Midface melting/loss of volume (fat pads) Facelift or Cheek implants?

[CyberPsychodelic]

Hello guys, how are you?

I notice a lot of guy in his mid 20s have a loss of volume in the midface, as if the fat pads or skin melts down, giving a bloated look and a bloated look near the mouth, what would be the difference between a midface lift and cheek implants?

The flaw is in this pattern : guy notices loss of volume on his midface And notices bloated look, especially near the mouth/lower third, as if the mid part of his face went downwards

How can we kmow if we need a Lift of the tissues (Facelift) vs Bone support (implants)

Edit : im inclined more to cheek implants, because the midface melts down cos of lack of bone/cheek support

 

[Orc]

it's from volume migration, not actual loss, due to gravity the fat in the middle of your face sags down and accumulates on the other fold of the nasolabial, it can't move further than this which results in the nasojugal groove.

the only thing you can do about it is dissolve it and replenish the volume that's lost higher up.


no amount of bone will prevent it from happening, you can have the best bones in the world and it's still gonna happen.

 

[Orc]

it's from volume migration, not actual loss, due to gravity the fat in the middle of your face sags down and accumulates on the other fold of the nasolabial, it can't move further than this which results in the nasojugal groove.

the only thing you can do about it is dissolve it and replenish the volume that's lost higher up.


no amount of bone will prevent it from happening, you can have the best bones in the world and it's still gonna happen.

View attachment 3043912

this is how it happens by the way, the fat he had in the green area wasn't 'lost' it just sagged down to the red area.

you can't pull it back up, and it sits subcutaneously underneath the skin so dissolving it doesn't affect the deeper fat pads.

 

[Orc]

View attachment 3043919

this is how it happens by the way, the fat he had in the green area wasn't 'lost' it just sagged down to the red area.

you can't pull it back up, and it sits subcutaneously underneath the skin so dissolving it doesn't affect the deeper fat pads.

by the way if you know how a face lift works, the cut is made around the yellow line, and the movement is made towards it.

so the red gets stretched to the blue area, but the purple area remains fucked, they can't actually pull the fat back towards the under-eye where it was lost.

face lifts also don't tend to resolve nasolabial folds because the face that's accumulated at the outer nasolabial will still bulge a little even after the procedure, unless it's done very early, but in that case no one's gonna perform a facelift on you anyway.

 

[CyberPsychodelic]

it's from volume migration, not actual loss, due to gravity the fat in the middle of your face sags down and accumulates on the other fold of the nasolabial, it can't move further than this which results in the nasojugal groove.

the only thing you can do about it is dissolve it and replenish the volume that's lost higher up.


no amount of bone will prevent it from happening, you can have the best bones in the world and it's still gonna happen.

View attachment 3043912

Thank you very much @Orc! , really amazing and well detailed explanations do you know how could we fix this? How can we disolve the migrated volume while adding volume in de midface?

 

[Orc]

Thank you very much @Orc , i really appreciate your guidance, you seem to know a lot about appearance! would adding volume trough implants fix it? Do you know bro how could we disolve the migrated volume?

Edit : you seem to givee insight in this topic, wich is one of the first we see about this issue, is good to have info about how to fix this xD

the fat loss occurs above the orbital rim so implants can't solve it, the under-eyes remain fucked.

you can fix the tear trough with implants, but not the rest of the nasojugal groove.

they can perform a local liposuction on it, there's fat dissolvers too but no one's gonna perform it on you.

fillers work well for the under-eyes but they've got their own issues.

 

[Delons]

the fat loss occurs above the orbital rim so implants can't solve it, the under-eyes remain fucked.

View attachment 3043957

you can fix the tear trough with implants, but not the rest of the nasojugal groove.

they can perform a local liposuction on it, there's fat dissolvers too but no one's gonna perform it on you.

fillers work well for the under-eyes but they've got their own issues.

What abt fat grafting the under eyes

 

[Orc]

What abt fat grafting the under eyes

would work as well but fat grafting has a lower success rate because the fat can die, and does so frequently.

 

[CyberPsychodelic]

Mid face lift is exactly what fixes this, but if the person doesn’t have the bones then its gonna descend again pretty fast

I think a midface lift or facelift + saddled infraorbital rim implants could fix it

 

[CyberPsychodelic]

the fat loss occurs above the orbital rim so implants can't solve it, the under-eyes remain fucked.

View attachment 3043957

you can fix the tear trough with implants, but not the rest of the nasojugal groove.

they can perform a local liposuction on it, there's fat dissolvers too but no one's gonna perform it on you.

fillers work well for the under-eyes but they've got their own issues.

Maybe Saddled infras can really fix this, as saddled tends to go more past the infraorbitals

 

[CyberPsychodelic]

This is my idea guys :
- to first check if we have a lean face (good water intake, 4 to 1 of potasium to sodium, etc)
- then, if we have this, we can fix it with Saddled ior implants (adds volume on the midface and on the undereye area) along with a facelift/midface lift after implants so the volume stays up with the new support added

 

[Delons]

would work as well but fat grafting has a lower success rate because the fat can die, and does so frequently.

It seems to be the best option for treating stuff like this if it works

 

[idkwhattoputhere]

by the way if you know how a face lift works, the cut is made around the yellow line, and the movement is made towards it.

View attachment 3043940

so the red gets stretched to the blue area, but the purple area remains fucked, they can't actually pull the fat back towards the under-eye where it was lost.

face lifts also don't tend to resolve nasolabial folds because the face that's accumulated at the outer nasolabial will still bulge a little even after the procedure, unless it's done very early, but in that case no one's gonna perform a facelift on you anyway.

should i get a facelift at 18 for future proofing?

 

[anasthetic]

by the way if you know how a face lift works, the cut is made around the yellow line, and the movement is made towards it.

View attachment 3043940

so the red gets stretched to the blue area, but the purple area remains fucked, they can't actually pull the fat back towards the under-eye where it was lost.

face lifts also don't tend to resolve nasolabial folds because the face that's accumulated at the outer nasolabial will still bulge a little even after the procedure, unless it's done very early, but in that case no one's gonna perform a facelift on you anyway.

This isn’t true btw volume loss happens to