Best solution for accordion lines? (Photo)

Question

I’m only 28 and have horrid accordion lines when smiling. I’ve had lines when I smile around mouth since I was a teenager, but now that all the baby fat is gone they are very pronounced and age me a good amount of years. What would be the most effective solution? Fillers? Pdo thread lift? Should I consider a lower face lift?

Jason Emer, MD · Answer

this needs sculptra and lasers in the office.

at home peels like cosmelan, enlighten and aerify along with dermarolling (MTS roller with anteage MD ampules weekly, see linkt) should be started now to prevent further aging.

For facial rejuvenation,  I would suggest a combination approach of 
1) skin care with products and PRP/microneedling
2) PDT light therapy few times a month with growth factors
3) laser treatments like clear and brilliant regularly and a few times a year Fraxel/halo Viva, Co2/Erbium
4) Sculptra injections a few times a year for collagen production with fillers like juvederm/restylane/belotero/radiesse/bellafill
5) thermage/ultherapy for yearly skin tightening with or without PDO or cone based instalift threads for lifting
6) botox every 2-3 months to stop movement lines and prevent lines at rest
7) deep microneedling RF like Fractora/morpheus8 for tightening of the skin
8) Vascular laser like vbeam/excel V or BBL forever young treatment every quarter (3-4 months)

Best, Dr. Emer.

Reuel Aspacio, MD, FAAD - Account Suspended · Answer

Hi there,

This can be addressed in several ways.  If surgery is an option a lower face lift would be amazing.'
Fillers can also help.  Sculptra along with Lasers.
Have a consultation with a Board Certified Physician to explore your options.
Best of luck!

Best solution for accordion lines? (Photo)

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Best solution for accordion lines? (Photo)

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