Advice about laser CO2/Morpheus8/Thermage? What would be best to tighten my jawline? (Photo)

Question

39 years old. Extensive damage to skin from substance abuse and sun. I have been so we for 2 and a half years, but I look in the mirror and can't help but obsess over what ive done to my skin. I am seeking to rid these small jowl/smile areas. I need to tighten my skin and some lift. Already have spent thousands on fillers and botox, I feel like I am being taken advantage of. Need honest advice please. What would be best to tighten my jawline, tighten lift. Co2 laser, thermage, mortheus8?

Raffy Karamanoukian, MD, FACS · Answer

Fractional CO2 laser is an excellent tool for skin rejuvenation in our center in Santa Monica. We use the fractional multi-depth ablative approach to help resurface the skin, recontour acne scars, improve incisional plastic surgery scars, and reduce surface irregularities from skin tone to dark pigmentation. Our approach utilizes a multi-depth approach that targets melanocytes in the epidermis and collagen fibroblasts in the dermis. This approach can be combined with a TCA Peel in a process known as a sapphire peel. Fractional laser is excellent for acne scars and contour scars in the skin. Patients are advised to undergo skin protocols with Melarase creams before and after treatment to help reduce pigmentation. Melarase AM, Melarase PM, and Melapads can seriously improve surface sun damage and UV related pigmentation. After the laser, we expect redness for a few weeks as the skin improves. PRP and Hydrafacial enzyme facials can further improve skin quality after fractional co2.

Best,
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

For a more defined jawline to strengthen your profile (and help prevent the dreaded jawline "jowl" sagging), we use injectable fillers like Revanesse Versa - a filler known to limit swelling and give subtle, soft enhancements - or Radiesse. Using a cannula to limit pain and swelling, we inject on the bone in strategic points to get more lift and shaping, resulting in a more contoured lower face and defined, structured jawline. I would suggest getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer

Ryan Rebowe, MD · Answer

Based on your pictures, it appears that you have some contour irregularities of the skin along with dyschromia. Because of this, a CO2 laser would help considerably with the appearance of the skin. In terms of the excess skin there really does not seem to be a significant amount, but this is difficult to tell without an in person physical exam. I would start with the laser procedure and then see if any additional tightening is necessary.

Camille Cash, MD · Answer

Morpheus8 is a great tool to improve overall skin tone and texture.  Three treatment sessions are recommended for optimal results.  You can also consider combining it with AccuTite which can tighten skin up to 40%.  We always recommend using medical grade skin care products like Transform MD and wearing sunscreen every day.

Advice about laser CO2/Morpheus8/Thermage? What would be best to tighten my jawline? (Photo)

Answers (4)

Answer: Tighten skin

Answer: Tighten skin

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Everything you need to know about CO2 Laser

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Advice about laser CO2/Morpheus8/Thermage? What would be best to tighten my jawline? (Photo)

Answers (4)

Answer: Tighten skin

Answer: Tighten skin

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Recommended reading

Everything you need to know about CO2 Laser

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