How to treat my lower face fat, marionette lines and pre-jowl sulcus? (photo)

Addressing concerns such as lower face fat, marionette lines, and the pre-jowl sulcus can involve a combination of treatments, especially if fillers tend to resolve quickly for you. Here are some options to consider:

Alternative Injectable Treatments:

Sculptra: Unlike traditional fillers, Sculptra works by stimulating collagen production over time, which can provide a more gradual and longer-lasting improvement.
Radiesse: This is a calcium hydroxylapatite-based filler that can provide both immediate and longer-lasting results by stimulating collagen.
Skin Tightening Procedures:

Radiofrequency Treatments: Procedures like Thermage or RF microneedling can help tighten skin and improve the appearance of marionette lines and jowls by stimulating collagen production.
Ultrasound Therapy: Consider trying other ultrasound-based treatments like Ultherapy, which can target deeper layers of the skin for more effective tightening.
Fat Reduction and Contouring:

Kybella: This injectable treatment can help reduce localized fat, particularly in areas like the jowls or under the chin.
CoolSculpting or Liposuction: For more significant fat reduction, these options can remove excess fat and improve facial contours.
Surgical Options:

If non-surgical methods do not achieve the desired results, a consultation with a plastic surgeon for procedures like a mini facelift or neck lift might be appropriate.
Lifestyle and Skincare:

Incorporating a good skincare regimen that includes retinoids, antioxidants, and peptides can support skin health and improve overall texture and elasticity.
Consult with a board-certified dermatologist or plastic surgeon to discuss these options and tailor a treatment plan that suits your specific needs and goals. They can provide a comprehensive evaluation and help determine the best approach considering your history with fillers and desired outcomes.