A doctor in a suit and glasses prepares to inject a syringe near a woman's cheek.

Upper Cheek / Midface Skin Tightening

One of the most common and most noticeable signs of aging is the loss of volume in the cheeks. As collagen production slows and the fat pads beneath the cheeks deflate, skin that has lost its elasticity begins to droop and sag — creating a tired, sometimes sad appearance. For some, this happens far earlier in life than it should, leaving an appearance that doesn’t reflect how they feel. Upper cheek and midface skin tightening can restore a smoother, more youthful look. Dr. Erez Dayan offers it at Avance Plastic Surgery Institute in Reno/Tahoe, NV.

Rejuvenating the midface well often means combining two things — tightening the skin and restoring volume — and Dr. Erez Dayan is uniquely equipped to do both. As a clinical investigator and key opinion leader for InMode, the maker of leading radiofrequency skin-tightening devices, as well as for the dermal filler makers Allergan and Galderma, he commands the full toolkit the midface requires. He co-authored the textbook Facial Danger Zones: Staying Safe with Surgery, Fillers and Non-Invasive Devices, and completed the Harvard Plastic Surgery Program — serving as Chief Resident at Massachusetts General Hospital — before being selected as one of only two surgeons for the elite aesthetic fellowship at the Dallas Plastic Surgery Institute. Midface skin tightening is one of the practice’s facial filler treatments.

What Causes Sagging Upper Cheeks?

As you age, collagen production slows, directly affecting the youthfulness and elasticity of your skin. At the same time, the fat pads beneath the cheeks lose volume, allowing the skin to hang lower and the midface to flatten. For patients without excessive cheek sagging or a significant need for added volume, skin-tightening procedures alone can make the face appear noticeably smoother and younger.

“The midface is where a lot of aging concentrates, but not everyone needs surgery for it. Often the right answer is a combination — tighten the skin with radiofrequency, restore a little volume with filler — and the cheeks look lifted and rested again.” — Dr. Erez Dayan

Non-Surgical Treatments to Tighten Droopy Cheeks in Reno/Tahoe

Dr. Dayan uses a variety of non-surgical treatments to tighten droopy cheeks. Radiofrequency (RF) energy treatments tighten the skin and stimulate collagen production, while dermal fillers add volume and contour where it’s been lost. He may recommend a combination of these or other treatments to lift and smooth the midface without surgery, and multiple sessions may be needed over time to produce the effect you desire. Dr. Dayan reviews all the options, along with financing and payment, during your confidential consultation.

Frequently Asked Questions About Midface Skin Tightening

What causes the upper cheeks to sag?
Aging slows collagen production and deflates the fat pads beneath the cheeks, allowing skin to droop and the midface to flatten. This can create a tired or sad appearance, sometimes earlier in life than expected.

How are droopy cheeks tightened without surgery?
Dr. Dayan uses radiofrequency energy to tighten skin and stimulate collagen, and dermal fillers to restore lost volume and contour. He often combines both for the best midface result.

Do I need volume, skin tightening, or both?
It depends on your anatomy. Patients with mild sagging and no major volume loss may do well with skin tightening alone, while others benefit from added filler. Dr. Dayan determines the right mix during your consultation.

How many sessions will I need?
Multiple sessions may be needed over time, depending on the treatments chosen and your goals. Dr. Dayan will outline a plan and timeline for you.

When is surgery the better option?
For significant cheek sagging or extensive volume loss, a surgical lift may be more effective. Because Dr. Dayan performs both surgical and non-surgical procedures, he’ll advise honestly on which suits you.

Is there any downtime?
Non-surgical midface treatments involve little downtime. Any minor swelling typically fades quickly, and most patients resume normal activities right away.

Why Choose Avance Plastic Surgery Institute for Midface Skin Tightening

Skin Tightening and Volume Expertise: command of both RF technology and dermal fillers for the midface
Device and Filler Investigator: a key opinion leader for InMode, Allergan, and Galderma
Injectable Safety Author: co-author of “Facial Danger Zones” on safe technique
Harvard Chief Resident Training: completed the Harvard Plastic Surgery Program at Massachusetts General Hospital
Surgical and Non-Surgical Judgment: honest guidance on when each approach is best

Schedule Your Midface Skin Tightening Consultation in Reno/Tahoe

If sagging upper cheeks are making you look older or tired, non-surgical midface skin tightening with Dr. Erez Dayan can smooth and lift the area. Contact Avance Plastic Surgery Institute in Reno/Tahoe, NV at (775) 800-4444 to schedule a consultation. Virtual consultations are also available for patients traveling from out of town.

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Reviews

5.0 / 5.0

5.0 stars from 587 reviews

Hands down the most qualified, honest and knowledgeable plastic surgeon in Northern Nevada. Dr. Dayan and his staff are truly committed to offering leading edge technology, quality and professionalism to each and every treatment ranging from to simple non invasive injections to complicated procedures. What he and his team have to offer always seems too good to be true, but they always over exceed expectations and are incredibly budget conscientious. The Reno-Tahoe area is incredibly fortunate to welcome such a skilled and qualified aesthetic professional into the area!

Shelby M.

Dr. Dayan is the surgeon clients should interview with and choose for their procedures. I am always very cautious when deciding important life decisions and I can say without a doubt that I would go through my surgeries again with Dr. Dayan. Every appointment has been professional, courteous, informative, and truthful. I never felt rushed. I also appreciate knowing my privacy is maintained. My fear of pain is very respected, and his demeanor eases it quite a bit. I made my decision to trust Dr. Dayan because of his extensive education, vast experience, and my first-hand witness of his character. These factors have allowed me to look forward to all of my appointments.

Aubrey S.

I had three consultations and didn't make any decisions lightly, but Dr. Dayan blew the competition out of the water. From the moment I met him during my consultation, he was honest and open while also personable. He also insisted on putting me in touch with previous patients before I made my decision so that I could have a better understanding of the process and recovery as a whole. I ultimately picked him because I knew he would do a good job but also because I felt at ease with him. The day of surgery, I was very nervous and he was comforting while efficient with his time. He was also completely honest with me during my recovery and called either myself or my husband often to make sure I was doing well, but also to make sure my husband understood the process completely. He also makes himself so available for any little questions or concerns I've had, making me feel secure in knowing he's only a phone call or a text away. Although I am not yet completely healed (only 3 weeks post-op) I already feel so confident in the work that has been done. He has helped me to transform something that had me so insecure for such a long time into a body I feel comfortable in. I cannot wait for the final results! I won't hesitate to return to Dr. Dayan for anything else I need done. Between him and his office staff (Alli) I feel like more of a member of the Avance family rather than a patient!

Jacelyn O.

I highly encourage anyone who is considering plastic/reconstruction surgery to schedule a consultation with Dr. Dayan. I couldn't have asked for a better experience and outcome from my breast augmentation. At my consultations, not only did I get my questions thoroughly answered, but I was treated with such genuine kindness and patience. Dr. Dayan is professional, highly knowledgeable, honest and has a certain way of connecting with others. For these reasons, I trusted him and felt supported throughout my whole breast augmentation experience from pre- to post-surgery care. All around, I felt safe and informed about this big decision/investment which is all I could ever ask for. I recovered so much easier than I expected, and my breasts are looking perfect and natural! Dr. Dayan definitely listened to what I wanted and followed through. Lastly, I want to mention how sweet and supportive his team is over at Avance! I am very appreciative of their service.

Sidney C.

My results after a "noninvasive" procedure are amazing. The cutting-edge techniques and noninvasive technology that Dr. Dayan incorporates into his procedures, as well as being a gifted and talented surgeon and individual, all contribute to his many accomplishments. However, I personally am impressed with his abilities to listen, communicate, and create beautiful results. I highly recommend a consultation with Dr. Dayan before making a final decision on any kind of procedure. Just another satisfied patient!

Mary J.

I had a perfect experience at Avance. Dr. Dayan was quick, professional, and checked in with me regularly to make sure I was comfortable during the short procedure I needed done. His demeanor was calming and I was able to put full trust in his abilities from start to finish. Erez really knows his stuff, and it's amazing he's here in Reno when he could clearly be somewhere much bigger if he wanted. I definitely won't hesitate to book again if needed.

Chris S.

Absolutely an amazing experience! Where to start? When I first thought of getting a mommy makeover my expectations were not that high because I didn’t ever think I could look the way I wanted to. I always just hoped it would be an improvement and I would be happy with that. Then I met Dr. Dayan. From the first consultation he made me realize that he could give me beautiful results that I didn’t know were possible. He was so kind and confident and I knew from that moment that he was going to be my surgeon. I booked my surgery (a breast augmentation with implants and a tummy tuck with lipo) that day and it was the best choice I have ever made. Before my procedure he was very thorough and explained step by step what he was going to do which made me feel so comfortable. I actually wasn’t nervous at all. I was so excited! I am now 1 month post op and my results are above and beyond what I could have ever dreamed my body could look like after a mommy makeover. Dr. Dayan did an exceptional job. I am not completely healed and I already am so pleased. There are no words that can do justice to how amazing it is to put trust in someone with my body and wake up with results that are better than I could have ever imagined. He truly is skilled in his profession and has the eye for what is best for your body to give you the best results. He followed up with me several times post op to see how I was feeling. If I had any concerns or questions he responded to them quickly and personally which made me feel confident that everything was going well! His care is exceptional from beginning to end. He has an amazing staff as well. His Patient coordinator Ali is so sweet and helpful. She is amazing with communication as well as helping you with financial options and scheduling. You won’t be disappointed working with Dr. Dayan and Ali!

Valerie F.

Dr. Dayan and his team are the best of the best! The level of care, professionalism is top of the class. I strongly recommend Dr. Dayan and his entire team. I cannot say enough about his work - he is incredibly talented and I am confident under his care. Of course the results are amazing! I love my LIPS!

Nasya M.