I'm 27 and my face is sagging significantly and my skin texture is disgusting. Will fillers and Botox help me? (Photo)
Doctor Answers 12
Aging skin, wrinkles, blemishes, jowling and folds; what's a pretty girl to do?
Thanks for sharing your photos! While I believe you are being too harsh on yourself, there are many things available today for "rejuvenation and anti-aging" there weren't even a decade ago.
Botox and Fillers will not help you with skin texture, elasticity and pigmentation. There are many ways to reduce lines around the mouth and lips, fill the aging descent of skin and soft tissues and rebalance facial expression. Each depends on the level of the wrinkle deformity, ie., epidermis, dermis, fat, muscle and skin color.
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 and Lyft are the longest lasting HA fillers, up to 2 years and 1.5 years duration HA. Each one is used to expand, project or volumize the loss of tissue associated with expression, weathering or aging. All the fillers come with numbing anesthetic!.
Restylane Silk is a wonderful new addition to the filler family. It is thinner and smoothening, particularly for the lines around the mouth and lips. I have also found it useful for the crow's feet and forehead lines too.
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.
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 even around the mouth!
1. Fillers in the lip like fillers elsewhere require and understanding of the anatomy and injectable results. For example:
- beyond the white roll, upper and lower lip wrinkles improve with Botox and smoothening fillers such as Silk in the dermis
- the white line and philtrum project better with smoothening or volumizing fillers like Silk or Restylane
- the lipstick lines of the dry (pink) vermillion are best injected with a volumizing filler like Restylane in the sub-mucosal layer
- lip fullness is best with projecting to volumizing fillers such as Lyft, Juvederm Ultra Plus along the wet/dry border of the vermillion lip
- lip pout can be improved with filler injections in the buccal mucosa (ie., back of the lip, inside the mouth) allowing the lip to push off the teeth.
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) are additions to smooth the texture of the skin, tighten and reduce red and brown uneven pigmentation.
These options maybe used similarly around the eyes with the caveat that the Injector must understand the art and science behind the injectables he or she are using and the anatomy and dynamics of facial expression.
All surgical, minimally invasive and non-invasive procedures and their combinations should be discussed following a proper examination with a well versed, Board Certified Plastic Surgeon who performs all of these options so you will not receive a biased approach because he limited in his skills.
I hope this has been helpful. All the best!
Thank you for your question.
It is very common to have facial asymmetry and a difference in muscle movement on each side of the face. If this is something that bothers you, it may be helpful to discuss subtle options for injectable treatment, (Botox or Dysport for example.) with a skilled injector, and then decide if that's the right option for you.
Injectable fillers and dermal fillers are products that erase the signs of aging in a simple injection treatment. These may help restore lost volume and fill line.
Concerns with texture are typically best addressed with laser treatments and/or skin care products.
I'd recommend booking a consultation with a skilled and qualified injector to determine your best treatment options.
All the best.
Options for facial rejuvenation in a young person
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Will fillers and Botox help me?
I'm 27 and my face is sagging significantly and my skin texture is disgusting. Will fillers and Botox help me?
Cheek augmentation using a dermal filler (Restylane Lyft) can create full, round cheeks in the front that will feminize the entire face. Cheek implants can be used for a permanent enhancement. A 30 % TCA chemical peel can improve the texture and tone of the facial skin. If you have "jowls" this is sagging facial tissues and an indication for some form of a facelift. The underlying SMAS layer, of the face, must be dissected, lifted, trimmed and re-sutured. The excess skin is then removed and the facelift incisions closed.
My most popular facelift is the minimally invasive, short incision facelift that has all the benefits of more invasive facelifts (traditional, mid-face and subperiosteal facelifts) but with these added benefits:
•very small incisions
•minimal tissue dissection = less bruising and swelling = rapid recovery
•can be performed in 90 minutes or less, with or without general anesthesia
•no incisions within the hair = no hair loss
•excess fat can be removed
•excess skin removed
•cheeks, chin and jaw line can be augmented with dermal fillers (I prefer Perlane) or facial implants
•most patients fly back home to parts all over the world in as little as 3 days post-op
Hope this helps.
Unhappy with face at 27
- I am sorry you feel so poorly about yourself. A lot can be done to improve your self-confidence.
- But - I don't see abnormal asymmetry in your face.
- Everyone is significantly asymmetric - nothing in our body totally matches the other side.
- I suggest you start with skin care - you have a delicate skin with what appears to be adult acne under make-up.
- The bunching from pulling certain faces is normal muscle action -
- A tiny amount of Botox can soften that.
- Botox and skin care will hep the fine lines and the skin's elasticity.
- If you spend a lot of time on the beach and in the sun - please reconsider.
- The English skin does not take kindly to excess sun.
Hope you find this information helpful. Best wishes.
Fillers and Botox for sagging
Skin Texture and Sagging
A combination of fillers, skin tightening (Thermage) to produce collagen and improve the jowls, and Clear&Brilliant to improve the skin texture would all help. Please consult a board certified dermatologist who specializes is cosmetic dermatology for the best results. Best, Dr. Green
I would recommend fillers for the nasolabial folds and smile lines along with chemical peels for skin texture. If you have "wrinkles in motion" of the lateral eyes or brow / forehead, I would recommend botulinum toxin ( Botox, Xeomin or Dysport). I think you would be very happy with the results. In addition, lifetime skin care with medical grade products goes a long way to preserve the skin. Best of luck!
Dr David Mueller, DDS, FABOMS
These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.