I have lots of wrinkles on my face. I lost weight and my face has sagged. Will Botox get rid of them?

Thank you very much for your question, and congratulations on your weight loss. Unfortunately, weight loss can leave behind sagging, lax skin. Dermal fillers can be used to restore lost facial volume and plump wrinkles that result from a loss of tissue elasticity. Botox, on the other hand, works best on dynamic wrinkles, or those caused by repetitive movement. My suggestion is that you schedule a consultation with a board certified plastic surgeon, who can explain all of the available options to smooth your skin and restore a youthful appearance.

Thank you for your question.  Without a photograph, it is difficult to recommend a course of action.  That being said, Botox treatments are a good option to soften wrinkling caused by muscle contracture.  Skin laxity is often corrected with dermal fillers and/or surgical procedures.  Best to seek an in-person consultation with a board certified plastic surgeon to explore the options.  Good luck.

Thank you for your question!  Typically Botox is used to help smooth wrinkles in the face that are caused by facial motion. In other words, wrinkles formed from the natural motion of the forehead and between the eyes can be dramatically reduced by relaxing these muscles.  It sounds as if you have had loosening and sagging of skin after weight loss, which may need to be tightened and/or redraped.  I would consult with a board certified facial plastic or plastic surgeon who specializes in facial rejuvenation for a full evaluation.  You may be a candidate for facial fillers or for a surgical procedure such as a facelift.  I hope that this helps!-David Gilpin

The facial wrinkles skin respondvery well in the upper part of the face to Botox but not in the lower part of the face or the cheeks.  Those areas need either laser treatment orfillers.RegardsDr. J

Hello and thank you for your question. Wrinkles can be due to several different reasons and there are many great treatment options available.   The most important
aspect is to find a surgeon you are comfortable with. I recommend that you seek
consultation with a qualified board-certified plastic surgeon who can evaluate
you in person.
Best wishes and good luck.
Richard G. Reish, M.D.
Harvard-trained plastic surgeon

Thank you for sharing your question. Glad to hear you lost the weight. Patients often complain of wrinkles or loss of facial volume with general weight loss. Both problems can easily be corrected, but a thorough evaluation must be performed in person by a facial specialist.  Good luck,

I recommend a formal consultation to find out what would be best for you. Usually a combination approach is best. I find that a combination of fillers and/or Botox with lasers or RF, sculptra for collagen building, microneedling/prp and skin care help the appearance of fine lines and wrinkles. Kybella, Ultherapy and/or ThermiRF treatments (Venus Legacy) would be non-invasive options that would do well in combination for skin tightening and sagging. See an expert. Best, Dr. Emer

Botox is a great option for softening of the wrinkles. For skin sagging you might benefit from dermal fillers or lasers. I recommend having an in person consultation to get the best treatment plan. 

Botox affects muscle action. It weakens them. Wrinkles that are cause by that will respond to Botox injections. Sagging however will need some volume correction (filler or fat) to give the illusion of lifting, unless you are willing to consider surgery.

Botox softens dynamic wrinkles, those wrinkles worsened by muscle contraction. Examples of dynamic wrinkles on the face include frown lines, horizontal forehead lines, and crow's feet. Botox does not help with volume loss related to age or weight loss. To treat facial volume loss, fillers are commonly used. Fillers such as Voluma, Sculptra, Radiesse, and Restylane Lyft are great for addressing volume loss in the midface/cheeks and to lift the face. Fillers such as Juvederm Ultra/UltraPlus and Restylane are commonly used to treat nasolabial folds, marionette lines and pre-jowl sulcus. Finally, fillers such as Restylane Silk, Volbella, and Belotero can be used to address lip volume loss and perioral lines. In my experience the best nonsurgical treatment options for facial volume loss and skin laxity are combination treatment with Botox, fillers, and energy based devices including lasers, RF, and ultrasound devices. All patients should be started on a good skincare regimen to stimulate collagen production, reduce collagen loss, prevent elastin degradation, and counter the negative effects of the sun and free radicals on the skin.I recommend you see an experienced aesthetic physician for an in-person evaluation.