Elizabeth Whitaker, MD, FACS

Hello Nicole343, Thank you for sharing your images and concerns. You are a great candidate for noninvasive treatments including Ultherapy. I would recommend an in person consultation with a facial plastic surgeon to assess your concerns and create a treatment plan. I hope this is helpful. All my best! Dr. Elizabeth

Hello DoriannaG, After three years there is unlikely to be significant filler left. If that is a concern, it can possibly be dissolved. In either case, that should not interfere with your fat take from fat transfer. I would recommend an in person consultation with a facial plastic surgeon to assess your concerns. I hope that is helpful. All my best! Dr. Elizabeth

Hello Quiet, Thank you for sharing your concerns and your images. It is less about your age than how your face is structured. From the images, you do appear to have early jowling and some neck laxity. The projection of your chin may also be something to assess further. An in person consultation with a facial plastic surgeon to assess your concerns and whether you would be a better candidate for a necklift or a lower face and neck lift would be my recommendation. I hope this is helpful. All my best! Dr. Elizabeth

Hello camon! Thank you for sharing your question and concerns. You should be able to get an evaluation for a minilift now, especially since the fillers did not give you the results you wanted. I would recommend consultation with a facial plastic surgeon to review the best options for you. I hope this is helpful. All my best! Dr. Elizabeth

Hello SuzAtlanta, Thank you for sharing your pictures and your concerns. The quality of the skin can be helped with energy treatments such as radiofrequency or fractional laser with no significant downtime. CO2 laser resurfacing would have more significant results but also about 5-7 days of downtime for healing. I would recommend you see a facial plastic surgeon to explore your options. I hope this is helpful. All my best! Dr. Elizabeth

Hello NellieNervosa, Thank you for sharing your question and concerns. Ellevate is a suture based procedure. FaceTite/NeckTite utilizes radiofrequency energy to melt fat and induce collagen formation for skin tightening. It helps to sculpt the jawline and the neck, and is a great procedure for someone with early aging changes. I would recommend consulting with a facial plastic surgeon to determine what procedure is right for you. I hope this is helpful. All my best! Dr. Elizabeth

Hello Lynne1977, Thank you for sharing your concerns. A chin implant can be readily be performed in an office based surgery center setting, it does not have to be done in the hospital or with general anesthesia. I would recommend evaluation by a facial plastic surgeon to see if this is the procedure that best meets your needs. I hope this is helpful. All my best! Dr. Elizabeth

Hello Ihatemyinjections, Thank you for sharing your image and your concerns.  I would recommend waiting for the filler to fully dissolve before pursuing another procedure.  An in person consultation with a board certified facial plastic or plastic surgeon would be the best avenue to discuss your options.  I hope that is helpful.All my best!  Dr. Elizabeth

Hello Energetic6073, Thank you for sharing your images and concerns.  You are absolutely right that it is not just about your age, but how you as an individual are aging.  You do appear to have sagging along the jawline but also some volume loss in the face.  You definitely could be a candidate for a minilift as well as possible fat transfer to revolumize your face.  There are also nonsurgical and minimally invasive options that may be available for you.  I would recommend consultation with a facial plastic surgeon to review your concerns in person and discuss your options.  I hope that is helpful.All my best!  Dr. Elizabeth

Hello Karen Lacey, Thank you for your question and sharing your concern.  If the stents are recent, your cardiologist is unlikely to let you come off blood thinners for elective surgery.  However, if you have had the stents for some time, your cardiologist may consider letting you come off the medications for the perioperative period.  I would discuss your desire to have elective surgery with your cardiologist at your next visit, and see what they would recommend.  I hope that is helpful.All my best!Dr. Elizabeth