Would Thermage help me or do I need fillers? (photos)

Question

I feel like my face is too narrow and would like to not look so sad when not smiling. Do I need fillers or will thermage help. Thank you.

Stephen Prendiville, MD · Answer

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.

Michael H. Gold, MD · Answer

Thanks for the
question 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 in
the cheeks and for this we would recommend that you have a consultation with a board-certified
dermatologist or plastic surgeon and learn about the fillers that we are using
in the cheeks.The HA fillers Voluma and Perlane can
work well here. Radiesse Plus (with lidocaine) was just FDA approved this week
and works well here as well. And Sculptra, given over time, can give natural
and long-lasting results as well. The skills of the provider are the most
important thing here so find someone skilled in how to best volumize the
cheeks.

Nissan Pilest, MD · Answer

If you feel your face is too narrow you can add volume with fillers.

To improve
your cheek hollows I would recommend Sculptra. Sculptra is used to stimulate
collagen production, helping to replenish volume loss. Sculptra is the only
volumizer scientifically designed to stimulate natural collagen growth treating
the underlying cause of facial aging. It is important to be aware that Sculptra
is not an instant filler, but a collagen stimulator, improvement will be slow
and progressive for up to 6 months after your last session. Sculptra is
injected in a series of treatments once a month, usually for 3-4 sessions and
the benefits of Sculptra last up to 2 years with optimal treatment.

I would also
recommend Juvederm Voluma for the Mid Cheek. Voluma is specifically formulated
to correct volume loss and enhance contour to the mid cheek area creating a subtle
lift, giving a more youthful appearance. Voluma instantly provides a smooth,
natural-looking appearance to the cheek area that last up to 2 years with
optimal treatment.

If you want to improve laxity then Thermage CPT Total Tip is a great
option. Thermage uses focused radiofrequency energy to stimulate the body’s own
natural renewal process. A Thermage treatment can help improve the appearance
of sagging or loose skin giving you a smoother, younger look with just one
treatment and no down time. Our patients see results immediately off the table
and continue to get improvement with Thermage CPT Total Tip treatment for up to
6 months as their skin
regenerates new collagen.

It is best
to consult with a Board Certified Dermatologist with plenty of treating these
concerns to see what procedure is best for you.For more information on Thermage click on the link below:

Michele S. Green, MD · Answer

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.

Would Thermage help me or do I need fillers? (photos)

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