Which option would be the best for facial skin tightening and sagging jaws? (Photos)

Question

I am 43 y.o. Skin is very thin and lots capilars. My cheeks started sagging and forming some sort of lines near my mouth - see red arrow on the photo. My target is to choose the best non-surgical procedure to tighten the skin and pull it up - see green arrow on the photo. Visited numerous doctors and here are options they suggested. What you'd recommend - which option would be the best as i am l lost. Reversal PLA+HA Nucleofill + Profilo Radiesse + Profilo Exosome Hifu or thread lift

Raffy Karamanoukian, MD, FACS · Answer

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

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jason Emer, MD · Answer

A combination approach would give the most improvement. Deep wrinkles and smile lines can be improved with a combination of Botox and/or fillers for the lines themselves and to build anatomical support with Sculptra for collagen building. Ultherapy is a great skin tightening device, but works best in combination with other treatments like J Plasma, RF treatments, lasers, microneedling/PRP, salt facials, Cosmelan for skin tightening and improve skin tone. I recommend getting a formal evaluation with an expert. Best, Dr. Emer

Michael I. Echavez, MD · Answer

There are many types of non-surgical treatment options to help tighten the skin of the face.  I would not say that one is the best among them.  One option would be using FaceTite and possibly Morpheus8.  FaceTite uses radio frequency to deliver heat to the tissue under the skin, which produces tightening.  Morpheus8 uses radio frequency to deliver heat to the skin, which also produces some tightening.

Camille Cash, MD · Answer

There are many alternatives available to address the concerns you have.  FaceTite is an option that uses RF technology and can tighten skin up to 40%.  Results are optimized when adding Morpheus8 treatments.  In addition fillers can be used to help address volume asymmetry and improve contours.

Which option would be the best for facial skin tightening and sagging jaws? (Photos)

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