32 YO woman afraid of fillers, what alternative recommendations are available for volume loss in the face after kids? (Photo)

"I suggest reaching out to an expert for a formal consultation. I like to recommend my patients start a combination of facial rejuvenation treatments.

1) Skincare with products and microneedling/PRP
2) PDT Light Therapy a few times per month with growth factors
3) Laser treatments like Clear + Brilliant regularly and others (Fraxel, Moxi, Viva, CO2, Erbium, Halo) a few times per year
4) Sculptra injections a few times per year for collagen production with fillers like Juvederm, Restylane, Belotero, Radiesse, and/or Bellafill
5) Thermage/Ultherapy for yearly skin tightening with or without PDO or cone-based Instalift threads for lifting
6) Botox every 2 to 3 months to stop movement lines and prevent lines at rest

Best, Dr. Emer."

Thank you for your question and for providing your picture.  It is understandable that you may feel anxiety especially if you have a history of dermographism.  In my opinion, fillers are the best option when it comes to adding volume to the face.  I would recommend scheduling a consultation with an experienced doctor to provide a proper evaluation and alternatives for your needs.  All the best!

I would recommend two procedures for you.  First I would recommend Thermage since it will tighten the skin and product more collagen  Next, I would recommend Sculptra for you as it is a slow natural process whereby you form your own collagen.  When people talk about the risk of blindness in injections of the eyes this is an area you can avoid treating.  Please consult an expert in cosmetic facial injections to help you.  Best, Dr. Green

Hello and thank you for your question! Although injecting with a microcannula reduces a lot of the scary risks involved with dermal filler, your anxiety about the procedure is completely understandable. No one needs any of these aesthetic procedures! Some alternatives for volume loss are microneedling and Ultherapy which are known as CIT (collagen induction therapy) treatments. The SkinPen is a great microneedling device that helps improve fine lines and wrinkles and requires little to no downtime. Ultherapy uses ultrasound technology to deliver focused energy deep into the dermis which allows the body's soft tissue to contract and is the only FDA approved device to lift and tighten. I highly recommend an in-person consultation with an expert to discuss treatment options. 

I understand your concerns.  Complications from injectable treatments do occur, but they are extremely rare in experienced hands.  Injections in the midface and lower face anatomically will not result in blindness, only treatment around the eyes carries this as a potential issue.  Since you have lost overall volume, you may want to consider Sculptra or your own fat.  Scultpra is semi-permanent and great for overall volumization.  I don't often recommend it, but you are the perfect candidate.  Autologous fat grafting is also a great, permanent option but would involve a surgical procedure.  I would see a board certified plastic surgeon to discuss your options.  Best of luck!

Stress, pregnancy as well as ageing can cause severe facial volume loss. In my opinion the single best way to restore volume and youth is with the use of patient's own fat. In the hands of an experienced fat grafting plastic surgeon the procedure of restoring facial volume produces natural and permanent results. I have performed thousands of such procedures with absolutely no Ill effect, it is one of the safest plastic surgery procedures. Make sure you find a competent plastic surgeon near you. Good luck from York City