Actual RealSelf Patient Comment: 32f. I’ve never really liked my facial profile. Something just seems… off. I had weight loss surgery and have lost ~145lbs. As I look at these photos, I know my jawline is an aspect that throws things off. Would something like ultherapy/thermage/etc be helpful for my jawline? If you were given carte blanche, what would you do to make my profile look more harmonious?

Dr. Persky’s Reply: Congratulations on your weight loss. It has been said that at a certain point of every woman’s life she needs to choose between her face or her fanny. Fortunately today we have excellent treatments that allow a patient to lose weight and still maintain their facial volume. I would treat you with foundational Sculptra, a collagen bio-stimulatory filler, and Ultherapy at the same treatment session. Most importantly be sure to choose your treating physician very carefully. Good luck and be well!