Hi, I am a 25 year old female, 5'6" about 130lbs and am very upset with the draggy and saggy way my face has begun to droop. I have had a couple of procedures advised to me and I am now kind of confused as to what I'd like.I would like to get fullness back in my cheeks and take care of my folds around my mouth also the asymmetry by my eyebrows. I have been given the options of fillers and buccal fat removal or a Mid facelift. What should be the better procedure?
Answer: Consider Orthognathic surgery A lot of plastic surgeons will address the soft tissues of the face, however few go to the extent of performing bone reshaping of the face. In someone as young as you, I would prefer the latter after addressing the issues at hand. We often forget the proportion of the face and by evaluating the picture provided, it seems that you may have a very long mid face. The face can be divided into thirds in a vertical fashion and the length of your mid face makes your cheeks look descended. So the problem may not be the soft tissue rather the bone structure. You also have a long forehead and this too throws off the proportions some. I would be weary of addressing the soft tissue with any lifting or facelift techniques until the bone is addressed and worked up using imaging. I personally don't do these procedures however I would not operate on someone like you until I consulted with a orthognathic surgeon who may recommend a maxillary impaction, which would decrease the length of your mid face. The brow asymmetry could be treated with a simple botox treatment or a contralateral brow lift depending on physical exam findings and treatment of the other things mentioned first. Hope this helps. Unfortunately not an easy answer.
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Answer: Consider Orthognathic surgery A lot of plastic surgeons will address the soft tissues of the face, however few go to the extent of performing bone reshaping of the face. In someone as young as you, I would prefer the latter after addressing the issues at hand. We often forget the proportion of the face and by evaluating the picture provided, it seems that you may have a very long mid face. The face can be divided into thirds in a vertical fashion and the length of your mid face makes your cheeks look descended. So the problem may not be the soft tissue rather the bone structure. You also have a long forehead and this too throws off the proportions some. I would be weary of addressing the soft tissue with any lifting or facelift techniques until the bone is addressed and worked up using imaging. I personally don't do these procedures however I would not operate on someone like you until I consulted with a orthognathic surgeon who may recommend a maxillary impaction, which would decrease the length of your mid face. The brow asymmetry could be treated with a simple botox treatment or a contralateral brow lift depending on physical exam findings and treatment of the other things mentioned first. Hope this helps. Unfortunately not an easy answer.
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Answer: Facial rejuvenation for the young There are several aspects that you have raised which can be addressed both with surgery and with non-surgical options. Although the eyes are covered, the photo suggests that difference in eyebrow position is driven by the difference in position of the eye sockets. This would not be changes by a brow-lift. Before considering a brow-lift a botulinum toxin treatment may help you to understand whether the higher position of the right eyebrow doesn't make the relationship with the right eye appear imbalanced. The facial volumes can be altered by filling or tension. A good way to evaluate your preferred course of action would be to use 3D imaging and simulation before committing to a particular treatment. Skin tightening is an unusual approach at the age of 25, and careful visual planning would help the decision process.
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Answer: Facial rejuvenation for the young There are several aspects that you have raised which can be addressed both with surgery and with non-surgical options. Although the eyes are covered, the photo suggests that difference in eyebrow position is driven by the difference in position of the eye sockets. This would not be changes by a brow-lift. Before considering a brow-lift a botulinum toxin treatment may help you to understand whether the higher position of the right eyebrow doesn't make the relationship with the right eye appear imbalanced. The facial volumes can be altered by filling or tension. A good way to evaluate your preferred course of action would be to use 3D imaging and simulation before committing to a particular treatment. Skin tightening is an unusual approach at the age of 25, and careful visual planning would help the decision process.
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March 17, 2020
Answer: Mini Facelift & Mini neck lift -- FaceTite RF for internal skin tightening + Neck Liposuction for definition/contouring Thank you for your question! FaceTite can internally tighten the skin in the lower face and neck. After all the skin has been heated and contracted, we shape the neck with liposuction to give definition and remove stubborn pockets of fat. In one quick treatment, we can tighten skin, remove fat, and contour the lower face, jawline, and jowls with only a weekend of downtime. Keep in mind that combination approaches will give you a more significant improvement as opposed to a single procedure. I recommend getting a consultation with a board-certified cosmetic dermatologist and facial sculpting expert. Best, Dr. Emer
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March 17, 2020
Answer: Mini Facelift & Mini neck lift -- FaceTite RF for internal skin tightening + Neck Liposuction for definition/contouring Thank you for your question! FaceTite can internally tighten the skin in the lower face and neck. After all the skin has been heated and contracted, we shape the neck with liposuction to give definition and remove stubborn pockets of fat. In one quick treatment, we can tighten skin, remove fat, and contour the lower face, jawline, and jowls with only a weekend of downtime. Keep in mind that combination approaches will give you a more significant improvement as opposed to a single procedure. I recommend getting a consultation with a board-certified cosmetic dermatologist and facial sculpting expert. Best, Dr. Emer
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October 22, 2018
Answer: Facial Rejuvenation for the Young Sagging of the facial skin and underlying tissue over ligaments attaching the skin to the bones can cause a droopy face even in the mid 20s and 30s. They can never be corrected by just filling the face with fillers. There are various types of facelift procedures that can be helpful to different age groups. A mini-facelift working on SMAS and minimal scar can help a young patient with lower face sagging (early jowls) however an older patient with sagging of the brows, midface and neck would require a full face and necklift. A proper facelift procedure involving pulling the SMAS should be performed for best results. I personally in many among other techniques use the composite facelift technique where a SMAS flap is elevated with minimal skin dissection, a very quick recovery and very long lasting result. This can be narrowed to a mini-facelift with even less skin dissection and shorter operating time (ideal for younger patients). Some parts can also be filled with fat grafting (Lift & Fill) to enhance to overall result and make you look even younger. Reduction of your buccal fat also through the same approach will help you get a nice and tight "nefertiti" result.
Helpful 2 people found this helpful
October 22, 2018
Answer: Facial Rejuvenation for the Young Sagging of the facial skin and underlying tissue over ligaments attaching the skin to the bones can cause a droopy face even in the mid 20s and 30s. They can never be corrected by just filling the face with fillers. There are various types of facelift procedures that can be helpful to different age groups. A mini-facelift working on SMAS and minimal scar can help a young patient with lower face sagging (early jowls) however an older patient with sagging of the brows, midface and neck would require a full face and necklift. A proper facelift procedure involving pulling the SMAS should be performed for best results. I personally in many among other techniques use the composite facelift technique where a SMAS flap is elevated with minimal skin dissection, a very quick recovery and very long lasting result. This can be narrowed to a mini-facelift with even less skin dissection and shorter operating time (ideal for younger patients). Some parts can also be filled with fat grafting (Lift & Fill) to enhance to overall result and make you look even younger. Reduction of your buccal fat also through the same approach will help you get a nice and tight "nefertiti" result.
Helpful 2 people found this helpful
February 14, 2018
Answer: Sagging face at 25 I am generally against the idea of disguising volume loss by removing more volume (such as a buccal fat pad removal). Buccal fat removal is appropriate for some patients, but based on the photo provided, adding volume to the upper cheek area would probably be most helpful. This can be done with injectable fillers, fat transfer, and even cheek implants. I do not think any type of facelifting procedure is indicated.Be sure to see an expert who can review all of the surgical and non-surgical options with you in detail.All the best,
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February 14, 2018
Answer: Sagging face at 25 I am generally against the idea of disguising volume loss by removing more volume (such as a buccal fat pad removal). Buccal fat removal is appropriate for some patients, but based on the photo provided, adding volume to the upper cheek area would probably be most helpful. This can be done with injectable fillers, fat transfer, and even cheek implants. I do not think any type of facelifting procedure is indicated.Be sure to see an expert who can review all of the surgical and non-surgical options with you in detail.All the best,
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February 13, 2018
Answer: Filler Hi,
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February 13, 2018
Answer: Filler Hi,
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