What do you think? Facelift/neck lift? Fillers and Botox or fat transfer?

Dr. Dean Kane Q & A. shutterstock_78831340-200x300

Q. I’m 43 but feel like I’m 23. The past few years I’ve noticed less volume, for the record I think I already have a thin face. The upper eyelids stand out along with the tear trough. My dermatologist told me no on the face/neck lift but I submitted my photos to a plastic surgeon. He also said I wasn’t a candidate for the lifts. He suggested an upper eyelid surgery and fat transfer! I don’t want to spend thousands on that if in a few years I will need a face lift. Please help with your opinions. Thank you! ​A. Thanks for sharing your photos! You will notice that your best appearing presentation are the photos in which your cheeks are the most prominent and your jawline is most angular. This is due to a “heart-shape”, convex presentation where there are more highlights then shadows. ​ ​You, like many patients may achieve these features with facelifting options, injectibles, peels and laser. Each has its own advantages and disadvantages, onset and duration, recovery and cost. Your personal needs must be evaluated with a well experienced, Board Certified Plastic Surgeon or Facial ENT Surgeon that provides all options so they are not biased based on a lack of skill level. ​ ​I have many patients choose fillers, retinoids, peels / lasers when they won’t consider surgery, have the funds or recovery time for surgery.  Others, recognize the advantages of surgery to reduce / lift the jowls, widen and fill the upper cheek and redrape the lax skin while maintaining a thinner facial appearance and obtaining a longer duration of results. ​ ​Both of these and other combinations are options you will determine with a trusting physician. ​ ​I hope this has helped! All the best!  
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