Is Botox, filler or Hifu better for me at 42 for wrinkles and sagging? (Photo)

I think you will have the best results from a combination of treatments. Fillers and Botox can address volume loss as well as wrinkles from dynamic muscle movement. Other treatments such as Morpheus8 can stimulate your own natural collagen production, improving overall skin tone and texture.

Hello thank you for your question. I would recommend Botox for your forehead and crows feet and fillers for your cheeks. Schedule a consultation with a local expert injector with extensive experience and training to ensure optimal results and safety.

There are lots of options for you. HIFU is certainly a great at home option that will help tone your skin while you use it, but does not last long term. For a more long lasting effect you would probably enjoy a snatched jawline using hyaluronic acid and/ or solid fillers with PDO threads. A PDO thread lift will give you a lifted appearance and definition to your cheeks and jawline, as well as promote natural collagen production in the areas where the threads are placed. A hyaluronic acid jaw defining procedure would be achieved using HA filler directly at the jawline to define your jaw and give you that snatched jawline that is so desirable. Just know that you have options that would make you very happy, with very little downtime.

you need a combination of treatments. fillers for volume iwth sculptra, lasers and microneedling RF in the office.

at home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules weekly, see linkt) should be started now to prevent further aging.

For facial rejuvenation, I would suggest a combination approach of
1) skin care with products and PRP/microneedling
2) PDT light therapy few times a month with growth factors
3) laser treatments like clear and brilliant regularly and a few times a year Fraxel/halo Viva, Co2/Erbium
4) Sculptra injections a few times a year for collagen production with fillers like juvederm/restylane/belotero/radiesse/bellafill
5) thermage/ultherapy for yearly skin tightening with or without PDO or cone based instalift threads for lifting
6) botox every 2-3 months to stop movement lines and prevent lines at rest
7) deep microneedling RF like Fractora/morpheus8 for tightening of the skin
8) Vascular laser like vbeam/excel V or BBL forever young treatment every quarter (3-4 months)

Best, Dr. Emer.

I have personally been injecting Botox for treating wrinkles since 1991. It (as well as the other neuromodulators) is now used for treating every kind of dynamic (movement related) wrinkle from forehead "worry lines," crow's feet, Nefertiti Lift, vertical neck cords, horizontal necklace lines and crepey chest skin crinkles. I have been using fillers for well over three decades, since the days of the first collagen fillers, Zyderm and Zyplast. Today, fillers treat not only fine wrinkles and creases, but jowls, skin sagging and folds, thin lips, under eye bags,flattened cheeks and recessed chins, and a host of other aesthetic issues--all with time-tested and proven efficacy in experienced hands. So, why would you even consider expensive devices whose hard science to support their purported benefits lags well behind the heavy marketing and advertising. Make sure to keep this in mind when evaluating claims for this or that supposedly "next big thing" device to come along that supposedly replaces yesterday's supposedly supposedly great "in" device treatment. Best of luck.

Thank you for sharing your question and photograph. I would advocate starting a good skin care regimen, Botox or equivalent for your wrinkles of the forehead and crows feet and fillers for your cheeks and jawline. Hope this helps.

Proper case assesment is mandatory before taking any decision regarding the line of treatment however generally speaking, neurotoxins can be definitely used to treat your forehead wrinkles, crows feet and fillers can be used to enhance your cheeks and jawline. Sometimes we may used facial threads to lift and pull back the tissues that started to sag. As i said it all depends on the patient assessment and proper diagnosis. When it comes to Hifu only, you will just see a minor change
Try to seek an experienced injector for an optimum results
Wish you all the best

Hello and thank you for your question. I think you would be first greatly with some Botox in your forehead area and filler in your cheek and jawline areas. Please find an experienced medical professional to ensure positive results. Best wishes.
Dr. T

Hello and thank you for your question. Nothing truly compares to a face to face consultation for advice however from what you have said the best option would probably be a combination of treatments. Globally energy based devices like ultracel would massively alleviate your concerns but botox and filler would also have a place to help for particular areas. It would be best to have a face to face consult.
Always seek an experienced and qualified practitioner, best wishes