Why do I do about this sudden sagging and etched lines?

Question

Why do I do about this sudden sagging and etched lines? I've on monjaro for to months but only lost 6lbs so not significant weight loss. 2 years pot menopausal.

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy 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. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Anna Chacon, MD, FAAD · Answer

Hello,

Experiencing sudden sagging and etched lines can be concerning, especially when changes in weight have been minimal. Here are some potential considerations and steps you can take:

Consult with a Dermatologist:
It's important to have a professional evaluation to determine the underlying causes of the changes in your skin. A dermatologist can assess whether hormonal changes, such as those associated with menopause, are contributing to the skin’s appearance.

Skin Care Regimen:
Incorporate skincare products that promote collagen production and improve skin elasticity. Look for ingredients like retinoids, hyaluronic acid, and peptides, which can help reduce the appearance of fine lines and improve skin texture.

Non-Surgical Treatments:
Consider non-invasive treatments such as laser therapy, radiofrequency, or ultrasound treatments (e.g., Ultherapy) that can stimulate collagen and tighten the skin.
Dermal fillers or neuromodulators (e.g., Botox) might be options to address etched lines and restore volume.

Lifestyle and Nutrition:
Ensure you are maintaining a balanced diet rich in antioxidants and staying hydrated, as these can support your skin's health.
Regular exercise can improve circulation and overall skin tone.

Hormonal Factors:
Since you are post-menopausal, hormonal changes could be affecting your skin. Discuss with your healthcare provider whether hormone replacement therapy or other interventions might be appropriate for you.

Review Medication Effects:
While Monjaro is primarily used for weight management, discuss with your healthcare provider any potential side effects it may have on your skin, even though weight loss has been minimal.

Best regards,

Camille Cash, MD · Answer

An exam is needed for the best recommendation but there are several options.  Fillers such as Sculptra or Renuva can restore volume and can provide long lasting results.  Mild to moderate sagging can be addressed with treatments such as FaceTite.  This minimally invasive procedure uses RF technology to tighten skin.  Results can be enhanced by adding Morpheus8 treatment.  Visit my website or a provider near you to learn more.

Why do I do about this sudden sagging and etched lines?

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