Boston Thermage doctors
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Brooke R. Seckel, MD
Boston Plastic Surgeon
131 Old Road Nine Acre Corner - Suite 700, Concord |
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4 answers |
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Frank P. Fechner, MD
Worcester Facial Plastic Surgeon
428 Shrewsbury Street, Worcester |
2 answers | |
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Lynn Baden, M.D.
Boston Dermatologist
1400 Centre St Ste 208, Newton Center |
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Thomas C. Cochran, Jr., M.D.
Boston Plastic Surgeon
170 Commonwealth Avenue, Boston |
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Jeffrey Dover, MD
Boston Dermatologist
1244 Boylston Street Suite 302, Chestnut Hill |
Recent Answers
For fine line and wrinkles around the mouth do you recommend Thermage or Laser resurfacing?
Thermage is used to tighten skin, especially on the neck-it achieves about 20% of what a facelift achieves.
For wrinkles around the mouth, lip lines and lip wrinkles you need laser resurfacing. The newer fractional ablative laser resurfacing with the 2940 Erbium is safer and very effective. New combined non-ablative 1540 and ablative 2940 Erbium fractional is very effective (see reference below.)
Even with excellent laser resurfacing, mouth lines lip lines and wrinkles can come back.
For nearly complete correction of lip lines you will need Botox and fiuller injections like Juvederm, restylane, or perlane for best results.
My upper eyelids are nice and full when I first wake up in the morning, then of couple hours later, they start to get a bit sunken and tired looking. If I catch a nap during the day, they would look nice and full for couple hours. Will Thermage help or do I need the fat grafting to fix the problem?
You are describing progressive fat loss in your upper eyelid region. I doubt that Thermage will provide any reasonable enhancement. Volume enhancement, whether done with injectable fillers or fat grafting would be the way to go.
Will Thermage fix my under eye sagging skin, or will a lower Blepharoplasty work better?
Personally, I doubt that Thermage will give you meaningful improvement for lower lid aging. It is the combination of shape and coverage that distinguishes a youthful lower lid region: The transition from cheek to lower lid should be soft and convex, the coverage should be made of smooth skin. If it is only skin that is the concern (which it rarely is), a skin-only blepharoplasty can be entertained. Alternative, skin resurfacing (laser, peel) could be discussed but remember that the treatment has to go deep enough to cause enough skin tightening for fine wrinkles to improve.
Most commonly, volume loss, fat excess and skin wrinkling go hand in hand.
The most important step is the initial analysis of your particular condition. See an experienced facial plastic surgeon for a thorough evaluation which should be followed by a personalized plan.
