Shh! Anti-agers no one but you need know about: My cheeks are drawn and make me look old. Do I need a face lift?

Q: My cheeks are losing fat, which makes me look tired and old. I would like to correct this with injectables, but is this safe and advisable at age 76?

A: Age itself is “not a contraindication to the use of fillers or other injectables,” says cosmetic physician and surgeon Dr. Apul Parikh, although you should always have a proper consultation with a doctor and disclose any underlying health conditions so that he or she can take this into account.

Dr. Parikh also believes that this frank conversation with your chosen doctor should serve to determine what is realistic.

At your age, “the main question would be whether there would be too much skin laxity for fillers to make a real improvement,” he says.

“There comes a point where surgery becomes the only transformative option, and you don’t want to waste money on procedures that won’t give you the results you want,” he says.

Age in itself is “not a contraindication to the use of fillers or other injectables,” says cosmetic physician and surgeon Dr. Apul Parikh. Stock image used

British beauty writer Inge Van Lotringen (pictured) advises a reader this week on getting injectables

British beauty writer Inge Van Lotringen (pictured) advises a reader this week on getting injectables

However, if your skin is in good condition, you “will almost certainly need fillers around the center of the cheek and cheekbone area, but you could also benefit from a jawline filler to restore youthful shape,” he says.

He estimates this will require at least 4-6ml of filler, which costs £450 per ml at his Central London clinic (apulparikh.co.uk).

Prices outside London will be lower, but please choose an experienced doctor.

Email your questions to Ingeborg van Lotringen, author of Great Skin, op inge@dailymail.co.uk