I'm almost 42 and have become really bothered by my droopy, always tired looking face. In particular, I'm bothered by increasing asymmetry, bottom heaviness, dark circles, and, most of all, nasolabial and marionette lines/shadows. And my neck! I had Voluma done well by an excellent doctor several years ago, but I hated it. Last year, I did Sofwave with good, but subtle results. I'd like to avoid fillers and get the most longterm bang for my buck. Suggestions?
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Answers (5)
From board-certified doctors and trusted medical professionals
Hi, Kassy1005! Thank you for your question and photo.
Your photo gives an idea but more photos would reveal more information regarding your condition. Nevertheless, I can give a few recommendations. The volume under your eyes have descended down, that requires endoscopic midface (cheek) lifting...
A combination approach would give the most improvement. Deep wrinkles and smile lines can be improved with a combination of Botox and/or fillers for the lines themselves and to build anatomical support with Sculptra for collagen building. Ultherapy is a great skin tightening device, but works...
For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest...
