Want to look your best? Are your tired of the facial wrinkles and the sagging skin face? You don’t want a face-lift that requires some cutting but you just want to look refreshed and more youthful.
The most trending treatments for minimally invasive to non-invasive facial rejuvenation has been to combine several old line therapies at once to achieve a more youthful face and neck appearance. For many years we have used Botox to smooth wrinkles on the forehead and around the eyes and have used dermal fillers such as Juvederm to make the face look fuller by replacing lost facial volume. Strategically placing both Botox and fillers selectively can take years off your face. Juvederm and other filler brands now have different thicknesses of their products that can be targeted for a specific area of the face. A thinner filler is targeted for the lips but can also be used to fill in the “smoker lines” that appear in the upper lip and corners of the mouth. At the same time we can put slightly thicker filler deeper to the area around the mouth to fill in where volume loss may have given you a sunken appearance around the mouth. In cases of severe mouth corner downturn, or a permanent frown, Botox can be used to relax the selective muscles that cause the problem. What I notice on so many patients is that there may be some slight jowling along the jaw edge that gives the appearance of a sunken place between the jowl and the chin. By carefully placing thicker filler along the jaw edge in that area the line from the jaw edge to the chin can be evened out and give you a more youthful jaw curve. If your chin is too flat or misshapen it is possible to combine Botox to relax the chin muscle and a small amount of filler to shape the chin to fit your jaw contour. A little further up from the mouth edge filler can also be used to smooth and fill out the naso-labial fold that gives your face the parentheses look. It doesn’t take a lot of filler to do this but by placing it properly the area from the nose to the chin can be transformed to a younger, fuller appearance.
Similarly the eye area is another place that can be transformed using fillers and Botox. As you age, volume loss under the eyes can make you look tired all the time, even when you are not. In severe cases I use Voluma filler under the eye to replace that lost volume and trim years off your face. In less severe cases a less dense grade of Juvederm can be used. Again, it is placed to not only fill in but to lift the skin around the eye and improve the saggy sad look. Combine that with Botox on the “crows feet” and a new look can be easily accomplished. I now have several patients who are getting Botox on the neck to relax those wrinkles caused by aging and sun. While it won’t give you a completely smooth neck it can greatly flatten and improve your appearance.
After filling in the volume loss areas and flattening the most severe wrinkles with Botox, the skin can be further treated with laser resurfacing or Renuvion facial treatment to thicken the collagen support of the skin and further tighten the finer lines and surface problems. Adding Platelet Rich Plasma (PRP) to the resurfacing can promote rapid healing and a more youthful skin. Additionally, placing a collagen solution on the face during our Hydrofacial can return a beautiful glow and plumpness to the skin. By combining all these treatments from deep to superficial you can achieve a more youthful appearance for the holidays and years to come.
Look younger. Feel younger. Think combination therapy for a new you.
Edward O’Dell M.D.