Age 44 - options to get face tone back and correct mouth frown? (Photos)

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

A combination of PDO threads and bio-stimulating agents could potentially help improve the laxity on the lower right side of your face. It would be best to consult with a qualified cosmetic surgeon to determine if this is the best treatment option for your specific needs.

A downturned smile or permanent frown can be improved with a combination approach, including neuromodulators (such as Botox, Dysport, and Jeuveau), injectable fillers, and radiofrequency skin tightening treatments such as Thermage or Venus Legacy. I recommend getting a formal evaluation with an experienced cosmetic dermatologist to develop a treatment plan that works for you. Best, Dr. Emer.

Thank you for your question about options to get face tone back and correct mouth lines. I believe you would benefit from either fillers in the cheeks, to lift and pull the face up OR I suggest Morpheus 8 treatments if you do not want dermal fillers. Morpheus 8 is microneedling + radiofruency and works to lift and tighten the face, minimize appearance of wrinkles, and address skin laxity. I hope this helps!

You do have nice skin.
The problem appears to be an underdeveloped maxilla that doe not properly support the facial tissues.

Expansion improves airway, sleep, profile and facial support.

Hello, based on what I see in your photos, it seems that the contour of your jawline has started to change, and this is causing considerable discomfort for you. We often observe this in our patients around the age of 40. Increased elasticity loss around 40 often leads to the beginning of changes in the jawline contour. The most common cause is the downward sagging of the fat pads in the cheeks. The fat pad on the right side of your face might be slightly more saggy or larger, resulting in a more noticeable contour change on that side. Therefore, the primary non-surgical treatment I recommend for you is Thermage FLX. This advanced treatment, utilizing monopolar radiofrequency, lifts your face, provides a non-surgical facelift, and is FDA-approved for defining the jawline contour. I suggest Radiesse for your cheeks. Radiesse is a calcium hydroxyapatite molecule that provides long-lasting filler and lifting effects. Using Thermage FLX and Radiesse together should yield satisfying results. It's still early for surgery; I recommend considering it in more advanced years. As long as you undergo treatments that enhance your skin quality and rejuvenate your skin, surgery may not be necessary. Sending love your way.

From your photos it appears you have a few options to address lower face concerns. Fillers can add volume and help soften nasolabial folds and other deeper creases. Morpheus8 treatments can be used to improve overall skin tone and texture. You may also consider FaceTite which is a minimally invasive treatment that does not require general anesthesia. It uses RF technology to tighten skin up to 40%. See a board certified plastic surgeon near you to learn more.

I would recommend either filler to the cheek, chin, and Marionette area, lifting threads, or a combination of both. One could also inject the Depressor Anguli Oris (DAO) with a small dose of a neurotoxin such as Botox or Xeomin which will elevate the angle of the mouth.

Hi Cottonette,
Thank you for your question and pictures. It's great to hear, you've kept your skin and ageing concerns at bay until your 40s.
From your pictures, without seeing old pictures to compare, it looks like you have lost volume in your mid-face, resulting in gravitational descent of the lower face and skin laxity.
It depends on what your goals are but here's what I would recommend from least invasive to more invasive:- 1. Nefertiti Face Lift with botox where it is strategically used to relax "pulling down" muscles of the face so the "pulling up" muscles can act less opposed, resulting in a more lifted appearance.
2. Dermal filler to restore volume in mid face and up turn corners of mouth.
3. Radiofrequency or ultrasound treatment e.g. Morpheus8 or Ultherapy - these delivers energetic shock to your tissues to stimulate collagen and improve skin quality and lift. However it will not restore volume very much.
4. Thread lifts - this repositions the tissues, rather than adding volume so it can improve mid face, lower face and sharpening jawline.
Hope that helps. Dr Terry