What procedures can I do to look more attractive or younger? (photos)

Question

I'm 36 and I feel like I look a lot older than my age. Can you tell me what procedures I can do to look younger or better looking?

Nima Shemirani, MD · Answer

Hi @makemea10. Thank you for sharing your photos. I recommend a combination treatment of dermal fillers and Morpheus 8. Morpheus 8 is a non-surgical treatment for full body skin resurfacing, skin tightening, and fat reduction of stubborn areas. It uses minimally invasive fractional radiofrequency energy (RF) to penetrate the skin deeper than other microneedling devices, triggering the skin’s natural healing response to promote skin tightening and lifting.

Best of luck,

Dr. Nima

Best of luck,

Dr. Nima

John Tang, MD · Answer

One of the things that make you look older and perhaps more tired is the under eyes.  You covered this area with the hearts but I could tell even with it blockes that the eyes look hollow.  This is due to loss of fat volume in the under eyes.  You can consider doing a dermal filler to fill that valley/loss and this make you look rejuvenated and less tired.  Also, you can consider doing a filler for the laugh lines (nasolabial folds) and the sad lines (marionette lines) especially on the left side.  I hope that helps.  Remember, it is extremely important to pick the right injector with lots of experience because the results will depend on how they inject.

Nelson Lee Novick, MD · Answer

Take heart. In experienced hands, one treatment session using an appropriate volumizing filler for the cheeks would likely both significantly improve the cheek flattening apparent in the photo and improve the under eye tear troughs. It's been dubbed the "domino effect" by my European colleagues because treating one location of the face with filler can have a domino-like improvement in adjacent areas, in this case treating the cheek improves not only the cheek, but results in the smile lines, as well, and lends support to the under eye area leading to improvement in the hollows and the tear troughs. Other approaches that might be offered to you are surgery or fat transfer. However, surgical lifts are expensive, aggressive and invasive and engender real downtime. And fat transfer, which I gave up performing several years back carries with it several drawbacks. For one one, most of the fat, separated from the donor sites of the belly, buttocks or thighs, does not survive once separated from its original blood supply. Moreover, it is a relatively expensive, two step minimally invasive process that entails large cannula withdrawal of the donor fat and large cannula transfer into the recipient locations--all of which means real downtime. And finally, any fat that does survive retains the characteristics of the location from which it is taken meaning that if belly fat develops a midriff bulge with aging, so, too, can the belly fat transferred into the face. Make sure that you consult with a board certified cosmetic dermatologist and ask to see his/her personal before and after photos before agreeing to proceed. and best of luck.

Jason Emer, MD · Answer

I suggest reaching out to an expert for a formal consultation. I like to recommend my patients start a combination of facial rejuvenation treatments.

1) Skincare with products and microneedling/PRP
2) PDT Light Therapy a few times per month with growth factors
3) Laser treatments like Clear + Brilliant regularly and others (Fraxel, Moxi, Viva, CO2, Erbium, Halo) a few times per year
4) Sculptra injections a few times per year for collagen production with fillers like Juvederm, Restylane, Belotero, Radiesse, and/or Bellafill
5) Thermage/Ultherapy for yearly skin tightening with or without PDO or cone-based Instalift threads for lifting
6) Botox every 2 to 3 months to stop movement lines and prevent lines at rest

Best, Dr. Emer.

Anshul Gambhir, MD · Answer

Thank you for your question! I think there are a couple procedure to help give you a more refreshed look. For short term gains, doing a chemical peel can help to brighten the skin and make it not look as dull. If you are not already, I would also suggest botox for the forehead area and in between the brows. I also feel like some filler in the undereye and cheek area will help to give you a more heartshaped/youthful appearance to the face.  For long term anti-aging prevention, you should be adding in a collagen building procedure such as Thermage. Hope this helps!

Nhi Le, MD · Answer

I suggest a deep chemical peel or a few diamond glow facials or microneedling facials with peptides or PRP to improve your skin complexion and use a medical grade skin care regimen at home! Then you can try Botox in your upper face, dermal filler in your lips, thread lift to make your nasal bridge slender and enhance your cheeks!

Jamshid Tamiry, MD · Answer

Thank you for your question.There are a variety of options available. Looking at one view photo, there are opportunities for frown lines with Neurotoxins such as Botox, or Dysport. For mid face, tear trough and lower face including chin, HA fillers with multiple options to choose from. In addition consideration should be given to improve overall skin texture with micro needling, and topical medical grade skin products on an ongoing basis. I recommend to have a formal consultation for a complete assessment with a highly skilled physician injector to determine which procedure and product are best suited. Best of luck.

Robinson Facial Plastic Surgery - Alpharetta · Answer

Good afternoon! You seem to have a very pretty face, with nice bone structure. It is normal however, to begin having volume loss, which can easily be replaced with a little dermal filler. In your case, being so young, you do not have much loss, but you could use a little in the anterior, or the front part of your cheeks, as well as under the eyes, which are hollowing slightly. You have beautiful, high cheek bones, but they are dropping off just a little in the front. Filling these areas will help give you a lifting effect, which will make your laugh lines look smoother as well. Another simple thing to consider is a small amount of Botox or Dysport between the brows. This will keep you from scowling, and the lines between your eyes from becoming etched in your skin. The combination of these simple treatments will help give you a more refreshed and youthful appearance. Good luck!

Laura Lewman, ND · Answer

Hi there! You have such a beautiful lip shape! There are many treatments for promoting a more youthful appearance. Neuromodulators like Botox or Dysport could help reduce forehead and frown lines. BBL (broad band light) photofacials could address dark spots and redness to bring a more even complexion. Sculptra is a long-term treatment plan that could revolumize the cheek and temple area and soften smile lines to bring back more youthful facial contours. If a more immediate result is desired, fillers could achieve similar results. And don't forget about skincare: medical grade skincare products such as Alastin will improve overall texture and tone of your skin!

What procedures can I do to look more attractive or younger? (photos)

Answers (9)

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