Get the real deal on beauty treatments—real doctors, real reviews, and real photos with real results.Here's how we earn your trust.
Long-term severe overexposure to the sun, especially when combined with cigarette smoking, are largely responsible for the appearance of a "prune face," i.e. the vertical, crinkly and often cross-hatched lines that typically may be seen on the cheeks and chin region. Up until recently these problems have been particularly difficult to treat nonsurgically. Home anti-aging creams, intended for treating age spots, discolorations, and very fine wrinkles and injections of fillers and volumizing agents, best suited to improving well-defined wrinkles and folds, have proven of limited value. More recently, I have found that a series of treatments, spaced at monthly intervals, consisting of microdroplets of certain filler materials injected in a grid pattern throughout the area alternating with mesotherapy injections (consisting of tiny amounts of hyaluronic acid, vitamins, amino acids, minerals, coenzymes, and antioxidants), to be quite effective in improving these difficult-to-treat areas. Microdroplets of filler material instilled in this manner have been shown to increase the production of collagen in the dermis presumably by stretching the collagen-producing cells, which in turn stimulates them to manufacture more collagen. The mesotherapy solution is believed to provide additional building block materials to further support new, rejuvenating collagen synthesis.
Juvederm and other dermal fillers are great for softening mild wrinkles and lines. If you post a pictures, we may be able to give you more specific advice. If you are looking to fill very deep folds or wrinkles , then a surgical intervention like facelift may be more appropriate. In either case, a consultation with a plastic surgery would be very helpful. Good luck.
Hi lkfs, Juvederm and other fillers such as Restylane, and Radiesse work well in the correction of "marionette lines" between the chin and nose. For lines superior and lateral to this (the cheek), fillers can help a little, but fractionated CO2 lasers (Fraxel reapir, Deep FX) are better as they can treat the entire area with longterm improvement. Sculptra is also good for this area as the addition of volume and re-inflation of the face improves the lines. Good luck and be well. Dr. P
Juvederm and Restylane can work very nicely for these. Some people have so many that it becomes impractical to inject all, and the most visible are treated. Some lines respond to the fillers placed directly below them in a vertical fashion and others can benefit by a diffuse placement of horizontal thin filler to augment the cheek volume. Even thicker fillers such as Radiesse, and volumizers such as Sculptra have been found to improve these lines when the overall cheek volume is augmented (but not all patients are candidates for this).
Many manufacturers refer to these as the "parentheses lines" and Juvederm or 'Restylane work well for these lines. IF you are referring to the lines outside of these and next to the dimples, I have not been impressed with these products in this particular area.
