I’m 36 and feel like I look way older - what can I do to look my best? (Photos)

Unlike other tightening treatments, Ultherapy only requires a single treatment every one to two years and has long-term effects in skin stimulation and collagen production. Ultherapy is ideal for men and women who are experiencing mild to moderate skin laxity and desire a noticeable and long-term skin tightening treatment without the complications and risks of more invasive surgical procedures. Ultherapy can be combined with dermal fillers, Botox treatments, chemical peels, skin tightening lasers, and skin facials. Our plastic surgery and cosmetic center in Santa Monica offers Ultherapy as a complement to other skin treatments and cosmetic rejuvenation procedures.

Best,
Dr. Karamanoukian
Realself100 Surgeon

You have a very high forehead and asymmetrical eyebrows. You would benefit from a brow lift that will lower your hairline and pull up the eyebrows to look more symmetrical. You would also benefit from an eccentric lip lift. This does 4 things: shortens the distance between your nose and upper lip, increases the mucosa of the upper lip, increases the incisor show and pulls up the corners. You may also consider a rhinoplasty and chin implant. You have a small dorsal hump and the tip can be refined. Your chin is slightly receding a chin implant will help this.

Best Wishes,

Gary Horndeski, M.D.

I strongly recommend you don't touch your face, you look younger than your age and if you like your facial features then theres no aging to be treated, if you get a facelift you'll waste money and achieve a pretty deformity in your face.

Your pores and skin texture seems okay in these photos although I know photos aren't always the best representation. Remember that no one has poreless skin - if they do, they're filtered/makeup. Nonetheless, you're at the age where you do want to make sure you get on a good skincare regimen, both daily and possibly starting to explore some treatments in office. Those will only help.

No facelift yet. I don't think your eyes are droopy but it could be a camera angle issue. You do have hollow upper eyelids - fat grafting here could help. Your brows being "uneven" is a tpyical amount on most ppl so don't work too hard to modify this. The biggest "deficiency" I see is that you have a smaller mandible (lower jaw) and associated things to that. You could consider options to build this up such as filler/chin implant/genio/jaw advancement.

Based on your nicely posted photos, I would recommend the following procedures, but I also recommend a virtual consultation for a better understanding. A mini face neck lift with muscle replication in combination with the Endo laser lift, unilateral, brow, lift for symmetry of eyebrows, tip, rhinoplasty,. Fee $12,000. Best to virtual consult