Am I good candidate for a mid-facelift and blepharoplasty? (photos)

Your cheek falling would be best handled by an endoscopic subperiosteal midface lift through a small incision behind the hairline in your temple. I’ve used this approach for over 30 years in patients your age, and it is quite effective and long lasting. I believe that a facelift is overkill, and probably would not pick your cheeks up sufficiently. A fat retro position blepharoplasty to your lower eyelids through a transconjuctival approach (without an external incision) would eliminate the bags and help to fill in your tear trough.

When you smile you restore your cheeks, so volume loss is not a problem for you.

Not sure that you need a canthoplasty unless you wish to change your lower eyelid shape.

You did not ask, but you might consider a tip rhinoplasty. Again all of these answers are conjecture without a consult.

Thank you for your question and pictures! Based on the pictures you have provided, you would be a good candidate for a midface and short scar. A Mini Facelift can usually be an option on most realistic patients anytime after the age of 35-40. It really depends on your anatomy and genetics. It is best to talk to your surgeon because everybody has different techniques and recovery time is usually based on a number of factors.

I strongly feel that it's very important to have an honest conversation with your surgeon about your particular situation, lifestyle, work environment and specifically which procedures you're having done so that you both have the most honest answer about your recovery and are realistic with expectations and results.

Surgery is not for everyone. In today's day and age, there are many nonsurgical options to consider although surgery usually gets the most improvement specifically of the jowls.

I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of facelifts but also offers all the nonsurgical options such as injectables and laser treatments. Go over your concerns with them and make sure above all, you walk out of there with several options and an idea of the pros and cons to each of them as well as realistic expectations.

I hope this helps and wish you all the best in your surgery and event. If it does, please take a moment to up vote this answer on the “respond” button on the top right.

Thank you for your question. As you can see from the wide variety of answers to your question, it is impossible to tell what procedure or procedures might best benefit you simply by looking at photos. While it is possible that a facelift and blepharoplasty may address your concerns, there are also several nonsurgical procedures that can provide positive results in a much less invasive way. My recommendation is to schedule an in-person consultation with a board-certified facial plastic surgeon who can examine you and offer customized treatment options (surgical and nonsurgical) that will give you the results you are looking for. Best of luck!

Hi, for an upper blepharoplasty yes, you have some extra skin. Removing this skin will make you look more refreshed. For lower blepharoplasty/midface lift, I would say you are not a good candidate, but for fat grafting you are. You can use a little fat to fill the tear troughs and cheeks. That is a better option than midfacelift and lower bleph, especially at 33 years of age.

Thank you for your question. I personally like a SOOF (sub orbicularis oculi fat) lift, which restores fat from the under eye region back to its natural position. I'll often remove a small strip of skin under the lash line as well to tighten the skin a bit. A blepharoplasty is also an option, but given the first picture, I think the SOOF lift would give you a more satisfactory result.

An upper blepharoplasty could potentially reveal hollows, so that's something you have to be careful with and should speak about with your surgeon. You may end up needing volume added to your upper eyelids which I typically do in the form of filler injections.

Smiling pushes the cheek up and fills the lower eyelid hollows. There are different kinds of "cheek lifts" and surgeons have different techniques. I perform the midface lift typically through the inside of the lower eyelid. But as much as we would like it, a midface lift will unlikely result in the appearance of the midface when you smile. I therefore have discussions regarding tear trough implant placement at the same time.

However, many patients in their 30s opt for a nonsurgical approach, at least to start with, and I've found fillers injections help achieve their goals.

I'm not sure what you're looking to achieve with a canthoplasty.

Basic upper and lower eyelid surgery would be reasonable. Those other "a la carte" items as I call them are absolutely unnecessary. This should be kept simple. And if anyone recommends fat injections, just turn around and walk out.

Hello BayareaYes, despite his young age, the flaccidity of his tissues is evident. Loose or sagging tissue should be lifted, not stuffed. That is why when she stretches her skin with her own hands in front of the mirror, her face completely improves. Obviously, in this maneuver, you did not apply a filler.Her eyes also have great beautification potential.You do not need a canthoplasty but a Browlift. Stretching the area lateral to your eyebrows stylizes and beautifies the shape and axis of the eyesHere is a summary of my recommendations:
Face LiftI will eliminate sagging and reorganize the tension of the Middle third of your face as much as possible eliminating the furrows between the nose and mouth (nasolabial fold) and marionette lines. I produce minimally visible scars, whose path I make within (not in front of) the ear, behind it, and outlining and deepening within the hair.
Upper Blepharoplasty (Upper Eyelid)I will rediscover the groove by removing a linear portion of the skin. With a minimal scar, practically imperceptible, camouflaged, making it coincide with the bottom of the groove.Lower Blepharoplasty (Lower Eyelids)I will eliminate the bags of fat and extra skin, with the reorganization of the local skin tension to neutralize the furrow of the dark circles.
Brow Lift (Side Lift)I can obtain a soft and natural stretching of the tail of the eyebrows with a high impact on the lateral tissues of your eyes, enhancing the appearance of your eyelids, achieving a more beautiful and youthful appearance.
Fat Transfer to CheekbonesI will recover the volume giving uniformity to the appearance of the cheekbones, printing a more attractive and youthful appearance.

The definition of facial rejuvenation varies from surgeon to surgeon and means different things to different patients. In general it is the process to try to reverse the facial appearance caused by aging. It may involve improving the skin texture and complexion, diminishing skin discoloration, minimizing fine lines and wrinkles, contouring hollows, or tightening loose tissue that has lost its elasticity.

There are a variety of procedures, both non-surgical and surgical which can be utilized to achieve these various goals. Fillers, Botox or Dysport, micro-fat grafts, chemical peels, a skin care program, lasers, skin tightening, and limited surgical lifts are some of the methods that are used to achieve a cosmetic improvement. Each has advantages and disadvantages as well as limitations of what they can achieve. The best technique or combination of procedures depends on desired outcome, individual anatomy, underlying medical health, and extent of aging. There is no one approach that is ideal for everyone.

Keep in mind, that following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each procedure may not be in your best interest. I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with who has all of the modalities of treatment available. You should discuss your concerns with that surgeon in person.

Facial rejuvenation needs to be individualized. What would be an ideal approach for one patient is not necessarily the same for someone else. Based on the examination and discussion at the consultation, you should have a better understanding of the various options that can achieve the best cosmetic result for you.

Robert Singer, MD FACS

La Jolla, California

I agree a full face lift with SMAS plication, tip rhinoplasty, upper blepharoplasty, HA fillers or nano fat t tear troughs/cheeks/mandibular jugal groove/nasolabial folds. Fees $20,000 ranges.