28 years old & have smile lines - do I need mini facelift or buccal fat pad removal? (Photos)

You will have no problem finding a plastic surgeon to do either of those procedures on you. Whereas the buccal fat removal is pretty harmless you definitely should not be getting a facelift if any kind at your age.

Thank you for your question and for providing photos. You would likely get the results you’re looking for from injectable dermal fillers. These hyaluronic-acid formulas can reduce the appearance of smile lines, also known as nasolabial folds.

Dermal fillers can restore facial volume where necessary and smooth the skin to produce youthful results that last for approximately 6-12 months, depending on the formula used. I recommend scheduling an in-person consultation with an experienced, board-certified injector who can assess your concern and suggest the best treatment option for you.

A combination approach would give the most improvement. Deep wrinkles and smile lines can be improved with a combination of Botox and/or fillers for the lines themselves and to build anatomical support with Sculptra for collagen building. Ultherapy is a great skin tightening device, but works best in combination with other treatments like J Plasma, RF treatments, lasers, microneedling/PRP, salt facials, Cosmelan for skin tightening and improve skin tone. I recommend getting a formal evaluation with an expert. Best, Dr. Emer

These are nasolabial folds. No lifting technique will eliminate these. Grafting fat into these places permanent fat into an area that will change as you age. The graft fat will look very strange over time. I recommend considering hyaluronic acid filler for this issue. You need a high G prime filler like Restylane of Restylane Lift. Less is more. Yes, this service needs to be topped off and periodically removed to start over. The point is that it is an office service that can be erased as needed. The effects of bad surgery lasts forever. Choose wisely.

Based on the nicely posted photos you need both a mini facelift SMAS plication with bucks removal. Fee $10,000 Best to virtual consult with…..