Dimples or wrinkles? What can I do to get rid of them? (photo)

Thank you for your question and photo. These lines can usually be addressed with a bit of well-placed filler. There are a number of products today that treat this area with extremely good results. For example, Restylane Refyne and Defyne are specifically formulated to fill in lines in the lower face without compromising your ability to make natural facial expressions. I encourage you to schedule a consultation with an experienced, qualified injector who can assess you in person and create a customized treatment plan based on your precise needs and goals.

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

this is loose skin and volume loss. will need morpheus and threads in the office. starting laser resurfacing like moxi or CB as lighter treatments. at home peels like cosmelan, enlighten and aerify along with dermarolling (EmerageSkin roller with anteage AERIFY MD ampules weekly, see link) should be started now to prevent further aging.

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.

The kind of wrinkling that is seen around the mouth upon smiling is referred to as parallel laugh lines. The use of a cohesive filler fanned through the region of wrinkling can act like strut supports under the skin surface to diminish these lines with expression. Belotero Balance and RHC 2 can work well for this purpose. Make sure to consult with a board certified aesthetic physician and an expert injector and of course ask to see his/her personal befores and afters of people treated for this condition before agreeing to proceed. Best of luck.