I am 64. What can be done for me? It is like my skull is shrinking and my skin is hanging. (Photo)

Question

I am not sure what treatment to have. I have been told I need filler. But if my entire face had filler it would need to be pretty full to push out the wrinkles. I need an expert to tell me what I need or is there hope for me? I haven't selected a doctor yet. Whatever would give me the best results. Thank you!!

Raffy Karamanoukian, MD, FACS · Answer

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

Jason Emer, MD · Answer

FaceTite can internally tighten the skin in the lower face and neck. After all the skin has been heated and contracted, we shape the neck with liposuction to give definition and remove stubborn pockets of fat. In one quick treatment, we can tighten skin, remove fat, and contour the lower face, jawline, and jowls with only a weekend of downtime.  Keep in mind that combination approaches will give you a more significant improvement as opposed to a single procedure. I recommend getting a consultation with a board-certified cosmetic dermatologist and facial sculpting expert. Best, Dr. Emer

Jean M. Casello, MD · Answer

From your photo it would seem that a surgical procedure would give you the best results.  If you do not want to undergo surgery than there are noninvasive procedures that would give you some improvement . Fillers and/or fat transfer would provide lift and volume to the upper face. Laser resurfacing with C02 laser (lumenis accupulse) would soften the wrinkles and provide some tightening. A tightening procedure (lutronic infini ,profound or ultherapy) would tighten some of the skin laxity.  You should consult with an experienced provider who can best advise you.

William Portuese, MD · Answer

A lower face and neck lift going to be required to tighten loosening last skin in the face and neck.  Cheek implants would be of some benefit to restore lost volume in the midface as well.

Daniel Taheri, MD · Answer

Greetings,
Ultherapy is a great alternative to adding filler and tightening the skin. It is a nonsurgical alternative to a facelift. It uses ultrasound technology to counteract signs of aging like skin sagging and wrinkles on the face, neck, and chest. The FDA-cleared technology stimulates collagen production, which should create a more youthful look overall. Also, Bellafill is one of our favorite fillers to also stimulate. collagen production.
We hope this helps.

I am 64. What can be done for me? It is like my skull is shrinking and my skin is hanging. (Photo)

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Answer: 64-year-old facial skin tightening

Answer: 64-year-old facial skin tightening

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I am 64. What can be done for me? It is like my skull is shrinking and my skin is hanging. (Photo)

Answers (6)

Answer: 64-year-old facial skin tightening

Answer: 64-year-old facial skin tightening

Answer: Skin Tightening

Answer: Skin Tightening

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Recommended reading

Everything you need to know about Skin Tightening

Our mission is to create a world where every investment in modern beauty is Worth It.