28 year old male. Mini-lift, filler, or something else to address sagging face/cheeks? (photo)

Question

Hi, I’m a 28 year-old male and over the past couple years my cheeks have begun to sag, leading to some creases by my mouth and eyes. I'd like to understand how I might rollback some of the aging that's appeared over the last couple years. I plan on getting a deep plane facelift later in life, but am wondering what I can do in the short term to address these issues. Whatever the procedure is, it's really important to me that it appear natural and subtle. Thanks!

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Gary M. Horndeski, MD · Answer

Unfortunately, you have not provided a lateral view.  You may benefit from a chin implant that will tighten some of the lower face.  You may also benefit from a lip lift.  A lip lift 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.

Best Wishes,

Gary Horndeski, M.D.

Connie Hiers, MD, FACS · Answer

I would suggest micro-needling with radiofrequency to improve overall skin health and to tighten. This can periodically be done to help maintain your tightness and results.

Kamol Pansritum, MD · Answer

I would recommend considering a mini facelift using the SMASectomy technique. This procedure effectively targets early sagging in the cheeks and the creases around the mouth and eyes, providing a refreshed appearance without looking overdone.
 This procedure involves two incisions; the first is a simple skin incision at the temporal hairline, down to the front of the ears, and ends at the earlobe. This operation tightens excess skin and relies entirely on tension to shift the underlying facial soft tissue. The second incision is near the lower eyelash. In this area, the excess skin will be reduced to balance for lifting and tightening the cheek muscles.

28 year old male. Mini-lift, filler, or something else to address sagging face/cheeks? (photo)

Answers (4)

Answer: Mini facelift using the SMASectomy technique

Answer: Mini facelift using the SMASectomy technique

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Everything you need to know about Mini Facelift

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28 year old male. Mini-lift, filler, or something else to address sagging face/cheeks? (photo)

Answers (4)

Answer: Mini facelift using the SMASectomy technique

Answer: Mini facelift using the SMASectomy technique

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Recommended reading

Everything you need to know about Mini Facelift

Our mission is to create a world where every investment in modern beauty is Worth It.