I’m 30 and I’ve noticed a HUGE difference in my skin. When I’m not smiling I don’t see it but as soon as I smile my jaw/cheek area bunches up and creates a massive extra skin look. It’s almost as if there’s lack of support from my jaw bone or cheek bone? Does this call for a facelift or sculptra or filler to resolve this? It also appears my chin has fallen.
April 22, 2024
Answer: Chin implant or mini facelift Your photographs are somewhat limited. It is possible that a chin implant would help take in some of the laxity of the skin. The alternative would be a mini facelift where the incision is in front of the ear and slightly behind to tighten the skin. You do not need a complete facelift. Best Wishes, Gary Horndeski, M.D.
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April 22, 2024
Answer: Chin implant or mini facelift Your photographs are somewhat limited. It is possible that a chin implant would help take in some of the laxity of the skin. The alternative would be a mini facelift where the incision is in front of the ear and slightly behind to tighten the skin. You do not need a complete facelift. Best Wishes, Gary Horndeski, M.D.
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April 20, 2024
Answer: Changes to the Face Hi there. Good question. As we age a couple of key things start to happen. First, we start losing collagen in our mid-twenties. Second, we start to lose something called "elastin" in our mid-forties. With the gradual loss of collagen and elastin our skin becomes less elastic and so we start to see changes we're not super happy with like fine wrinkles and skin folds in places we never noticed them before. We start to lose some volume in our face too, mostly facial fat that gives our face structure. Generally, someone is a good candidate for a facelift when they have either many facial wrinkles, appreciable skin laxity in the face and neck (especially something called "jowling") or when smile lines and marionette lines become very pronounced. Normally, its a combination of all these things. With that said, you pictures do not show that you have any of those facial features, and you do have nice skin. For the fine wrinkles or undesirable skin folds you are noticing you can try a more conservative approach like microneedling with radiofrequency (an example being Morpheus8). This type of procedure is generally done 3 times, 1 month apart (depending on the operator's protocol and settings). This therapy tightens the skin and stimulates collagen formation which helps restore some of that minor volume loss you might be noticing. Compared to fillers (in regards to your situation), I think it would work better as its normally done across the face and can be combined with PRF (a new version of PRP) that will even further your results. This was a wordy response, but I hope it helps!
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April 20, 2024
Answer: Changes to the Face Hi there. Good question. As we age a couple of key things start to happen. First, we start losing collagen in our mid-twenties. Second, we start to lose something called "elastin" in our mid-forties. With the gradual loss of collagen and elastin our skin becomes less elastic and so we start to see changes we're not super happy with like fine wrinkles and skin folds in places we never noticed them before. We start to lose some volume in our face too, mostly facial fat that gives our face structure. Generally, someone is a good candidate for a facelift when they have either many facial wrinkles, appreciable skin laxity in the face and neck (especially something called "jowling") or when smile lines and marionette lines become very pronounced. Normally, its a combination of all these things. With that said, you pictures do not show that you have any of those facial features, and you do have nice skin. For the fine wrinkles or undesirable skin folds you are noticing you can try a more conservative approach like microneedling with radiofrequency (an example being Morpheus8). This type of procedure is generally done 3 times, 1 month apart (depending on the operator's protocol and settings). This therapy tightens the skin and stimulates collagen formation which helps restore some of that minor volume loss you might be noticing. Compared to fillers (in regards to your situation), I think it would work better as its normally done across the face and can be combined with PRF (a new version of PRP) that will even further your results. This was a wordy response, but I hope it helps!
Helpful