I want my youth and elasticity back!! I was wondering if Fibroblast, Ultherapy or Kybella would be the best? (photos)

Question

Hi, I was wondering if you could provide me with some advice as to what I would need to do to get my cheeks back again. I have turned 40 and lost a stone and a half & have lost the plumpness in my cheeks. It's like my face has dropped. It's knocked my confidence so much and I hate catching a glimpse in the mirror. As well as attaching the photos of how I look now I have also attached one of what my face looked like before. Is there something you could recommend? Kind Regards Helen

Kimberly Butterwick, MD · Answer

Based on your description and photos, you would benefit from a few sessions of Sculptra to revolumize the face to restore some of the youthful volume. For lifting and reshaping the face, I would suggest the minimally-invasive procedure known as the Silhouette InstaLift. During the procedure, I insert sutures into the underlying tissue, which lift and shape the area. The sutures dissolve over time but trigger the body to produce more collagen to extend the benefits of the procedure well beyond the life of the sutures. With the combination of those two procedures, you will have both a beautiful face and your slim new figure. The treatment does not require any anesthesia and there is no downtime afterward. Local injections of lidocaine keep you comfortable throughout your 45-minute procedure. 
  
I encourage you to find a board-certified dermatologist that offers this procedure and schedule a consultation. Through an in-person examination and detailed discussion of your concerns and goals, your doctor can create a customized treatment plan that will meet your needs beautifully.

Alan Gonzalez, MD, FACS · Answer

The treatment will depend on the expectations you have. What is sought in a facial rejuvenation (lifting), is that everything returns to its position, the characteristics of the cheekbone projection and the definition of the mandibular contour returns to its original form. This procedure is surgical; it's called a facial rejuvenation or lifting, in this procedure, the scars are periarticular.  It is a surgery where we pull back of muscles and ligaments  to the way they used to be.If you are thinking in a treatment to control aging and improve a bit of the aspect with no surgical treatments, definetly the best way is with fillers. In this case, I specifically think the hyaluronic acid and the radiesse in addition to the associated technologies, such as the ulthera will helps to produce more tension in the skin and the decrease of the laxity skin .It is important to be clear that in these technologies the effects are not immediate, the resultswill show in  3 to 6 months approximately.  The results are also temporary, on average 1 year to 18 months.
A surgical treatment will never compared with a non-surgical treatment in terms of the characteristics of the harmony  and additionally in terms of the characteristics of the duration of the result.
From the perspective that my experience allows me to give to a case like the one I see in the photo, I think that the ideal treatment would be to do a facial rejuvenation treatment, which is a surgery and later, for maintaining the skin and control expression lines apply non-surgical treatments that will give you results that will maintain longer over time.

Ron Shelton, MD · Answer

It appears that there is some asymmetry of your facial volume and one cheek is more deflated than the other. If you have not had any fillers, you should consult with a doctor about this as the loss of deep fat in our fact which occurs after our 40's can make the facial skin droop from a lack of support.Volume restoration, Ultherapy ultrasound skin tightening and the use of Alastin Restorative Complex may help improve your elasticity and help lift some of, but not all, the facial drooping.Kybella will dissolve fat and make things worse.The information provided in Dr. Shelton's answer is for educational purposes only and is not intended to constitute medical advice.  The information provided should not be relied upon as a substitute for consultations with a qualified health professional who may be familiar with your individual medical needs.

Ammar Mahmoud, MD · Answer

Hi Helen! 
Thank you for your question! The treatment we use at our practice for gaining elasticity and plumpness back in you cheeks is the ProfoundRF treatment by Candela Medical. It is the only FDA approved technology that can stimulate the production of Elastin. Elastin is a key protein and is vital to creating tighter an plumber skin. ProfoundRF also helps the body to stimulate the release of collagen and hyaluronic acid as well. It is a one time treatment and is said to on average give patients a results equivalent to 37% of an actual face-lift. How it works is through needles, that emit radiofrequency under the skin at approximately 68 degrees celsius for 4 seconds, through a series of insertions. Local numbing cream is used in the area and a treatment lasts up to 1-2 hours. Downtime is approximately 3-5 days. The ProfoundRF not only helps plump and tighten the skin but also helps minimize the jowl area and double chin areas giving the patient a more defined and contoured jawline. Results are seen between 1-6 months and continual improvement is noted throughout the year.
Best, Dr. Mahmoud

I want my youth and elasticity back!! I was wondering if Fibroblast, Ultherapy or Kybella would be the best? (photos)

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