I’m trying to decide between PRP and Juvederm around my mouth, chin and nasalolabial folds and Restylane under my eyes.

Question

I’m 56 years old. I’ve had 2 consults. One recommend PRP and the other Juvéderm and restylene. What do you recommend for sagging chin, around mouth and wrinkles, lines?

Brian S. Biesman, MD · Answer

It is very difficult to answer your question without more information.  However, when in doubt I always fall back on science.  We have a great deal of information about injectable fillers and their benefits and limitations.  PRP for facial rejuvenation is very interesting but much remains that we need to learn about PRP.  PRP may offer some benefits but does not take the place of injectable fillers at this time.

Jonathan Kulbersh, MD · Answer

This is difficult to answer without photos. Fillers can be used to improve the appearance of folds and to provide support for the face. Under eye bags can be permanently corrected with surgery or temporarily camouflaged with fillers. I hope this helps.

Thomas Trevisani, MD · Answer

Without photos and the benefit of physical exam- impossible to answer your questions accurately. Generally speaking, sagging neck, jowls, cheeks are usually treated with facelift, neck lift . It's the most permanent solution and most reliable. If you are candidate for the above mentioned procedures, fillers and other non surgical procedures, in my opinion are useless if performed as a substitute for surgery.

Nelson Castillo, MD · Answer

Thank you for sharing your excellent question.  Unfortunately without an in-person examination, or full series of photographs, it is difficult to offer definite advice.  For most patients seeking correction of immediate areas of concern dermal fillers like those mentioned are the best treatment.  See an ASPS board certified plastic surgeon in consultation to discuss.

Shaun Patel, MD · Answer

It's hard to comment on your specific case without seeing a photo or evaluating you in person. That being said, typically dermal fillers like Restylane and Juvederm are used to treat volume loss and static lines/wrinkles. There is certainly much more science supporting the use of dermal fillers for these indications then PRP.

Anita Saluja, MD · Answer

Hello - If you could share a photo, that would be helpful to answer better. At 56, combination therapy works best. Fillers to help replace lost volume (Refill), Dysport/Botox to relax active muscles that pull down on the face (Relax), Laser resurfacing to help fine lines and texture (Resurface), and maybe, even surgical options to redrape and lift the skin (Redrape). Generally, fillers work better for volume loss than PRP and PRP is used more for skin texture/glow/healing or maintenance. I recommend working with your physician to come up with a plan and timeline comfortable for you.

Leonard Grossman, MD · Answer

It is difficult to give you a good recommendation without seeing you in person and/or photographs submitted for evaluation. Make sure you find yourself an expert in the field, such as a plastic surgeon or dermatologist. Good luck from New York City

Michele S. Green, MD · Answer

All of these techniques are effective and yield great results in the right hands. Please consult an expert in facial rejuvenation for the right results. Thermage is also highly effective for skin tightening and is very effective. If you re-post with photos perhaps we can give you more specific answers.  Best, Dr. Green

Davin Lim, MBBS, FACD - Account Suspended · Answer

Methods depends on your skin health, namely collagen, as well as your expectations and end goals. Many effective methods available including PRP microneedling RF, fillers, Thermage, and Ultherapy. The MOST IMPORTANT aspect is to get an assessment, as each therapy has its pros and cons, and bespoke treatments will give you the best results. Ideally, see a Dermatologist or Plastic Surgeon for an assessment. Dr Davin Lim, Brisbane Dermatologist. Australia.

I’m trying to decide between PRP and Juvederm around my mouth, chin and nasalolabial folds and Restylane under my eyes.

Answers (9)

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