What can I do about this saggy face? My nose? (Photo)
Doctor Answers 9
The amount of facial filler needed is determined by discussing with your doctor what a satisfactory end result is for you
I can certainly guide you in this type of situation. To give you a bit about my background — I’m a Board-certified cosmetic surgeon and a Fellowship-trained oculofacial plastic and reconstructive surgeon, practicing in Manhattan and Long Island for over 20 years. I specialize in skin rejuvenation and facial aging with both surgical and non-surgical interventions, and regularly use quite a number of injectable fillers in my practice, namely Voluma, Juvederm, Restylane, and the like.
The answer to the question of whether you can get away with 1 syringe of Voluma depends on what is a satisfactory outcome for you, and whether you will be satisfied with the effects of 1 syringe. To help you understand the concept of volume, when you say “1 syringe” that’s essentially 1ml of filler, which is quite small. If there are multiple areas on your face that you’d like to improve, it will probably take more than 1 syringe. Keep in mind also that injectables are not cheap, so you will be looking at a certain cost.
Communication is absolutely key. When patients come to my practice and consult with me regarding these things, I feel like it is my job to be their primary care doctor for beauty because many of these people enter into this area of cosmetic medicine, cosmetic dermatology, cosmetic surgery with different levels of experience, knowledge, and personal comfort. Often, they want to be more conservative, which is fine, but ultimately, it is important to clearly define what a successful and satisfactory outcome is to you. In order to help my patients reach this conclusion, I will take photos, put them up on the screen, and then have the patient look at their face from different angles, so they can get a better sense of what is possible. This is very important because when you invest your time and resources towards anything, you want to make sure you do it adequately and that you walk away satisfied.
In my practice, when I do procedures such as structural volumizing, more than one syringe is needed to enhance the cheeks, the jawlines and the chin; and again, what we can’t really determine about your question is whether or not you will be satisfied with one syringe. I always try to work within the patient’s budget, and if they want a more conservative approach. Sometimes, when they come back for their 2-week or 1 month follow-up, they’ll say that they were hoping they could’ve have gotten more. So I try to explain that if we want to establish a desired outcome, there is an estimate of how many syringes and material are necessary. Improving the cheeks, nasolabial folds, lips, marionette lines, jawline, and jaw angles all come with a certain amount of volume needed, and this is what I spend a lot of time counselling patients on so they make better informed decisions.
However, in your case, because you are also dealing with the stressors of other issues that also deserve a lot of attention, I wonder whether or not this is the right time for you to do this. I do understand the mind and body connection and how looking at your appearance and liking what you see can put you in a more positive state of mind and make you feel empowered. An interesting anecdote: one of the oldest patients I ever performed face lifting surgery on was 87-years-old, and she had the strength, energy and vitality of a 60-year-old. She told me whenever she gets tired, she looks in the mirror and says “hey, you look only 60-years-old—you can handle whatever the problem is.” I think this is a lovely example of how a little can go a long way.
I think you could get away with 1 syringe of Voluma, but I suggest meeting with a doctor who you feel comfortable with and learn more about your options. I will caution you, however, that because of the kind of volume loss that you feel you have experienced with the eating disorder, you may need more than 1 syringe in order to see a significant enough difference to justify the time and expense.
I hope that was helpful and I wish you the best of luck!
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Your early aging concerns are common and you appear to be a good candidate for Voluma.
Secondly, regarding your nose, it sounds as if you have visited someone who diagnosed a septal deviation with bone spur. I cannot see your nasal deviation in the pictures, but this may be correctable with rhimoplasty. Both Voluma and Septo-Rhinoplasty can be performed at the same time.
What can I do for a saggy face?
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What can I do about this saggy face?
Non-surgical options for aging face
I know it's hard to look in the mirror and see the changes that occur with time, but you do not look overly "aged" in your photos. A bit of non-surigal facial rejuvenation will perk you right up. Schedule a consultation with a board certified plastic surgeon in your area to be assessed in person and discuss your filler options. Voluma is ideal for plumping the cheeks. In terms of your nose, this might require surgery so make sure that whomever you see also performs rhinoplasty.
Sagging Face -- Fillers/sculptra, Thermi, Thermage/Ultherapy/Venus Legacy, Viva Resurfacing; Neck/Face Lift
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