Mini facelift or mid facelift in late 20s for drooping lower face? (photos)

However, midface surgery will harm your appearance. Most "midface" lifts are done through a temple incision. The malar fat, never cam from that direction. That means the vector of pull is abnormal. Many surgeons will recommend fat grafting. This procedure has permanently damaged so many faces. You need volume in the under eye circle area. The state of the art method for getting help here is under eye filler. It should be done with Restylane. Yes, the product does require maintenance. The service will last about a year before needing to be topped off. Every few years, the old filler should be removed because the oldest product does not just disappear. Yet, this is a far safer procedure that rolling the dice with a midface lift or graft grafting. Avoid the runny fillers like Belotero, Juvederm, or the Restylane variants. If you are using a lash growth product (Lattise) stop using it because it damages upper eyelid volume.

In our practice, we perform a non-surgical face lift / skin resurfacing treatment using Renuvion Helium Plasma Radiofrequency. ​To get the most improvement with skin tightening, we combine Renuvion (formerly J-Plasma) with lasers (Fraxel, Clear + Brilliant, CO2), microneedling/PRP, Ultherapy and InMode FaceTite. I suggest getting a formal evaluation with a cosmetic dermatologist. Best, Dr. Emer​​​​

Hi moderngirl

A mini facelift is a great option for women and men in their forties and beyond who have mild to moderate facial jowls, sagging skin, a down-turned mouth, loose skin, and loss of volume and plumpness. A mini facelift will tighten skin and lift sagging jawlines and cheeks. To learn more about this procedure, please visit our website.

I usually would advise fat grafting but this is even more expensive than fillers in the short term. I usually would not advise a surgical lift and if you think you need skin tightening, would go with a non surgical skin tightening.

Dear moderngirl:

Thanks for sharing your photos. They are useful but not complete.

The beginnings of facial skin laxity start at 30 years old when collagen skin repair diminishes and passive skin aging relaxes downward. The web of fibrous compartments under the skin loses fat, stretches, separates and elongates forming 5 growing “waves” of skin at points of attachment, developing:
• hooding along the eyes,
• lower eyelid / cheek junction or tear trough / nasojugal fold
• nasolabial fold,
• lateral mouth commissure and marionette folds,
• jowls and neck.

If you have gone through a weight gain and loss cycle, you may have reduced the volume of the face and similarly create these folds. If weight loss did occur, this may included lower protein consumption and collagen loss may have accelerated.

As you enter your 30’s, consider the reversal of natural collagen reduction and skin tightening, volume filling and non-surgical face lifting options. You do not appear to require any surgical, ie., incisional face lifting.

I would recommend that you:
1. Consult with a talented, Board Certified Plastic Surgeon and his team regarding non-surgical and minimally invasive options. Consider:
2. A Zein Obagi, MD, ZO Skin Health retinoid program and peels for external stimulation and skin tightening and acne / oily skin improvement.
3. Sculptra is a minimally invasive injection series of bio-stimulatory filler for face and neck skin tightening
4. In patients like yourself, I have found micro-lipocontouring of the submalar cheeks, jowls and neck with fat grafting of the cheeks and beginning folds to be extremely satisfying. You may combine this with
5. Minimally invasive tightening options such as ThermiTIGHT or FaceTite, and
6. Minimally invasive jowl and cheek lifting options such as Silhouette FaceLift suspension sutures

I hope this is helpful. All the best!