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

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!

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

Answers (9)

Answer: Facial Rejuvenation -- PRP/Microneedling, Lasers, Sculptra, Thermage, Ultherapy, Botox, See an expert

Answer: Facial Rejuvenation -- PRP/Microneedling, Lasers, Sculptra, Thermage, Ultherapy, Botox, See an expert

Answer: Procedures

Answer: Procedures

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Everything you need to know about Dermal Fillers

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

Answers (9)

Answer: Facial Rejuvenation -- PRP/Microneedling, Lasers, Sculptra, Thermage, Ultherapy, Botox, See an expert

Answer: Facial Rejuvenation -- PRP/Microneedling, Lasers, Sculptra, Thermage, Ultherapy, Botox, See an expert

Answer: Procedures

Answer: Procedures

Browse related questions

Recommended reading

Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.