What would be the best treatment for the lines and creases around my mouth and eyes after weight loss? (Photo)
Doctor Answers 8
You have a lot of options!
I look at the photos, what stands out to me is that you still have some
active acne and some acne scars. I think you need to make a consultation
with a board certified dermatologist or plastic surgeon to learn the other
options that are now available to you, including what we commonly refer to
as energy based devices. This is in addition to getting the acne under
We use the term fractional resurfacing a lot in laser medicine. There
are non-ablative and ablative fractional laser resurfacing that can be useful
here. Non-ablative lasers need 4-6 treatments over a 4-6 month period of
time. Minimal downtime occurs with these treatments. The ablative
fractional lasers also will work here – we commonly use the ActiveFX and
Deep FX from Lumenis, or the AcuPulse from Lumenis, the Cortex from
Ellman, or the Syneron Core. Several days of downtime are needed with
these – and on occasion, more than one session is needed.
We also have radiofrequency (RF) based fractional devices. The
eMatrix from Syneron is the leader here, and we did the FDA studies on
acne scars so we know that 3 treatments here will make significant change,
again with minimal downtime. The Venus Viva is also being used for this
and is pending approval right now in the US, although it is being used
outside the US regularly. The RF microneedling devices also can play a big
role here, and for this we use the EndyMed Intensif for this – 2-3
treatments, again with minimal downtime.
So you have a lot of options. See the right physician, learn what is
out there, and take care of the concerns that bother you.
Very difficult to tell
Your description of where the injections were is also a little vague.
If your nasolabial folds were treated, they could use a little evening out.
Your eyelids have quite a bit of droopiness to them. The position of your upper eyelid looks like it's encroaching on your pupil, blocking your vision.
Having this treated could make a world of difference. Your upper eyelids do not have an overly excessive amount of loose skin.
Because of this, you would do better with a procedure where you raise the position of your eyelid in relationship to your pupil rather than just taking out excess skin.
This procedure is done well by many plastic surgeons, facial plastic surgeons and oculoplastic surgeons.
In my opinion, you need more than a simple upper eyelid blepharoplasty.
If the time comes for you to consider upper eyelid surgery, make sure the person addresses raising your eyelids without taking out an excessive amount of skin. This is a procedure where the muscle that opens your upper eyelid is either repositioned or shortened and is often done well by oculoplastic surgeons.
Weight loss patients often benefit from general facial volume and hands meds.
This can, at times, require substantial amounts of volume to make a substantial difference.
Using fillers can become quite costly.
Another option to consider is facial fat grafting.
While not as precise as using fillers, it can give very nice effect that is longer lasting or permanent.
Best of luck,
Mats Hagstrom, M.D.
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Lines, Wrinkles and Scars Around Mouth
Lines and creases
What would be the best treatment for the lines and creases around my mouth and eyes after weight loss?
Suggestions for peri orbital and peri oral lines.
Thank you for your question and for sharing your pictures!