What treatment would you recommend for my marionette lines, crepe/downturning wrinkle look of chin, and jowls in the same area? I had a mini facelift about seven or eight years ago, but my marionette lines didn't get better with that. I was reading about microneedling/RF. That seems like a decent option. One surgeon said the only thing he would recommend is fillers. But fillers never helped when used. What about face tight or thermi tight? Other thoughts? I hate the downturned look.
Answer: Treatment Options Good Morning, Sidney! The photos you've shown are very helpful. The downturning of the corners of the mouth is a very common complaint we see in facial plastic surgery. Microneedling RF helps to tone the skin, but the results may be less than you desire. Fillers are often great options, assuming the correct product was placed, but not always. FaceTite helps to reduce the fullness at the jawline and close to the jowls, but you have to be careful being aggressive there due to the location of the marginal mandibular nerve. It really does nothing for improving the support at the corners of the mouth. The gold standard for really improving the marionettes / jowls / jawline is a facelift - particularly a deep-plane approach. Hope that is useful!
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Answer: Treatment Options Good Morning, Sidney! The photos you've shown are very helpful. The downturning of the corners of the mouth is a very common complaint we see in facial plastic surgery. Microneedling RF helps to tone the skin, but the results may be less than you desire. Fillers are often great options, assuming the correct product was placed, but not always. FaceTite helps to reduce the fullness at the jawline and close to the jowls, but you have to be careful being aggressive there due to the location of the marginal mandibular nerve. It really does nothing for improving the support at the corners of the mouth. The gold standard for really improving the marionettes / jowls / jawline is a facelift - particularly a deep-plane approach. Hope that is useful!
Helpful 1 person found this helpful
December 29, 2022
Answer: RF microneedling: what you should know Thank you for your question and for providing photos. RF microneedling can diminish the appearance of fine lines and wrinkles on the face and neck while reducing the appearance of early jowl formation and lower face sagging.
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December 29, 2022
Answer: RF microneedling: what you should know Thank you for your question and for providing photos. RF microneedling can diminish the appearance of fine lines and wrinkles on the face and neck while reducing the appearance of early jowl formation and lower face sagging.
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October 27, 2022
Answer: Laugh Lines / Nasolabial Folds - Fillers + Sculptra, Lasers like Fraxel/Clear + Brilliant, Radiofrequency, Peels, Skin Care I recommend fillers to soften the nasolabial folds themselves and also lift around the mouth and cheeks to build underlying anatomical support. In our practice we combine Sculptra with other fillers "layered" on top and lasers, skin tightening treatments such as Thermage, Fractora, and Renuvion (J Plasma), thread lifting, and peels to get the most conservative, natural look. I suggest seeing a facial sculpting expert for a formal consultation. Best, Dr. Emer
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October 27, 2022
Answer: Laugh Lines / Nasolabial Folds - Fillers + Sculptra, Lasers like Fraxel/Clear + Brilliant, Radiofrequency, Peels, Skin Care I recommend fillers to soften the nasolabial folds themselves and also lift around the mouth and cheeks to build underlying anatomical support. In our practice we combine Sculptra with other fillers "layered" on top and lasers, skin tightening treatments such as Thermage, Fractora, and Renuvion (J Plasma), thread lifting, and peels to get the most conservative, natural look. I suggest seeing a facial sculpting expert for a formal consultation. Best, Dr. Emer
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October 4, 2022
Answer: Proper Choice(s) Of HA Fillers In Experienced Hands Can Translate Into A "Liquid Facelift" First, let me say that the various aesthetic problems here, namely sunken upper cheeks, pronounced smile lines, jowls along the jawline and marionette lines, are all every day problems seen in any active practice devoted to facial rejuvenation. Secondly, before fillers are simply tossed aside with "never helped," it would be important to investigate which specific fillers were used, how much of each, and for which areas was each used, as well as the exprience and expertise of the injector performing these injections. If a syringe or two of ordinary Restylane or plain Juvederm was used for the aforementioned problems, the results would be expected to be both unsatisfactory and short-llived. However, if a sufficiently HA filler were used for the cheeks, and another for the jawline and still a third for marionette lines and each was injected in the proper amounts and with the proper technique for the individual area, I would venture to say that the immediate nonsurgical transformation would elicit an on-the-spot "Wow!"
Helpful 1 person found this helpful
October 4, 2022
Answer: Proper Choice(s) Of HA Fillers In Experienced Hands Can Translate Into A "Liquid Facelift" First, let me say that the various aesthetic problems here, namely sunken upper cheeks, pronounced smile lines, jowls along the jawline and marionette lines, are all every day problems seen in any active practice devoted to facial rejuvenation. Secondly, before fillers are simply tossed aside with "never helped," it would be important to investigate which specific fillers were used, how much of each, and for which areas was each used, as well as the exprience and expertise of the injector performing these injections. If a syringe or two of ordinary Restylane or plain Juvederm was used for the aforementioned problems, the results would be expected to be both unsatisfactory and short-llived. However, if a sufficiently HA filler were used for the cheeks, and another for the jawline and still a third for marionette lines and each was injected in the proper amounts and with the proper technique for the individual area, I would venture to say that the immediate nonsurgical transformation would elicit an on-the-spot "Wow!"
Helpful 1 person found this helpful
Answer: Microneedling for jowls Hi and thanks for your question!Microneedling and radiofrequency would be a great option to tighten the area in your lower face and jowls. Based on your photos, I would recommend treatment of both face and neck for the best results.Please be aware that best results will be obtain with a series of 3 monthly treatments, with best results at 6 months.I would also consider adding to your microneedling a treatment with Sofwave, which uses ultrasound therapy to heat the dermal layers, causing stimulation of both collagen and elastin under the skin, to provide skin lifting.Given that there is heaviness in the lower face, I would not necessarily recommend fillers at this time. While fillers can help to "turn up" the corners of your mouth (which you mentioned you wanted treated), I don't think you would be fully happy if the lower face heaviness is not properly treated.Hope this helps!
Helpful 1 person found this helpful
Answer: Microneedling for jowls Hi and thanks for your question!Microneedling and radiofrequency would be a great option to tighten the area in your lower face and jowls. Based on your photos, I would recommend treatment of both face and neck for the best results.Please be aware that best results will be obtain with a series of 3 monthly treatments, with best results at 6 months.I would also consider adding to your microneedling a treatment with Sofwave, which uses ultrasound therapy to heat the dermal layers, causing stimulation of both collagen and elastin under the skin, to provide skin lifting.Given that there is heaviness in the lower face, I would not necessarily recommend fillers at this time. While fillers can help to "turn up" the corners of your mouth (which you mentioned you wanted treated), I don't think you would be fully happy if the lower face heaviness is not properly treated.Hope this helps!
Helpful 1 person found this helpful
