Hello, and thanks for your question and photo. You have excellent bone structure, but subtle early volume loss that is accentuating lines in the lower face. I think you are an excellent candidate for Sculptra injections, which is a treatment that my younger cosmetic patients seem to really like. Sculptra is a milk sugar derivate that is injected beneath the skin in order to stimulate production of new collagen. Patients usually require a series of about 4 injections spaced out once monthly. The results take a few months to develop (no instant gratification as with hyaluronic acid fillers), but they are long-lasting. Sculptra has been studied out to 2 years, but seems to last much longer than that. Please don't let anyone change your excellent facial structure by placing too much volume in your cheeks, which is a mistake I see all the time. In order to determine the best treatment plan for you, I recommend an in-person consultation with a well-trained dermatologist or plastic surgeon. Consider getting two opinions before getting treated. Best of luck, Dr. Frucht.
Thanks for the great question and the photos. It looks like you have a long a narrow face and may have lost a little volume as you've gotten older. In my opinion you would be a great candidate for hyaluronic acid (HA) fillers. They will not only restore some of the lost volume, but they also provide a little "lift" to the lower part of your face in the process. May sure you see someone who is a very experienced injector. Heather Furnas and Paco Canales are two fantastic plastic surgeons in Santa Rosa if you're looking for someone. Best of luck!~Dr. Sieber
