Kybella for jowls/submental area, upper lip filler (slight underbite), Bellafill for nasolabial folds, PDO thread lift? (Photo)

Question

I'm kind off overwhelmed with all the help this face needs. Not even sure what would be best. First of all, I already have a rhinoplasty scheduled. This nose tip is too round and wide, and the bridge has a bump. So I'm hoping the tip will be more pointy and the bridge straight in the end. This rhinoplasty is very expensive ($19,000). Ugh. But I've researched this doctor extensively. Besides this, what would help most? I'm only 30 years old. Facelift too expensive.

Jason Emer, MD · Answer

I recommend fillers to soften the nasolabial folds themselves and also lift around the mouth and cheeks to build underlying anatomical support. In our practice we combine Sculptra with other fillers "layered" on top and lasers, skin tightening treatments such as Thermage, Fractora, and Renuvion (J Plasma), thread lifting,  and peels to get the most conservative, natural look. I suggest seeing a facial sculpting expert for a formal consultation. Best, Dr. Emer

Mats Hagstrom, MD (license on probation) · Answer

I’m curious if your treatment plan was created by yourself or suggested by providers? Generally speaking the first step in and choosing the correct procedure is to get an assessment or a clear understanding of what the underlying problem is. Much a facial aesthetics is directly related to facial bone structure and soft tissue issues may or may not be the culprit.
Are generally speaking quality outcomes from cosmetic surgery are based on the patient’s candidacy for the procedure combined with the scale of experience of the provider. Just focusing your efforts on those two variables. The first begins by getting a clear understanding of what the underlying problem is, and this requires expert assessments.
Making quality assessments for facial aesthetics. It’s not always easy or straightforward and you’ll find a substantial variation in difference among providers. Plastic surgeons tend to be soft tissue oriented and often look at soft tissues solutions for one hour in reality often facial skeletal based problems.
Understanding the underlying problem, whether it’s based on soft tissue structures, or bone structure can help patient understand what each procedure can, and cannot accomplish, including inherent limitations.
Until someone has a clear understanding of what the issues are, and a good understanding of what treatments are going to entail. It’s generally better to be careful with permanent irreversible procedures. Temporary treatments, such as the use of fillers are generally very forgiving and a good place to start.
price is no indication of quality work. While it’s true, that most top-notch plastic surgeons generally don’t give discounts paying a lot for surgery does not give any guarantee of quality work.
I suggest patients have multiple in person, consultations with local plastic surgeons in their community. During each consultation, ask each provider to open up their portfolio and show you their entire collection of before, and after pictures of previous patients who had similar facial characteristics to your own for any given recommended procedure. And experience the plastic surgeon should have no difficulty showing you the before and after pictures of at least 50 previous patients.
Being shown a handful of preselected images, representing the best results of a providers career is insufficient to get a clear understanding of an average results look like in the hands of each provider. It is also important to recognize that different patients have different levels of candidacy, and this will inherently dictate what a procedure can or cannot accomplish.
When, in doubt, slow down and schedule more consultations.
For the most part, there isn’t all that much patients can do regarding their own candidacy for the procedure other than to obtain a clear understanding of it.
What patients do I have control over is finding the right provider and this is why you should emphasize most of your efforts.
Best,
Mats Hagstrom, MD

Kybella for jowls/submental area, upper lip filler (slight underbite), Bellafill for nasolabial folds, PDO thread lift? (Photo)

Answers (2)

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