Don't like the creases on my-lips Also would like my lips fuller they have shrunken my eyelids are baggy and I got fat pockets under my eyes
Should I get a facelift or should I get fillers and Botox like to look younger? (photo)
Doctor Answers 23
Surgical vs Non Surgical Facial Rejuvenation...HOW to decide?? Ask Dr Ellen
Specific treatment with fillers will add volume to your lips and some modest contour to your face. Most of your facial lines are the result of gravity, not animation, so the value of Botox as a solution to reduce your type of lines is not great.
Non surgical facial rejuvenation seems to have the best results in individuals who have early signs of facial aging. In my experience, once the lower face and neck show drooping, the fillers and neurotoxins become less successful and require multiple repeat treatment.
With that said, I think your best bang for the buck would be to consider a surgical plan that would restore a youthful shape to your face/neck and lift your eyelids/ debulk the fatty tissue.
Thanks for asking! Dr Ellen
Surgical Facial Rejuvenation
This procedure if often combined with eyelid surgery which again can be performed under local anaesthetic, only taking approximately 1.5 hours. Please find a reputable and qualified surgeon who can assess you properly to give you a realistic idea of what outcome you can achieve. All The Best
A surgical facelift is a better option for you
You might also like...
Eyelid surgery and injectibles (Botox and Fillers)
Fillers/botox v facelift
Once a person gets into the late forties to early fifties the knife usually beats the needle in terms of return on investment.
Botox and fillers for early aging, facelift for comprehensive rejuvenation
While it is tempting to pick out specific features, a facelift is for the changes that occur with aging of the neck, jowls, and cheeks. There are options for the eyelid area which may include fillers or surgery. Botox is most often used in the upper face for crow's feet and furrows between the eyebrows. So each option has its own best use.
Fillers and Botox Are for Early Signs of Aging
In my opinion, fillers and Botox wouldn't make enough of a difference to feel satisfying to you. A facelift with fat grafting will give you a much more dramatic rejuvenation -- turning the clock back by about 10 years. From your photo, you would also benefit from blepharoplasty to remove the fat pads and excess skin around your eyes, and from a browlift. Laser resurfacing of the skin would not only even out the tone and texture but stimulate the production of new collagen. A facelift will last about 10 years. Fillers and Botox must be re-administered every few months to a year. I hope this helps
Should I get a facelift or should I get fillers and Botox like to look younger?
Eyelid surgery with a facelift would be appropriate.
Find a plastic surgeon with ELITE credentials who performs hundreds of facelifts, necklifts, facelift revisions, and facial procedures each year. Then look at the plastic surgeon's website before and after photo galleries to get a sense of who can deliver the results.
Kenneth Hughes, MD
Los Angeles, CA
Surgical vs Non-surgical Facial Rejuvenation
Both surgical and non-surgical treatments can enhance one’s appearance. For the specific concerns you mentioned “eye bags and fat pockets near the eyes” surgery is best option. Fillers can temporarily decrease the hollows and the appearance of bags in the lower eyelids but won’t have a significant impact on the upper eyelids. A Facelift will re-contour the face and neck to create a more youthful silhouette but it will not address the lip lines. This can be treated with filler or laser procedures. Most rejuvenation procedures require multiple different treatment modalities for the most natural and long lasting results.
Fillers or facelift
You attcched photo shows considerable sagging of the face and jowls as well as heavy upper lids .Botox would likely dissapoint you as to the overall improvement in your appearance. Certainly an upper lid bleparoplasty is needed and it might be wise to save the expense of fillers and attribute those funds to getting a facelift now or in the future.
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.