
Beauty
Time, gravity, and genetic factors progressively affect the tone of the lower third of the face. More and more people wish to counteract skin laxity to regain a harmonious, defined profile consistent with their biological age.
At IMAGE REGENERATIVE, with locations in Milano and St. Moritz, we propose an advanced approach to visibly improve tissue laxity. Before relying on traditional techniques that act only on the surface, it is essential to know the options that aim for true cellular regeneration, such as regenerative face lift with Lipogems Milano, designed to restore freshness, volume, and skin quality in a completely natural way.
In this guide we will see what causes sagging cheeks, which techniques can treat them, and how to navigate the costs of a truly effective facial rejuvenation regenerative pathway.

Cheek sagging is a progressive phenomenon, mainly caused by the physiological decrease of collagen and elastin. These two proteins are fundamental for keeping the skin compact, elastic, and capable of resisting daily mechanical stress. Over the years, the cutaneous support structure tends to give way, leading to a visible heaviness of the jawline and the appearance of the so-called jowls.
External factors such as prolonged sun exposure, repeated weight fluctuations, smoking, oxidative stress, and an unbalanced lifestyle add to this process. The most frequent symptoms include loss of definition of the mandibular contour, accentuation of the nasolabial fold, and a generally tired facial appearance.
Traditional treatments, such as the use of resorbable volumizing fillers, offer excellent solutions for immediate volume restoration. However, for a deeper and longer-lasting action, regenerative medicine proves to be a valuable ally because it acts directly on tissue quality, with limited duration results. To correct the imperfection at its root, regenerative medicine proves superior because it acts directly on tissue quality, stimulating the biological processes that time has slowed down.
Hollow cheeks and volume loss in the midface often precede or accompany the relaxation of the mandibular area. When the reduction of subcutaneous fat becomes marked, temporary solutions lose effectiveness and the facial appearance risks appearing fatigued.
Starting to consider a surgical approach is appropriate when laxity compromises the overall aesthetic balance and conservative therapies prove insufficient to mitigate the problem. To correct sagging cheeks, it is essential to evaluate with the professional the most suitable technique based on the extent of sagging, skin quality, and biological age of the tissues.
While classic surgical approaches focus mainly on mechanical traction, we have chosen a regenerative approach that combines anatomical repositioning with the use of Lipogems®, patented by Prof. Carlo Tremolada. This technology promotes tissue regeneration thanks to autologous adipose tissue rich in mesenchymal cells, which is micro-fragmented and injected into the treated areas to stimulate collagen production and improve elasticity from within.
In cases where relaxation is in its initial stages and there is not yet a surgical indication, thread lift natural non-surgical lifting presents itself as an excellent option for treating the area. This technique allows repositioning of the soft tissues of the face providing a light and harmonious tensioning effect, especially indicated on cheekbones, jawline, and cervical angle.
The biocompatible materials used, such as polydioxanone, polylactic acid, or caprolactone, are gradually reabsorbed and stimulate fibroblasts to produce new collagen. At IMAGE REGENERATIVE we enhance this procedure by associating it with regenerative protocols that prolong its effectiveness, correcting the imperfection without surgery. The result is a redefined jawline and firmer skin, with extremely reduced recovery times and an outpatient procedure of about 20-30 minutes.
When skin sagging begins to become more evident but does not require an extensive intervention, the mini facelift represents the right compromise. This procedure aims to lift the tissues of the lower third of the face and neck through limited incisions, generally hidden along the ear profile.
The classic mini facelift offers visible rejuvenation, however, if performed in a traditional way, it acts predominantly mechanically on the tissues. By integrating Lipogems® technology, the mini facelift becomes a truly regenerative treatment. The purified adipose tissue, injected into the depleted areas, visibly improves skin texture, counteracts dryness, and provides luminosity and compactness difficult to achieve with surgical traction alone.
In this way, an elegant and natural profile is obtained, where anatomical repositioning and tissue quality proceed hand in hand.
For those with severe skin and muscle relaxation, Deep Plane Lifting is the intervention of choice. Unlike surface techniques that simply tighten the skin, this approach repositions the deeper layers of the face, including the superficial musculoaponeurotic system (SMAS) and malar fat pads. This prevents the formation of an artificial or excessively taut appearance.
At our clinic we always combine this sophisticated surgical technique with regenerative medicine. The grafting of micro-fragmented adipose tissue Lipogems® allows for deep tissue regeneration, accelerates post-operative healing, and optimizes skin vitality. The harmony of the face is thus restored completely, with a result that evolves positively in the months following the intervention thanks to the action of mesenchymal cells.
The pathway to counteract sagging cheeks must be custom-built, taking into account specific anatomical needs, the biological age of the skin, and the person's expectations. Costs vary based on the chosen technique, whether thread lift, mini facelift integrated with Lipogems®, or a more structured Deep Plane Lifting.
It is crucial to rely on specialists who can guide you toward the most suitable solution, favoring regenerative options that act at the root of tissue sagging. Before deciding, book a consultation at the Milano or St. Moritz location to receive a detailed and transparent plan.
Treatment | Indicated Degree of Laxity | Main Approach | Estimated Recovery Times |
Thread Lift | Mild | Mechanical traction and biostimulation | 2-4 days |
Mini Facelift with Lipogems | Moderate | Partial surgical repositioning and tissue regeneration | 7-10 days |
Deep Plane Lifting with Lipogems | Severe | Deep tissue repositioning and regenerative graft | 2-3 weeks |
The costs of a lift for sagging cheeks depend on the complexity of the intervention, the experience of the team, and the integration of regenerative technologies such as Lipogems®. For an accurate quote, a thorough clinical evaluation is necessary that considers the degree of laxity, skin quality, and aesthetic goals. We invite you to book a consultation at our clinics to study a customized plan.
To treat sagging cheeks it is recommended to consult a professional capable of evaluating the most suitable technique. Options range from thread lift for mild sagging to mini facelift for moderate cases, up to Deep Plane Lifting for more advanced situations, preferably supported by regenerative medicine with Lipogems® to also improve tissue quality.
The results of a facelift can last from 7 to 15 years, depending on the surgical technique adopted, skin quality, and the natural aging process. Integration with regenerative protocols tends to prolong the effect while simultaneously improving skin texture.
In Italy the price of a surgical facelift varies based on the facility, the surgeon's experience, and the methods employed. Interventions that include advanced regenerative medicine protocols reflect the high level of personalization and quality of results expected over time.
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