Droopy mouth. What would help? A mini-facelift? (Photos)

You are not a good candidate for a facelift and this type of procedure will not improve your concerns. Here are two options. 1) Filler (Juvederm, etc.) injections in the depressed area below the bulge. 2) A small excision of skin and a small amount of fat directly over the bulge area just to the outside of the corners of your mouth. I have done this in several patients and it works well. When the scar matures it is extremely difficult to see. I would not do this procedure on the bulge just below the mouth corners as the scar will be visible. Try the filler first. Good luck.

During your #consultation, your skin texture and elasticity, as well as your underlying skin structure and your facial bone structure will be evaluated. Based on this evaluation, your board certified plastic surgeons will create a custom surgical plan, detailing specific techniques and recommendations to meet your goals. In doing so, he or she should be sure to have a full understanding of what results you expect. It is possible to #combine #surgeries. In fact, I commonly recommend other procedures to go accompany a facelift, such as blepharoplasty or a midface (cheek) lift, to name a few. The combination of multiple of facial procedures may create an optimal result. The best procedure approach will be discussed in greater detail during your one-on-one #consultation. I invite you to visit PacificCenterPlasticSurgery.com to view a complete list of surgeries commonly performed. 

If you are not a #candidate, your surgeon can make other suggestions to address your concerns and objectives. It is extremely important to seek a board certified plastic surgeon highly trained with your desired procedures. I also encourage you to look at before and after photos of the surgeons actual patients. Also, reading patient reviews of those who have had combined surgeries will be beneficial. Gathering all of this information will help you make a well-informed decision.

The skin matures around the ages of 30-35 and aging becomes more visible starting then. The small laxity you see is very common and often the first signs of aging in the lower face. While a mini-facelift might be the ultimate fix, I'd recommend not jumping in head first. Fillers could be a good way to start by plumping some of the hollows around your mouth. They can soften these signs of aging nicely in some cases. You can also consider energy treatments like Ultherapy or ThermiTight. You won't get surgical results but may be able to achieve some nice tightening. Finally, the most advanced option would be surgery, and in your case probably a mini-facelift. A mini-facelift can rejuvenate you look from below the eyes to the jaw line. Of course, the only way to know if this is a good option would be a live consultation with an experienced (board certified) plastic surgeon. You've got a lot of options. I wish you luck!I hope this helps! You can find more good info on my Instagram pages @drrubinstein and @plasticsurgerytruths

you do not appear to have significant looseness of skin along with Jawline that would warrant a facelift. The areas around the corners of the mouth  Will not be addressed with a facelift surgery. In order to address this area you should consider injectable filling agents, Botox, and skin tightening.  Best regards 

I personally think that you are too young for a facelift.  Your jowls, lower face and neck still look nice.  I would recommend hyaluronic acids, such as Juvederm, to the areas around your mouth that are bothering you.  It will help to fill in some of those deeper creases and give you a little lift.  Good luck!

Dear garyjoyce: Thanks for sharing your photos! Please obtain a proper evaluation from a talented and experienced, Board Certified Plastic Surgeon but I am happy to point out some options.
On my exam, I would review with you:·         Most of us now begin with fillers to fill the folds and they do add volume but also create a unbalanced appearance to the face by additively gaining weight to the lower face. The maneuver over time actually ages the face and creates new creases or folds in unnatural areas of the lips and jowls.·         I prefer to use fillers to “fill” or smooth the dermal wrinkles around the eyes, nasolabial fold and lipstick creases. Filler in the “white roll” of the lip will also strengthen and outline the lip corners and reduce the lip creases.·         Adding volume to the cheeks will fill and “lift the cheek / naso-labial / jowl complex·         A facelift or mini-face lift aims at suspending the soft tissues upwardly and the skin in a temporal direction. It does so best along the jawline and closer to the ear in most surgeons hands.·         I find a better option to lift the tissues closer to the mid-face, using the Silhouette InstaLift (SIL). This device lifts at the farthest points along the folds rather than pulls like a facelift from the incision. The SIL provides the non-surgical  “lifting” that the SMASplasty and platysma suspension sutures perform in the traditional surgical facelift.·         If you have skin laxity, you may consider combining any of the above with the ThermiTIGHT, a minimally invasive procedure to obtain real skin shrinking by using a Radio Frequency directly under the skin rather than trying to penetrate the skin with laser energy.·         For progressive skin rejuvenation with skin tightening and pigmentation control, find a Certified Obagi ZO Skin Health Team for on-going skin improvement.  I hope this is helpful and gives you some options to discuss with a artsy, talented surgeon. All the best!

Hi there, the photos you show reflect some deflation of the corners of the mouth and can be best helped by instilling some fillers into the area to help "lift" them up a bit.  The addition of Botox can also be helpful.  A face lift is not the best options here as the suspension of the corners of the mouth will likely relapse shortly after the procedure.  Hope this helps!

If sagging at the corners of the mouth is your major concern, based on your photo, I would not recommend any kind of facelift surgery. I would recommend injectable dermal fillers at the corners of the mouth to elevate the corners and I would add some filler in the area of volume loss in the chin, just below the corners of the mouth. I would use a thicker product there, such as Voluma or Restylane Lyft, which are best for correcting volume loss.Hope this helps.

and if anyone sells you on that, get it in writing before having the procedure so you have some recourse if what you expect is not delivered.  Elevating the corners of the mouth is more reliably accomplished with lip lifts but small scars are needed to do this.  You could also consider ThermiRF to tighten the skin around the area and flatten it, hopefully to your liking.  Invest in a consultation with a surgeon that has ALL of the tools to address this as those that do not may only recommend something they can do for you.... like only having a hammer and everything will get pounded.

This is a good question. When the corners. Of the mouth are dropping, this is usually the case. As we all age, the cheek and other areas of the face start to droop. To correct this feature, the correct way to do it is with a deep layer facelift which lifts the " SMAS" layer of the face.  In doing this layer, it gives the proper support to the face and will lift the corners.  Other procedures can be done such as fillers and Botox, however these are only temporary. The lift can be a mini lift and tighten it under local anesthesia and remove a small amount of skin. This should be the proper way to address the loose skin. Thank you.