Fat loss in the lower face. Would I be considered as a candidate for a lower lift? 33 y/o concerned about smile lines. (photo)

TCA peel under local with Facetite and Morpheus together at the same time for roughly $5000 would make a hugh improvement to help you look amazing again.

Thank you for your question and photo. You may benefit from a combination of dermal fillers and RF microneedling to reduce the appearance of the lines you’re referring to. Dermal filler can effectively support and restore volume by adding hyaluronic acid back into the dermal structure, producing supple results that can last for up to a year or more.
RF microneedling treatments can increase the body’s collagen, elastin, and hyaluronic acid production to restore the skin’s elasticity and create a smooth result that can last for over five years. I recommend scheduling an in-person consultation with an experienced, board-certified facial plastic surgeon or injector. They will be able to discuss your concern with you and help you decide on the best approach to achieve your aesthetic goals.

A combination approach would give the most improvement. Deep wrinkles and smile lines can be improved with a combination of Botox and/or fillers for the lines themselves and to build anatomical support with Sculptra for collagen building. Ultherapy is a great skin tightening device, but works best in combination with other treatments like J Plasma, RF treatments, lasers, microneedling/PRP, salt facials, Cosmelan for skin tightening and improve skin tone. I recommend getting a formal evaluation with an expert. Best, Dr. Emer

Parallel laugh lines, as seen in the photos, are a relatively common problem. For years, I have obtained gratifying results using a cohesive, low viscosity HA filler fanned throuigh the area beneath and supplemented, if necessary, with small intradermal boluses along the more resistent portions of the lines. Make sure to consult with an experienced, board certified cosmetic dermatologist and best of luck.