In women around 50 years old, the main facial problems are concentrated in the lower and middle face. Sagging and drooping leads to fat accumulation, aggravation of lines, blurring of the jawline, appearance of marionette lines, and a clear sense of sagging and aging of the entire face, when the impact of sagging is much greater than wrinkles. Let’s look at a chart of facial aging features to understand more intuitively the causes of the sagging lower middle face: From this chart, we can easily see that the general crux of the sagging lower middle face: 1, mid-facial fat loss 2, cheek fat pad sagging 3, cheek fat pad sagging 4, jaw fat expansion and sagging The symptoms are as follows: tear trough, apple muscle sagging, cheek sagging, nasolabial folds puppet lines, jaw drooping flesh, etc. To resolve the sagging of the lower and middle face, we need to reset the sagging fat pad. The procedure is as follows: subperiosteal peeling, lifting the sagging skin and soft tissues (fat, fascia and muscles), and resetting them with the help of biodegradable lifting bands, which will heal the sagging tissues in the lifting position in about 2 weeks and regenerate the tissues. Let’s take a look at the state of the face after resetting the sagging fat pad: see the pre-operative photos: this is typical of the sagging and sagging of the lower middle face. Tear troughs, apple hollows, decrepit lines, marionette lines, and blurred jawline are all obvious on the face. Please see the immediate post-operative photos: after the facial skin tissue is reset and lifted, the skin of the face is tightened and all the symptoms of aging in the middle and lower face are gone. Please see the photo 3 days after surgery: compared with the photo immediately after surgery, the face is more natural after 3 days, and the chin does not look so protruding. Please see the photos from 3 to 30 days after surgery: We can clearly see that the facial lines are getting softer and softer, the tightness of the facial skin is getting more and more natural, and the face looks younger and more delicate.