26yo, 170cm, 66kg woman. What should I do to my face? (Photos)

Question

Hi. I have been lately feeling really sad about my facial appearance. I am a 26yo, 170cm & 66kg woman. Could you give me some suggestions, what procedures could improve my facial aesthetics?

Anil R. Shah, MD · Answer

Hello! My name is Jessica, I am a physician assistant, and one of the providers at Aesthetic Skin in Winnetka and Chicago. This is a great question. Based on your concerns, I recommend treatments with CO2 resurfacing lasers to improve skin texture, tone, and minimize fine lines and wrinkles. 
CO2 laser resurfacing is a powerful treatment that offers several benefits for improving the appearance and texture of facial skin. Additional benefits of CO2 resurfacing lasers includes:

Wrinkle Reduction: CO2 laser resurfacing effectively reduces the appearance of fine lines and wrinkles, including deeper lines around the eyes and mouth, by stimulating collagen production and promoting skin tightening.

Improvement of Skin Tone and Texture: The laser targets and removes damaged outer layers of skin, revealing smoother, more even-toned skin underneath. This can help diminish sun spots, age spots, and other pigmentation irregularities.

Scar Revision: CO2 laser is effective in treating acne scars, surgical scars, and scars from injuries by promoting new skin cell growth and smoothing out uneven scar tissue.

Skin Tightening: By heating the deeper layers of the skin, CO2 laser resurfacing can promote tightening of loose or sagging skin, particularly effective in areas like the cheeks, jawline, and neck.

Long-lasting Results: While multiple sessions may be needed for optimal results, the effects of CO2 laser resurfacing are long-lasting, often providing significant improvement in skin quality for years after treatment.

Minimal Downtime: Despite its effectiveness, modern CO2 laser technologies often minimize downtime compared to older generations of lasers. Recovery typically involves a few days to a couple of weeks of redness and peeling, after which the skin gradually improves in appearance.

I hope this helps and best of luck!

Raffy Karamanoukian, MD, FACS · Answer

Ultherapy is a non-invasive procedure that lifts the neck, chin and brow, and improves lines and wrinkles on the upper chest. As we age, collagen breaks down, resulting in loss of skin strength and elasticity. For tissue tightening, Ultherapy is ideal for the lower face and neck and we often combine it with CO2 laser or Morpheus8 to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Anna Chacon, MD, FAAD · Answer

I'm sorry to hear that you're feeling this way, but it's great that you're seeking advice. Improving facial aesthetics can involve a variety of approaches, ranging from non-invasive treatments to more involved procedures. Here are some options you might consider, keeping in mind that it's important to consult with a qualified dermatologist or plastic surgeon to discuss what’s best for you:

### Non-Invasive Treatments:
1. **Skincare Routine**: 
   - **Cleansing**: Use a gentle cleanser suited to your skin type.
   - **Exfoliation**: Exfoliate 1-2 times a week to remove dead skin cells.
   - **Moisturizing**: Use a good moisturizer to keep your skin hydrated.
   - **Sunscreen**: Apply sunscreen daily to protect your skin from UV damage.

2. **Chemical Peels**:
   - Help improve skin texture and tone by removing the outer layer of dead skin cells.

3. **Microdermabrasion**:
   - A procedure that gently exfoliates your skin to improve texture and tone.

4. **Microneedling**:
   - Stimulates collagen production to improve skin texture and reduce scars.

5. **Laser Treatments**:
   - Can address pigmentation issues, fine lines, and skin texture.

6. **Botox and Fillers**:
   - Botox can reduce the appearance of wrinkles and fine lines.
   - Dermal fillers can add volume to areas like the cheeks and lips, and smooth out deep lines.

### Minimally Invasive and Surgical Options:
1. **Rhinoplasty**:
   - Surgical reshaping of the nose if you're unhappy with its appearance.

2. **Blepharoplasty**:
   - Eyelid surgery to remove excess skin and fat, giving a more youthful appearance.

3. **Facelift**:
   - A surgical procedure to tighten and lift sagging facial tissues.

4. **Chin Augmentation**:
   - Enhances the chin's appearance, often balancing facial proportions.

### Lifestyle and Home Remedies:
1. **Healthy Diet**:
   - Eating a balanced diet rich in fruits, vegetables, and lean proteins can improve skin health.

2. **Hydration**:
   - Drink plenty of water to keep your skin hydrated.

3. **Regular Exercise**:
   - Helps improve circulation and overall skin appearance.

4. **Adequate Sleep**:
   - Ensure you get enough sleep to allow your skin to repair and rejuvenate.

### Mental and Emotional Health:
1. **Self-Care**:
   - Engage in activities that make you feel good about yourself.
   
2. **Counseling or Therapy**:
   - If feelings of sadness about your appearance are significant, talking to a mental health professional might be beneficial.

### Consultation:
- **Dermatologist or Plastic Surgeon**:
   - Schedule a consultation to discuss your concerns and get personalized advice.

Remember, everyone has unique facial features, and what works for one person may not be suitable for another. It's essential to set realistic expectations and choose treatments that align with your personal goals and health.

Nelson Lee Novick, MD · Answer

From the photos provided, there would appear to be a rather simple and quick and immediate solution. The use of a robust HA volumizing filler for a cheek augmentation would accomplish two objectives at once. It would contour a more ideal, feminine heart-shaped oval face (and improve the ogee curve) and since the upper cheeks are the major supports for the under-eye areas, it would at that same time improve the under-eye hollows and incipient tear trough deformities present. Treatment in experienced hands should take no more than ten to fifteen minutes and the results of the treatment are immediate (and typically evokes a "Wow!" response) and engenders little to no significant downtime. 
You would be wise to consult with a board certified cosmetic dermatologist filler expert and best of luck.

Camille Cash, MD · Answer

You are never too young to begin a great skin care routine.  We recommend using medical grade skin care products like Transform MD and wearing sunscreen every day.  Other options to keep facial harmony include Botox, fillers, and treatments like Morpheus8 to improve overall skin tone and texture.

Daniel P. Markmann, MD · Answer

Hello Kind.... 
As a plastic surgeon, I analyze faces every day and am happy to make recommendations for specific issues that concern a patient.    In my opinion, you have beautiful facial features.   There are 2 things I would recommend...   
First of all: Smile!   There is absolutely nothing more attractive than a beautiful smile.  
Secondly:  Consider non surgical makeover options!   Try makeup or a more flattering hair style or color!   It can make a world of difference.   There are Stylists that can make dramatic beauty enhancements to flatter your existing beautiful features.  
Unless there are specific concerns you have about your appearance, don't ask such an open ended question.   You may be given a shopping list of things that can be done.  But, that doesn't mean you need any of them!   Start with the basics!!!!  ....Please!!!

26yo, 170cm, 66kg woman. What should I do to my face? (Photos)

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