Too Frumpy to be taken seriously by surgeons? What procedure could improve my face? Open to suggestions. (Photo)

I'm sorry for your unfortunate experience. For facial rejuvenation, I would suggest a combination approach including:
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

See an expert. Best, Dr. Emer​

Thank you for your question. I am sorry for your unpleasant experience. A good surgeon should always be willing to discuss options with you and never make you feel undeserving to seek procedures that will give you the extra confidence you need. That said, you have plenty of skin rejuvenating options. Injectables such as Botox and fillers can instantly freshen up your appearance by smoothing out wrinkles and enhancing facial contours, giving your profile more definition. Laser and energy devices, on the other hand, can tighten the skin and enhance your facial features. Chemical peels can renew your skin from the inside out and give you a radiant glow. I recommend scheduling an in-person consultation with a reputable board-certified facial plastic surgeon. Your surgeon can do a proper evaluation of your skin, determine your eligibility for any procedure, recommend the best combination of treatments, and ensure the best possible outcome.

I'm sorry you had a bad experience. An in-depth, open discussion with a surgeon regarding goals is the key. Once items are identified, an appropriate treatment plan can be devised as a team. There should be zero judgement, and again, I'm sorry you went through a really bad experience.

I'm sorry to hear about how your consult went. I think you look young for your age with full lips and few wrinkles. When surgeons do not recommend surgery, it's often because they do not think the procedures they offer will benefit your specific anatomy and concerns. That doesn't mean a different surgeon wouldn't have other procedures or devices. For example, I don't think you are a candidate for a facelift, but filler to the cheekbones, Ultherapy skin tightening under the neck, and resurfacing laser may give you the boost you are looking for. I encourage you to see another surgeon. Distinguished is good, but a surgeon who communicates well with you is an even better fit.

I do recommend losing weight before any surgery. Weight loss will change your tissues, and you don't want to undo the effects of any surgery with significant weight loss. Luckily, resurfacing lasers are not affected by this change, so those are ok to consider at any time.

I am so sorry you had such an awful experience. You are lovely and I have no idea why someone would tell you differently! When considering aesthetic treatments or plastic surgery it is important to address what bothers YOU, not what someone else says you should do. I encourage you focus on your health and think about what areas you would like addressed. Then go see a different board certified plastic surgeon. I am confident you will have a better experience. In the meantime we encourage a good skincare routine including medical grade skin care products and wearing sunscreen every day.

I am really sorry you felt dismissed at your consultation.
I think you have a really beautiful, inviting face and most importantly, you look happy!
I really like to get to know my patients, understand what their goals are (I know sometimes patient's aren't sure exactly what they want, but having an idea of what your goal is is very important for both you and the physician), what sort of downtime they have, and then I will develop a treatment plan that is designed specifically for you.
Best,Rosa B Lipin, MD

Your face is beautiful!!! What is it that you want to improve? Honestly, I can't imagine much. I can possibly suggest Botox for maintenance, and maybe chin filler. Hard to tell without a profile photo.
Take care,Dr. Stella

First of all you are not ugly at all. Your skin and eyes are beautiful and you have full lips that most women would kill for. You can feminize the shape of your brows with a little neuromodulator(Xeomin/Dysport/Botox etc). It is hard to tell because of big smile and you need to see someone in person but looks like you have a lot of lower cheek volume. I would use a nice filler to pull that up and give you back high cheekbone look and soften nasolabial folds. My best choices would be Radiesse or Restylane Countour. No surgery.

Sorry for your very poor experience. Best to start slowly doing non surgical options ie fillers/Botox/skin peels. If some improvement is seen then determine what minimal surgery options would help like sub chin lipo/mini FL/NL, buccal fat removal. it is a process to have you attain a more youthful appearance.