I'm debating between Sculptra or a Mid facelift. I just turned 40 and money is tight so I need to spend wisely. My main concern are my saggy jowls and neck. I've been treating jowls with Restalyn but they still seem droopy.
June 10, 2015
Answer: Jowls Respond To Robust Volumizing Fillers; Submental Fat To Kybella From the photos provided, there appears to be some jowl formation along the jawline and some excees submental fat. I am not much of a fan of Sculptra, since it tends to be expensive, doesn't give immediate results, and requires a series of treatments. I am also not surprised that Restylane was not particularly effective. In my experience, it is more for filling fine lines and superficial wrinkles, rather than for raising deep folds and contouring jowls.In my Upper East Side Manhattan practice, I would opt for Voluma XC or Radiesse for treating jowls. The results are seen typically after only one treatment seesion, are immediate ,and tend to last at least 1.5 years. (In my Israel satellite facility, where a far greater number of regulatory agency approved fillers and volumizers are available, I would opt for Emervel Volume or Teosyal Ultra Deep). For submental fat (double chin) I would suggest waiting for the new FDA approved injectable fat dissolver, Kybella to become widely available (probably within the next few months). I have been successfully treating this area in Israel with regulatory agency permitted extemporaneously compounded versions of Kybella that have been available for quite a few years already.I am not much of a fan of lasers, nor radiofrequency and ultrasound devices. They tend to be relatively expensive treatments and their results often subtle and inconsistent.. Consultation with an experienced board certified physician injector would be strongly urged. Make sure to ask to see his/her before and after photos. .
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June 10, 2015
Answer: Jowls Respond To Robust Volumizing Fillers; Submental Fat To Kybella From the photos provided, there appears to be some jowl formation along the jawline and some excees submental fat. I am not much of a fan of Sculptra, since it tends to be expensive, doesn't give immediate results, and requires a series of treatments. I am also not surprised that Restylane was not particularly effective. In my experience, it is more for filling fine lines and superficial wrinkles, rather than for raising deep folds and contouring jowls.In my Upper East Side Manhattan practice, I would opt for Voluma XC or Radiesse for treating jowls. The results are seen typically after only one treatment seesion, are immediate ,and tend to last at least 1.5 years. (In my Israel satellite facility, where a far greater number of regulatory agency approved fillers and volumizers are available, I would opt for Emervel Volume or Teosyal Ultra Deep). For submental fat (double chin) I would suggest waiting for the new FDA approved injectable fat dissolver, Kybella to become widely available (probably within the next few months). I have been successfully treating this area in Israel with regulatory agency permitted extemporaneously compounded versions of Kybella that have been available for quite a few years already.I am not much of a fan of lasers, nor radiofrequency and ultrasound devices. They tend to be relatively expensive treatments and their results often subtle and inconsistent.. Consultation with an experienced board certified physician injector would be strongly urged. Make sure to ask to see his/her before and after photos. .
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November 30, 2016
Answer: Sculptra or Facelift Thank you for posting the photos. It appears that you have mostly skin laxity in that area as opposed to volume loss. I would recommend Thermage for non-surgical tightening of the skin. Thermage will produce new collagen and tighten the jowl area with no down time. Please consult a board certified dermatologist with a great deal of experience with Thermage for the best cosmetic results.
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November 30, 2016
Answer: Sculptra or Facelift Thank you for posting the photos. It appears that you have mostly skin laxity in that area as opposed to volume loss. I would recommend Thermage for non-surgical tightening of the skin. Thermage will produce new collagen and tighten the jowl area with no down time. Please consult a board certified dermatologist with a great deal of experience with Thermage for the best cosmetic results.
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