Should I continue with Botox in dao muscle & filler or fat dissolving? Which I’ve never had? (Photo)

Question

Hello, IIhavehad Botox/filler & threads to help eliminate or soften the marionettes? I have no saggy skin, so very unsure of what else to do. The doctor has a good understanding on this area & 15 years in the industry so I’m perplexed. ps it’s only visible in certain lighting. Thanks Ps I am 46 years old if that helps.

Jason Emer, MD · Answer

For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in person or virtual consultation to develop a custom and effective treatment plan.  It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.

Leonard Grossman, MD · Answer

What happens to every individual as they age is that they lose volume in the face in the form of fat and muscle bulk. As the person ages, their face becomes somewhat deflated and collapses around the mouth and the nose creating what appears to be excess fat bulges, which is really not the case. Through a procedure of fat grafting to the face, the face should be rejuvenated in the most natural manner making you look exactly like you used to some 15 or 20 years ago. When fat grafting is performed by Plastic surgeon with a great deal of experience in such procedures, the results are natural and practically permanent. I hope this helps and good luck from New York City Plastic Surgery.

Brooke R. Seckel, MD, FACS (retired) · Answer

Thank you for your question.  It is perfectly normal as we age that the lower face becomes more squared iand the face less  egg shaped.

In my experience threads are ineffective and Botox in the DAO will not correct the early formation of jowls which create the marionette line.

The definitive treatment of course is a lower face and neck lift however you are very young and may not want to progress to that stage at present.

If you want to continue with nonsurgical methods I would recommend midface filler to plump the cheeks along zygoma which will restore the egg-shaped face and make the face look more youthful.

If you do have midface filler I would go on with the DAO Botox.  At some point you are going to want a lift for definitive treatment.

Should I continue with Botox in dao muscle & filler or fat dissolving? Which I’ve never had? (Photo)

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Should I continue with Botox in dao muscle & filler or fat dissolving? Which I’ve never had? (Photo)

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