40 years old beginning to see jowls after tretinoin use - Botox? (Photo)

Question

Hi there, I used tretinoin twice had an awful reaction and am left with skin so soft and saggy it's made my cheeks droop and jowls now becoming noticeable. (I know what the science says but it did the opposite for me and has driven me to depression) will Botox help with these?

Kenneth Hughes, MD · Answer

Hello, thank you for your question. I would recommend filers instead of Botox, schedule a consultation to see a local expert injector with extensive experience and training to ensure optimal results and safety.

Camille Cash, MD · Answer

Botox is not the right product for the jowl area.  Fillers give a nice result in this area to disguise contour irregularities and provide volume.  Another option is FaceTite or Morpheus8 treatments to tighten skin and improve tone and texture.

Matt Tahsini, MD · Answer

Hello and thank you for your question. Botox is not what you need, you need fillers that will give you lift and volume. Get an in person evaluation and discuss your goals and options. Be sure to find a very experienced injector as it can make or break your results. Best wishes.
Dr. T

Jo Herzog, MD · Answer

Botox will not do anything for jowls but your photo makes it look like you have a prominent masseter muscle on right side and Botox/Dysport/Xeomin could help that and it would help you get a smoother jawline. The areas near chin can be injected with filler as can mid face to try to pull up and disguise what bothers you. Be sure to see an experienced physician for this as is not a cook book solution .

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Hi there,
I would advise a consultation with a certified injector.  You have some volume loss midface as well as the marionette area.  The older we get we lose collagen and fat.  This is an easy fix and a good injector can get you on the right road.
Best of luck...

40 years old beginning to see jowls after tretinoin use - Botox? (Photo)

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