Thanks for your query at DoctorSpring.com
Yes, your face looks different from that in your youth. It is now coarser and there are signs of aging. I do not know whether you had a lip augmentation or not but your lips look rather heavy in your pictures, may I suggest you go ahead with a lip reduction first of all?
I would not suggest a conventional facelift, however, a minilift might be advocated. Much more important, however, is the need for fat grafts to multiple areas of the face. Targeted fat grafts to areas of hollowness combined with minilift can go a long way to improving your looks. You might also want to alter your hairstyle as in your youth because your new hairstyle actually makes your forehead look much more prominent.
Dr. Souvik Adhikari, MBBS, MS, MCh (Plastic Surgery)
Consultant Aesthetic, Plastic & Reconstructive Surgeon.?
Patient replied :
Thank you for the response. I have done nothing to my lips. Can lips become bigger as you age? I would assume it's probably the volume loss to certain areas, that make my lips appear bigger. Why would you suggest lip reduction? Also, which areas of my face do you suggest having the fat grafting applied to? What about sculptra? Is that as good as fat grafting? I think I will try the fat grafting first and hold off on a min face lift, because my face isn't drooping or sagging.
Yes, there are no problems in having your lips reduced, they are appearing so prominent I would like you to give it a thought.
Regarding fat grafting, get it done over the forehead and the malar areas (largest volume would be required here). Combined with a minilift this should do the job.