Mini “Ponytail” Style Midface Lift, Lower Facelift, Neck Lift, Erbium Laser Resurfacing, and Autologous Fat Grafting in a Patient in Her Mid/Late 30s
In recent years, a growing number of women in their 30s are opting for advanced facial rejuvenation procedures—not out of necessity, but out of desire for subtle, preventative enhancements. One such case involves a patient in her mid-to-late 30s who underwent a combination of a mini “ponytail” style midface lift, lower facelift, neck lift, erbium laser resurfacing, and autologous fat grafting. Together, these treatments aimed to maintain youthful structure, address early signs of facial aging, and refine skin texture—all while preserving her natural beauty.
Mini “Ponytail” Style Midface Lift
This technique gets its nickname from the lifted, fresh effect of a high ponytail. The goal is to subtly elevate the cheekbones, smooth the under-eye area, and improve the contour between the midface and lower face. For younger patients, it's an elegant way to restore facial harmony without overtightening. The incisions are usually hidden within the hairline, and the results are soft but noticeable—more refreshed than “done.”
Lower Facelift and Neck Lift
Though still young, this patient had early signs of laxity along the jawline and under the chin. The lower facelift addressed jowling and improved jaw definition, while the neck lift targeted mild platysmal banding and skin laxity. Both procedures were done conservatively to maintain a youthful look without shifting her natural anatomy. This combo is especially effective in patients who want long-lasting definition without waiting until their 50s or 60s.
Erbium Laser Resurfacing
To improve skin texture and tone, erbium laser resurfacing was performed. Unlike more aggressive lasers, erbium allows for precise removal of damaged skin layers with less heat, reducing downtime and the risk of hyperpigmentation. This patient’s fine lines, sun damage, and uneven texture were noticeably improved, with a smooth, luminous finish that didn’t require makeup to glow.
Autologous Fat Grafting
Loss of volume is subtle but real by the mid-30s. In this case, small amounts of the patient’s own fat were harvested from a discreet donor site, refined, and injected into key areas like the tear troughs, cheeks, and nasolabial folds. Fat grafting restores youthful plumpness and provides long-term benefits that dermal fillers may not match. It also complements the lifting procedures by supporting the skin from beneath.
Results
The combination approach allowed for structural lifting, volume restoration, and skin refinement—all tailored to a younger patient who wanted to enhance rather than overhaul. She returned to her normal routine with minimal downtime and, more importantly, a sense of quiet confidence. The result wasn’t a new face, but her face—refreshed, sculpted, and radiant.
In experienced hands, this kind of comprehensive but nuanced approach is the future of facial aesthetics. It’s about staying ahead of the curve without losing what makes each face unique.
Appointment Inquiries
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