37 year old guy thinking about trying Botox for aging around my jawline and my eyes - would Botox be the best choice? (photos)

At least from the couple of photos provided, there is clear evidence of facial volume loss contributing to the development of tear troughs under the eyes, flattening of the central cheeks and the development of smile lines. The appropriate choice of a robust HA filler injected in the proper place within the cheeks can remedy all three problems at once, and, in the hands of an experienced injector, can be accomplished in under ten minutes with immediate "Wow1" results. Just make sure to consult with a board certified cosmetic dermatologist and best of luck.

"I suggest reaching out to an expert for a formal consultation. I like to recommend my patients start a combination of facial rejuvenation treatments.

1) Skincare with products and microneedling/PRP
2) PDT Light Therapy a few times per month with growth factors
3) Laser treatments like Clear + Brilliant regularly and others (Fraxel, Moxi, Viva, CO2, Erbium, Halo) a few times per year
4) Sculptra injections a few times per year for collagen production with fillers like Juvederm, Restylane, Belotero, Radiesse, and/or Bellafill
5) Thermage/Ultherapy for yearly skin tightening with or without PDO or cone-based Instalift threads for lifting
6) Botox every 2 to 3 months to stop movement lines and prevent lines at rest

Best, Dr. Emer."

Hello, and thank you for your question. Based on your photos, you do appear to show early signs of aging –lines around your eyes and loss of volume under your eyes –which all can be improved with non-surgical, skin-rejuvenating procedures. Botox will help address dynamic wrinkles, like the crow's feet in the outer corners of the eyes, while dermal fillers will help restore volume under the eyes and enhance your facial contours. RF microneedling (Profound RF or Virtue RF) that combines the rejuvenating benefits of microneedling with the stimulation of radiofrequency (RF) energy will renew the skin from the inside out. I offer other skin-resurfacing and tightening laser and energy devices as well. A combination of procedures can offer optimum results as well.

The best way to determine how to achieve your goals would be to schedule an in-person consultation with a reputable board-certified facial plastic surgeon. Your surgeon can assess your skin, determine the best procedure or combination of procedures, and ensure the best possible outcome.

As always, the best evaluation will be done in person. For the wrinkles around the eyes, or "crow's feet", Botox would be an excellent treatment option. As far as the jawline concerns, this is difficult to address without pictures or physical assessment. Filler is typically the better treatment option for jawline definition.

Thank you for your question! Botox is an ideal option for softening the look of facial wrinkles created by repetitive muscle movement (like the crow’s feet around the eyes, which are often caused by squinting and smiling). Volume loss also contributes to the appearance of facial aging, so you may want to consider dermal fillers under the eyes to reduce hollowing and dark circles in this area as a combined approach can deliver the best results. Book your appointment with an experienced provider to help ensure your safety and an optimal outcome.

Hello Andrew,
Non surgical treatments for facial aging in one's 30's can be very effective. Botox, fillers and skin care are all very effective.
It is not possible to say which treatment would be best for you without an in person assessment where you can express your concerns and be evaluated and provided with information.
All the best to you,
Dr. Nancy de Kleer

You will probably have the best results from a combination of treatments. Botox works well on dynamic wrinkles. It's often used around the eyes and the forehead. It is sometimes used to soften the masseter muscles of the jaw. Fillers are used to add volume where it has been lost. Common areas are along the jawline, cheeks, and under the eyes. Other treatments such as Morpheus8 are designed to revitalize the skin, improving tone and texture. I encourage you to begin by visiting with an experienced injector near you.

Hello and thank you for your question. It is always best to see you face to face for a consult and examination however in this case botox could be use to help soften fine lines around the eyes - particularly those on expression. Filler is good for redefining areas of the face such as the jaewline. I hope that helps answer your question. Always seek an experienced and qualified medical professional for these treatments. Very best wishes

Dear Andrew,
Aging of the face can be slowed down in so many ways.
Botox can help with wrinkles caused by the dynamic muscles below the skin.
Fillers can help with hollowing under the eyes.
Skin tightening technologies can help with jowel, jawline and neck definition. Ultrasound, Microneedling and Renuvion jplasma in combination are my patients favorite.
Best. DrBrecht
Seattle, Wa