Ken Knott, MD - Account Suspended

If you really think you want to undergo a BBL, then by all means do that first. the reason is two fold. First, it will result in a fuller more rounded buttock look even though the photos you provided  actually shows your buttocks to be full. Of course, that is a personal preference so I will assume you wish to do that anyway. The second thing is that a BBL can actually make the cellulite be less noticeable since it is essentially a filler that will expand the buttocks and thereby tighten the skin. Give it at least six to eight weeks and then decide if you want to undergo Cellulaze treatment. The Cellulaze treatment works by releasing the fibrous bands that are responsible for the development of cellulite in the first place. When the bands are released, they tend to grow back, but in a different direction. Cellulite itself is caused by the bands attaching to the under surface of the skin in a perpendicular direction and when they grow back, they tend to grow in a diagonal direction. It works quite well, but it is never perfect so don't get your expectations too high.

Good luck,

Dr. Knott

My first question is: are you taking replacement hormones? If not, then that is something that is necessary if you wish to gain control of your skin. Not all hormone preparations are the same. I would recommend finding a doctor who prescribes only bio-identical hormones after proper testing. There are many rumors circulating about hormone replacement therapy, but please be aware that most are simply rumors and not based upon the truth. Not only will hormone balancing help your skin, but it will also help with protecting your heart and brain. Osteoporosis is another problem that will be prevented with optimal hormone replacement. That is the first thing I would recommend, but in the meantime, yes, a series of Hydrafacials would be beneficial, but will not address the root cause of your problem. 

Dr. Knott 

The quick answer to your question is yes, you can do both on the same day, but I would not recommend that if you want the optimal result. I don't blame you, instant results is always great, but patience in this case is best. If you were to undergo both on the same day, I would get the Hydrafacial first followed by microneedling. Remember, that is not your best option. The best option is to undergo microneedling initially followed by a Hydrafacial a week to ten days later. The microneedling works at a deeper level than the Hydrafacial and rejuvenating the deeper skin structures first, followed by exfoliation later, will get you better results. Find a clinic that has a good track record in skin rejuvenation evidenced by good results. Most clinics overseen or owned by board certified plastic surgeons or dermatologists are a good place to look. 

Dr. Knott

There are a number of things to consider before moving ahead with any type of elective procedure. I am mentioning these things to help you get the best result. Are you getting proper nutrition? Most doctors know little about nutrition, we should, but we don't simply because the standardized training programs for doctors is very deficient in this area. Make certain you are getting sufficient good fat and adequate protein in your meal plan. Is your hormonal status, including thyroid, balanced and appropriate for someone your age? Are you getting enough sleep? Are you under a lot of stress or simply the regular life stressors that everyone has? Are you happy? If you are sad for some reason and it is persistent, then that may indicate another problem and all the liquid face lift products made will not help. If all those things are okay, I mean really okay, then there are some things that can be done for you. Remember that everyone is not the same and what is good for you may not be the answer for someone else your age. Toxins are available to interfere with muscle contraction and it can be used to help with down turning corners of the mouth. There are two or three products, but the most popular are Botox and Dysport. Hyaluronic acid base fillers are also available to provide for fullness in areas that may be lax. In your age, that is unusual. The bottom line is for you to see a doctor who performs those injections routinely. Many plastic surgeons and dermatologists are experts in that area. Board certification is not an absolute necessity, but it it indicates that the doctor is well trained. Remember, that liquid face lifts also have an artistic component as well as a technical component. To get the best result, a doctor should have both.

Dr. Knott

I could not see your temporal area on the photos you submitted. In many cases, if the temple has any loss of volume, fillers can be used to make subtle changes that may help provide that more exotic look that you want. Injecting in that area can also cause a subtle raising of the lateral eyebrow. One can also have the malar ridge and prominence (cheek bone area) injected, but care must be taken not to inject too much because it would look unnatural and not give you the exotic look that you desire. Careful placement of just the right amount of filler in these areas could give you what you are looking for. Generally speaking, you certainly do not need surgical intervention, but fillers could help you meet your goals. 

Dr. Knott