Frown lines - would microneedling assist with tightening the bunched skin?

I think that fat grafting would be a good idea to cover these frown lines. If you are going to have micro needling you can also have fat grafting for this purpose. Micro needling will improve your skin texture and can be combined with SVF, nano fat grafting, and other mesotherapy agents.

Fractional laser is an amazing and highly effective treatment in our office. We use the laser treatment to help with acne scars, large pores, fine wrinkles, tissue collagen loss, scars, sebaceous hyperplasia, active acne, and for brightening dark pigmentation. Although there are very strong fractional lasers such as CO2 laser, we use lighter treatments for corrective skincare and maintenance of results. Our Thulium fractional laser, clear and brilliant laser, and Ultra Thulium laser are excellent options in our clinic. We also perform CO2 fractional and erbium depending on skin tone and tolerance for downtime. Patients do have to use a Melarase cream before and after treatment to help further reduce pigmentation after laser. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. Dark spots can improve with these treatments. I recommend fractional laser for incisional scars as well, especially after plastic surgery.
Best,
Dr. Karamanoukian
Realself100 Surgeon

I have been performing microneedling for about twenty-five years. It is best reserved for treating superficial, surface texture and color irregularities, More defined static creases, such as those from the repetitive movement of the frown areas muscles, are unlikely to be appreciably benefited by microneedling. However, for static creases (skin creases at rest) the use of a low viscosity, malleable, cohesive HA filler, especially when Botox is concomitantly used for motion related component, can be quite effective for this issue. You would be wise to consult with a board certified cosmetic dermatologist injector expert. Hope this helps and best of luck.

Microneedling can be a beneficial treatment for addressing skin laxity and improving the appearance of static lines, such as those in the frown line area. It works by stimulating collagen production, which can enhance skin texture and firmness over time. While microneedling can help with mild skin laxity, the results may vary depending on the severity of the laxity and individual skin response.

It is often used in conjunction with other treatments, like Botox, to optimize results. Botox will help relax the muscles and prevent further deepening of lines, while microneedling can improve the skin's surface and elasticity. However, for more significant tightening, other treatments such as laser therapy or radiofrequency might be more effective.

It's important to have a thorough consultation with a dermatologist or a qualified aesthetic professional to assess your skin and discuss your goals. They can help determine the best treatment plan tailored to your specific needs. If you have any concerns or questions, feel free to reach out to a dermatologist for personalized advice.

From the submitted photo you appear to be a good candidate for Morpheus8. This treatment combines RF technology with microneedling to improve overall skin tone and texture. It can be combined with Botox and other treatments safely. We also recommend using medical grade skin care products like Transform MD and wearing sunscreen every day. I've included a video I hope you find helpful.