I am 35 and I feel like my face is falling! Where do I start? Fillers? My mouth and jaw line bother me most. (photos)

There is no age limit for undergoing a facelift and the decision for whether you are a candidate requires a consultation. There are three areas that we look at:skin surfacevolumelaxity of skin an muscleYou can absolutely address these areas starting now with both surgical and non-surgical methods. I would recommend that you schedule a consult with a plastic surgeon to discuss your options and your desired results. #facelift and #facialrejuvenation

You can achieve a younger, fresher look with non-surgical techniques
such as IPL’s, Botox and injectables.  Treatment benefits can be seen
immediately and are long lasting but not permanent.  Fillers provide volume working beneath the
skin by supporting and lifting the skin’s structure effectively smoothing away
lines and restoring your skin’s appearance.  Seek a consultation with a Board Certified Surgeon or an experienced
injector to discuss your options.

Fat grafting is a very nice option in that it adds volume, corrects any deep wrinkles, and is noninvasive in that no scars result.  For young patients it is a good option that avoids a more involved surgery.  

Thank you for your question. While I always evaluate each patient as an individual, not based solely on age, 35 would be  young although not unheard of for a facelift. Based on your photos, you may have some early volume loss that could benefit from fat grafting or fillers. You also appear to have some brow asymmetry which along with your eyelid position needs to be more thoroughly evaluated.  I would recommend consultation with a facial plastic surgeon to discuss what option is best for you."This answer has been solicited without seeing this patient and cannot be held as true medical advice, but only opinion. Seek in-person treatment with a trained medical professional for appropriate care."

At 35 and based on your pictures, I would recommend that you see a plastic surgeon to discuss botox and fillers as a first option. BBL and laser resurfacing would also be a good anti-aging, non-surgical option for skin texture and pigmentation improvement. I don't think that you are at an age that you need to consider a facelift. 

Hi... thank you for the question and photos... In order to improve your face, and make you feel comfortable with it, I suggest you:Botox for the front-head, to give a dynamic aspect to your eye brows The unilateral eye drop could be corrected with an upper eye lid surgeryFillers can be used to correct the lines around your mouthwith this the facelift could be done in 4-5 years more. 

You probably are a little premature for facelift surgery at 35 but there are other things that could be done. I would recommend a consultation with a Platic Surgeon rather than a dermatologist since a dermatologist will not be able to offer you surgical options which might work best. Surgeons have more "tools" in their toolkit. Most Plastic surgeons these days also are good at non-surgical options and should give you a little more honest alternatives.

One of your eyebrows is lower than the other, which produces the upper eyelid droop.  An exam would be helpful to try and determine what might be causing this issue.  Surgery can sometimes be appropriate to make the eyebrows more symmetric.  Based only on the photos, you do not appear to be a good candidate for a facelift yet.  Fillers could help with the lines around your mouth and jaw, and Ultherapy could help to lift/tighten the area as well.  

This incredibly
common surgery rejuvenates your face by smoothing and lifting key features and
removing excess fat. In some cases, your surgeon may recommend pairing the
procedure with a combination of medical spa treatments, such as a variety of
chemical peels or laser treatments, such as Fraxel® or Thermage®. Pairing a
facelift with any of these options will enhance the power of a facelift alone.

Thanks for your question and pictures.  You express several concerns regarding different areas of your face.  To correct the asymmetry of your right upper eyelid you would most likely need a surgical procedure.  To address some of the lines on the lower half of your face you can consider fillers to add volume, either HA based fillers like Juvederm/Restylane, or even your own fat.  It is difficult to eliminate all of the lines that you show with smiling.  A consultation with a board certified plastic surgeon would be helpful for you to learn about all the different options that are available, ranging from injectables to surgery.