Sagging in the 30s - any advice? (Photo)

Question

Hi I noticed sagging in my face, especially nasolabial folds and marionnette lines. I also have hollow eyes. I would prefer to avoid fillers if ppssible, since I am concerned about migration effects. Any advices? I heard about RF but also about the risk of fat removal... Thanks!

Anna Chacon, MD, FAAD · Answer

Addressing facial sagging in your 30s, especially around the nasolabial folds, marionette lines, and under-eye hollows, can be approached with several non-invasive or minimally invasive options, particularly if you prefer to avoid fillers. Here are some alternatives to consider:

Radiofrequency (RF) Treatments:

Benefits: RF treatments can help tighten and firm the skin by stimulating collagen production. They are generally non-invasive and can improve skin laxity over time.
Considerations: While there is a potential for slight fat reduction with RF, this risk is typically low when performed by an experienced practitioner. Discuss your concerns with your provider to ensure the treatment settings are adjusted to minimize this risk.
Ultrasound Therapy (e.g., Ultherapy):

Benefits: This non-invasive treatment uses ultrasound energy to lift and tighten the skin by targeting deeper layers without affecting the surface.
Suitability: It can be effective for mild to moderate sagging and can be a good alternative if you’re concerned about the effects of fillers.
Microneedling with PRP (Platelet-Rich Plasma):

Benefits: Microneedling combined with PRP can enhance skin texture and elasticity by promoting collagen production. It can help with fine lines and under-eye hollows.
Considerations: This treatment is minimally invasive and generally well-tolerated, with minimal downtime.
Laser Treatments:

Benefits: Non-ablative lasers can help improve skin tone and reduce fine lines by stimulating collagen without significant downtime.
Consultation: Discuss with a dermatologist to determine the best type of laser treatment for your skin type and concerns.
Topical Retinoids and Skincare:

Benefits: Regular use of retinoids can improve skin texture and firmness over time by promoting cell turnover and collagen production.
Routine: Incorporate a comprehensive skincare routine that includes sunscreen, antioxidants, and moisturizers to support overall skin health.
Lifestyle Modifications:

Hydration and Nutrition: Maintain a healthy diet rich in antioxidants, stay hydrated, and ensure adequate sleep to support skin health.
Sun Protection: Consistent use of sunscreen can prevent further skin aging and sagging.
It’s important to have a detailed consultation with a dermatologist or aesthetic professional to assess your specific needs and determine the most suitable treatment plan. They can provide personalized recommendations based on your skin type, concerns, and desired outcomes.

Falguni Patel, MD, FACOG · Answer

Microneedling would not help with tightening of your skin, its going to help with more fine lines, wrinkles, pore size and hyperpigmentation.
The Morpheus on the other hand will help with tightening the skin, also, you will get all the microneedling benefits as well!
Nothing is a one and done treatment, you will need to do at least 3 treatments to maximize your results.

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

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Camille Cash, MD · Answer

You appear to be a good candidate for Morpheus8.  This treatment combines RF technology with microneedling to tighten overall skin tone and texture.  Typically three sessions are recommended for optimal results.  I've included a video on the procedure that I hope you find helpful.

Mustafa Aydinol, MD - Account Suspended · Answer

I believe what you need is an endoscopic mid face lift to support cheek volume and achieve an oval shaped youthful face. If you don't want to have such surgery then I think you should get collagen biostimulating fillers with non cross linked HA and PDDLA (Poly-D-L-Lactic Acid).

Sagging in the 30s - any advice? (Photo)

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