Will Injectable Fillers Lift Up Sagging Parts of My Face Due To Aging?
Q: Dr. Eppley, I have had Restylane and Juvederm injections infrequently over the past 6 years. Two different Dermatologists did them. However even though my results were exceptional at times, the most recent Juvederm treatment seemed lumpy and inappropriately placed. I am hoping a surgeon might have a better result with better knowledge of where the product should be applied. Also, I was wondering about whether very slight eye injections to soften laugh/smile lines would be available? I am 65 years old look 40. I had a mini-facelift 24 years ago and it was the best decision I ever made. Now, however, I would like to also consider a Lifestyle Lift if possible. Less of course is more in the long run, although I am noticing a slight sag under the chin now. Possibly Juvederm or Restylane can smooth that with out changing my facial features. My hope would be to have this all completed in one or two visits as soon as possible. I would like to be treated on first visit as I am very busy with work.
A: While injectable fillers can make some wonderful facial changes, they are not useful for every facial aging problem. They are of little value in the crow’s feet or periorbital line areas as these are very superficial wrinkles. Injections of crow’s feet have a high incidence of irregularities and lumpiness. This is usuallya better area for Botox and fractional laser resurfacing. But it would depend also on how deep the smile lines are. Also injectable fillers will not be able to smooth out loose skin under the chin. This would be better treated by some type of a face or necklift.
Dr. Barry Eppley