Facial exercise does work as does massage. Long term is the key. Not enough long term,consistent research has been done. I've been 12 years facial exercising and definitely have results. My once, uneven, small, aging jawline. Now at age 68, my jaw, although not a strong jawline, is even , stronger looking and definitely not jowly anymore. Also my neck has improved big time. My once hollowing cheek area is now lifted and fuller due to lifting effect from exercise.Too many doctors do not give credit to regularly and correctly doing facial exercises. An aging face looks so much older with too many fillers...believe me, I know first hand.. Facial exercise has changed my aging face naturally but so effectively.
Thank you; anecdotally many people rate facial exercises - you have to be very motivated to get full benefit, and you obviously are. Thank you for sharing your experience.
Thank you for such encouraging feedback. I'm just beginning facial exercises now and believe that with consistency and patience, I'll get some noticeable results. I think we need to give it at least two years before making a judgement. I also use tretinoan, vitamin C, copper peptides and Mandelic acid...all very carefully and with days in between when I use only a good cream for taking care of the skin barrier. 😊
@@mailemoore5017 It's probably not appropriate on the Doctors video comments for me to post links. Just go online, you'll find many...pick one you like.😊
It works! My face slimmed down A LOT in my early 20s when I wore braces. All that action trying to get food out of the metalwork. I still do some exercises, but not regularly. I’m 64 and no one can believe it.
Retinoids, vitamin c, or other actives, don’t do anything for jowls, at least in my 4 years experience. They do help with skin texture, even skin tone.
You are right, I fear. I just bought my first retinol because I am 35 and noticed some fine lines starting along with sagging. The retinol is excellent for the lines and skin but does nothing for my sagging.
@@evarkf Tretinoin (Retin A), Glycolic acid, Hylaronic acid and Vitamin C serum in my experience work together to achieve firmer skin, followed of course by sunscreen....persevere.
@@Kernal_Klook98 Tretinoin is stronger, may work more efficiently for you in firming skin... but can be initially harder on the skin...but soooo worth it if you persevere.
Hi Karen, I dont use PCL products - do you know which one was used? It's common with HA products to have a blue hue but black is more puzzling. Significant bruising can persist in the under eye area for a few months, but less likely to be both-sided. If you know the product I will have a look for you and see if I can suggest something
Doc what can we do with migrated very old restylane filler that came back to make an appearance on ones face ? My doc tried twice to dissolve, no luck 😢. Anything natural?
thanks for the question, if it is Juvederm it is going to be hyaluronic acid. The only way of getting rid of this more quickly is with the dissolving enzyme and unfortunately there’s nothing natural that will make any difference that I know of. If it’s very old filler sometimes this can become compressed into little pockets and the enzyme doesn’t dissolve very well if it’s injected without any imaging guidance. I’d suggest seeing a doctor who specialises in ultrasound guided dissolving; I do quite a bit of this in my practice in London. This should target the small pockets accurately and also uses a lot less of the dissolving enzyme which minimise the chance of allergic reaction. I hope this helps!
Thanks for responding. Sadly I live in the US It was old restylane 😢. I just had fractional co2 laser, full face and it is making it a bit flatter. I’m 4 months out ❤. Hope it gets better if no ill seek out a doc that can do what you do, the guided method
Sculptra is a great treatment for skin quality, adhering the skin to the underlying fat and natural volume. For jowls I like using in the mid face - cheeks - if volume loss and this may have a slight effect on the lower face. Using Sculptra around the marionette line area and behind the jowls can also reduce the appearance especially when combined with dermal filler (Sculptra is a more diffuse treatment). If you also use Morpheus8 or another skin tightening device then I think Sculptra can lead to a big overall improvement (more than one non surgical modality normally needed). Hope that helps a little!
Hi Dr, how do you feel about the filler migration? I would love to get my chin and jawline enhanced but I heard about the filler migrating to the under chin area making the double chin even more prominent. Thank you
@@ElizaMia-z1w Good question! There’s actually no specific evidence on migration of jawline filler but in my experience it tends to be very unusual, assuming good technique and excellent fillers of the right consistency and luckily the jawline doesn’t move like thelips do, reducing the chance of migration. While theoretically it could occur, I haven’t seen it much in my practice. Injecting small boluses of an excellent filler minimises the risk. In the worst case scenario using hyaluronidase should be able to dissolve the filler as long as it is a HA-based filler. Hope that helps!
@@infinityaesthetics thank you so much for your answer! It does help. Just wondering if the chin specifically is not a tricky area. It does move a lot and it seems to be quite tight. Would you suggest any specific filler? And what about using sculptra in the chin?
@@ElizaMia-z1w any high G Prime elastic filler can be used deep. Now I use Perfectha Subskin which can be used deep under the mentalis muscle and subcutaneously to provide a nice smoother appearance. Sculptra is fine in the chin too, although volume increases are more subtle. It’s great for skin looking glowy 🌟
Very informative video..thanks for making it. Something to consider in your presentation style for future videos: I would like to encourage you to refer to ‘ladies’ simply as women, especially when you’re discussing how various treatments affect men or women (who may or may not be ladies). I’m not sure why this difference in terminology persists to this day but I find it a bit irritating. It seems men have no trouble referring to each other as men but oddly, (many, not all)men have difficulty refraining from referring to women with various diminutive names such as ladies, gals, girls.
@@angier2289 pop Thank you, I will bear that in mind - I guess in my circles (medical) in the UK ladies is a traditionally polite reference and certainly not meant to be diminutive. It’s a very interesting point and one for me to bear in mind thank you. 🙏
@@infinityaestheticsClearly, not all women are “ladies” …..but it’s a polite and respectful way of referring to women, so no need to change anything for people who think the world revolves around their preferences. Thank you for the video.
@infinityaesthetics yep very true...never having had botox or fillers..I eventually had the 8 point liquid facelift 18months ago and pretty amazing. I'm 59 and know it's something I can get done once every 2 years..as I know fillers never dissolve completely cost 800.00 worth every penny
That’s completely unproven and extensive evidence suggests otherwise. 1. Safety Profile and Carcinogenicity Assessments • A comprehensive review in Dermatologic Surgery evaluated the safety of injectable fillers, including their carcinogenic potential. The study concluded that no direct evidence links HA, CaHA, PLLA, or PMMA fillers with cancer, highlighting that these fillers have been extensively used without reports of tumour formation or cancer induction (Goldberg et al., 2020). 2. Case Reports and Long-term Follow-ups • Long-term Safety Review: A 10-year safety review of hyaluronic acid fillers published in Plastic and Reconstructive Surgery found no reported cases of malignancies directly attributable to filler use. The study’s extensive review of adverse events did not identify cancer as a complication (Bertossi et al., 2021). • Granuloma Formation: While granulomas are a recognised adverse effect, especially with synthetic fillers, these are benign and do not exhibit malignant transformation. Studies, including one in Journal of Cosmetic and Laser Therapy, found that granulomas were reactive, not neoplastic (Urdiales-Gálvez et al., 2018). 3. Preclinical and In Vitro Studies • Animal Studies: Preclinical studies using rodent models to assess the carcinogenic potential of PLLA, PMMA, and CaHA fillers have not demonstrated tumourigenesis. For instance, a study published in Toxicologic Pathology examined long-term implant sites and found no evidence of neoplastic changes (Brandt et al., 2022). • Cellular Assays: In vitro assays designed to assess the mutagenicity of filler components consistently show no mutagenic or carcinogenic activity. For instance, HA fillers were shown to have no impact on DNA integrity or cellular proliferation beyond normal wound healing pathways (Jansen et al., 2019). Regulatory Position and Post-Marketing Surveillance Regulatory bodies such as the FDA (U.S.) and MHRA (UK) continuously monitor the safety profiles of dermal fillers through post-marketing surveillance. As of the latest updates, neither the FDA nor MHRA has issued warnings or identified cancer risks associated with any approved dermal fillers. These findings align with clinical data suggesting that when used according to guidelines, dermal fillers do not pose a carcinogenic risk. My opinion therefore is that in the current evidence, there is no substantiated link between dermal fillers and cancer. The materials used in fillers-particularly hyaluronic acid, calcium hydroxylapatite, and other biocompatible substances-are considered safe and have not demonstrated carcinogenic effects in clinical or preclinical studies. The main risks associated with fillers are typically localised reactions such as inflammation, granulomas, or infection, which do not equate to systemic carcinogenicity.
@@infinityaesthetics recent review found that the number of skin cancers in tattooed skin was low, and therefore seems coincidental, however a number of carcinogens that have been found in tattoo inks have been associated with cancers elsewhere in the body, such as the liver or bladder.
I think you are referring to the TikTok post about filler on MRI - this is thought provoking but isn’t high quality evidence with one patient where there may be confounding factors. We know from recent MRI studies that most patients have filler persisting for 2 years but this can occasionally be up to 10-15 years. Many areas usually resolve fully within 2 years. Persistence isn’t necessarily a bad thing if done properly and not refilled frequently. Most filler treatments I do don’t need to be repeated for more than 2 years and often longer - I agree if done regularly it can certainly cause oedema and ‘pillow face’. It’s all about being cautious! Thanks for the very interesting question!
Facial exercise does work as does massage. Long term is the key. Not enough long term,consistent research has been done. I've been 12 years facial exercising and definitely have results. My once, uneven, small, aging jawline. Now at age 68, my jaw, although not a strong jawline, is even , stronger looking and definitely not jowly anymore. Also my neck has improved big time. My once hollowing cheek area is now lifted and fuller due to lifting effect from exercise.Too many doctors do not give credit to regularly and correctly doing facial exercises. An aging face looks so much older with too many fillers...believe me, I know first hand.. Facial exercise has changed my aging face naturally but so effectively.
Thank you; anecdotally many people rate facial exercises - you have to be very motivated to get full benefit, and you obviously are. Thank you for sharing your experience.
Thank you for such encouraging feedback. I'm just beginning facial exercises now and believe that with consistency and patience, I'll get some noticeable results. I think we need to give it at least two years before making a judgement. I also use tretinoan, vitamin C, copper peptides and Mandelic acid...all very carefully and with days in between when I use only a good cream for taking care of the skin barrier. 😊
Thanks for your thoughts on facial exercises. Do you mind sharing or linking the techniques? 🙏
@@mailemoore5017 It's probably not appropriate on the Doctors video comments for me to post links. Just go online, you'll find many...pick one you like.😊
Is there any TH-cam channel u suggest for this
Very humble and nice attitude in addition to his honesty, not money driven, hence my subscription 😊
You have cheered me up after a long day, thank you so much😀
Same here , instant subscriber! 👍🏻
It works! My face slimmed down A LOT in my early 20s when I wore braces. All that action trying to get food out of the metalwork. I still do some exercises, but not regularly. I’m 64 and no one can believe it.
Thank you, it’s really interesting to see how much these exercises help people. 64 is the new 40!
Retinoids, vitamin c, or other actives, don’t do anything for jowls, at least in my 4 years experience. They do help with skin texture, even skin tone.
I agree any effect is minimal and difficult to detect, I think you are spot on!
You are right, I fear. I just bought my first retinol because I am 35 and noticed some fine lines starting along with sagging. The retinol is excellent for the lines and skin but does nothing for my sagging.
@@evarkf Tretinoin (Retin A), Glycolic acid, Hylaronic acid and Vitamin C serum in my experience work together to achieve firmer skin, followed of course by sunscreen....persevere.
@@Kernal_Klook98 Tretinoin is stronger, may work more efficiently for you in firming skin... but can be initially harder on the skin...but soooo worth it if you persevere.
Thanks for an honest practical and informative video x
@@absoluteholisticguidance7597 That’s very kind of you, as I am still learning a lot about TH-cam!
Great video doc 😊
Thank you Ann, as a new channel you don’t know how much I appreciate your feedback 😊
Thank you for getting right to the point!
Thank you for watching, glad you enjoyed 😄
Facial massage helps mine
@@VoytenTechnologies Thank you; how long did it take for you to see benefit?
Exercise and use Retin-A to keep skin in shape or repair sun damage- face, neck, décolletage. I had a lot of brown on my neck and it’s gone now.
Thank you, so interesting to hear how people find treatments in practice, especially the Retin-A. Also you can never beat exercise!
Very informative. Could you help me with a problem I have, I wonder. I had PCL under my eyes and they have been black ever since. 4 months now.
Hi Karen, I dont use PCL products - do you know which one was used? It's common with HA products to have a blue hue but black is more puzzling. Significant bruising can persist in the under eye area for a few months, but less likely to be both-sided. If you know the product I will have a look for you and see if I can suggest something
@@infinityaesthetics thank you for a prompt reply. The product used is called rejuner black label. A PCL collagen stimulator.
Doc what can we do with migrated very old restylane filler that came back to make an appearance on ones face ? My doc tried twice to dissolve, no luck 😢. Anything natural?
thanks for the question, if it is Juvederm it is going to be hyaluronic acid. The only way of getting rid of this more quickly is with the dissolving enzyme and unfortunately there’s nothing natural that will make any difference that I know of. If it’s very old filler sometimes this can become compressed into little pockets and the enzyme doesn’t dissolve very well if it’s injected without any imaging guidance. I’d suggest seeing a doctor who specialises in ultrasound guided dissolving; I do quite a bit of this in my practice in London. This should target the small pockets accurately and also uses a lot less of the dissolving enzyme which minimise the chance of allergic reaction. I hope this helps!
Wow a doctor who actually replies with advice , you have my respect I’m subscribing 🙏
Thanks for responding. Sadly I live in the US It was old restylane 😢. I just had fractional co2 laser, full face and it is making it a bit flatter. I’m 4 months out ❤. Hope it gets better if no ill seek out a doc that can do what you do, the guided method
You didn’t cover red light or micro current
Very good point and one I have decided to address with a red light video in 2 ish weeks, thank you for the suggestion!
HIFU
Deep plane has a long downtime for recovery?
Yes it’s typically 2-4 weeks before resuming normal activities and many months for all the symptoms to subside
What about Sculptra for jowls? Is it worth it?
Wanna know too
Sculptra is a great treatment for skin quality, adhering the skin to the underlying fat and natural volume. For jowls I like using in the mid face - cheeks - if volume loss and this may have a slight effect on the lower face. Using Sculptra around the marionette line area and behind the jowls can also reduce the appearance especially when combined with dermal filler (Sculptra is a more diffuse treatment). If you also use Morpheus8 or another skin tightening device then I think Sculptra can lead to a big overall improvement (more than one non surgical modality normally needed). Hope that helps a little!
Great informative video. Can you explain Polynucleotides.
I read it’s very good for the neck, would it help with the jowl area too?
Yes, absolutely - polynucleotides are great regenerative treatments - I am doing a video in 1-2 weeks (it’s after my next one) so please stay tuned!
@@infinityaesthetics Brilliant, look forward to watching that 👍
I did the Nefertiti’s didn’t do much
It’s often the case - usually difficult to detect (and therefore not usually worth doing in my opinion)
Hi Dr, how do you feel about the filler migration? I would love to get my chin and jawline enhanced but I heard about the filler migrating to the under chin area making the double chin even more prominent. Thank you
@@ElizaMia-z1w Good question! There’s actually no specific evidence on migration of jawline filler but in my experience it tends to be very unusual, assuming good technique and excellent fillers of the right consistency and luckily the jawline doesn’t move like thelips do, reducing the chance of migration. While theoretically it could occur, I haven’t seen it much in my practice. Injecting small boluses of an excellent filler minimises the risk. In the worst case scenario using hyaluronidase should be able to dissolve the filler as long as it is a HA-based filler. Hope that helps!
@@infinityaesthetics thank you so much for your answer! It does help. Just wondering if the chin specifically is not a tricky area. It does move a lot and it seems to be quite tight. Would you suggest any specific filler? And what about using sculptra in the chin?
@@ElizaMia-z1w any high G Prime elastic filler can be used deep. Now I use Perfectha Subskin which can be used deep under the mentalis muscle and subcutaneously to provide a nice smoother appearance. Sculptra is fine in the chin too, although volume increases are more subtle. It’s great for skin looking glowy 🌟
Very informative video..thanks for making it. Something to consider in your presentation style for future videos: I would like to encourage you to refer to ‘ladies’ simply as women, especially when you’re discussing how various treatments affect men or women (who may or may not be ladies). I’m not sure why this difference in terminology persists to this day but I find it a bit irritating. It seems men have no trouble referring to each other as men but oddly, (many, not all)men have difficulty refraining from referring to women with various diminutive names such as ladies, gals, girls.
@@angier2289 pop Thank you, I will bear that in mind - I guess in my circles (medical) in the UK ladies is a traditionally polite reference and certainly not meant to be diminutive. It’s a very interesting point and one for me to bear in mind thank you. 🙏
@@infinityaesthetics and I will bear in mind that the internet is a great big place with a lot of diversity. 🙏
@@infinityaestheticsI think your use of "Ladies" is gentlemanly and lovely, suits who you are Doctor while staying true to yourself😊
I do not mind being called lady😊
@@infinityaestheticsClearly, not all women are “ladies” …..but it’s a polite and respectful way of referring to women, so no need to change anything for people who think the world revolves around their preferences. Thank you for the video.
only one answer..facelift
That’s the gold standard, but most people I see aren’t keen or can’t afford a facelift.
Thanks for this clear, straightforward explanation.
@infinityaesthetics yep very true...never having had botox or fillers..I eventually had the 8 point liquid facelift 18months ago and pretty amazing. I'm 59 and know it's something I can get done once every 2 years..as I know fillers never dissolve completely cost 800.00 worth every penny
@@SusanDeSilva-m4twhat is an eight point liquid facelift ??? I’ve never heard of it
It’s now being shown fillers can cause cancer.
That’s completely unproven and extensive evidence suggests otherwise.
1. Safety Profile and Carcinogenicity Assessments
• A comprehensive review in Dermatologic Surgery evaluated the safety of injectable fillers, including their carcinogenic potential. The study concluded that no direct evidence links HA, CaHA, PLLA, or PMMA fillers with cancer, highlighting that these fillers have been extensively used without reports of tumour formation or cancer induction (Goldberg et al., 2020).
2. Case Reports and Long-term Follow-ups
• Long-term Safety Review: A 10-year safety review of hyaluronic acid fillers published in Plastic and Reconstructive Surgery found no reported cases of malignancies directly attributable to filler use. The study’s extensive review of adverse events did not identify cancer as a complication (Bertossi et al., 2021).
• Granuloma Formation: While granulomas are a recognised adverse effect, especially with synthetic fillers, these are benign and do not exhibit malignant transformation. Studies, including one in Journal of Cosmetic and Laser Therapy, found that granulomas were reactive, not neoplastic (Urdiales-Gálvez et al., 2018).
3. Preclinical and In Vitro Studies
• Animal Studies: Preclinical studies using rodent models to assess the carcinogenic potential of PLLA, PMMA, and CaHA fillers have not demonstrated tumourigenesis. For instance, a study published in Toxicologic Pathology examined long-term implant sites and found no evidence of neoplastic changes (Brandt et al., 2022).
• Cellular Assays: In vitro assays designed to assess the mutagenicity of filler components consistently show no mutagenic or carcinogenic activity. For instance, HA fillers were shown to have no impact on DNA integrity or cellular proliferation beyond normal wound healing pathways (Jansen et al., 2019).
Regulatory Position and Post-Marketing Surveillance
Regulatory bodies such as the FDA (U.S.) and MHRA (UK) continuously monitor the safety profiles of dermal fillers through post-marketing surveillance. As of the latest updates, neither the FDA nor MHRA has issued warnings or identified cancer risks associated with any approved dermal fillers. These findings align with clinical data suggesting that when used according to guidelines, dermal fillers do not pose a carcinogenic risk.
My opinion therefore is that in the current evidence, there is no substantiated link between dermal fillers and cancer. The materials used in fillers-particularly hyaluronic acid, calcium hydroxylapatite, and other biocompatible substances-are considered safe and have not demonstrated carcinogenic effects in clinical or preclinical studies. The main risks associated with fillers are typically localised reactions such as inflammation, granulomas, or infection, which do not equate to systemic carcinogenicity.
@@infinityaesthetics recent review found that the number of skin cancers in tattooed skin was low, and therefore seems coincidental, however a number of carcinogens that have been found in tattoo inks have been associated with cancers elsewhere in the body, such as the liver or bladder.
Nowadays we know that fillers won’t disappear fully and can make you look permanently puffy!
I think you are referring to the TikTok post about filler on MRI - this is thought provoking but isn’t high quality evidence with one patient where there may be confounding factors. We know from recent MRI studies that most patients have filler persisting for 2 years but this can occasionally be up to 10-15 years. Many areas usually resolve fully within 2 years. Persistence isn’t necessarily a bad thing if done properly and not refilled frequently. Most filler treatments I do don’t need to be repeated for more than 2 years and often longer - I agree if done regularly it can certainly cause oedema and ‘pillow face’. It’s all about being cautious! Thanks for the very interesting question!