Which procedure would address my sagging lower face and under eyes? 31 y/o (photo)

Question

Hi, I’ve been lately facing some increased skin sagging on my face, especially on the lower part, as well as on my under eyes. Would you recommend Thermage, Ultherapy or any other treatment? I’m 31 years old and afraid of starting “too early”? Please help

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

John Michael Thomassen, MD · Answer

This procedure uses an incision inside your temporal hairline, so no visible scar and lifts your cheek to efface your nasolabial fold and marionette lines.  It can be done under local anesthesia in the office and involves a quick recovery.  None of the other therapies would be as effective.

Edward Buckingham, MD · Answer

Hello and thank you for your question. There is only one photo to review which does make the assessment more challenging. You may benefit from injectable filler to the lower eyelid/cheek as it does appear as though you have developed a malar groove. You could also consider laser treatments to this area. A detailed assessment by a board certified facial plastic surgeon may be of great benefit to you.

Nelson Lee Novick, MD · Answer

First off, you would be wise to exercise a great deal of "buyer beware" caution if offered treatments with expensive, light or energy-based treatments as the hard science to support the use of these gizmos lags well behind the heavy marketing hype and social media buzz that typically surrounds and promotes their use. 
Secondly, we have known for years now that early intervention, I.e. "prejuvenation", using Botox, fillers and peels, for example, coupled with the at-home use of Rx topicals, can delay or obviate the need going forward for undergoing expensive, aggressive, and invasive surgical rejuvenation procedures, like facelifts and necklifts. 
On a personal note, I started my daughters-in-law with Botox and filler treatments in their very early twenties. And now well into their mid-forties, they still do not require any surgical rejuvenation procedures. 
You would be wise to consult with a board certified cosmetic dermatologist injector expert who can select the appropriate fillers to address your areas of concern. Hope this helps and best of luck.

Anna Chacon, MD, FAAD · Answer

Thank you for reaching out with your concerns. At 31, it's understandable to feel apprehensive about starting treatments, but it's important to choose an approach tailored to your specific needs and skin condition.

For sagging in the lower face and under-eye area, both Thermage and Ultherapy are non-invasive options that can be effective. Here's a brief overview:

Thermage: This treatment uses radiofrequency energy to stimulate collagen production, which can help tighten and contour the skin. It's generally well-suited for mild to moderate sagging and offers gradual results with minimal downtime.

Ultherapy: This procedure utilizes ultrasound technology to target deeper layers of the skin, promoting collagen production. It's particularly effective for lifting and tightening, and can be a good option for addressing sagging in both the lower face and under-eye area.

Both treatments are non-surgical and have minimal recovery time, making them popular choices for individuals who want to avoid more invasive procedures. However, results can vary based on individual skin characteristics and the degree of sagging.

It's crucial to consult with a board-certified dermatologist or plastic surgeon who can assess your skin and discuss your aesthetic goals. They can recommend the most appropriate treatment plan and ensure that you start at the right time for your skin's needs.

Best of luck in your decision-making process.

Camille Cash, MD · Answer

There are a few options to address under eye concerns like yours.  Fillers are one way to address volume concerns.  Another option is AccuTite.  This treatment uses RF technology to tighten skin and improve facial contours.  It is safe to use for this delicate area.  You can find more from my website or visiting a provider near you.

Which procedure would address my sagging lower face and under eyes? 31 y/o (photo)

Answers (6)

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