How to tighten saggy cheeks?

Doctor's Answer

Hi!

There are very few energy device that can tighten the SMAS layer (superficial muscular aponeurotic system). This is a layer of strong tissue that extends from under jawline to the temple region. It is deep - under your skin and fat pads. It is also an important layer that plastic surgeons manipulate/tighten during a surgical face lift.

Highly intense focus ultrasound (HIFU) helps to perform a controlled damage (by heat) to the SMAS layer because the ultrasound energy can produce high heats (up to 60 degrees celcius) and penetrate deep (4.5mm) into the skin.

HIFU will help to improve the appearance of saggy cheeks by tightening the SMAS layer and pulling the fat pads of the cheeks upwards. I will always recommend a session of HIFU (for anti-aging). For medium or larger size faces, you may require 600-800 shots (during the HIFU session) and this is repeated once every 12-18 months.

Now, skin (epidermin/dermis) laxity will also increase the appearance of pores. There are so many options to treat this problem. Exilis, picosure laser, Lasemd laser and rejuran are effective options. Choice of treatment depends on your lifestyle and preference!

Finally fillers and botox may be required to further enhance facial profile and contour. Actually best results from fillers is from intermittent treatment over the years. Doing too much at one go may not produce natural results. However 2-4 syringes every year (treating different areas) makes a lot of difference to slowing down/reversing facial aging!

Best regards

Dr Yanni

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