Will Skin Return to Normal Once Restylane Wears Off? (photo)

I had a face lift in Dec 2008 with good results. Only issue was lack of volume. Decided to have restylane in cheeks and eye trough by a reputable PS here in town. I now have have saggy skin, jowls, uneven skin and I am depressed beyond words. Initial resty done 1-31-2012. Dr injected Wydase/Vitrase on Friday, Feb 17th to reduce the puffiness in lower jowl area-doesn't seem to have made a difference. My skin was smooth and now looks ruddy and pitted. Dr recommended diuretics-thoughts?

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cheeks jowls sagging

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3 Doctor Answers | Asked by Blonde babe in Katy, TX

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Issues with fillers

I very much agree with Dr. Steinsapir's comments. It is really hard to compare the before and afters because they really do appear to be quite a distance between them being taken, and the change in hairstyle and makeup does make a big difference. You have a lot of makeup on in both pictures, but more overall in the before, so it's hard to see the pitted acne marks as much as in the afters. I actually think your upper cheeks and eye area look pretty good. A bit of Vitrase could have... more

Fillers and volume

FIrst, fillers can add volume to the face. So can fat injections. As for the skin appearance, that looks like superficlal pitting like acne. This can also be treated with lasers.

Steven Wallach, MD

12 reviews

Manhattan Plastic Surgeon

Diuretics-Ridiculous, with all due respect.

I appreciate that your surgeon is trying to address your concerns. I just don't understand why you had enzyme especially if you say there was no difference in the before and after appearance. Your issue is you need more volume not less volume. First I believe you can accomplish amazing things for yourself with Restylane/Perlane and BOTOX. The key is finding a surgeon who understands these products and how to get the most from them. In the before photo which... more