Actual RealSelf Patient Comment: I smoked quite a lot for several years and I gave up on smoking about a year ago, however, I feel like my skin looks worse than before. What do you think is the main cause? Can you recommend any ways besides fillers to drastically reverse the signs of aging? Aren’t fillers going to make my skin worse in the long run?

before and after before and after

A: I would treat you with micro-focused ultrasound treatment, Ultherapy. I would combine it with a vial of Sculptra on each side of your face. Sculptra is a bio-stimulatory filler, it will not make your skin worse in the long run, in fact it not only rejuvenates your face with natural volume, but also gives your face a very nice “Sculptra Glow” where the quality of your skin improves (tone, texture, and color.). It is essential that you choose your treating physician most carefully based on their skill, experience, knowledge, and natural artistic vision. Good luck and be well.