Actual RealSelf Patient Comment: I’ve tried ulthera (when I was 23, probably helped the most), radiesse in my nasolabial fold (only into part closest to nostril not in the whole fold), kybella in buccal fat/jowl area, jaw filler, filler in nasolabial fold (whole fold, did not like so dissolved), RF micro needle lifting, botox in masseter (I clench in my sleep made face large) and I believe that’s all. I just turned 25, used to bed tan religiously every day for 6 years.

Dr. Persky’s Reply: I would recommend that you stop your daily tanning bed treatments both for the damage it is doing to your skin as well as the increased risk of skin cancer. At age 25, you have done quite a bit to your face. At this point I would treat you with foundational Sculptra and possibly Ulthera over the next few years. Choose your treating physician most carefully. Good luck and be well.