Endoscopic Midfacelift with endotine fixation is an effective way to treat sagging cheeks
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.
A large variety of treatment options may work...
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.
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.
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.
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.
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 or fat transfer
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.
What Are the Options for a Sagging Cheeks ?
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.
What Are the Options for Sagging Cheeks ?
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
Options for Cheeks
Fillers (such as radiesse or juvederm), laser, and fat transfer are options to enhance cheeks if you do not wish to pursue a facelift.
Non-surgical cheek lift options
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.
Options for sagging cheeks...
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.
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.
Alternate options for facial rejuvenation other than facelift
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.