Saggy face and deep maniacal fold need fix without volume - what procedures will help? (Photos)

Question

I’m 31 and I’ve been losing weight and gaining back so this led to sagging in my face and maniacal folds to be big .. I rly like my face and eye when I lose weight though because my face always been undefined and my eyes looks better when my face is slim so I hate to add any volume I just want to stretch out those folds and make my face defined and young again ! I was thinking to to threads then sculptra and hifu ..… but all drs I ask they go against threads and say we don’t do them ! Even though I r ad its a good choice for my age as I cant go do a deep face lift from now ! So I just rly need an advise rly on what to do ❤️

Gary M. Horndeski, MD · Answer

You would benefit from an eccentric lip lift. This does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners. This will also help with the nasolabial folds. This takes 1 hour to perform under local anesthesia and costs $4,000.

Best Wishes,

Gary Horndeski, M.D.

Best Wishes,

Gary Horndeski, M.D.

Lexie Wang, MD · Answer

Threads are not a good idea. Very temporary results that may cause more harm than good. If you really think you want a "lift" and can't afford it right now, then just wait and save up money. Nonetheless, you mostly addressed your issue - volume changes esp volume loss is what gives our faces an aged appearance bc that's a natural part of aging. You can add volume back to deeper structures without giving a fuller appearance. Best to go to a face specialist to discuss these concerns further, but for example, adding to the jawline can give you better lower facial support and actually give youy more definition.

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Saggy face and deep maniacal fold need fix without volume - what procedures will help? (Photos)

Answers (2)

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