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Any Alternative to Surgery for Saggy Skin?

Lower part of the face left and right to my chin, my skin is getting soggy with a couple of deep wrinkles, even thoug I look younger than my real age, I think that is changing now. I tried many "miracle" creams and serums. Don't work. I'm thinking of Botox, any suggestions?

19 Doctor Answers | Asked by helpseeker in N.J.
+3

Loose skin around the neck and face

Generally there are many solutions for a problem, but only one solution that is best. For loose skin around the face and neck a facelift and necklift is usually the best solution that fixes the most for the longest period of time. Many doctors also augment lost facial volume with grafts as well. All other solutions will be minimal in comparison. Most experienced board certified plastic surgeons offer minimally invasive and temporary treatments as well, so they can give you an approximate... more
+2

Solution for saggy skin of lower face is surgery

When the skin muscles and fat of the underneath portion of the chin begin to sag, a neck lift or face/neck lift is a comprehensive solution to this problem. It involves removal of fat underneath the neck, tightening the skin and tightening the muscles underneath the front and the posterior portion of the neck to give the new definition of the jawline. Miracle creams and serums do not work in this area, nor do Botox and dermal fillers.
+2

Fillers are an excellent option for early stages of sagging skin

Fillers are an excellent option for early stages of sagging skin. Fat transplantation can be used to redistribute facial skin as an option to face lifting. Light based light sources and radio frequency devices such as Titan and Thermage provide modest tightening. Once you are old enough to need a lift, see your dermatologist for a recommendation on who is the best person in your area for face lifting.

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+2

Pesky jowls

Sounds like you are describing jowls, and nasolabial fold prominence. If I am correct, Botox is not useful as a treatment modality. If your neck is in a youthful condition, you should consider a cheek (mini-face) lift. If your neck has signs of aging that bother you, you shoud consider a lower face lift (cheek and neck). I do not recommend thread or lifestye lifts due to longevity and efficacy. sek
+2

Botox, Fillers, Thermage and Lasers might be an alternative vs. surgery

There are many aspects of your face that need to be analyzed. The texture of the skin, the laxity, the amount of fat in pockets, the relative amount of drooping that has occurred. Some patients are adamant against having surgery, and yet I might explain to them that after all the costly nonsurgical treatments I can offer, they will not be happy. Others may be able to avoid a surgical lift for several more years by maintaining volume correction of the face which helps support the sagging... more
+2

Non-surgical facelift options

For what you describe you might consider a combination of Fractional CO2 laser treatments (DOT laser) and fat injections. The laser helps tighten the skin and give a "mini-facelift" to the lower face. The fat injections will help camouflage the jowls and fill in the marionette lines. The best option would be a MACS lift, which is a mini-facelift with dramatic results. Botox will not help sagging skin
+2

Treatment of sagging facial skin

There is no subsitute for a facelift as Dr. Placik has said. There are some temporizing measures you can pursue like fillers and Botox. The fillers are more useful around the lower face and the Botox in the upper face generally. Skip the expensive and painful treatments like Thermage as the results are usually quite unimpressive.
+2

Sounds like a facelift

If your skin is saggy, something to tighten it is needed and that is a Facelift. Botox removes deep lines by paralyzing the muscles -- it does not tighten skin. Lasers may help a little with fine lines, but they too do little to get rid of excess saggy skin.
+2

Non surgical correction of saggy skin

Botox will not tighten skin. IF your appearance is due to or aggravated by facial volume loss, injectable fillers may provide you with some improvement. However, there generally is no subsititute for a facelift which addresses issues of volume loss, skin laxity, inferior displacement of underlying musculofacial structures and permits differential treatment of each of these components. Of course there are claims of skin tightening lasers but these generally produce a result of 2-3 (on a scale... more
+1

Thermage plus fillers may be a good alternative to surgery

To treat your sagging skin surgery is probably the best way , however if you are not ready for surgery then Thermage plus fillers could be a great alternative. Thermage has no down time and has produced good tightening effects. The only thing is that the results are not immediate and you will need to wait 4-6 months to see the results.
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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