Question: I am a 36-year-old female who had a mid facelift about seven months ago. I have noticed some of my skin still sags around my nose. Is there another alternative to help fix this problem?
Answer: Mid facelifts can certainly lift the soft tissue of the cheek and elevate it to a more aesthetically pleasing position, but they really do not do much for the smile lines between the nose and the sides of the mouth. My recommendation for that area is fillers such as Juvederm and Restylane since they are extremely reliable at giving excellent natural looking results, and they last a relatively long time at about nine to twelve months. If you are in need of rejuvenation of the jowls and upper neck then I would recommend consideration of an extended SMAS deep plane facelift since this type of procedure will not only improve the smile lines and elevate the cheek, but it will also eradicate any jowling and laxity underneath the chin. Ultimately, this is a highly customized approach to facial rejuvenation and would, therefore, require proper evaluation and consultation.