Susan Seman, DO

As we age everything drops unfortunately but there’s hope ! I suggest  putting filler in your cheeks called voluma and do ultherapy for lower face . It’s a nonsurgical facelift using ultrasound guided technology to lift and firm . It takes 3 to 4 months to start to see difference but last 2 years . 

Hello I would use  a laser with radio frequency with miconeedling . It usually could vary but 1 to 3 treatments  are needed ..  

I  feel kybella is a great option - only down fall is you look like a bullfrog for 48 hours and after a week the swelling should be resolved . It causes the fat cells to die and when they do you swell so the more the better!

Yes !You are actually a perfect candidate for Coolsculpting . It’s fda cleared for pinch able fat .You may need 1 to 3 treatments and you start seeing results in about a month but the fulll  result in  3 months . 

First I must ask are  you a runner or have health issues like overactive thyroid or Addison’s disease something that’s causing you to ramp up your metabolism or not react . If you have not had a physical and lab please do and then we can think of other modality outside a fast lift .