Jessie Sandlin, MD

Thanks for reaching out, doreenashay12. It certainly sounds frustrating that you can't get an answer. My guess, however, is that this may be beyond the scope of most aestheticians and plastic surgeons to diagnose. I would have more questions for you regarding your past medical history, family history and coexisting medical conditions. I believe the best place to start would be with your primary care provider if you're looking for a diagnosis. Good luck on your journey and I hope you are able to find your answers.

Thanks for your question, Caplainn. You are correct: much to many people’s chagrin (and to your delight), Botox in the forehead will drop the eyebrows. If you find a skilled injector who is willing to work with you, I would think you should have no problem accomplishing your goals with the injection of some neurotoxin. Best of luck!

Thanks for your question, Tanzmoon. I agree that Botox in this area will not give you the results for which you’re looking. I know you don’t want filler in your nasolabial folds (and I agree it could make you look even heavier in that area), but have you considered filler in the cheeks? That can often help lift the nasolabial fold. You could also look into some barbed, lifting PDO threads. Threads are nice in that there is essentially no downtime with immediate results. I hope this helps. Good luck on your aesthetic journey!

I think you’re exactly right: judging from your photos, it looks like a few lifting PDO threads would help those nasolabial folds that are just starting to get a bit heavy. For jaw and cheek definition, I believe some fillers would work great for you. PDO threads and filler work great together to lift and give that fresh, rejuvenated look! Of course nothing can replace the in-office consult, but judging from your photos, I believe you would be well served by threads and fillers. Good luck!

Thanks for reaching out, Desgracias. You could definitely start with dermal fillers. Fillers can make your cheekbones look lifted and they also often pull up some of the tissue that has gotten heavier in the lower face. If you feel your masseters might be a little large, that is usually easily fixed with some Botox (or other neurotoxin). You could potentially benefit from some lifting PDO threads, as well, which could help pull up some of that heavier tissue. Of course it’s difficult from a photo to know what is best for you, but dermal fillers seem like a reasonable place to start. I would get in for an in-person evaluation and see if they agree!