Please recommend procedures necessary to rejuvenate my face (Photo)

thank you for your question. first off i just want to say you look great, but if you'd like to address your concerns you can start with lip fillers and the morpheus8 series. the morpheus8 will help your skin tone, texture, and skin laxity. This procedure takes time to see results, but the results are phenomenal and long lasting.

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

"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."

Thank you for the question and for attaching the photos. I trust you have two different options.The first one will be a combination of surgery and Co2 laser, which will include lower face and upper neck lift for tightening the loose skin and lifting the jowls and removing the fat deposits in the neck along with a platysma-plasty. As for the under eye bags they can be treated with blepharoplasty, which involves removal of the fat bags through an incision on the inside of the eyelids. A few months later you after the surgery, you could benefit from CO2 laser for the sun damage spots and the pigmentation on the skin.The Second (non-surgical option) will involve having a course of Sculptra treatment (3-4 sessions ) over 3- 4 months to address the fallen check fat pads and the loss of volume in the face. A Silhouette Soft thread treatment to lift the jawlines and you could benefit from CO2 laser for the sun damage spots and the pigmentation on the skin. The under eyes could be helped with 2-3 sessions of a special dermal filler and Co2 laser treatment. The results form option one will last for many years, while in the non-surgical option the results will last for 3-4 years only. Best regardsDr Ayham Al-AyoubiFacial plastic and laser surgeon, London

Thank you for the question. Based on your photos and your goals, I would recommend a face and neck lift in combination with fat grafting. The under eye bags can be treated with blepharoplasty (scar on the inside), and the sun damage via laser. I wish you the best of luck. Vasileios Vasilakis, MD. Double board-certified, fellowship-trained plastic surgeon, Houston. TX.

I encourage you to expore Renuva which is designed to correct fat loss related to aging. This product is similar to traditional HA fillers in that you get some immediate result. However it differs in that over time the product is replaced by your own fat which gives you longer lasting results. It can be used in conjunction with Morpheus8 to improve overall skin tone and texture. We also recommend using medical grade skin care products like Transform MD and wearing sunscreen every day.

If your neck and jowls are bothering you, then you can consider a lower face and neck lift procedure. In our practice, this involves tightening loose facial and neck skin, tightening loose facial and neck muscles, lifting the jowls and removing the fat deposits in the neck along with a platysma-plasty. If the bags in your lower lids are bothering you, consider a trans-conjunctival lower lid blepharoplasty which involves removal of the fat bags through an incision on the inside of the eyelids. No external incisions are required.