I Am a Young Man Who Has Severely Soft Cheeks and an Overall Saggy Appearance. I Am Extremely Embarrassed to Get a Consultation?

Question

I have sent pictures before to doctors of my face and they astoundingly agree that even at the age of only 25 I would benefit a great deal from a face lift. All the skin on my face is extremely soft and loos. My cheeks sag a great deal. Its like Im wearing a mask that isnt on tight enough. I know I need some sort of plastic surgery so I can look like the person I am. I am so sick of people thinking im 40, I know its my only option but I am highly embarrassed to make an appointment. PLease help

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

David A. F. Ellis, MD · Answer

A diagnosis must be made. Have you got collapsed hollow cheeks, the a filler would be the best simple choice for a start. My experience in doing that is that in older patients we can delay the need for a facelift. It sounds like you need a volume back in your cheeks first.

	After you cheeks have been restored, then you can see how much loose extra cheek skin you have, to see whether a S-lift would be needed. Have you by any chance have pre-mature aging of the skin? I had one patient who was 27 who looked over 45 in which I did a facelift and filler

	 

	David Ellis MD FRSCS Toronto Facial Plastic Surgeon at Art of Facial Surgery

Richard P. Rand, MD, FACS (retired) · Answer

Hard to say without a photo but you might be able to get by with volume enhancement such as with Perlane or Radiesse in the cheeks or even fat grafts or cheek implants. Generally, adding volume tightens the skin a little without surgery. You'd be awfully young for any kind of facelift.

I Am a Young Man Who Has Severely Soft Cheeks and an Overall Saggy Appearance. I Am Extremely Embarrassed to Get a Consultation?

Answers (3)

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