Actual RealSelf Patient Comment:
Hello I am in my mid 40’s and I do a great job taking care of my skin with products and have not gotten any injections. However this year my face is looking bumpy around my mouth and a lot of sagging. I think if I hit fillers it would make it worse. (But I don’t know much about that) I am ready to do something about it and wonder what can be done, I am looking for long term solutions. I truly appreciate any suggestions Thank you!

before and after

Answer: You are not alone, many of our patients share your concerns about early aging which results from loss of facial volume from bone and fat as well as loss of skin elasticity. I would recommend a combination treatment with a skin tightening device and the use of Sculptra which is a biological natural volume stimulator. The treatment can be performed in one sitting and it will correct your concerns. It is a long lasting solution. Please feel free to contact me with any further questions or concerns or to schedule an in-person or virtual consultation. Stay well.
Michael Persky, MD