Do you recommend filler, Botox and anything else in order to help improve my face?

Thank you for your question and photos. It appears you have a good idea of which areas of your face concern you and the best treatments for those areas. The only one I might add is a bit of filler in your nasal bridge to produce subtle improvement in your profile. I encourage you to schedule a consultation with an experienced, board-certified facial plastic surgeon for further assessment and a customized treatment plan that will meet your needs and goals best.

my females do botox, fillers to the cheeks, eyes, temples, jawline, chin, and lips typpically for contouring or full facial sculpting see my IGTV and youtube.

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

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.

Hi Lexi,

I see that you wish to look younger. You are fortunate that you already look half your age. On your front view the only feature aging your face is the slight hollowness under your eyes and slight asymmetry between the left and right sides of your face (completely normal). On the 3/4 view it looks like you have early loss of volume in the pre-jowl area and marionette area. On lateral view your nasal profile is strong, making your nose slightly smaller and increasing the angle of your nose-lip (slightly raising your nasal tip) would feminize your profile. For your face, I would treat you with Sculptra Aesthetic to add natural volume where needed. For your profile you would likely benefit from the injection of filler at the base of your nose to lift the tip, and possibly a little filler on your profile to camouflage your small dorsal hump (that is unless you wish to have a surgical rhinoplasty.). As with any aesthetic treatment it is essential that you choose your treating physician most carefully based on their skill, knowledge, experience, and natural artistic vision. Good luck and be well.

Michael Persky, MD
Encino, CA