Hi Sbrex. Cheeklifts and facelifts may address different things and have different goals. A cheeklift is primarily used to lift the cheek tissue and is used to address hollowing under the eyes or loss of volume and descent of the midcheek area. Facelifts can correct jowls and loosening of the neck skin and muscle. The best surgery for you depends on what your concerns are and what region you would like improved. It is difficult to assess your volume in the cheek area since you have had fillers, however it seems based on your photograph that your midface volume is just fine. A cheek/midface lift definitely has its place, however patients do have swelling for a while. Also, it doesn't address jowls or neck laxity. A deep plane facelift can correct all three (neck, jowls and cheeks) through lifting all the tissue and adding volume to the midface while addressing the neck at the same time. Make sure you discuss the facelift surgical technique with your surgeon as some facelift techniques have longer results than others. Good luck.
I think that a facelift operation would be the more rewarding procedure for you given the appearance of your jowl and neck. Deflation of the cheek and lower eyelid can be addressed at the same time with fat injections or filler. I would also consider a small incision temporal brow lift to achieve good harmony between the upper and lower face. Good luck.
You would benefit from a short scar facelift with necklift and adding filler to shape the cheeks and face. Once jowling begins, facelifts are the most common answer.
It's often difficult to devise a plan for surgery when there are temporary fillers present. On first glance of your photo, your midface is very youthful (cheeks, lower eyelids). The laxity in the low face would be improved with a facelift (helps with the jawline and neck). "Cheek lifts" can require an extended recovery and often ultimately require some fillers down the road, so many of us address this area with filler now instead of surgery. Get a few more in person consultations when your filler has worn off and see what you hear! I would expect the focus to be more on a facelift than surgically addressing your cheeks. Good luck!
A minilift or a cheeklift varies significantly in what it
entails, depending on the surgeon performing it. It usually performed in
patients with minimal laxity and would not improve your neck. The terms
facelift and lower facelift mean different things to different patients and
vary in their extent from surgeonto surgeon. A facelift or a lower
facelift which would include the neck area would have the potential to produce
the best and longest lasting cosmetic result of the neck, central cheek and jowl area.
Micro-fat grafts can produce a long
term improvement of the areas that you have had temporary fillers.
It is important to realize that
following the advice from a surgeon on this or any other website who proposes
to tell you exactly what to do based on a limited photo without examining
you, physically feeling the tissue, assessing your desired outcome, taking a
full medical history, and discussing the pros and cons of each operative
procedure would not be in your best interest. I would suggest you find a
plastic surgeon certified by the American Board of Plastic Surgery and ideally
a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you
trust and are comfortable with. You should discuss your concerns with that
surgeon in person.
Facial rejuvenation needs to be
individualized. What would be an ideal approach for one patient is not
necessarily the same for someone else. Based on the examination and discussion
at the consultation, you should have a better understanding of the various
options that can achieve the best cosmetic result for you.
Robert Singer, MD FACS
La Jolla, California
Thank you for your question and in many respects I agree with Dr. Fleming. though a full examination is needed form the one photo you have sent it would appear you would benefit from a full facelift(which includes the nec) as your neck appears to be showing your age the most
Without more images and a full exam, it is difficult to make a sure recommendation.
That said, looking at your picture, you have good fullness in the cheeks. Where you do have aging is in the lower face and neck. This would be best addressed with a lower facelift and certainly this could be a mini facelift.
I would recommend consulting with a board certified facial plastic surgeon-
You look like you could get a beautiful result with a full lower facelift, one which will completely rejuvenate the front of your neck. That is the area mostly left under done in mini procedures. Check my photos for examples.
It is impossible to answer your question with just one picture and without the opportunity to discuss what bothers you. I don't see significant problems with your cheeks. You do have laxity in the neck and along your jawline which can be treated with a neck lift, a facelift, or a mini facelift. I need more pictures and information.
It is difficult to give an opinion based on only one photograph, since the face is a three-dimensional structure. Mini-lifts tend to give mini results and will not address the laxity of skin in the neck. A comprehensive lower face/neck lift will address tightening of loose facial and neck skin, tightening the neck muscles in 3 locations, tightening the jowls and SMAS and removal of any fatty deposits in the neck, if present. for many examples, please see the link below