What non surgical options should I consider to help with the signs of aging on my face? (photos)

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

You have deep nasolabial grooves which is usually a sign of an underdeveloped maxilla. The soft tissues of the face may not be well supported by bone.

There is an epidemic of underdeveloped maxillas that cause premature aging of the face.

Google "Shrinking Jaws Stanford" to understand the causes.

Can also cause headaches, migraines, forward head posture, sleep issues and TMJ disorders.

"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."

Hello-It's great that you have been keeping up with botox and dermal fillers. Other treatments you might consider are radiofrequency/microneedling, lasers and PRP/PRF. These treatments can help with tone, texture and pigment of skin as well as help to reduce fine lines, particularly around your eyes. All of these treatments generally have minimal downtime and can be used in conjunction with botox and dermal fillers. Good Luck!

Thank you for your question regarding nonsurgical options you should consider to help with the signs of aging on your face. I would suggest Morpheus 8 treatments. I would suggest 3 treatments, about 1 month apart. Morpheus 8 is microneedling with radiofrequency, which works to lift/tighten the skin and influences collagen synthesis. Morpheus 8 is a great non-invasive, nonsurgical option. Morpheus 8 is relatively safe and has minimal downtime. I hope this helps!

PDO Threads are the type of threads which are FDA approved and manufactured in S. Korea. Where they do a great deal of cosmetic procedures.

PDO Threads are ideal for moderate laxity of the jawline, jowls, to up lift the cheeks and support the neck. The procedure is performed using local anesthesia in the office. The threads are absorbed and stimulate you own collagen to support the lifted structures. PDO Threads are a amazing way to rejuvenate the face, neck, brows, knees and abdomen without surgery. Often additional fillers are used after the PDO Threads, in a few weeks, to finish the sculpting of the face. Jeffrey Rosenhal, M.D.
artofplasticsurgery.com

At 43, you’re in a great position to take advantage of non-surgical options that enhance your natural beauty and address the early signs of aging. Based on your desire to wait until your 50s for surgery, a combination of treatments can help maintain youthful contours, improve skin elasticity, and refine texture in the meantime.

For skin tightening and lifting, Accent Prime is an excellent non-invasive option that uses radiofrequency and ultrasound technologies to firm sagging skin, particularly in areas like the jawline and cheeks. This treatment stimulates collagen production, improving elasticity and providing a subtle lift.

To restore volume and refine contours, ALMI (Autologous Lipocyte Micronized Injection) offers a natural approach by using your own fat and stem cells to replenish volume and stimulate collagen. This procedure is ideal for softening nasolabial folds and enhancing mid-face fullness.

For overall skin rejuvenation, PRP (Platelet-Rich Plasma) combined with microneedling can improve skin texture and tone by promoting natural collagen growth. This combination works well to reduce fine lines and provide a radiant complexion. Chemical peels like the Blue Peel can also address pigmentation and uneven tone, offering a refreshed look.

If you’re looking for additional lift, the Silhouette InstaLift provides a minimally invasive thread-lifting solution, offering subtle tightening and contouring of the mid-face without surgery.

By combining these treatments, you can maintain a youthful appearance with natural-looking results. For the best outcome, consult with an experienced provider who can tailor a plan to your specific goals and facial anatomy. You’re on the right path to aging gracefully while maximizing your confidence!

Hello, you are totally right; because 43 years old is too early for making facelift and you don't need it yet. First of all, it would be best to choose non-surgical face lift applications for you. I recommend for you Thermage FLX technique. It is approved by FDA for chin contour removal. Since it is a Monopolar Radiofrequency system, it provides lifting feature by affecting very deep tissues with its 4 mm head. This effect gradually increases over six months, the final result remains for years. Since you are wearing glasses, I could not fully make evaluation about your eyelids, but, since your eyelid skin fold does not touch the eyelashes yet, it seems too early for eyelid surgery for you. That's why; I think you will be so happy if you have Ultherapy method; which applied around your eyes. Ultherapy technique is like a glue, reattaching the loosened skin onto the muscles area. When the renewed and tightened skin with Thermage FLX is refocused with Ultherapy and adhered to the SMAS layer above the muscle, you can look at the mirrors with pleasure for many years.

There are a few nonsurgical treatments that can be added to Botox and fillers to help. Morpheus8 treatments combine microneedling and RF technology to improve overall skin tone and texture. You can also consider FaceTite which is a minimally invasive procedure that does not require general anesthesia. RF technology is used to tighten skin up to 40%. See a board certified plastic surgeon near you to learn more.

Dear sarahrose231,
Thanks for sharing your photos. They are helpful but without an in-person evaluation it is difficult to determine what you have had done. You appear to have significant sun damage, early skin laxity and freckling accelerating your facial skin aging.
Please consider:
• Evaluation by a Board Certified Plastic Surgeon with expertise in non-surgical, minimally invasive and surgical options.
• Based on the limited photos, it appears that Bilateral upper eyelid lift may be helpful.
• Botox for brow lift.
• Seek a Certified Zein Obagi, MD, ZO Skin Health clinic for retinoid and hydroquinone skin care, and TCA chemical peels for reversal of pigmentation, skin exfoliation, collagen skin tightening.
• Consider Sculptra for facial skin and sub-skin firming and gentle filling.
• Lip fillers will assist in a more youthful appearance.

I hope this helps. All the best!