29/f Hollow cheeks and deepset, downturned eyes are aging me. What can I do to look more refreshed?

Question

Like title says I’m a 29/f, 115 lbs and 5’4. Naturally thinner, oval shaped face my whole life. As I’m aging, it’s bothering me more. I feel my cheeks (especially lower) and deepset, downturned eyes are aging me. I’ve tried Botox small amounts at ends of brows for a lift for my eyes but it did minimal. Never had filler or Voluma, but I’d love to do something to get rid of the hollowness of my face and tired, downturned eyes. What would best help me look more refreshed? Thanks so much!!

Jason Emer, MD · Answer

"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."

Randal Haworth, MD, FACS · Answer

Based on the photos you provided, it appears that you may be a suitable candidate for facial fat transfer. This procedure involves transferring your own fat from one area of the body to the face to restore volume and improve facial contours. Additionally, Renuva could be a viable alternative to consider. Renuva is a bioinjectable product that utilizes processed adipose tissue from a donor to enhance and contour specific areas of the face. When performed by a skilled and experienced practitioner, both facial fat transfer and Renuva have the potential to effectively address the concern you mentioned.

It is important to consult with a qualified professional who can evaluate your specific needs, thoroughly discuss the options available, and provide expert guidance based on your desired outcome and overall facial characteristics.

I hope this helps,
best of luck !

It is important to consult with a qualified professional who can evaluate your specific needs, thoroughly discuss the options available, and provide expert guidance based on your desired outcome and overall facial characteristics.

I hope this helps,
best of luck !

Camille Cash, MD · Answer

You will likely have the best result from a combination of treatments.  Fillers can be used to add volume to hollow areas.  The wonderful thing about fillers is that you can go slowly and build up to the look you are wanting.  Botox can be used to refresh the eyes and give a conservative brow lift.  Morpheus8 treatments combine RF technology with 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.

29/f Hollow cheeks and deepset, downturned eyes are aging me. What can I do to look more refreshed?

Answers (3)

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