Mid-face volume loss and sagging... In my 20s! (Photo)
Doctor Answers 9
Cheek implants for midface volume loss
Options for mid face volume
The most striking thing that I see on your photos is that you have indeed lost a substantial amount of volume in your mid face One of the guiding plastic surgery principles is to replace like with like if possible. Therefore in my opinion you are an excellent candidate for fat grafting to this area . This may be the only solution that you need. You may also need to have a cheek lift with an incision in the sideburn in front of the year and just around the ear lobe. The only way to really tell is with a physical exam. Your best option is to see a board certified plastic surgeon who is experienced and facial plastic surgery as well as fat grafting.
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Mid-face volume loss and sagging
Following the beauty principles outlined in my book on face and body beauty, men look ruggedly handsome with angularity in the cheeks, chin and mandibular angles.
"Jowls” are sagging facial tissues and an indication for some form of a SMAS facelift. The underlying SMAS layer, of the face, must be dissected, lifted, trimmed and re-sutured (not merely folded or suspended with threads or sutures that will not last). The excess skin is then removed and the facelift incisions closed.
My most popular facelift is the minimally invasive, short incision facelift that has all the benefits of more invasive facelifts (traditional, mid-face and subperiosteal facelifts) but with these added benefits:
- very small incisions
- minimal tissue dissection = less bruising and swelling = rapid recovery
- can be performed in 90 minutes or less, with or without general anesthesia
- no incisions within the hair = no hair loss
- excess fat can be removed
- excess skin removed
- cheeks, chin and jaw line can be augmented with dermal fillers (I prefer Restylane Lyft) or facial implants
- most patients fly back home to parts all over the world in as little as 3 days post-op
The following procedures would create a more ruggedly handsome face.
- Cheek augmentation with cheek implants to add angularity to the cheeks and mid face.
- Augmentation of the mandibular angles using a dermal filler (jaw implants have too many unwanted side effects IMHO) to add volume, angularity and flare to the jaw line.
- Possible Chin augmentation, using a chin implant, to add projection to the chin creating harmony and balance to the lower face. I suspect that the chin is a bit weak which can be confirmed with a proper profile view of the face and neck.
Midfacial Volume Loss
Start with Voluma
Voluma will provide the volume and lift that you need.
It will give you an opportunity to see the results and start your facial rejuvenation.
The results you desire can be achieved with properly placed filler. The results are pretty immediate and have little to no downtime.
I would be happy to see you!
All the best,
Dr. Michelle Yagoda
Treatment of mid-facial volume loss
There are two avenues for treatment -- permanent implants (which involve surgery) or skin fillers, which have various amounts of longevity.
My personal recommendation would be with a long lasting skin filler such as Voluma or Sculptra. They are different and work in different ways.
Best to speak with a plastic surgeon about the pros and cons of each method.
Elliot W. Jacobs, MD, FACS
New York City
A Nonsurgical Mid-Face Rejuvenation With A Volumizing Filler Works Well For Mid-Cheek Volume Loss
Fortunately, nowadays, this kind of problem can usually be easily and quickly treated in an office visit with volume repletion to the mid-face region--known as a nonsurgical mid-face rejuvenation. Voluma is my favorite volumizing filler for this purpose in my Upper East Side Manhattan office. Radiesse Plus is another choice. (In my Israel satellite facility, where a far greater number of regulatory agency approved fillers and volumizers are available, I would opt to use Stylage XXL and Emervel Volume for this purpose). Proper volumization of the mid-face will very likely secondarily improve the smile lines and marionette lines problem, and likely without needing to inject them directly.
Be sure to seek consultation and treatment by a board certified aesthetic physician with experience and expertise in nonsurgical facial rejuvenation techniques. It is also important that you make certain that he/she has experience in injecting the male face; improper placement of volumizers can lead to inadvertent feminization of the male face. Be sure to ask to see his/her before and after photos.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.