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Based on the photos provided, Thermage would not be on the top of my list for providing aesthetic improvement. Thermage is a moderately effective soft tissue tightener which utilizes radiofrequency waves. For a younger patient with concerns about prominent tear troughs, use of a filler like Restylane would be more appropriate. Conservative volume addition to the cheeks could also be considered using Voluma.
Thanks for thequestion and including the photos as well. You don’t need much skin tightening,which is what Thermage does. You could benefit from some volume replacement inthe cheeks and for this we would recommend that you have a consultation with a board-certifieddermatologist or plastic surgeon and learn about the fillers that we are usingin the cheeks.The HA fillers Voluma and Perlane canwork well here. Radiesse Plus (with lidocaine) was just FDA approved this weekand works well here as well. And Sculptra, given over time, can give naturaland long-lasting results as well. The skills of the provider are the mostimportant thing here so find someone skilled in how to best volumize thecheeks.
If you feel your face is too narrow you can add volume with fillers.To improveyour cheek hollows I would recommend Sculptra. Sculptra is used to stimulatecollagen production, helping to replenish volume loss. Sculptra is the onlyvolumizer scientifically designed to stimulate natural collagen growth treatingthe underlying cause of facial aging. It is important to be aware that Sculptrais not an instant filler, but a collagen stimulator, improvement will be slowand progressive for up to 6 months after your last session. Sculptra isinjected in a series of treatments once a month, usually for 3-4 sessions andthe benefits of Sculptra last up to 2 years with optimal treatment.I would alsorecommend Juvederm Voluma for the Mid Cheek. Voluma is specifically formulatedto correct volume loss and enhance contour to the mid cheek area creating a subtlelift, giving a more youthful appearance. Voluma instantly provides a smooth,natural-looking appearance to the cheek area that last up to 2 years withoptimal treatment. If you want to improve laxity then Thermage CPT Total Tip is a greatoption. Thermage uses focused radiofrequency energy to stimulate the body’s ownnatural renewal process. A Thermage treatment can help improve the appearanceof sagging or loose skin giving you a smoother, younger look with just onetreatment and no down time. Our patients see results immediately off the tableand continue to get improvement with Thermage CPT Total Tip treatment for up to6 months as their skinregenerates new collagen.It is bestto consult with a Board Certified Dermatologist with plenty of treating theseconcerns to see what procedure is best for you.For more information on Thermage click on the link below:
Thermage is a fabulous laser for facial tightening. The results of Thermage are facial rejuvenation and producing new collagen. Depending on how much volume you need you may need additional fillers or volumizers such as Voluma, Sculptra, or Restylane. Please consult a board certified dermatologist for a consultation to determine your specific best protocol.