I'm 41 my lower face is caving in, I have a long sleep line on one side and my chin is dimpling. What are my options? (Photos)

Question

I have had a bit of filler but it did not seem to do much with the long line and orange peel look on chin. My Dr tried a small amount of Botox in chin but even that did not do much. Do I need to do something else like tightening treatments as my lower face does feel like it’s lost elasticity. Any suggestions would be wonderful! Thanks

Rian A. Maercks, MD · Answer

Hello, and thank you for your question!
I believe that you would be a great candidate for a procedure that I call Aesthetic Facial Balancing. A large part of my practice is using this procedure.  What this means is evaluating a patients face and bringing the features into harmony by making adjustments with either hyaluronic acid or fat.  The most important component of a fillers treatment is the practitioner administering it. I take filler and balance all features in your face from top to bottom to make them work together to 'unlock' your beauty. This procedure is not just a filler intervention augmenting the cheeks and lips, but as in overall, non surgical way to shape the face in a different way to create natural appearing results. 
I hope this helps!
Wishing you beautiful results,Dr. Rian Maercks M.D.

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

FaceTite can internally tighten the skin in the lower face and neck. After all the skin has been heated and contracted, we shape the neck with liposuction to give definition and remove stubborn pockets of fat. In one quick treatment, we can tighten skin, remove fat, and contour the lower face, jawline, and jowls with only a weekend of downtime.  Keep in mind that combination approaches will give you a more significant improvement as opposed to a single procedure. I recommend getting a consultation with a board-certified cosmetic dermatologist and facial sculpting expert. Best, Dr. Emer

Ashish (Ash) Dutta, MBBS (registration suspended) · Answer

For the sleep lines, you can get a combination treatment of dermal fillers and ablative lasers. However, the dimpling on the chin may need a higher dose of Botox to weaken the underlying muscle (Mentalis).

I'm 41 my lower face is caving in, I have a long sleep line on one side and my chin is dimpling. What are my options? (Photos)

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