Lower facelift, FaceTite, Thermage or mesolipo? (Photo)

Question

Seen a doctor and they said that my chubby cheeks are mostly sagging skin rather than fat but when I grab it, it rolls into a bulge with a diameter of approx 1.3 cm, which I think is mostly fat as I don't think face skin can be that thick (even if double layered). I’m 34, Male, South Asian, 76kg, on-and-off smoker. Been considering mesolipo (I've done this once before) but also looking at facetite/lower facelift or thermage? Any suggestions? Note I’ve just lost 13kg in the last 4months

Raffy Karamanoukian, MD, FACS · Answer

Unlike other tightening treatments, Ultherapy only requires a single treatment every one to two years and has long-term effects in skin stimulation and collagen production. Ultherapy is ideal for men and women who are experiencing mild to moderate skin laxity and desire a noticeable and long-term skin tightening treatment without the complications and risks of more invasive surgical procedures. Ultherapy can be combined with dermal fillers, Botox treatments, chemical peels, skin tightening lasers, and skin facials. Our plastic surgery and cosmetic center in Santa Monica offers Ultherapy as a complement to other skin treatments and cosmetic rejuvenation procedures.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Lucian Ion, FRCS · Answer

Hello,

Thank you for your question and for sharing your concerns about the chubby and sagging appearance of your cheeks. Congratulations on your recent weight loss of 13 kilograms – that’s a significant achievement.

Based on your description and images, it appears that there is some volume loss in the central part of your face, with fullness in the lower cheeks and minimal disruption in the contour of your jawline. Here are some treatment options to consider:

1.	Buccal Fat Reduction: This procedure can help reduce the fullness in the lower cheeks by removing excess fat. It can provide a more contoured and refined look to your face.
	2.	Liposuction Along the Jawline: Liposuction can help define the jawline and remove any excess fat, enhancing the overall contour of your face.
	3.	Mid-Facelift Intervention: A mid-facelift can address the volume loss in the central part of your face and lift the sagging cheeks. This procedure targets the middle section of your face, helping to rejuvenate your appearance.
	4.	Minimal Access Facelift: Given that you are young, a typical facelift intervention might be slightly excessive. However, a minimal access facelift procedure, which involves relatively discrete scars within the sideburns, can help contour both the lower and mid-face. This option provides a subtle yet effective improvement in facial contour and can be a good balance between invasiveness and results.

Lower facelift, FaceTite, Thermage or mesolipo? (Photo)

Answers (2)

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