So I've decided for a combination of Botox and ultheraphy. Perhaps next year I'll try fillers. Any thoughts? (photos)
Doctor Answers 13
Botox and Suggestions to Refresh Your Appearance
Botox would be the ideal treatment to inject into the glabella and forehead area. I would also inject a small amount of Belotero into the tear trough area. I much prefer Thermage to Ultherapy for tightening and lifting the skin. I find Thermage works better with the new CPT technology and is pain free. For the best cosmetic results please consult a board certified dermatologist with a great deal of experience with lasers and facial injections.
Botox will help to soften the lines between and around your eyes.
Botox and Ultherapy to refresh you face
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Combination therapies: Botox, Ulthera, Fillers, others
Thanks for sharing your photo. This is helpful. I presume the combination therapy you speak of are for the "11's" lines between your brows. The expanded photo provides other clues including pigmenation (freckles) and fine lines and creases under your eyes from age and sun exposure or weathering.
For the ultimate in non-surgical face enhancements including filling, lifting, smoothening and glowing, consider a "Liquid Face Lift!" This is the use of non-surgical options to rejuvenate the skin and reverse the folds, creases and lines.
Botox and Dysport too have been found to rebalance excessive facial expression, provide a non-surgical brow lift and lip lift and reshape the nose, as well as reducing wrinkles!
The most popular of the fillers, Restylane and Perlane, a jelly-like clear skin filler is used to fill lines, wrinkles and folds. Juvederm and its longer lasting "cousin" Juvederm Ultra Plus are similar skin fillers, used to soften and fill the nasolabial ("parentheses") and marionette folds, the brow ("number 11") lines and fill and lift the cheeks and lateral brow or chin. Voluma is the longest lasting, up to 2 year duration HA filler. Each one is used to expand or volumize the loss of tissue associated with expression, weathering or aging. All the fillers come with numbing anesthetic!.
Scuptra is the latest of the injectibles stimulation collagen at different levels of the skin adding volume but primarily firming and adding resistance to the formation of wrinkles, folds and descent.
Dr. Obagi's new, second generation ZO Skin Health programs may be added to personalized chemical peels, light and laser resurfacing and tightening and will, smoothen and even the color of your skin.
IPL and fractionated lasers such as CO2 and erbium and now RF (radiofrequency) and US (ultrasound )(eg Ulthera) are additions to smooth the texture of the skin, tighten and reduce red and brown uneven pigmentation.
Given your concerns, Botox will work very well to quickly relax the muscles which make the "11"s. Used in the lower lids may lead to drooping of the eyelid and puffiness.
Ulthera will show a fast effect of tightening but will relax quickly and use its heat component to stimulate collagen for a longer term effect.
I would recommend returning to your Board Certified well experienced Plastic Surgeon or Facial ENT 2-3 weeks following Botox use and starting a retinol / tretinoin / pigmentation rejuvenation program such as that by ZO and filling in the "11's" for an immediate, short and long term effects.
Use lasers and RF or US options to smooth the rough textured skin and for additional tightening.
I hope this was helpful! All the best!
Fillers Work Well & Immediately For Improving Dark Circles & For Performing A Nonsurgical Browlift
However, for dark circles and depressions under the eyes, fillers would be more appropriate. (My favorite for this area, especially when there is darkening, is Belotero Balance, which has little to no tendency to engender the unwanted, bluish Tyndall Effect when it is injected superficially into the delicate tissue beneath the eyes. And for extra lightening, I also add a tiny amount of Radiesse, a whitish colored filler).
For an instantaneous nonsurgical browlift, consider The Nonsurgical 3D Vectoring Browlift, which may be performed with Juvederm Ultra Plus XC (in my Upper East Side Manhattan office) and Stylage XXL (in my Israel satellite facility where a far greater number of regulatory agency approved fillers and volumizers are available). The entire procedure typically takes no more than fifteen minutes.
I am personally not much of a fan of Ultherapy, or for that matter many of the lasers, including fraxels, and radiofrequency devices. Treatments tend to be expensive, very uncomfortable, and for the most part seem to yield subtle results at best.
It is important to seek consultation and treatment by a board certified aesthetic physician with experience and expertise in nonsurgical facial rejuvenation techniques.
Combination of Botox, Ultherapy, and Fillers
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