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Plastic Surgeon Dr. Dean Kane Answers Question Regarding 52 Year Old’s Sagging Skin

Q: 52 year old female with marionette lines, nasolabial folds, and general sagging around my mouth. I have never tried fillers. I am thinking about a Mini Facelift or Vertical Deep Plane Facelift. Any advice would be much appreciated. Thank you.

A: Thanks for sharing your photos and desires regarding facial aging, sagging and folds.

The beginnings of facial skin laxity start at 30 years old when collagen skin repair diminishes and passive skin aging relaxes downward. The web of fibrous compartments under the skin loses fat, stretches and elongates forming 5 growing “waves” of skin at points of attachment, developing:

1.      hooding along the eyes,
2.      lower eyelid / cheek junction or tear trough / nasojugal fold
3.      nasolabial fold,
4.      lateral mouth commissure and marionette folds,
5.      jowls and neck.


At 52, in a sun exposed climate, you look well for your age.

Please consider:

1.      Consultation with a Board Certified Plastic Surgeon with minimally invasive and surgical skills in facial aesthetics,  and a non-invasive Skin Health team.
2.      I believe fillers will be your best intial option. Consider more width in the cheeks, for a more rejuvenated facial contour.
3.      Other options to discuss include Sculptra, ThermiTight and EuroThread suture or Silhouette InstaLift.
4.      Without an in-person evaluation to determine your skin laxity, I cannot offer an opinion regarding your benefit of  surgical lifts for you.


I hope this helps. Good luck!

Read more about similar topics:

Making the Decision to Get a Facelift

Skin ZO Obagi Facials and Peels


Silhouette Instalift

This information is not meant as medical advice. It is provided solely for education. Our practice would be pleased to discuss your unique circumstances and needs as they relate to these topics.

Give us a call at (410) 602-3322 or email Lauri@DrDeanKane.com and make an appointment soon. We’re located on Reservoir Circle just a block off the Baltimore beltway, convenient to greater Baltimore, Annapolis, the Eastern Shore, Southern Pennsylvania, Delaware and Carroll County.

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