Age 50, years of sun damage, loads of stress & RBF - suggestions? (Photos)

"I suggest reaching out to an expert for a formal consultation. I like to recommend my patients start a combination of facial rejuvenation treatments.

1) Skincare with products and microneedling/PRP
2) PDT Light Therapy a few times per month with growth factors
3) Laser treatments like Clear + Brilliant regularly and others (Fraxel, Moxi, Viva, CO2, Erbium, Halo) a few times per year
4) Sculptra injections a few times per year for collagen production with fillers like Juvederm, Restylane, Belotero, Radiesse, and/or Bellafill
5) Thermage/Ultherapy for yearly skin tightening with or without PDO or cone-based Instalift threads for lifting
6) Botox every 2 to 3 months to stop movement lines and prevent lines at rest

Best, Dr. Emer."

lines around the lips or smokers lines otherwise referred to as life lines are caused by a combination of loss of skin elasticity, sun damage and the mobile skin and soft tissue around the lips. This is one of the most frequently requested areas of treatment in a plastic surgery office. Interestingly surgery is not the answer here although we treat these frequently lines during facelifts and other cosmetic surgery of the face.
The 2 options are a resurfacing or fractionated laser which works well with varying amounts of down time and recovery versus injectable fillers which have no down time but don't last as long as a laser. The brand of laser can vary from a C02 laser to erbium laser and filler may include Belotro, Retylane or Juvederm.

Hello, and thank you for providing photos along with your question. Refreshing your appearance can be done in several ways, and with the sun damage that you have, you can benefit from a combination of treatments. Botox with fillers can reduce lines and facial creases, while lasers and RF devices, as well as chemical peels, can help treat sun damage and renew the skin from the inside out.

I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon. Such experts will have the knowledge of facial anatomy and have an eye for symmetry and facial balance. During your consultation, your surgeon can properly assess your skin quality and facial profile, customize the right procedure plan for you, and ensure the best possible results.