Q. Any suggestions for face fillers? I’m very dissatisfied with my face. I’m only 32 years old, but I feel like I’m aging very quickly. I’d like to get Restylane under my eyes to fill in the horrible dark circles that I’ve had all my life plus Botox for my forehead. I also feel like my cheeks sag a lot so I’m not sure how that could get corrected with fillers. What would you suggest to make my face look more youthful?
A. Various options for “facelifting”, minimally and non-invasive facial enhancements and skin texture improvements are available according to the skin laxity and areas of lift or tightening you wish or need. Both surgical and minimally invasive / non-surgical options are listed below.
Surgical lifts would be likened to pulling the bedspread and or top-sheet of your bed up to the head-board and removing the excess material.
Minimally invasive procedures such as fillers provide volume such as adjusting a pillow under the bedspread. Botox and Dysport act by pulling the top-sheet which drags the bedspread upwardly. If the bedspread (or skin) continues to fall to the foot of the bed despite fillers, Botox or Dysport you will need to consider a “facelift”.
Non-invasive options such as laser and light therapies, skin tightening products and technologies perform their tightening and smoothening of the skin similar to sending your bedspread to the dry cleaners. A more refreshed, even colored, glowing smoother and tighter spread covers the surface of the bed.
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 is the longest lasting, up to 2 year duration HA filler. Each one is used to expand or volumize the loss of tissue associated with expression, weathering or aging. All the fillers come with numbing anesthetic!.
Non-surgical facial contouring is possible with fillers such as Radiesse, a bone mineral for the nose or cheeks, jaw and chin as well.
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 Dysporttoo 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!
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.
Thank you for sharing this photo with us. Based on this photo, I believe you would benefit from:
- projecting facial fillers such as Voluma, Perlane, fat in the deep cheek compartments and / or evaluation for a mid-face lift. A Mid-Face Lift would carry the soft tissues of the cheek directly upwardly to fill the cheek with the fat and other loose tissue of the jowl, reduce the nasojugal fold, nasolabial fold, elevate the corners of the mouth and possible soften the marionette fold.
- ZO Obagi Skin Health will provide exfoliation, cell regeneration, luster and firmness to your skin
- mild added fullness to your upper lip vermillion
