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

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

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.

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.

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.