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Ask a Plastic Surgeon / Face Lift
Question 4
Question: Hello I am an ex-obese 23 year old male. After weight loss I have
wrinkles around my mouth just beneath the cheeks that get aggravated when I laugh. A dermatologist considered collagen filling but I am looking for a permanent procedure. Does laser work in my case? Or is there any alternative procedures?
Response: Hi, thanks for the question. The wrinkles that form the laugh lines, and the extra skin above them, can be improved (although perhaps not completely removed) with several surgical or non-surgical options. Surgical options include a facelift, midface lift or directly cutting out excess skin and placing the incision where the laugh line normally has a crease. I generally don't recommend the Threadlift or minimally invasive skin tightening for this, as it is expensive and gives a short duration of improvement. Aggressive skin treatments with the CO2 laser
or deeper chemical peels can improve the area somewhat but generally do not give excellent results alone. Fillers can be used in the area as well. I usually recommend Juvederm™, which lasts 6-8 months, or Radiesse which lasts around one year. I almost never recommend collagen because it only lasts 2-3 months, and for the expense is usually not worth it. Fat augmentation is another filler that requires 2-3 treatments but gives permanent results. Bottom line though, if there is too much skin, the best and most long
lasting results will occur with actual skin removal, and a dermatologist is
probably not trained in these techniques.
Question: Fadi, Cali.
Response: 3-20-2007; Catherine P. Winslow, MD, Carmel, IN Dr. Winslow's web site
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