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

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.

It’s important to realize that
facelift procedures are the gold standard for treating facial aging. These
procedures are versatile, reliable and very predictable. They can be used to
treat a wide range of anatomic deformities that are frequently associated with
facial aging.No other therapeutic
modality has the range and effectiveness of the facelift. It’s
not unusual for patients to seek less aggressive treatment options. This may
occur for a variety of reasons including misinformation, expense, fear of
surgery and co-existing medical problems to name a few. When
this situation arises a large variety of options exist for treating facial
aging. These include cheek implants, endoscopic mid face lifts, injectable
fillers, fat transfers, lasers and chemical peels.Without
pictures or a physical examination it’s virtually impossible to make a specific
recommendation regarding what options will benefit any particular patient.This decision will depend upon the patient’s
anatomic findings and aesthetic goals.Under
these circumstances consultation with a board certified plastic surgeon is
appropriate.This surgeon should be able
to perform an evaluation and formulate an appropriate treatment plan.

Fillers can help depending on your concern. If you have deep creases around your mouth and nose as a result of your sagging cheeks, or have jowls, fillers can help. I have found that fat transfer can also help and the results tend to be permanent.

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

Fillers can add volume to your cheeks to create a lift and eliminate sagging. Fat transfer can also be performed as a less invasive method of facial rejuvenation. 

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.

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.

Pretty much if you can conceive of a desired goal for the cheeks, it can be achieved with non-surgical fillers using Perlane and Restylane.  These service do require the help of an highly skilled injecting surgeon who understands midface anatomy.  Not every physician who injects fillers can achieve the results you are looking for.  Consider looking for the liquid facelift website to find a highly quaified injector.

Sagging cheeks treatment beside facelift include a mid face lift, cheek implants, fillers, etc. I would need to see photos to give an honest answer as to which is best.

Before considering the various nonsurgical options, keep in mind that nothing does what a facelift does, which is a 3-dimensional reshaping. So tightening skin is not a nonsurgical facelift, but if there is minimal sagging and no other issues then something like Ulthera, Thermage, or laser treatments such as Titan might be worthwhile. If it is a volume issue then fillers such as Perlane, Radiesse, or Juvederm might be appropriate. It is important to see a specialist who can advise you as to what results you can achieve for your particular concerns.