Q. I just turned 59 in March. Im 5’9 and 135 lbs. I have long, thin face. My cheeks and temples are starting to hollow out. My dermatologist suggests Sculptra to fill in theses areas and Juverderm in marionette lines. I got a second opinion from a nurse that does fillers and she said I might be too old for Sculptra and she recommended Voluma. What do you think?
A. The use of injectibles like any diagnosis, option and technique are dependent on the injectors knowledge, talent and skill and choosing the appropriate patient for the technique.
Various options for facelifting and skin texture improvements are available according to the skin laxity and areas of lift or tightening you wish or need. 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 under the skin soft 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.
Sculptra is the latest of the injectibles stimulating 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 re-balance 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.
If you can pinch more than an inch of skin along the jawline in front of your earlobe, you should consider a surgical option to redrape and remove extra skin.
Seek other Board Certified Plastic Surgeons and Dermatologist opinions. Sometimes there is no amount of non-surgical alternatives which will provide the lift and excess skin removal of a facelift.
I hope this has been helpful. All the best! I just turned 59 in March. Am I too old for Sculptra?
Q. I just turned 59 in March. Im 5’9 and 135 lbs. I have long, thin face. My cheeks and temples are starting to hollow out. My dermatologist suggests Sculptra to fill in theses areas and Juverderm in marionette lines. I got a second opinion from a nurse that does fillers and she said I might be too old for Sculptra and she recommended Voluma. What do you think?
A. The use of injectibles like any diagnosis, option and technique are dependent on the injectors knowledge, talent and skill and choosing the appropriate patient for the technique.
Various options for facelifting and skin texture improvements are available according to the skin laxity and areas of lift or tightening you wish or need. 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 under the skin soft 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.
Sculptra is the latest of the injectibles stimulating 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 re-balance 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.
If you can pinch more than an inch of skin along the jawline in front of your earlobe, you should consider a surgical option to redrape and remove extra skin.
Seek other Board Certified Plastic Surgeons and Dermatologist opinions. Sometimes there is no amount of non-surgical alternatives which will provide the lift and excess skin removal of a facelift.
I hope this has been helpful. All the best! 
