Sculptra or PDO threads for marionette "shadows "? I'm 36 yo. (photos)

Question

I have noticed in the last 6 months or so that I have slight sagging around my mouth, the "marionette " area. I have had some filler over the last few years but am considering either PDO threads, or Sculptra to address this before it gets worse. I hate that I can already, at 36, lift the skin up around my cheeks and it looks better. Any suggestions? Than you.

Luis A. Cenedese, MD, FACS · Answer

"Despite the lack of evidence for long-lasting results of closed thread-lift suture lift, its use iscurrently still very popular, probably driven by industry and money-driven cosmetic physicianspromising face-lift results without surgery, a fairy tale story many potential clients for facial rejuvenationwish to believe. Also, because these clients have already been successfully treated in the past by their cosmetic doctor with botulinum toxin type A and fillers, many of them also believe in the next step offered by them: the nonsurgical face lift using a closed thread-lift suture lift." Bret Van der Lei M.D.P.H.D Plastic and Reconstructive Surgery  March 2018. Sculptra injection is a good option for volumizing the midface and improving skin quality.  Fat injections to these lines, especially if taken from the lower jawline or beneath the chin are particularly good options due to longevity and cost effectiveness. Please consult in person with an experienced Board Certified Plastic Surgeon prior to making treatment decisions.

Yael Halaas, MD · Answer

Threadlifts seem to work well for patients with minimal aged-related sagging and volume loss.  Results are immediate and continue to improve over time.  Sculptra does help improve lost volume, but it is not instantaneously and may not deliver the result you are hoping for.  I suggest an in-patient consultation with a board-certified plastic surgeon who can examine you and determine the best course of action.

Jonathan Rakofsky, MD · Answer

Great question! I am a fan of PDO threads for this. If done correctly, you will not only see immediate resolution with the threads but you may see some lift in other sections of your face: preserving your youthful appearance from the consequences of aging and gravity. As the pdo threads break down they stimulate collagen production. This is a critical component for your skin to maintain it’s strength and volume. Sculptra is not as immediate. You cannot dissolve it like other fillers and lumps can form that are difficult to remove. I hope this helps and good luck!

Sculptra or PDO threads for marionette "shadows "? I'm 36 yo. (photos)

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Sculptra or PDO threads for marionette "shadows "? I'm 36 yo. (photos)

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Everything you need to know about Thread Lift

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