I'm 27 and my face is sagging significantly and my skin texture is disgusting. Will fillers and Botox help me? (Photo)

Hello,

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.

Thank you for your questions. You do appear to be highly critical of yourself and I would caution against striving for perfection as there is always something we can find that isn't quite the way we might like it. Improvement is a healthy goal. With respect to which treatments or procedures may be best for you, I would strongly recommend evaluation by a highly experienced physician who can make some recommendations that might address your needs

I think you are being extremely mean to yourself, but yes, there are lots of non-surgical facelift options that may help you to improve your self esteem. Botox and fillers can aid with wrinkles and asymmetry but skin texture is best addressed with skin care products and/or lasers. Best, Dr. Nazarian

Botox or Juvederm shots will help you improve your appearance. Some skin care will help as well, white skin tends to age fast. Good luck! 

Dear fillerandbotox11: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.


2. Artistic use of Botox and similar injectable muscle relaxers
just outside the upper and lower lip white line will reduce lip creasing and
increase the pout of the lip(s) without fillers.


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!