Question: I am a 36 year old man who desires a more youthful appearance. I've gone from 400-200-280 pounds in 20 years time. After researching all of the procedures, the only one I trust is the smas lift. Am I being closed-minded towards the endoscopic procedure? From my photo, would fillers work?
Dr. Marotta's Response: Generally SMAS procedures have little in any effect on the cheeks. From your pictures, Microfat transfer would be your best option for your cheeks and lower eyelid region. Other options to address the lower eyelid and cheeks include fillers like Restylane or Juvederm, collagen stimulators i.e. Sculptra or Cheek implants. If you have hanging or excess neck skin from your profound weight loss indeed a SMAS facelift would be best to address that area but not your cheeks.
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