillers are also an option but you need to find a surgeon who is an artist with these treatments.  The only fillers for this purpose are Restylane and Restylane Lyft. Other hyaluronic acid fillers are too runny to work for you. Specifically avoid fillers like Juvederm, Voluma, Restylane Silk, and Belotero.

Since your implants were removed in November, whatever scar tissue that is there may improve somewhat over time.  That said, you certainly could be a candidate for a face lift with fat grafting for the volume loss. As an alternative, you also may benefit from fillers such as Voluma and a less invasive procedure such as Thermi , Ulthera, etc (albeit with not as good a result as surgery).  Best wishes.

It appears from your photos that fillers like fat or Juvederm may be all you need.  You may need to wait a bit to allow scar tissue to subside, but physical exam needed to evaluate properly. Be sure to consult with a board certified plastic surgeon. Good luck!

Hello and thank you for your question.  The
best advice you can receive is from an in-person consultation.  I have performed a mini facelift and fat grafting for similar patients in the past.  This may be a good option for you.   Make sure you specifically look
at before and after pictures of real patients who have had this surgery
performed by your surgeon and evaluate their results.   The most
important aspect is to find a surgeon you are comfortable with. I recommend
that you seek consultation with a qualified board-certified plastic surgeon who
can evaluate you in person.
Best wishes and good luck.
Richard G. Reish, M.D.  FACS
Harvard-trained plastic surgeon

You appear to have omes volume loss in your mid face. I would recommend the volume enhancement using a number of techniques ranging from fat to synthetic fillers. I also recommend a micro or many facelift. I have found that patients who get treated surgically sooner end up looking better longer.Sincerely, 
Philip J. Miller, MD, FACS
Double Board Certified Facial Plastic Surgeon

You could potentially benefit from a mini lift or Facetite radio frequency procedure. Facial fillers or fat grafting can be done at the same time to enhance facial volume. 

This would be a good option for you.  A mini facelift with fat grafting should address the slight skin laxity and add volume to even out your cheeks and submalar regions. 

From the pictures, I can appreciate the loss of volume in the mid and lower face. There are a few ways to address this situation, being the first one a mini lifting. If surgery is something you want to avoid, you can go for non-invasive treatments like dermal fillers. Hyaluronic acid fillers like Restylane Lyft will restore the volume loss, especially on your cheeks area. Also, Sculptra, a dermal filler, can be used if you are looking for longer results. A combination of surgical and non-invasive treatment can also be used; however, in your case, with a history of previous surgery, it is better to have a full consultation with a board-certified plastic surgeon to address your concern.

I would suggest a mini lift to address the skin  laxity first . Then after waiting for the swelling to go down, address the loss of volume with either fat grafting or Fillers. Good luck!