Which procedure options would help improve the appearance of my mid face? (photos)

Question

I tried lateral cheek filler and it did not address this issue. I am wondering if I need to replace volume, tighten skin, or do some type of lift. I’m 27 female.

John Michael Thomassen, MD · Answer

A shot scar facelift can lift the cheek area and avoid a deep nasolabial fold that is sometimes made worse with fillers.

Tim Neavin, MD · Answer

Thank you for the photos.  You have good skin quality, so there is no need to tighten skin.  Addition of volume (fat) would significantly improve the contours of the face by reducing the unwanted shadows generated by fat loss.  Plus, it is a permanent result with very natural looking changes.

John L. Burns Jr., MD · Answer

At 27 you should focus on filling and non invasive technology.  A facial fat transfer would be a good option.  Fat is natural and there is a limitless supply so full correction is always possible.

Zoran Potparic, MD · Answer

Unfortunately your photos do not show entire periorbital area (midface, eyes and lower forehead) which is needed for proper evaluation of your problem. Based on your photos, deep tear trough creases should be addressed with transconjuctival blepharoplasty, while cheeks, infra orbital and possibly, supraorbital areas could be treated with fat grafting. In person consultation with a board certified plastic surgeon familiar with periorbital rejuvenation is recommended. Good luck.

Lexie Wang, MD · Answer

This depends on what you are bothered by. Globally, I think you can just handle more volume in the midface and also consider some possible skin tightening treatments (like microneedling with radiofrequency). Most likely you did not get enough filler the first time around. It looks like you primarily need volume now in the medial midface area to minimize your tear trough. If you had unlimited budget and just let someone go do whatever they desired, I would think something like 2-4 syringes of filler (and it's possible you also just didn't get enough the first time around).

David M. Creech, MD · Answer

Three options I use:Non-surgical is Voluma 1-2 syringes to the Malar eminence to increase volume to the outer cheek. This can be repeated to maintain the improvement.
Surgical method of transferring your fat to your cheeks. I like to mix Platelet Rich Plasma to increase the fat being integrated to your cheek area. 
Cheek implants: an excellent method to enhance the cheek. The implant is permanent (though it is removable if you don't like the look). The implant gives a great contour to your cheeks and feels like the bony part of your cheek.

Jennifer Goodrich, MD · Answer

Good morning!For the depression area under the eyes and by your alar base, yes volume replacement would be a great option (filler vs fat vs implant - all options). It also appears that you have some texture and discoloration of the skin, which could be addressed with a variety of options as well (peels, IPL, lasers).Well wishes!

Which procedure options would help improve the appearance of my mid face? (photos)

Answers (7)

More Facial Fat Transfer Questions

Is fat embolism a risk with fat transfer to chin?

Would a facial fat transfer and eyelid surgery help me achieve a less tired look? (photos)

Will a facial fat transfer have truly permanent results?

What is the difference between prp fat grafting, micro fat transplants and stem cell fat transplants?

What procedures would be best for premature sagging and early jowling? (Photo)

Is fat transfer enough, or would you recommend implants? (Cheeks)

WE SEND PRETTY
EMAILS