When I smile I have many lines on my cheeks. I also have some issues with sunspots. Would Thermage or Ultherapy help? (Photo)

Thanks for your question and thanks
for including the photo as well. Both Thermage and Ulthera will work here and
you should see significant tightening from both. There is a pain component from
both procedures and both have newer protocols available to clinicians to
minimize this in most people. I do suggest that you consult with a board-certified
dermatologist or plastic surgeon to learn all the options, including some of
the other RF skin tightening procedures that people are doing, including the
Venus Legacy, the EndyMed 3Deep, and Ellman Pelleve that also can do some very
nice skin tightening.



My concern for you and question for
you is that you say you have had a reaction to Botox in the past. This is very
unusual, and one would like to know what you had done and what you think you
reacted to. Botox is an incredibly safe procedure in the right hands, there are
no allergic reactions or things like that, and if you had a side effect, most
all of that is injection technique, not due to the product per se. Have the
right consultation, learn the facts, and do the procedure that feels right.