What can be done to improve lower face sagging and skin tone? (Photos)

Question

i am a 45 year old female who has been through a stressful time and i feel like it has aged me significantly. my skin tone looks very uneven with lots of broken blood vessels in my face. is a face lift with fat transfer the best way to address sagging lower face and also the volume loss. would adding a co2 laser help with the fine lines? please advise.

Tim Neavin, MD · Answer

Fat transfer to widen the face -- particularly the upper 1/3 can be a great option.  Without other photos it is difficult to tell if any type of lift would help, but often a good volumization in someone 45 obviates the need to lift.  the inflation "lifts" the tissues adequately. An upper lip lift would also balance the long face.  And yes, a CO2 is great for the skin but doesn't lift tissue.  Just improves it.

Kyle Kimura, MD · Answer

Thank you for the question and providing the photo. 
I actually do not appreciate a significant amount of tissue descent of the lower face (ie things like jowls or deepened melolabial folds). I do think you have some fat loss of the midface which makes it appear that the whole face has a "sagging" appearance and some dark circles under the eyes which may be related to stress and poor sleep. Here are my thoughts:
- I would not recommend a facelift as I don't appreciate a significant amount of tissue descent in the lower face (where facelift has the biggest effect)- Fat transfer and/or a lower eyelid blepharoplasty with fat transposition may restore some fat loss under the eyes and of the cheeks - Laser resurfacing is also a great option for some of the finer lines on the face and sometimes with some of the broken blood vessels 
I think your best option would be to schedule a consultation with a plastic surgeon well versed in the nuances of facial rejuvenation to further discuss these options and which would fit your goals best.
I hope this helps,Kyle Kimura, MD

What can be done to improve lower face sagging and skin tone? (Photos)

Answers (2)

Recommended reading

Everything you need to know about Facial Fat Transfer

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

What can be done to improve lower face sagging and skin tone? (Photos)

Answers (2)

Browse related questions

Recommended reading

Everything you need to know about Facial Fat Transfer

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