Recommendations for facial sagging? Lower bleph, Pinch under eyes, Or is facelift only worthwhile option? (photos)

Dear jim240,

Thankyou for your attaching pictures for reference. It seems you are experiencing face laxity where the skin is losing its firmness and tightness especially in the mid face area. If you are looking for a permanent solution I would recommend a mid-face lift combined with Lower blepharoplasty, the lift will eliminate the sagging cheeks/nasolabial folds and the lower blepharoplasty will remove the excess skin under the eyes and prevent your skin to collect under the eyes when smiling. Furthermore, I would also suggest you to get fat injections for your deep smile lines to fill in the lack of volume. For the midface lift and lower blepharoplasty i would strongly suggest to find a expert surgeon who does endoscopic scarlesss lift and follows the vertical lift technique in order to get a much natural lifted look.

Best Regards,
TAS TEAM

Thank you for your question and photos. You may benefit from a lower blepharoplasty to smooth the transition between the lower lid and the upper cheek area. During this procedure, loose muscles are tightened and fat below the eye is repositioned to add volume and create a firmer, more youthful appearance.
Since the facial sagging you’re referring to appears minimal, you may want to consider RF microneedling treatments to tighten and contour sagging skin. This option can restore the skin’s elasticity by stimulating the body’s natural collagen and elastin production, producing smooth results that can last for up to five years or more. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon who can discuss your concerns with you and determine the best course of action.

Hello Dear @jim24, thank you for your question and showing your picture. If you want a more definite solution suggest a facelift of the second and third thirds of the face and blepharoplasty. In this kind of interventions is important to have a surgical plan that takes into account the relationship the areas to be treated have with the other areas of the face to get an even, harmonious and long lasting result in the over all face. Best wishes! Alan Gonzalez MD, FACS.