Premiere Facelift Specialist David Santos, MD, FACS
Call Us: 425-227-4000 12301 NE 10th Place Suite 101 Bellevue, WA 98005

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Lower Eyelids Look “Sad” After Weight Loss

DeLa in aucune asks:

“Hello, sometimes when i have a bad period, i loss face’s weight, and I make my eyes more sad. My lower eyelids are more “falling”. When I will regain face’s fat it will return as before? I don’t have strong cheekbones, so it’s loss forever (I’m 19) i have to go to see a plastic surgeon for fat injection?”

Fillers for lower eyelids. At a young age of 19 the best long-term picture is to keep healthy and keep your weight at an optimum level. The face does of course change with weight gain and weight loss and this is even more true in our 40s and beyond. Nonetheless fillers are likely the best answer for the tired appearance and I would encourage just a small amount of injectable initially and increase as time goes on. Start off with Restylane or Juvéderm and see how this works for you over the subsequent six to nine months or even a year. Not always does filler provide the satisfaction that you are seeking and reasonable expectations are important and this can be discussed with your plastic surgeon. More permanent options in the future include fat injections if you are properly motivated and generally reasonably high success is achieved in expert hands. – David Santos MD, FACS


Would a Lower Lift Help with Sagging in the Marionette Area?

Katt122 in Florida   asks:

“Would a Lower Lift Help with Sagging in the Marionette Area?  Due to 30lb weight loss I have sagging in the marionette line area. Its not too bad but it bothers me that I look sad. I talked to a plastic surgeon about a lower lift. He said this would also help my jaw line. What would this entail. Is the recuperation difficult. I am 48. Would juvederm help to hold off the surgery for awhile? Can it help the neck? I have already had my eyes done and rhinoplasty so surgery isn’t new to me.”

Combination treatment facelift plus filler is best answer for sagging marionette lines. The marionette area sometimes is reasonably simple to treat, but other times is more difficult. A simple answer is to utilize simple, safe and less expensive techniques such as Juvéderm or Restylane for the marionette line area. This can be a potential six to nine month or even one year successful therapy in many instances, but not all. More permanent answer entails Sculptra or lipo injection to the area that can additionally soften the marionette line. These answers are safe and less expensive. Nonetheless a facelift provides an excellent improvement in marionette lines in most instances, but there are some instances where supplemental injection is needed. So at 48 years of age I would suggest trying fillers first and if this doesn’t resolve things to your satisfaction then strongly consider a mini-lift or facelift by an expert surgeon in the area who has done a lot of facelift procedures. And again even then, consider subsequent injections if this is not satisfactory. – Dr. Santos MD, FACS

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