Skin resurfacing: Collagen/elastin production and loss of volume in the face?

Question

In your opinion: What is the best procedure to have for resurfacing of the skin and why? What is the best procedure/most effective to have for collagen and Elastin production and why? What is the best filler to have for loss of volume in the face, around the cheek area which has caused nasolabial folds and marionette lines and why?

William Groff, DO · Answer

I appreciate your questions, but the answer to all of them is it depends. The right treatment is dependent on the patient’s specific concerns, goals and skin tone. A doctor that understands the importance of customizing treatments is the best provider for you. Choose a board-certified dermatologist who will take the time to perform a thorough assessment of your skin and have a detailed discussion about your precise needs and desired results. The doctor that tailors your treatment plan will be able to produce the best results.

James R. Gordon, MD, FACS, FAAO · Answer

Thank you for sharing your questions. There are many treatments available, but the best one should be tailored to your specific needs. You should see an experienced Oculofacial Surgeon who uses multiple modalities to treat the skin and uses different fillers in order to achieve optimal results. One size doesn’t fit all. I hope this helps.Good luck,

Michael Kulick, MD, DDS · Answer

There is no "single" response to your questions - skin resurfacing, best for collagen / elastin production and facial volume filling.
Without your pictures, it it impossible to provide your accurate information. You bring up many good questions. If you are serious about your facial concerns, you should seek a face-to-face consultation. 
Sincerely,
Michael Kulick MD
San Francisco, Ca

Jason Emer, MD · Answer

Laser resurfacing prevents aging and helps prevent certain skin conditions and diseases. I suggest starting early. Co2 and Fraxel are best for resurfacing and improving pores, but Erbium is a good alternative. I suggest seeing a cosmetic dermatologist to get you on a long term plan with lasers, microneedling/prp, Cosmelan, peels, facials and skin care. Best, Dr. Emer.

Joseph F. Spera, DMD · Answer

The best procedure for resurfacing can be laser, radio-frequency based treatment or chemical peeling. This can only be determined after a complete and through examination.  
In terms of the best filler that also would depend on the amount of volume loss in the face the options would include Juvederm Volume, Bellafill or Juvederm XC.  In some instances I recommend silicone implants to the cheek/malar area. This gives a long lasting permanent result that is very natural in appearance.

Jason Pozner, MD · Answer

The best procedure for skin resurfacing depends upon what your skin looks like ie pathology, color, wrinkes, pores, acne scars etc. Same for volume ie fat vs filler. Best to see a physician with experince with multiple devices

Davin Lim, MBBS, FACD - Account Suspended · Answer

It all depend on your skin type, downtime and expectations. Fully ablative lasers provide the best outcomes - CO2 is the best however your skin type has to be taken into consideration. As for fillers vs fat transfer, once again it depends on the amount of volume loss and finesse. Bottom line, this is a big decision to make, and a tailored program with your skin type, downtime and expectations will need to be considered. All the best, Dr Davin Lim. Brisbane. Australia.

Skin resurfacing: Collagen/elastin production and loss of volume in the face?

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