Shiv Goel, MD

It’s great that you’re proactive about your appearance! At 20, you have several options to address droopiness and enhance facial tightness and femininity. Here are some recommendations:

1. Consultation: Since you’re recovering from rhinoplasty, it’s essential to consult with your surgeon or a qualified professional before pursuing additional treatments. They can provide personalized advice based on your recovery and goals.

2. Non-Surgical Treatments:
- Sculptra: This injectable stimulates collagen production over time, helping to restore volume and improve skin elasticity, which can tighten the skin.
- Thread Lifts: These minimally invasive procedures can lift and tighten sagging skin, providing a more youthful appearance without significant downtime.
- Morpheus8: This combines microneedling with radiofrequency, which can help tighten loose skin and improve skin texture, enhancing your overall look.

3. Skincare Routine: A solid skincare regimen can also help improve skin tone and elasticity. Look for products with retinoids, hyaluronic acid, and peptides to promote collagen production and hydration.

4. Facial Exercises: Some people find that facial exercises can help strengthen the muscles around the face, potentially improving overall tightness.

5. Maintenance and Future Considerations: As you continue to explore options, maintain a healthy lifestyle, including proper hydration and nutrition, as these can impact your skin's appearance.

Hi! It's great to hear about your commitment to health and wellness. After significant weight loss, it’s not uncommon for facial structures to change, and many patients experience shifts in their cheekbones and overall facial volume.

1. Understanding Facial Changes: As you lose weight, you may notice changes in your facial volume, which can affect how your cheekbones appear. The loss of fat can lead to a more hollow look in areas like the cheeks and nasolabial folds, which can contribute to sagging.

2. Sculptra and Fillers: Sculptra is designed to stimulate collagen production over time, which can help restore volume and improve skin elasticity. While you are in the early stages of healing, it may take a few months to see the full effects. Cheek fillers provide immediate volume but are temporary. Combining both treatments is a good strategy for achieving more lasting results.

3. Future Weight Loss: As you continue your weight loss journey, it’s possible that your facial contours may continue to change. However, significant weight loss can sometimes lead to more pronounced sagging. Maintaining a stable weight is generally recommended once you reach your goal to minimize further changes.

4. Additional Treatments: If you’re concerned about sagging skin and nasolabial folds, consider discussing additional options with a qualified professional. Treatments like Facetite or Morpheus8 can help tighten the skin and improve the overall appearance of your facial structure.

5. Consulting with Dr. Goel: I recommend scheduling a consultation with me or another specialist at Prime Vitality to discuss your concerns in detail. We can create a personalized plan tailored to your goals, ensuring you achieve the results you desire while supporting your weight loss journey.

Remember, changes take time, so be patient as your body continues to adjust. We’re here to support you every step of the way!

It’s understandable to feel concerned about aging and to want to enhance your profile while you save for a facelift. Here are some options that can provide noticeable improvements without breaking the bank:

1. Non-Surgical Treatments:
- Facetite and Necktite: These procedures use radiofrequency technology to tighten skin and improve contours in the neck and jawline area. They can provide significant results with minimal downtime.
- Morpheus8: This combines microneedling with radiofrequency to stimulate collagen production, improving skin texture and firmness, which can enhance your profile.
- Emface: This innovative treatment uses electrical muscle stimulation to lift and tone facial muscles, helping to enhance your jawline and overall facial contours.
- Kybella: This injectable specifically targets submental fat (under the chin) and can help improve the contour of your jawline.

2. Injectables:
- Aquagold Fine Touch: This treatment uses micro-injections of customized serums to improve skin quality, texture, and hydration, which can contribute to a more youthful appearance.
- Thread Lifts: These can provide a subtle lift and improve skin tightness without the longer recovery time of a facelift.

3. Skincare Routine:
- Invest in a good skincare regimen that includes retinoids, hyaluronic acid, and antioxidants. These can improve skin texture and elasticity, making your profile appear more youthful.
- Regular use of sunscreen is crucial to prevent further skin damage.

4. Lifestyle Changes:
- Maintaining a healthy diet and staying hydrated can positively impact your skin's appearance.
- Regular exercise can improve overall tone and may help with skin elasticity.

5. Professional Treatments:
- Invisilift by Dr. G at Prime Vitality: This non-surgical treatment provides a subtle lift, enhancing your jawline and neck area without the need for extensive recovery.

While these options can help enhance your profile and delay signs of aging, it’s essential to consult with a qualified dermatologist or plastic surgeon to discuss your specific concerns and the best personalized approach for you. This way, you can make informed decisions as you plan for your future facelift.

Facetite is primarily designed to address skin laxity and can help tighten the skin while also contouring areas with some fat. The addition of fat aspiration with a cannula during the procedure is indeed an accepted practice and can be done to enhance results if there is a small pocket of fat.

Your doctor's caution about removing too much fat is important. Excessive fat removal can lead to an unnatural or hollow appearance, particularly in areas like the chin and jawline, which can age your appearance rather than enhance it. The under-chin area can be affected by multiple factors, including genetics, skin elasticity, and overall fat distribution, so the amount of fat present in that area can vary significantly from person to person.

The goal is to achieve a balanced and harmonious look, so your doctor is likely aiming to ensure that the results are subtle yet effective. If you have concerns, it’s always a good idea to discuss them further with your doctor, including what to expect from the procedure and any potential risks. You might also want to ask about their experience with similar cases to ensure you're comfortable with their plan.

The symptoms you're describing, including fever, persistent swelling, and sensations traveling to your ear and cheek, could also be indicative of an infection or an inflammatory reaction. In some cases, filler injections can lead to unintended complications or reactions, and it's important to consult with a medical professional who specializes in cosmetic procedures.
Given the persistence of these symptoms and the fact that they have not resolved after a course of antibiotics, it's strongly recommended that you seek immediate medical attention. Your healthcare provider can properly assess your condition, perform any necessary tests or examinations, and provide you with an accurate diagnosis and appropriate treatment plan.