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"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/PRP2) PDT Light Therapy a few times per month with growth factors3) Laser treatments like Clear + Brilliant regularly and others (Fraxel, Moxi, Viva, CO2, Erbium, Halo) a few times per year4) Sculptra injections a few times per year for collagen production with fillers like Juvederm, Restylane, Belotero, Radiesse, and/or Bellafill5) Thermage/Ultherapy for yearly skin tightening with or without PDO or cone-based Instalift threads for lifting6) Botox every 2 to 3 months to stop movement lines and prevent lines at restBest, Dr. Emer."
Facial sculpting and contouring can be created with well-placed fillers (Voluma, Countour, Radiesse, Bellafill) and Sculptra, which would give improvement in facial balance. Fat or implants are alternatives. I recommend getting a formal evaluation with a facial sculpting expert. Best, Dr. Emer
Juvederm Volite is currently unavailable in U.S. market. However, a popular alternative is Belotero. Belotero is used for fine lines and is used like volite for both plumping and rejuvenating the skin. Much like restylane skin boosters available outside the us.
Hyperdilute filler injection is one of the most under rated techniques in aesthetics. Hyaluronic acid fillers and CaHA fillers can absolutely be diluted and can actually last longer by stimulating collagen around the fillers.
