Which procedure would help balance my face and minimize the appearance of aging? 29 y/o female (photos)

Based on your photos, you may have lost some volume in the bank of your lips. You also have a bit of a retrustive chin appearance profile. In our practice, we prefer to use microdroplet Silikon 1000 injections for permanent results. Thank you for your question. Sincerely, Dr. Joseph

It's understandable to feel concerned about changes in your facial structure and skin as you age. At 29, there are several options to consider for balancing your face and minimizing the appearance of aging, especially if you're not satisfied with your previous cheek filler treatment. Here are a few procedures that may help:

Jawline Contouring:
Dermal Fillers: Strategic placement of dermal fillers can enhance your jawline, providing more definition and balance to your face.
Kybella: This injectable treatment can help reduce submental fat (under the chin), which can improve jawline definition.

Mid-Face Rejuvenation:
Sculptra: This injectable stimulates collagen production and can gradually restore volume and improve skin texture over time.
Fat Grafting: Using your own fat to add volume to areas of the mid-face can provide a natural and long-lasting result.

Skin Tightening:
Radiofrequency (RF) Treatments: Non-invasive procedures like RF can tighten and lift the skin by stimulating collagen production.
Ultherapy: This non-surgical treatment uses ultrasound to lift and tighten the skin on the face and neck.

Lower Face and Neck Lift:
If you have significant excess skin and are looking for a more dramatic improvement, a surgical lower face and neck lift might be an option. This procedure can remove excess skin and tighten the underlying tissues for a more youthful contour.

Combination Approach:
Often, a combination of treatments can provide the best results. For example, pairing jawline fillers with skin tightening treatments can enhance overall facial harmony.

It's crucial to consult with a board-certified plastic surgeon or dermatologist who can assess your specific concerns and recommend a personalized treatment plan. They can provide you with a detailed evaluation and discuss the potential benefits and risks of each option.

Thank you for submitting the photos. Botox to the glabella (frown lines) seems like an obvious place to start. I also see flatness in the mid-face which could be addressed with an HA filler. Also HA filler to the jawline would likely provide better definition there. I would not recommend doing anything too aggressive at age 29. Of course, it would be necessary to see you in person to provide a definitive recommendation.
Best,
Dr. Ort

From the submitted photos it appears you will have the best results from a combination of treatments. Botox can be used to soften the appearance of dynamic lines and wrinkles. Fillers can help improve facial contours. Volux is a great product to address jawline concerns. Morpheus8 is a treatment that combines RF technology and microneedling to improve overall skin tone and texture. We also recommend using medical grade skin care products like Transform MD and wearing sunscreen every day.

It looks like you're experiencing concerns related to volume loss, skin laxity, and facial structure, which are common as we age. Since you've already had cheek filler but felt it didn’t provide the desired result, it’s understandable that you’re looking for more structural balance, particularly around your jawline and midface.
Based on your concerns, here are a few treatment options that may help:
Jawline Contouring: To address the lack of structure and provide a more defined jawline, dermal fillers in the jawline and chin area can help create more angularity and balance your facial proportions. This would also enhance the overall definition of your lower face without making it look overly full in the midface.
Midface Support: Instead of focusing filler solely on the cheeks, which can sometimes create a “heavy” look in the center, fillers can be strategically placed to lift and support the midface. This subtle approach can restore volume loss without over-emphasizing any particular area.
Skin Tightening Treatments: Since you mentioned concerns with excess skin, non-surgical skin tightening treatments, such as radiofrequency (RF) or ultrasound-based treatments (e.g., Ultherapy), can help tighten the skin and stimulate collagen production, improving both skin elasticity and firmness.
Lower Face Skin Laxity: Depending on the extent of skin laxity, treatments like thread lifts or laser skin tightening can help address mild to moderate sagging without surgery, providing a more youthful and structured appearance.
Your upcoming upper blepharoplasty (eyelid surgery) will help refresh your eye area, and combining it with some of these options may give you more comprehensive facial rejuvenation.
It's important to consult with an experienced aesthetic doctor to develop a personalized treatment plan that targets your unique concerns, ensuring that you achieve balanced, natural-looking results.