What would help lower face bulk/minor sagging? (photos)

Hello, and thank you for providing photos along with your question. While a personal evaluation is necessary to make the best recommendations, it seems that you may benefit from a combination of procedures. In many cases, the additional fullness from the cheek to the jawline may be due to an excessively large cheek fat pad. Partial removal of this tissue (also called buccal fat removal) can help create cheek definition and a slimmer contour in the lower face. Botox and dermal fillers can give your cheeks a lift while also correcting your downturned mouth. For more information and to determine the best procedures for you, I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon. Such experts can analyze the balance and proportion of the face to help create custom treatment plans for you. Your surgeon can properly assess your skin, recommend the best procedure or combination of procedures, and ensure the best possible outcome.

Hello!
You have a couple of options.
The best option is buccal fat pad removal. This is a short facial procedure performed through an incision inside your mouth. This will remove fat of the lower face and create a more sculpted look in the lower face. Hard to tell from the photo angles but this result might be further optimized with neck liposuction.
Or you could possibly try Kybella, an in office procedure to reduce fat.
I would recommend you see a board certified plastic surgeon who can provide comprehensive treatment. Best of luck to you!

Hello @syd101p thank you for your question. You can combine High-tech surgical and non-surgical treatments, the combination of buccal fat removal plus Ulthera and a facial contouring with Radiesse would be very beneficial. In addition to maintaining the weight in a stable manner makes the skin improve its laxity and solve part of the volume. For more information and recommendations it is best to consult with one or several board certified plastic surgeons. Best wishes! Alan Gonzalez MD, FACS.

I see why you pose this as a facelift question, but that's not the answer for you. There are a few components in your concerns, each of which could be treated with less invasive approaches. For example, for the fullness the most straighforward and specific approach is probably a buccal fat pad excision. This removes a key fat-containing compartment from one of the deeper layers of the facial anatomy. For the downturn at the corners of your lips, dermal filler my be used to lift this area. Otherwise, skin care and aging prevention are good things to consider. It's important to talk to a knowledgeable practitioner who offers each of these techniques in order to receive an unbiased and tailored approach to your needs and goals.

Yes, early laxity & sag noted. I agree with a mini FL/NL SMAS plication w lipo under chin. Fee $8,000 ranges. Best to do either in person or virtual consults.