Arnold Almonte, DO

The deep horizontal lines in your forehead indicate long standing low eyebrows, that’s why you have the lines, from chronically raising them to see better. An endoscopic brow lift will elevate your brows but not smoothen those wrinkles. You need the skin redraped in order to achieve a smoother appearance. Plus it will make your forehead bigger. The hairline incision, aka “pretrichial brow lift” is a powerful and effective technique to elevate your brows AND smoothen your skin. The incision is designed in a zig zag fashion along the hairline and heals very well.

A cheek lift can be accomplished via a Lower Blepharoplasty incision, which can improve the nasolabial fold. A canthopexy is necessary to prevent a lower eyelid malposition ectropion. Seek an experienced surgeon and inquire about this specific procedure.

Ah, you must have read the recent article on the “$500K Facelift”. Price is more about reputation and marketing than it is about the quality of the surgery. Surgery is still surgery with all its risks and potential complications. Don’t think the high price removes any of that. Price is defined as what someone is willing to pay. So if there are individuals willing to pay half a million for a facelift, can’t blame the surgeon. It’s called supply and demand. The truth is there are many great surgeons who perform excellent facelifts that don’t charge that obscene figure. Ask around, look at before and after pics, do research. Most important, be specific what you want done, and then find a specialist in just that. Can be plastic surgeon or facial plastic surgeon or cosmetic surgeon. Experience is what matters most. All the best!

Asymmetry is a challenging problem. Seek out an experienced oculoplastic surgeon who specializes in eyelid rejuvenation. A canthopexy , lid tightening procedure, may be the procedure for you. This can be done just on one side, but be prepared to be told you may need both sides treated. All the best!

Your photos show that you may have residual deep neck fat and enlarged submandibular glands that contribute to the bulging appearance. Follow up with your plastic surgeon and ask if he/she would consider re-exploring your neck. Alternatively, seek out an experienced surgeon who specializes in neck lifts to evaluate you. All the best!

Thank you for the question. You do have skin laxity, and that’s not unusual particularly if you’re on the thinner side. When one is thin, loose skin can be a problem. A lower face and neck lift is the only way to redrape and tighten your skin. Energy devices from Ulthera to Renuvion or SkinTite won’t tighten the skin to the degree you want. Consult with a an experienced face surgeon and discuss your options. If you’re open to surgery and incisions around your ears, you can achieve a very nice result and rejuvenated neck. All the best!

Based on your pictures, you have laxity of the lower face, early jowls, and loose neck skin and fat. A lower face and neck lift with liposuction and platysmaplasty will redefine your neck and jawlines. Your eyes are beautiful and need no work at this time in my opinion. Seek an experienced surgeon who specializes in the face. All the best!

Did you get treatment or not? Is the 2nd picture photoshopped? Your question is a little confusing. Sounds like you got Radiofrequency treatment and achieved nice result. If that 2nd pic is a real result, I’d leave it alone. If it’s a photoshopped image, then the way to achieve that is surgical removal of the deep fat (under platysma) and tightening of the muscle, platysmaplasty

Certain facial features give away age, and it’s different for everyone. In your case, it could be the festoons and crease under your eyes that are bringing on the comments about your age. Treating the crease will improve that. Because of your age, I suggest meeting with an experienced plastic surgeon and first exploring nonsurgical options, such as fillers, Botox, skin treatments, etc. You can build from there. It’s important to have a clear understanding of all these treatments. All the best!

One of the main challenges in face or body contouring is how to manage loose skin after liposuction. Options after liposuction used to be just two: wearing compression garments until the skin shrank over time, or undergoing surgical skin excision which required longer incisions. Renuvion emerged as a “middle-of-the-road” tool used to tighten skin after lipo without making longer incisions. Patient selection is the key. An experienced plastic surgeon can make that determination for you. In your case, if you’re young and have good skin tone, you may not need Renuvion as skin shrinkage alone would achieve your goal.