Midface sagging is one of the aesthetic concerns most commonly seen during the aging process. It appears as laxity around the temples, cheeks and cheekbones. The skin loses volume and the facial expression can change downward. Aesthetic concerns and a tired appearance are increasing the demand for treatment.
According to Assoc. Prof. Dr. Nur Cihan Coşansu, midface sagging can be managed with various methods. In this article, effective treatment options are reviewed in light of scientific evidence.
Causes of Midface Sagging
Midface sagging develops due to many factors. Age-related bone resorption, loosening of inter-tissue ligaments, loss or displacement of fat, and the decline in collagen and elastin fibers all contribute. Gravity and the migration of fat tissue accelerate the process. Reduced muscle tone weakens skin support.
Smoking, sun exposure and genetic factors can worsen sagging. The effects of these factors become more visible with aging.
Effective Treatments for Midface Sagging
1. Dermal Fillers
Dermal filler injections are preferred to quickly and effectively address volume loss in the midface region. Hyaluronic acid-based fillers in particular support the skin's natural structure and reduce the appearance of sagging. The procedure is typically done under topical anesthesia with a short recovery time.
2. Laser and Radiofrequency Treatments
Laser and radiofrequency (RF) treatments boost collagen production for firmer skin. These treatments targeting the midface region improve elasticity and reduce sagging.
3. Ultherapy (Ultrasound Skin Tightening)
Focused ultrasound targets the deeper layers of the skin with concentrated energy. By stimulating new collagen formation, this method allows minimally invasive treatment of midface sagging. Results are natural and long-lasting.
4. Biostimulator Treatments
Treatments with active ingredients such as PLLA (Poly-L-Lactic Acid), CaHA (Calcium Hydroxylapatite) and PCL (Polycaprolactone) tighten the face without adding volume, provide a lifting effect and stimulate the patient's own collagen production. They are preferred by patients seeking more natural results.
Considerations in Treating Midface Sagging
Treatment selection should be based on the degree of sagging. Patient expectations must always be considered. Combination treatments deliver more effective results.
Midface sagging can cause both aesthetic and functional discomfort. According to Assoc. Prof. Dr. Nur Cihan Coşansu, filler, biostimulator treatments, laser, ultrasound and surgical methods offer safe and effective options. The treatment plan must always be personalized by an expert dermatologist. Early intervention yields more natural and successful outcomes.
