Ripples on lower cheeks when smiling. What is the best solution for this at my age (30)? (Photo)

Question

I've just turned 30 years and started to notice a ripple like effect on the right side of my lower face when smiling about 2 years ago. As I've lost weight, I have began to notice them more and more. I had a session of RF microneedling about a month ago to hopefully help with some skin laxity, sun damage, and acne scaring (please ignore my large outbreak of hormonal acne on my chin). I am looking for the best solution for this for someone my age(invasive vs noninvasive). Thank you!

Jason Emer, MD · Answer

this is from low volume and skin sagging. you need to start fillers andor sculptra. tighteing with morpheus every 2-3 months and thermage and ultherapy yearly.

at home dermarolling can help (see link)

at home peels like cosmelan, enlighten and aerify along with dermarolling (EmerageSkin roller with anteage AERIFY MD ampules weekly, see link) 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.

Nelson Lee Novick, MD · Answer

The kind of parallel laugh lines you demonstrate with smiling are quite common and can usually be rather easily improved with the use of cohesive filler, such as Belotero Balance or RHA2, fanned through the area to supply supportive "struts" to resist the motion of the smile muscles. I personally have befores and afters to show the immediate beneficial effects of this kind of treatment on these types of lines. The fact that the problem is more pronounced on your right side than the left is not usual, and is more the rule than the exception in my experience. Make sure that you consult with a board certified aesthetic physician and ask to see his/her before and after photos before agreeing to proceed. Best of luck.

Ripples on lower cheeks when smiling. What is the best solution for this at my age (30)? (Photo)

Answers (2)

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Ripples on lower cheeks when smiling. What is the best solution for this at my age (30)? (Photo)

Answers (2)

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Everything you need to know about Dermal Fillers

Our mission is to create a world where every investment in modern beauty is Worth It.