Balancing + Enhancement + Aging? (photo)

Thank you for sharing your goals and concerns. It's great that you're considering a comprehensive approach to achieving a more youthful and attractive appearance. Given your age and previous treatments with fillers and Botox, here are some considerations that might help guide your decision:

Rhinoplasty: If you're looking to enhance the balance and symmetry of your facial features, a rhinoplasty can be a good option. This procedure can refine the nose shape and improve facial harmony.

Facelift/Necklift: These procedures are effective for addressing sagging skin and deep creases, particularly in the mid-to-lower face and neck. They can provide significant rejuvenation and help tighten and lift the skin.

Brow Lift and Blepharoplasty (Bleph): A brow lift can elevate drooping eyebrows and smooth forehead wrinkles, while blepharoplasty can rejuvenate the eye area by removing excess skin and fat from the eyelids.

Forehead Reduction: This procedure can lower the hairline and reduce the forehead's height, enhancing facial proportion.

Hair Implants: If hair loss is a concern, implants can restore hair density and improve overall appearance.

Minimally Invasive Options:

J Plasma: This can tighten skin and improve texture with minimal downtime.
CO2 Laser and RF Microneedling: Both are excellent for resurfacing the skin, reducing fine lines, and improving texture and tone.

Forehead Vein Removal: This can be considered if visible veins are a concern.

Given the range of procedures you're considering, a combination approach might provide the best results. However, it's crucial to consult with a board-certified plastic surgeon or dermatologist who can evaluate your specific needs and create a personalized treatment plan. They can help prioritize procedures based on your goals and the current condition of your skin and facial structure.