Dear LonegirlThank you for your questions and photos! Temporary fillers are one option, The surgical option is facial fat grafting - which will have some down time with long term results.With Warm RegardsTrevor M Born MD
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...
The answer depends on what you are having treated. Certain fillers are placed deep to add structural support to the soft tissues such as when Sculptra Aesthetic or Restylane Lyft are injected into the midface/cheeks while other fillers are placed more superficially such as Restylane Defyne when ...