Side profile issues. Would a mid face lift or cheek lift improve this problem? (Photo)

I am a 32 year old woman who has grown to dislike my side profile. Over the past 4 or 5 years it seems the tear trough area has sagged enough to cause my side profile to look "hard" and makes me look sad and/or older. Would a midface lift or cheek lift improve this problem?

Doctor Answers 27

Side profile with sagging in the tear trough area

As we age, the soft tissue in the cheek area tends to loosen and descend from the high youthful position to a lower position that indicates aging and loss of soft tissue support. This area can be supported in a variety of ways. Most commonly, fillers can be used to augment the cheek area and support the soft tissues in order to maintain a youthful appearance. Products like Voluma, Restylane Lyft, Sculptra, and others can all work well in this area. Often the tear troughs can be treated directly at the same time.

Surgical options like a mid-face lift or submalar cheek implants can also work very well to address this area.

A consultation with a surgeon specializing in facial aesthetics would be very helpful for a detailed exam and to discuss all of your treatment options in detail.

All the best,

Side profile with sagging in the tear trough area

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As we age, the soft tissue in the cheek area tends to loosen and descend from the high youthful position to a lower position that indicates aging and loss of soft tissue support. This area can be supported in a variety of ways. Most commonly, fillers can be used to augment the cheek area and support the soft tissues in order to maintain a youthful appearance. Products like Voluma, Restylane Lyft, Sculptra, and others can all work well in this area. Often the tear troughs can be treated directly at the same time.

Surgical options like a mid-face lift or submalar cheek implants can also work very well to address this area.

A consultation with a surgeon specializing in facial aesthetics would be very helpful for a detailed exam and to discuss all of your treatment options in detail.

All the best,

Mid Face Lift

Hi Blaze88

It's great that you felt able to post your question and photo. It always helps our RS community as other people can see your concerns, and then may not feel like it's only their issue.

You may benefit from fillers or PRP. Definitely go see a PS and discuss the options with him/her and see what they say.

PRP is an autologous procedure that involves using the patients own blood to extract plasma and growth factor which is then injected in to the target areas. The PRP stimulates and accelerates skin regeneration and collagen production by the injections of growth factors. PRP injections can also be used in conjunction with dermal fillers if additional volume is required. PRP is selectively and carefully delivered in to specific areas with a series of injections. Before the treatment you should be assessed by an experienced medical professional to see if PRP injections are the right treatment for you. Your specialist will then be able to talk you through he procedure and inform you of what the treatment can achieve.

Filler: Wrinkles, creases and lines in these areas can be treated by filling the skin with a specially formulated gel ‘filler’. This is injected into or under the dermis (the deepest layer of the skin), pushing up and flattening the crease or wrinkle.

Lower eyelid surgery aims to address the bags under the eyes. Excess skin and removal or reshaping of the fat smooth’s the contour between the lower eyelid and the cheeks. Your cosmetic surgeon will assess if the procedure can be performed under local anaesthetic.


Mid Face Lift

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Hi Blaze88

It's great that you felt able to post your question and photo. It always helps our RS community as other people can see your concerns, and then may not feel like it's only their issue.

You may benefit from fillers or PRP. Definitely go see a PS and discuss the options with him/her and see what they say.

PRP is an autologous procedure that involves using the patients own blood to extract plasma and growth factor which is then injected in to the target areas. The PRP stimulates and accelerates skin regeneration and collagen production by the injections of growth factors. PRP injections can also be used in conjunction with dermal fillers if additional volume is required. PRP is selectively and carefully delivered in to specific areas with a series of injections. Before the treatment you should be assessed by an experienced medical professional to see if PRP injections are the right treatment for you. Your specialist will then be able to talk you through he procedure and inform you of what the treatment can achieve.

Filler: Wrinkles, creases and lines in these areas can be treated by filling the skin with a specially formulated gel ‘filler’. This is injected into or under the dermis (the deepest layer of the skin), pushing up and flattening the crease or wrinkle.

Lower eyelid surgery aims to address the bags under the eyes. Excess skin and removal or reshaping of the fat smooth’s the contour between the lower eyelid and the cheeks. Your cosmetic surgeon will assess if the procedure can be performed under local anaesthetic.


Voluma can help lift the cheeks back into a youthful appearance.

If volume loss in your cheeks is your main concern, you would likely benefit more from dermal fillers such as Voluma than from a surgical procedure. Voluma can help lift the cheeks back into a youthful appearance, and this can also help to disguise hollow tear troughs. I suggest visiting a board-certified facial plastic surgeon for a consultation to further examine your concerns and come up with a treatment plan, but I do not think that surgery is warranted at this point. I hope this helps.

Voluma can help lift the cheeks back into a youthful appearance.

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If volume loss in your cheeks is your main concern, you would likely benefit more from dermal fillers such as Voluma than from a surgical procedure. Voluma can help lift the cheeks back into a youthful appearance, and this can also help to disguise hollow tear troughs. I suggest visiting a board-certified facial plastic surgeon for a consultation to further examine your concerns and come up with a treatment plan, but I do not think that surgery is warranted at this point. I hope this helps.

Profile

I think your lower lid looks darker, this happens as it hollows and the light reflects differently.  This can make you look tired and that makes you feel tired.

I think cheek filler (I like Voluma best)- and tear trough filler (Restylane my favorite) Be careful filling cheeks without tear trough as in your case this might deepen the tear trough & the shadow.

Also- a brighting laser like BBL or Halo always helps!

Melanie L. Petro, MD
Birmingham Facial Plastic Surgeon
4.7 out of 5 stars 31 reviews

Profile

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I think your lower lid looks darker, this happens as it hollows and the light reflects differently.  This can make you look tired and that makes you feel tired.

I think cheek filler (I like Voluma best)- and tear trough filler (Restylane my favorite) Be careful filling cheeks without tear trough as in your case this might deepen the tear trough & the shadow.

Also- a brighting laser like BBL or Halo always helps!

Melanie L. Petro, MD
Birmingham Facial Plastic Surgeon
4.7 out of 5 stars 31 reviews

Cheek implants for midface volume restoration

 In our practice, we do not perform a lift of the midface or cheek area. The reason for this is that the mid face shrinks  and loses volume with the aging process, and does not vertically descend. The lateral face decends therefore, a face lift is required. To rejuvenate the midface in our practice, we used cheek  implants. Silastic s cheek implants are placed  through a intraoral approach under a brief general anesthetic as an outpatient surgical procedure. For many examples, diagrams and more information, please see the link and the video below

Cheek implants for midface volume restoration

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 In our practice, we do not perform a lift of the midface or cheek area. The reason for this is that the mid face shrinks  and loses volume with the aging process, and does not vertically descend. The lateral face decends therefore, a face lift is required. To rejuvenate the midface in our practice, we used cheek  implants. Silastic s cheek implants are placed  through a intraoral approach under a brief general anesthetic as an outpatient surgical procedure. For many examples, diagrams and more information, please see the link and the video below

Mid facelift for 32 year old

Since you are 32, my recommendation is that you explore fillers or fat grafting to improve your profile.  The flatness of the front of your cheek and transition zone between the lower eyelid and upper cheek can usually be profoundly improved without surgery by using a filler such as Radiesse or Voluma (cheek), along with Belotero (lid-cheek junction and lower eyelid).  This can be done with just a bit of topical and injectable anesthetic with minimal downtime and disruption to your everyday routine.  Alternatively, or especially once you have had a round of fillers and are happy with the improvement, fat grafting (collecting your own fat from your lower abdomen or flanks and re-injecting it into the face) can be done and has more longevity and even permanence.  Best wishes! 

Mid facelift for 32 year old

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Since you are 32, my recommendation is that you explore fillers or fat grafting to improve your profile.  The flatness of the front of your cheek and transition zone between the lower eyelid and upper cheek can usually be profoundly improved without surgery by using a filler such as Radiesse or Voluma (cheek), along with Belotero (lid-cheek junction and lower eyelid).  This can be done with just a bit of topical and injectable anesthetic with minimal downtime and disruption to your everyday routine.  Alternatively, or especially once you have had a round of fillers and are happy with the improvement, fat grafting (collecting your own fat from your lower abdomen or flanks and re-injecting it into the face) can be done and has more longevity and even permanence.  Best wishes! 

A 32-year-old is not a candidate for a midface lift.

At age 32 you may benefit from volume enhancement but certainly not surgery. I would also be cautious about the midface lift in the future. Make certain you have the procedure done by someone who knows what they're doing. This is a very tricky procedure that can generate lower eyelid issues.

A 32-year-old is not a candidate for a midface lift.

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At age 32 you may benefit from volume enhancement but certainly not surgery. I would also be cautious about the midface lift in the future. Make certain you have the procedure done by someone who knows what they're doing. This is a very tricky procedure that can generate lower eyelid issues.

Side profile

You might be happy with just fillers to raise the lid/cheek junction and add some fullness, and that alone can be quite rejuvenating. Fat transfer and cheek implants (not as common these days) are also options. See a surgeon that can offer you the full range of options and start where you feel comfortable. Fillers are a great starting place.

Side profile

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You might be happy with just fillers to raise the lid/cheek junction and add some fullness, and that alone can be quite rejuvenating. Fat transfer and cheek implants (not as common these days) are also options. See a surgeon that can offer you the full range of options and start where you feel comfortable. Fillers are a great starting place.

Improving My Profile

A frontal view would be helpful, but augmentation of your cheeks and the tear troughs will probably be the treatment of choice. Cheek projection and contour can be improve with injections of long acting fillers such as Voluma or Restylane Lyft, fat injections, or cheek implants. Consult with a surgeon who uses all of these techniques. The tear troughs can be filled with fat or fillers.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 40 reviews

Improving My Profile

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A frontal view would be helpful, but augmentation of your cheeks and the tear troughs will probably be the treatment of choice. Cheek projection and contour can be improve with injections of long acting fillers such as Voluma or Restylane Lyft, fat injections, or cheek implants. Consult with a surgeon who uses all of these techniques. The tear troughs can be filled with fat or fillers.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 40 reviews

You should consider fillers

Neither cheek lift nor midfacelift will accomplish your goal. Nothing will accomplish your goal completely. However you will benefit from fillers like Radiesse and Voluma.  
 

You should consider fillers

{{ voteCount >= 0 ? '+' + (voteCount + 1) : (voteCount + 1) }}
Neither cheek lift nor midfacelift will accomplish your goal. Nothing will accomplish your goal completely. However you will benefit from fillers like Radiesse and Voluma.  
 

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.