Age 34, will a cheek lift help the fat pockets around my mouth? (Photos)

Question

I am only 34 years old but with substantial volume loss in my face, causing my skin to sag everywhere. People have mistaken me for as old as 50! It causes me enough distress that I have a consultation for a cheek lift but I’m worried I’ll need more. I don’t have great cheek bone structure, but the results from filler were minimal. Will a surgical lift help with the skin under my lower lip and jowl area?

Jason Emer, MD · Answer

A combination approach would give the most improvement. Deep wrinkles and smile lines can be improved with a combination of Botox and/or fillers for the lines themselves and to build anatomical support with Sculptra for collagen building. Ultherapy is a great skin tightening device, but works best in combination with other treatments like J Plasma, RF treatments, lasers, microneedling/PRP, salt facials, Cosmelan for skin tightening and improve skin tone. I recommend getting a formal evaluation with an expert. Best, Dr. Emer

Jonathan Kulbersh, MD · Answer

Thank you for your question and for providing photos. You may benefit from a mini facelift to address early signs of aging, such as mild skin laxity and early jowl formation. This procedure can rejuvenate the appearance of the face by tightening the underlying facial muscles and repositioning them as an anchor to support the skin.
If additional volume is still required, this procedure can be combined with an autologous fat transfer. Fat is harvested from the belly or thighs and strategically injected to volumize specific areas of the face, such as the cheek. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon. They will be able to assess your concerns and goals and determine the best approach for you.

Nelson Lee Novick, MD · Answer

Sure, expensive, invasive lifting surgery with significant downtime is an option. But, if you are looking for a nonsurgical approach to treating volume deficit (relatively inexpensively and with little to no significant downtime);  reshaping and recontouring the cheeks, and improving mid and lower face sagging, then the use of robust HA fillers may just be for you. You would be wise to consult with an experienced, board certified cosmetic dermatologist injector before jumping to surgery. And, make certain to ask to see his/her personal before and after photos before agreeing to proceed. Best of luck.

Gurkan Kayabasoglu, MD · Answer

Hello. An endoscopic mid-facelift surgery through the lower eyelid incision line will give you the youthful look you want. It will both fill the corner of your mouth and help you achieve a triangular V-line shape by moving your cheeks to where they should be.  You can also book an online consultation and discuss your problems with me. With all respect.

Bilgen Katipoglu Erenoglu, MD · Answer

Hi, Tara41352! Thank you for your question and photographs.
Because of your skin and face type, your midface (cheeks) descended down and volume restoration is needed. An endoscopic midface lift will provide lifting of your upper face and will provide some progress over your jowl and nasolabial lines. You also need a fat injection that will further support and lift your face up, giving a young, fresh and attractive appearence. 
I will also recommend an eyelid procedure that will help you look less tired, with ptosis correction and eyelifting.

Age 34, will a cheek lift help the fat pockets around my mouth? (Photos)

Answers (6)

Answer: Endoscopic mid-face lift combination with lower eyelid surgery!

Answer: Endoscopic mid-face lift combination with lower eyelid surgery!

Answer: My recommendations for your face.

Answer: My recommendations for your face.

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Everything you need to know about Cheek Lift

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Age 34, will a cheek lift help the fat pockets around my mouth? (Photos)

Answers (6)

Answer: Endoscopic mid-face lift combination with lower eyelid surgery!

Answer: Endoscopic mid-face lift combination with lower eyelid surgery!

Answer: My recommendations for your face.

Answer: My recommendations for your face.

Browse related questions

Recommended reading

Everything you need to know about Cheek Lift

Our mission is to create a world where every investment in modern beauty is Worth It.