Is there a non surgical procedure to help these folds? (Photo)

Hello, cjwells51, thank you for your question! In our practice take a holistic approach to aesthetics, and achieve some wonderful results with various nonsurgical modalities. Morpheus8, SylfirmX and ScarletRF are both fabulous treatments that combine radiofrequency with microneedling to tighten the skin as well as improve skin tone and texture. Additionally, the Agnes RF device is used for precision in smaller areas such as under the eyes or skin laxity in the lower face. It can address fat pads as well as skin laxity. PDO Threads and dermal fillers are also a great way to improve upon the results of RF-microneedling. All of this is to say that you can absolutely make improvements without surgery, if that is your preference. We wish you the best of luck in your search! Best, Genie Alexander RN BSN for Dr. Anna Petropoulos MD FRCS at Center for Classic Beauty, Boston & Danvers, MA.

Thank you for sharing your photo and your concern. The folds and sagging you’re noticing along the lower face and neck are a very common part of aging. There are several non-surgical approaches that can help improve their appearance, though results will be more subtle than surgery.

Some of the options include:

Dermal Fillers: These can restore volume along the jawline and around the lower face, helping to smooth out deep folds and provide a gentle lift.

Botulinum Toxin (Botox): Strategic injections can relax certain muscles that pull downward, softening the appearance of lines and folds.

Skin Tightening Treatments: Non-invasive devices using radiofrequency, ultrasound, or laser energy can stimulate collagen production, which helps improve skin firmness and texture over time.

Combination Approaches: Often, the best results come from combining fillers with skin tightening, so you get both volume restoration and improved skin elasticity.

It’s important to have realistic expectations—non-surgical treatments can make a noticeable improvement, but they won’t fully replace what a surgical lift can achieve. Results are gradual and usually require maintenance sessions to keep the effects.

A personalized plan based on your skin type, degree of sagging, and goals will give the best outcomes.

The short answer is YES Robust HA fillers have been used for many years already, safely and effectively, and in all skin types for treating marionette lines. My last patient in fact yesterday had that done. The results are typically immediate and engender a "Wow!" reaction and there is typically little to no significant downtime. Don't be fooled by claims that you may encounter for this or that expensive ,fraxel laser, RF or other expensive gizmos, since the hard science for these unfortunately lag well behind the marketing hype and social media buzz. You would be wise to consult with a board certified cosmetic dermatologist filler expert and be sure to ask to see his/her personal before and after photos before agreeing to proceed. Best of luck.

Based on your photos, you appear to have a lot of volume loss around your mouth and in your chin. Depending on your examination, microdroplets Silikon 1000 injections may be considered for improving upon the radio lines around your lips, for achieving lip augmentation, and for softening the transition between your jowls and chin. Thank you for your question and I hope this was helpful! Sincerely, Dr. Joseph

From the submitted photos you will have the best results from a combination of treatments. Fillers can be used to help soften the deeper folds and improve contours. Morpheus8 can be used to help improve overall skin tone and texture. Three treatment sessions are recommended for optimal results.