What needs to be done on my face in order to 'take few years off' and look fresh? (Especially Lower face) (Photo)

You will likely have the best outcome from a combination of treatments. You can consider Botox or other neuromodulators to soften dynamic lines and wrinkles. It can also be used to slim the jawline. HA fillers are a great tool to replace lost volume and add structure and harmony to facial contours. Morpheus8 is a minimally invasive treatment that combines RF technology with microneedling to improve overall skin tone and texture. Another minimally invasive option is FaceTite which can help tighten the tissues. Visit my website or a provider near you to learn more.

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

For facial rejuvenation I would suggest a combination approach including:1) skin care with products and microneedling/PRP2) PDT Light Therapy a few times per month with growth factors3) laser treatments like Clear + Brilliant regularly and others (Fraxel, Viva, CO2, Erbium) a few times per year4) Sculptra injections a few times per year for collagen production with fillers like Juvederm, Restylane, Belotero, Radiesse, and/or Bellafill5) Thermage/Ultherapy for yearly skin tightening with or without PDO or cone-based Instalift threads for lifting6) Botox every 2 to 3 months to stop movement lines and prevent lines at rest
See an expert. Best, Dr. Emer

Considering you do not want to have any surgical procedure, there are limited options for you.  My number one choice for you would be to have filler (ie Radiesse) placed in the marionette lines to help decrease the appearance of your downturned mouth.  Even though you did not mention it, I would suggest placing some filler in the body of the cheeks to give some more volume to your cheeks.  This volumization of your midface will help balance your lower face and give the illusion that the lower face is not so heavy looking and disproportionate.  At some point in time, your jowls will be significant enough were the only way to address them would be for you to seek at least a minilift to redefine your jawline.

Nowadays, there are plenty of options for nonsurgical facelift. These include skillful placement of neuromodulators (such as Botox, Dysport, or Xeomin), fillers (especially to the lines on the sides of the lips), and a variety of radiofrequency and ultrasound devices that have been clinical proven to induce a tightening and lifting of the skin of the face and neck (and even other body areas as well). All of the above techniques are associated with very little downtime and no surgery or scarring. However, it is very important to find an expert in Cosmetic Dermatology since these techniques and devices require experience and proper application to achieve the best results. Good luck!

Thank you for your question and photos:Fortunately there are a host of great non-surgical options for you.1)  Fillers can replenish volume and provide a more lifted/sculpted look2)  Laser skin resurfacing (e.g fractionated CO2 or radiofrequency) will help your skin3)  Profound - a new radiofrequency microneedling device can help maintain and build Collagen/Elastin4)  Ultherapy can provide collagen building at deeper tissue levelsUltimately, I would recommend visiting a board certified plastic surgeon or dermatologist who specialize in these non-invasive options to discuss the options out there and customize a plan for you.

Thank you for your question and photograph.  I would recommend you start with a good skin care regimen, one including a retinol/tazorac, sunblock, and lightening cream to your face and neck.  This will help improve the quality and tone of your skin. After 4-6 weeks, another chemical peel may be a secondary skin procedure that can further accentuate your skin's appearance but as far as improving the lines around your mouth, a dermal filler can help lessen their depth, while also turning up the corners of your lips.  Depending on the quality of your neck skin, Allergen has purchased a company touting the benefits of a medicine offering isolated fat dissolution, Kybella, that you may want to inquire about.  Hope this helps!

Without examining you it's difficult to be completely certain but based on your photo and description of the problem it sounds like you would benefit from FaceTite/NeckTite and possibly some microliposuction under the chin. You should have very powerful results with incisions that are all 5mm or less. The only way to know for sure is to book a consultation with a board-certified plastic surgeon near you that has the FaceTite system to see what your options are. Best of luck! 

Hello, if you are concerned about the ones on the lips and double chin but not keen on surgery, fillers might be a consideration.  There are multiple approved products; in my clinic the Juvederm line is used because it has a long track record and the majority of my patients are very happy with the results.  Fillers can lessen the appearance of the lines around your mouth and help disguise the appearance of early jowling.

You're face is showing the normal signs of aging.  The reason the lower face is "saggy" is because the cheek is starting to descend.  As a result, you see:1) separation of the cheek (nasojugal fold)2) nasolabial folds, accentuated by fullness of the medial cheek3) jowl formation with accompanying volume loss in the marionette lines4) downward tilt of the corners of the mouthWhat strikes me is that the combination of the frown lines and the downward tilt of your mouth makes you look unhappy or angry.I would suggest 1) repositioning/enhancing the cheek with Voluma or restylane lyft2) softening the nasolabial folds and marionette lines and the downward turn of the mouth with an HA filler3) Neurotoxin for the DAO (again, to make the corners of the mouth tilt upward), as well as for your glabella In addition, I would suggest ultherapy for tightening and lifting of the skin, which will help with the jowls.