Hi! I'm a 46 yr old woman who is 8 yrs post gastric bypass. Can the wrinkles & loose skin around my mouth be "fixed"? Also looking to smooth out skin around chin area. Really appreciate your opinion. And yes - I'll be sure to consult with a board certified plastic surgeon as well - I'm just confused by all of the conflicting information (juvederm, Botox, topical cream, laser, mini-face lift) and would love your input! Thank you!
November 28, 2016
Answer: Gastric Bypass with Significant Weight Loss Often Require Combinations of Treatments for Optimal Results First of all congratulations on your weight loss. Significant weight loss often results in loss of volume in areas where this is desireable (e.g. abdomen, thighs, etc.), but also in areas where volume loss is more problematic (e.g. face). Loss of volume in the face can lead to wrinkles, jowling and a more aged appearance. Filler and/or fat grafting can increase volume for lips, cheeks and nasolabial folds, but jowling is best approached with a lifting procedure with or without fat grafting/filler. Mild jowling can be improved with Ultherapy (Ulthera), but all jowls are best improved with a facelift or necklift procedure. Specifically for your lips, filler can improve the vertical lines that are visible. The jowling can be improved with either Ultherapy or facelift (mini or full depending on the characteristics of your facial skin and SMAS). Best of luck! Dr. Miranda
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November 28, 2016
Answer: Gastric Bypass with Significant Weight Loss Often Require Combinations of Treatments for Optimal Results First of all congratulations on your weight loss. Significant weight loss often results in loss of volume in areas where this is desireable (e.g. abdomen, thighs, etc.), but also in areas where volume loss is more problematic (e.g. face). Loss of volume in the face can lead to wrinkles, jowling and a more aged appearance. Filler and/or fat grafting can increase volume for lips, cheeks and nasolabial folds, but jowling is best approached with a lifting procedure with or without fat grafting/filler. Mild jowling can be improved with Ultherapy (Ulthera), but all jowls are best improved with a facelift or necklift procedure. Specifically for your lips, filler can improve the vertical lines that are visible. The jowling can be improved with either Ultherapy or facelift (mini or full depending on the characteristics of your facial skin and SMAS). Best of luck! Dr. Miranda
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November 23, 2016
Answer: Facelift Thank you for your question. A facelift can address creases along the nose to the mouth edges as well as remove loose skin from under the chin and jaw line. I suggest that you move forward and consult with a board certified facial plastic surgeon to learn more about the cost, process, recovery and results. Best wishes,
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November 23, 2016
Answer: Facelift Thank you for your question. A facelift can address creases along the nose to the mouth edges as well as remove loose skin from under the chin and jaw line. I suggest that you move forward and consult with a board certified facial plastic surgeon to learn more about the cost, process, recovery and results. Best wishes,
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November 22, 2016
Answer: Facelift while a facelift can be very helpful for loose skin under the chin and along the jawline, it really does very little for fine lines and creases around the mouth. The two best options for this are injectable fillers and laser resurfacing.Fillers provide a minimal downtime, but temporary solution. Laser resurfacing requires time off, but provides a long term correction. I would recommend consulting with a facial plastic surgeon, someone who focuses on facial rejuvenation to begin the process- best of luck!
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November 22, 2016
Answer: Facelift while a facelift can be very helpful for loose skin under the chin and along the jawline, it really does very little for fine lines and creases around the mouth. The two best options for this are injectable fillers and laser resurfacing.Fillers provide a minimal downtime, but temporary solution. Laser resurfacing requires time off, but provides a long term correction. I would recommend consulting with a facial plastic surgeon, someone who focuses on facial rejuvenation to begin the process- best of luck!
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