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This is Dr Özge ErgünDue to the effects of gravity, there is minimal sagging in the midface and lower face. Skin quality is quite good. In the 30-35 year-old age group, a facelift is more pronounced and requires scarring. Therefore, a deep temporal lift can be performed endoscopically in the temporal region, achieving a more youthful appearance in the midface and lower face. The advantage of this method is that the incision is made in the scalp, resulting in invisible scars. The procedure lasts for 7-10 years.
A mini facelift can be done. Another alternative for you to consider is a eccentric lip lift. This does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners. This takes 1 hour to perform under local anesthesia and costs $4,000.Best Wishes,Gary Horndeski, M.D.
It is very difficult to give you a meaningful advice based on these photos. However, it appears that your neck is more of an issue? In person or teleconference evaluation with a board certified plastic surgeon with expertise in face/neck lots would help. Good luck.
Based on your nicely posted photos, it is unusual to have that much skin wax city, even with weight loss you could have genetic loss of elasticity? Best virtual consult with. The rarely a mini face neck lift could be indicated in combination when the Endo laser option. Fee range $5000-$8000. Best to virtual consult with.