What can I do for this issue? (Photo)

Question

So I have done PRP, currently do Botox, microneedling but not for long just recently,meso therapy and about to try and get a couple of combi cog threads places on each side for that lift if you think it’s my next step to be honest I’d like to chop the skin and scrape it all out lift it and sew it back haha as in surgery but might not be what I need

Michelle Zweifler, MD · Answer

Microneedling usually is a series of at least 3 treatments 4-6 weeks apart to stimulate collagen and improve skin texture then maintenance treatments as deemed necessary.
I don't perform threads; they are temporary and a times cause unnatural animation.
Fillers helps soften wrinkles, temporary and reversible.
Nonsurgical skin tightening devices like Sofwave can help lift the cheeks, eyebrow and improve wrinkles.
For significantly cheek laxity and wrinkles, surgery like a cheek lift or facelift provide the longest lasting results even in young patients.

Zoran Potparic, MD · Answer

Based on these, less than perfect photos, it looks like a combination of transconjunctival lower blepharoplasty and conservative fat grafting (mostly nano-fat grafts) should be considered. Hope this helps.

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