Thank you for your question judegreeneyes. There are a variety of cosmetic treatments used to enhance the appearance of the face. For example, Botox is a purified protein used to address wrinkles associated with facial expression such as the horizontal lines seen on the forehead when one raises the brows and the vertical lines between the brows seen when one frowns. If deep wrinkles are visible at rest, they will not always disappear completely with Botox. Fillers such as Juvederm, Restylane, and Voluma can restore volume in the lower face. Chemical peels can be used to enhance the color and texture of the face. For my patients with significant damage I recommend fractional CO2 laser resurfacing as it can address a number of concerns, but there is 1-2 weeks of recovery time. I treat my patients with a history of cold sores with valcyclovir (Valtrex) 500 mg by mouth daily for one week starting one day prior to the treatment. Please consult with
a doctor for specific recommendations. Good luck!
Thanks for the questions and the photos. If you're only concern is getting rid of wrinkles, then there are a lot of non surgical options. If you're more concerned about the laxity and descent of your facial tissue, then surgery is the best option. In my opinion you would be able to see a lot of improvement in your forehead with some botox and very superficial filler for the lines using belotero or restylane silk. In order to improve wrinkles on your cheeks (not your nasolabial fold) then a laser or peel will be able to help improve your skin texture. These procedures do require some down time to recover. It sounds like you have a good relationship with your plastic surgeon. Set up a time to talk to them about your non-surgical options. Best of luck!~Dr. Sieber
Facial Aging and Lasers like Fraxel/Clear + Brilliant, RF like VIVA, Peels, Fillers, Skin Care, Face Lift, Fat Injections
Fillers, sculptra and fat can be used for facial voume, but lasers, microneedling/PRP and RF treatments can be used for wrinkles and tightening. I suggest you see an expert for a consultation. Best, Dr. Emer.