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

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.

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.

For sagging and deep nasolabial folds without adding volume, a mini facelift is usually the most effective at your age. It lifts and tightens the lower face, giving a defined, natural look.If you want to refresh the under-eye area too, a lower blepharoplasty can help with tear troughs and make your midface look more youthful.Threads, HIFU, or Sculptra can give mild lift or collagen boost, but for deeper folds and sagging, they’re usually not enough.