What Are the Options for Sagging Cheeks Other Than a Facelift?

Doctor Answers 24

Endoscopic Midfacelift with endotine fixation is an effective way to treat sagging cheeks

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An Endoscopic Midfacelift with endotine fixation is an attractive alternative to the traditional facelift procedure to rejuvenate sagging cheeks.  The Endoscopic Midfacelift elevates and replaces the soft tissues of the cheek and midface to the the position they occupied in youth.  No skin is resected in this procedure, so it avoids the "wind tunnel look" that can be produced by the excessive tightness of the facial skin that can result from an aggressive facelift.

Just as importantly, the emphasis of our Endoscopic Midfacelift, is on restoring the 3-dimensional volume of the face, resulting in a softer and more naural facial contour.  The endoscopic approach allows the access incisions to be hidden behind the hairline and inside the mouth.  Finally the endotine, which is used to hold the repositioned soft tissues in place, is completely resorbed by the body within 6-9 months after the procedure, by which time a lattice of soft tissue has formed at the site of fixation that locks the surgical correction in place. Our patient satisfaction with this procedure has been very high, and because of the naturalness of the result and the well-hidden nature of the scars, i believe it represents the best alternative to a conventional facelift for rejuvenating the cheeks and midface area.

Los Angeles Plastic Surgeon
4.6 out of 5 stars 49 reviews

What Are the Options for a Sagging Cheeks ?

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In my experience, best natural option for improving sagging cheeks is fat grafting with PRP. Fat grafting allows a natural restoration of fat and volume that has been depleted over time. This procedure is minimally invasive and addition of PRP to fat allows a long lasting results.

Kevin Sadati, DO
Orange County Facial Plastic Surgeon
5.0 out of 5 stars 224 reviews

RE: Alternatives for facelift

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A lot of patients benefit from a fat transfer to the cheeks. This process is a minimally invasive surgery and involves using your own fat to plump and smooth sagging or deflated areas of the face. Patients can have the fat injected into their cheeks, nasolabial folds, labial mental folds, and oral commissures. The result is a lifted, smooth appearance of the face.

Brett E. Stompro, MD
Bay Area Plastic Surgeon
4.7 out of 5 stars 15 reviews

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What Are the Options for Sagging Cheeks ?

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There are a number of surgical and non-surgical options that can improve one's cosmetic appearance: fillers, skin-tightening procedures, lasers, fat contouring, neck and face lifts. Each has benefits and drawbacks. Mini procedures do not produce the long lasting
maximum improvement that is achieved with a natural appearing artistically performed lift performed by an expert experienced plastic surgeon. The best result is achieved by a combination of elevating the sagging tissues, removing the excess skin, contouring the fat, and adding micro-fat grafts or fillers where there is a deficiency.

Keep in mind, that following the exact advice from a surgeon on this or any other website who proposes to tell you what to do based without examining you, physically feeling the tissue, assessing your desired outcome, taking a full medical history, and discussing the pros and cons of the proposed operative procedure may 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

Robert Singer, MD
La Jolla Plastic Surgeon
4.6 out of 5 stars 22 reviews

Options for Cheeks

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Fillers (such as radiesse or juvederm), laser, and fat transfer are options to enhance cheeks if you do not wish to pursue a facelift.

Kris M. Reddy, MD, FACS
West Palm Beach Plastic Surgeon
4.5 out of 5 stars 56 reviews

Non-surgical cheek lift options

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Depending on the severity of the sagging, fillers, fat grafting or laser treatments can be used to lift the cheeks and create a more youthful appearance.

  • Fillers (Sculptra, Juvederm or Restylane) or fat grafting can be used to add volume back to the cheeks.
  • Laser treatments can correct skin laxity issues, as well as smooth out wrinkles.

You will need to have a consultation with a plastic surgeon to determine which treatments are best for your individual situation.

Babak Azizzadeh, MD
Beverly Hills Facial Plastic Surgeon
4.1 out of 5 stars 9 reviews

Options for sagging cheeks...

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You do need a consultation with a surgeon to clearly show him/her your concerns and then a plan can be formulated that can best address them.  As mentioned earlier, there are many options to select from but they all address different issues.  Show your doctor what you would like to achieve and then see what options are provided to you.  If you have any reservations, seek a second opinion.  But your options will range from a full facelift to noninvasive technologies such as Ulthera.

Curtis Wong, MD
Redding Plastic Surgeon
4.8 out of 5 stars 33 reviews

Sagging cheeks

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Injectable fillers can help alot by making the face plumper, and sometimes injecting into the area just medial to the jowl can really make the jawline look so much better.  Also, skin resurfacing with a deep chemical peel can tighten the skin to some degree.  I have not been impressed by the "no down time" treatments with laser or thermal or ultrasonic devices but maybe others have had nice results with them.  Check out this example of a "liquid face lift" on my web reference. 

Lisa Lynn Sowder, MD
Seattle Plastic Surgeon
5.0 out of 5 stars 77 reviews

Alternate options for facial rejuvenation other than facelift

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Depending upon the amount of cheek sag, injectable fillers can help.  They are good for mild cheek sag. Also, treatement with a fractionated laser can tighten the cheek skin and give somewhat of a lift. 

It is important to note that the nonsurgical treatments usually do not give as significant results as does surgery.

Also if you get Laser and Fillers, do the Laser first because the fractionated lasers can penetrate deeper in the skin and actually ablate some of the Fillers. You don't want the Laser to get rid of your fillers.

I hope this helps.

J. Jason Wendel, MD, FACS
Nashville Plastic Surgeon
5.0 out of 5 stars 221 reviews

Non-surgical treatment for sagging cheeks

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There have been many advances in treating facial aging in recent years which include sagging cheeks. The first step would be a consultation with a board certified plastic surgeon or other specialist in treating the aging face, an honest discussion about your concerns and goals, and an accurate diagnosis of your skin and anatomy. If your skin has fine wrinkles and looks saggy from that, then laser resurfacing may give you an excellent result. It there is actual loss of volume, then one of the fillers--and I have had excellent results in my patients with Sculptra--may be the best option for you. In short, there are many options available, you should seek out the best qualified experts in your area to help you determine what is best for you. Good luck.

Margaret Skiles, MD (retired)
Sacramento Plastic Surgeon

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.