Puffy from fillers & ready for the surgical route! What facelift would be appropriate for me? (Photo)

Question

I am 30 and have been using fillers and Botox for 6 years. I am getting to the point of looking puffy and unnatural and am wanting some type of facelift procedure. My problem areas are my dark under eyes, deep nasolabial folds (when they aren’t filled), & fallen cheeks. I had one consultation and he suggested fat transfer but I don’t want to do that and add more volume & look even puffier. What facelift procedure would be appropriate for me?

Ronald J. Edelson, MD · Answer

You do not need a facelift. I can understand why you’re  disappointed With the fillers. Fat injection will be no better. You have a lovely face and you should stop wasting money on things that don’t really do anything

Selcuk Inanli, MD · Answer

Hello ! Thank you for your question l recommend you( rhinoplasty + under eye filler + jawline filler)These procedures will make the jaw lines more prominent, your face will look more attractive both from the side and from the front, and your under-eyes will look brighter and happier.
Thank you ! regards

Gianfranco Frojo, MD · Answer

I would recommend a lower eyelid blepharoplasty and facial fat grafting. You have excellent skin quality and it is likely too early for a facelift / necklift procedure. I would avoid any more fillers in any of these areas as hylaruonic acid fillers can have this type of reaction "making people look puffy" in certain patients. I would highly recommend seeing a board eligible or board certified plastic surgeon for a physical exam and accurate analysis with safe recommendations for potential surgical options. Best of luck!

Gurkan Kayabasoglu, MD · Answer

Hello. First of all, your age score is still excellent. So there is no need for any heavy troubles. Mid face lift surgery with an incision under your eyes will be enough for you for now and will make you look young for years. You do not need a face lift surgery with incisions to be made in front of your ears. In the surgery where only your mid-face is lifted, both the pits under your eyes and dark circles will disappear. Thus, you will get the voluminous mid-face you want. You were very right not to accept fat filling, this is a procedure that will definitely harm you. You also do not need a facelift surgery with an incision in front of the ear, because this would be meaningless for a person with a clear jawline like you. Congratulations for your decision. I’m the only triple board-certified facial plastic surgeon all around Europe. I’m just focused on this issue. I am a doctor who goes to almost every country in the world and explains my techniques to important doctors with the seminar invitations I receive, so I am definitely the only doctor who can perform your operation very comfortably and successfully. You can get more detailed information about me, ask all questions about your case and sending your photos to my assistants at the number on my profile (+90 539 204 40 90). You can also book an online consultation and discuss your problems with me. With all respect.

Jonathan Kulbersh, MD · Answer

Hello, thank you for posting your question. You do not have significant signs of aging that might require a facelift, but there are other options that can help you. A less extensive option would be cheek augmentation to help restore lost volume and definition. Restylane Lyft or Juvederm Voluma can provide a soft enhancement for the cheek and under-eye area. Fat transfer can be a good option for the face when it is done correctly, and surgical options like silicone cheek implants are also safe and provide long-lasting results. A liquid eye lift can also help with fine lines, bags, and discoloration using Juvederm or Restylane. Treatments like RF microneedling address skin at a cellular level, boosting collagen levels in the dermal structure for smoother skin. Working with a board-certified facial plastic surgeon can provide you with more insight and a fresh assessment of a personalized treatment plan, especially a surgeon that values natural results and innovative techniques.

Martin Jugenburg, MD · Answer

Hello, thank you for your question. This can happen over time with fillers, especially over the years. You have a great look. You do not need a facelift and even a facelift would not address your concerns. I suggest just waiting it out for 8-12 months, to allow some of the filler to dissolve and wear away. Doing a filler reversal is not a good option since sometimes and remove your natural hyaluronic acid from your face. Be patient, sometimes doing to much to quickly will only make things worse. You look great! see how you feel in 8-12 months and maybe then consider fat transfer, or a laser to address the darker pigment in your under eye, microneedling to rejuvenate the skin and produce natural collagen.

George Bitar, MD · Answer

You are very young and attractive and do not need or would benefit from a facelift in my opinion.  If you feel that you have been overfilled with fillers, I would let them dissipate and not add any more.  I would offer you two options, either fat grafting in agreement with the surgeon who offered you that already or fillers but done in a conservative manner to not make you look puffy.  My trademark Model Lift TM does exactly that which is to enhance your natural features without surgery using fillers and muscle relaxants (ie Restylene and Dysport).  I hope that helps, and I've talked you out of having a facelift at age 30.

Scott C. Lindsay, DO · Answer

Thanks for your question! I don't think a facelift is the right solution for you. You really have nothing to lift. I do think fat grafting could be a safe, more permanent solution to consider. Good luck!

Kenneth D. Steinsapir, MD · Answer

You are beautiful, youthful, and need very little. Don't get taken advantage of. You do not need a midface lift. You will be wrecked by aggressive surgery. I recommend removing all the hyaluronic acid filler in the face. You will instantly look years younger. The cheek volume is not helping you. You will need a small volume back in the under eye area. You also have left upper eyelid ptosis and that will need to be repaired with ptosis surgery. Fixing it will allow the left eyebrow to relax down. Taking this approach, you will not need facial surgery until your late 40s.

Seung Ki Youn, MD · Answer

Hello;-)
With over 10 years experience, V.LIF has a reputation for excellence in Korea. We do not perform all the plastic surgeries at V.LIF. We are face&neck lift specialized plastic surgery clinic.Our surgeons dedicated soley to only lifting field. So they have high knowledge and experience with lifting surgeries. We do wide range of dissection on the skin, SMAS layer and retaining ligaments to achieve the long lasting effects☺️ We pull them and reposition of redundant SMAS on the sunken area to create fuller and plump look