What do you think should I spend my money on Sculptra or put my money into a mid facelift? (Photo)
Doctor Answers 8
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.
Sculptra Or FaceLift
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Sculptra or mid facelift
Saggy jowls and neck options
Thanks for sharing your photos. It is best for you to consult with a well experienced Board Certified Plastic Surgeon as the options you are considering will not improve the concerns on your photos or in your post.
Various options for facelifting and skin texture improvements are available according to the skin laxity and areas of lift or tightening you wish or need.
To meet your desires and expectations, you must match:
- the patient with
- the surgeon with
- the proper technique and
- the budget.
Fillers will continue to add volume and weight to a relaxing and enlarging skin surface area creating greater jowling. Sculptra will not reposition your jowls nor adequately firm your jawline. Botox will not help you in the lower face and neck. A mid-face lift will elevate your cheeks and possibly improve your nasolabial fold but not the lower face, jowls nor neck.
Based on this limited information consider a surgical option for the better improvement and longer term outcome.
Lower face and neck contouring with:
- lipocontouring of the lower cheek, jowl, jawline, double chin and neck,
- platysmaplasty and / or neck suspension suture,
- fat grafting to the cheeks.
- see reference below.
Choose your most widely skilled surgeon to get your best results for the money. I wish you all the best!
Jowls Respond To Robust Volumizing Fillers; Submental Fat To Kybella
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. .
Main concern is jowls and neck...Sculptra not the answer
What do you think should I spend my money on Sculptra or put my money into a mid facelift?
Instead, consider a neck laser-assisted liposucition and a MACS lift, both of which can be done under local anesthesia.
See link below for an example of neck liposuction
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