Dermal Fillers

Kybella

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Congratulations on quitting smoking!
Without seeing a photo, it is difficult to recommend which treatment is best.&nbsp;
A lower face and neck lift will help with laxity and, if it is necessary, would provide you with the best result. It will cost more, but will be more cost effective than spending thousands of dollars on skin tightening treatments that may not provide you with improvement.&nbsp;
If you are not a candidate for lower face and neck lift, dermal fillers or thread lifts are an option to lift the nasolabial folds and jowls.&nbsp;
Lip lines are best treated with ablative lasers and botox. Remember if you can still make the movement, the line will return, so botox is an important addition to any treatment done to these lip lines. Fillers in this area are effective, but as you noticed, results are temporary.&nbsp;
 
Good luck on your journey. And remember to always see a board certified dermatologist or plastic surgeon to receive the best possible treatment.&nbsp;
 
Dr. DiGiorgio

Quit smoking 13 years ago after 35 years of smoking 2 packs. Have upper and lower lip wrinkles, including the nasal folds, along with my jowls and neck tightening. . Just not sure which way to go? Like something that lasts more than 3 months which is what the Juvederm is lasting me. Yes money is a issue.Without seeing me which is my best way to go? Injectables, or a mid and lower face lift? Just trying to get the most for money that lasts Longest. Inj get expensive and hurt after awhile!

What is the best way to treat my upper and lower lip wrinkles, along with jowls and neck tightening?

It depends on how lifted you want your brow. Botox can provide slight and subtle lifting of the eyebrow if placed in the correct location, however, it is not a replacement for a surgical procedure if your goal is to have significantly higher eyebrows. Thread lifts can be used to lift the brow more drastically than botox and less invasively than surgery. Just remember to have an evaluation by a board certified dermatologist or plastic surgeon to receive the best possible care.&nbsp;

I keep reading about people getting Botox for a brow lift. I see it online and hear people talk about it. But when I've asked doctors if they can do it for me, I've gone to two, they say something along the lines like.. it won't work for a brow lift, there's no way they can, it will leave an indent or wrinkle above your brow. Is it possible to do a light brow lift with Botox and if not what are your other options?

Can I get Botox to raise my brow?

You have a natural feminine jawline with minimal fat that could be easily improved through kybella treatments. After those are completed, filler to the jawline on the sides of your face could be considered.&nbsp;I&nbsp;like to take a slow conservative approach and this is what I would recommend.&nbsp;
 
Thank you&nbsp;
 
Dr.&nbsp;DiGiorgio

I'm a skinny person but do feel insecure about my chin fat. I want a sharp jaw line. I'm 26 and 130 pounds. Thinking which option would be good for me?

Follow-up: Kybella or liposuction: which treatment would give me a sharper jaw line? (Photos)

Catherine DiGiorgio, MD

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