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Thank you for posting your question here!My answer will be based on the limited information and pictures provided, for a detailed and personalized plan please consult with a plastic surgeon in person.based on the provided picture , I would probably take a multifaceted approach starting with performing buccal fat removal as it appears that you have some herniated buccal fat. I would also likely recommend a facelift and depending on which form of facelift is done your surgeon might also consider a midfacelift.you still appear to have the volume in your cheeks they just appear to have drooped and you likely just need to reposition the malar fat pad with a midfacelift. A profile picture is lacking though and that would help with deciding if you really need volume through either fat grafting or cheek implants.I hope this helps, Best of luck!
It is impossible to give you good advice based on this photo. In person consultation or, at least, series of close up photos is needed for good evaluation.
The limited photographs from the side profile demonstrate a recessive, chin and fat deposits in your neck. Placement of a small chin implant will augment your chin forward for better structural support for the soft tissues in your neck. If the fat in your neck is located above the platysma...
Yes you need to both remove excess skin via facelift and replace the volume since you loss them from your weight loss. Nowadays there are fat-like biologics from MTF you can use if you have no fat any where else. Sometime dermal fat augmentation might also helps by removing the excess skin...
It is very likely that cheek augmentation with implants would help to create more harmony in your midface;it is usually done from inside the mouth, so there are no visible outside scars. In person or teleconference consultation with a board certified plastic surgeon familiar with this procedure...
Based on clinical practice 6 months period after implant removal and antibiotic treatment would be sufficient time to consider placement of new implants.
Nasolabial folds are not caused by bone deficiency of any kind and for that reason facial implants od an any kind is not going to correct that problem. Current solutions are soft tissue fillers and they seem to be working well except for the cost. Hope this helps.
