How to improve my face? (Photo)

Question

I'm looking for some advice on what to do to help my acne scarring and make my face look younger and healthier. I am in my mid 30s and recently went through a very stressful event that has had an impact on my health and looks. As a result, I have quickly lost weight which has left my face looking gaunt and haggard. My nasiolabal folds are also prominent which is making me self conscious as it's aging me a lot. I have a lot of old acne scars and volume loss in my right cheek (under the scars).

Nelson Lee Novick, MD · Answer

Relax. A Field Subcision accompanied by the use of a volumizing HA filler would take care of BOTH problems--the overlying acne scars and the volume loss of the cheeks. I personally have before and after photos of persons with exactly these same issues that have been treated in this fashion with extremely gratifying results. No doubt in your search, you are going to offered this or that latest, expensive, "bells and whistles" fraxel lasers or RF treatments. Keep in mind, however, that the use of these supposedly "next big thing"  light and energy-based devices is backed by a whole lot of marketing hype and social media buzz, but not a whole lot of hard science. So, "buyer beware" when being hawked those kinds of treatments. You would be wise to make sure to consult with an experienced, board certified cosmetic dermatologist filler and scar treatment expert. And make sure to ask to see his/her before and after photos of Field Subcision+ HA Filler before agreeing to proceed. Best of luck.

Anna Chacon, MD, FAAD · Answer

Considering your concern, I would recommend the following potential treatment options:

1. Dermal Fillers: These can be used to address the volume loss in the patient's right cheek and nasolabial folds. Fillers can add volume and smooth out the skin's surface, giving a more youthful appearance.

2. Laser Skin Resurfacing: This treatment can help minimize the appearance of the acne scars. It uses focused light technology to remove the outer layer of the skin and stimulate the growth of new, healthy skin cells.

3. Chemical Peels: This could be an option for overall skin rejuvenation, helping to improve the skin's texture and appearance.

4. Microneedling: This treatment induces collagen production and can help with both acne scarring and overall skin rejuvenation.

5. Stress Management: Given the significant stress reported by the patient, it may be beneficial to refer them to a mental health professional or a stress management program. This could help them manage their stress better and potentially prevent further weight loss and changes to their appearance.

Camille Cash, MD · Answer

There are different options you can consider to help you feel more refreshed.  Fillers are a great way to restore lost volume.  You can consider HA fillers which give immediate results and can be dissolved if necessary.  Longer lasting options include Sculptra or Renuva.  Reneva gives the immediate benefits like HA fillers but is different in that the injected area is gradually replaced by your own fat.  For skin texture issues you can consider laser resurfacing.  Other options include Morpheus8 and SkinPen.

Tanisha Hutchinson, MD · Answer

I would suggest working on the skin first with radiofrequency/microneedling. This will improve the acne scars and provide some tightening and improved texture to the skin as well. Then you could restore the lost volume with either fillers or a facial fat transfer.

Leonard Grossman, MD · Answer

One of the main reasons as to why a person can look older and have a significant amount of facial volume is stress. Before you attempt to undergo any kind of treatments or surgery, I would recommend that you recover completely from the stressful situation and feel good about yourself.  Most if not all the volume should come back. If you find yourself that you still don’t like the way you look, you can restore the facial volume By having fat grafting performed. In the right hands, their results are extremely natural and permanent. I hope this helps and good luck from New York City Plastic Surgery.

How to improve my face? (Photo)

Answers (5)

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