33 years old - Is a mini facelift the best option to treat my sagging face and jowls? (Photos)

Question

Hi! Over the years, I gain and lose weight. Now that I am in my 30's, this last time has made my face and jowls sag. It can hold back the skin on my face and see how I used to look. I am not interested in a filler that will only last 6 months. I want something permament. This sagging face makes me look older than my 33 years. Please help me.

Ronald J. Edelson, MD · Answer

You’re quite young for a facelift but in your case it would actually give you some nice improvement. A straightforward facelift with nothing fancy. No fat injections no matter who tries to talk you into it

David Hansen, MD · Answer

Getting the mini lift under local with a little iv sedation for complete comfort and also getting the Morpheus and TCA peel done at the same time for the whole face and neck would look amazing.  It is so easy  to undergo and results look so amazing and natural.

Jason Emer, MD · Answer

FaceTite can internally tighten the skin in the lower face and neck. After all the skin has been heated and contracted, we shape the neck with liposuction to give definition and remove stubborn pockets of fat. In one quick treatment, we can tighten skin, remove fat, and contour the lower face, jawline, and jowls with only a weekend of downtime.​  Keep in mind that combination approaches will give you a more significant improvement as opposed to a single procedure. I recommend getting a consultation with a board-certified cosmetic dermatologist and facial sculpting expert. Best, Dr. Emer

Jonathan Kulbersh, MD · Answer

Thank you for your question and photos. You may be a candidate for a mini facelift procedure to address the mild skin laxity you’re referring to. This procedure can revitalize your appearance by tightening your skin, removing excess skin, and angulating your jawline. 
I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon. They will be able to conduct a more thorough physical exam and suggest the best course of action to help you achieve your aesthetic goals.

Michael P. Morrissette, DDS, FACS · Answer

There is a flatness to your cheeks that adds to the heaviness of your face. Much of the elevation of the midface can be accomplished with cheek implants. Think of the result that can be achieved with fillers, except cheek implants are permanent. I don't think you need a facelift at this point to obtain an attractive and natural result. Cheek implants are placed in the office with sedation anesthesia and the procedure takes less than an hour.

Brian K. Machida, MD, FACS · Answer

You have heavy marionette lines. With this much weight, your best choice is a deep plane vertical lift. In any case regardless of the treatment, it is difficult to pull out the oral commissures so expect an improvement in the oral commissures, but not complete elimination of them as you are doing with your fingers.

Seung Ki Youn, MD · Answer

Hello;-)
We totally understand your concern through the pictures!With over 10 years experience, V.LIF has a reputation for excellence in Korea.We do not perform all the plastic surgeries at V.LIF.We are face&neck lift specialized plastic surgery clinic.Our surgeons dedicated soley to only lifting field. So they have high knowledge and experience with lifting surgeries.
As you age your bone shrinks and also due to gravity your skin and SMAS layer sags and it creates nasolabial folds on your mid face and jowls&marionette lines on your lower face. 
This can be solved through mini facelift in your case.V.LIF's Mini Facelift means lifting partial part of your face considering individual condition.We devide face into 3 parts. 
1. Mid face2. Lower face3. Double Chin+Jawline.
Depending on your face condition(How much your skin is sagging and loose), we recommend how many parts you will need to elevate.
Mini facelift at V.LIF is not a short lasting facelift elevating just your skin layer with minimal incision which is performed at other clinics.It's not a mini facelift with minimal incision which is performed at other clinics.V.LIF's Mini Facelift is a long lasting surgery which lasts more than 5years-10years(depending on the scope) 
We dissect wide range of SMAS layer and cut off retaining ligaments which is essential and excise saggy skin

Robert Singer, MD · Answer

Everyone ages at a different rate. Some patients at 33 have more aging than those much older. It depends on numerous factors including: heredity, history of smoking, lifestyle, sun exposure, excessive exercising, underlying medical health, and significant weight loss. There are numerous options to address early aging: fillers which are temporary, micro-fat grafts which are long lasting but don't significantly elevate drooping , limited facelifts (including mid-face lifts) plus filling of the depressed areas produce the most aesthetically harmonious and longest lasting result. Each has benefits and drawbacks.

It really depends more on the extent of aging than chronological age, although 33 is certainly young for a facelift. Facelifts at a younger age have been shown to last longer in some studies and there is no limit to the number of facelifts that someone can have.

Keep in mind that following the advice from a surgeon on this or any other website who proposes to tell you exactly what to do without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of each operative procedure would not be in your best interest. I would suggest you find a plastic surgeon certified by the American Board of Plastic Surgery and ideally a member of the American Society for Aesthetic Plastic Surgery (ASAPS) that you trust and are comfortable with. You should discuss your concerns with that surgeon in person.

Robert Singer, MD FACS

La Jolla, California

Darryl J. Blinski, MD · Answer

Thanks for the posted photos. Yes I agree with you as a mini FL/NL SMAS plication would improve your appearances. Fees fro $8,000. Best to virtual consult with...

33 years old - Is a mini facelift the best option to treat my sagging face and jowls? (Photos)

Answers (9)

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