Alexander Z. Rivkin M.D. is a Yale trained facial cosmetic surgeon and UCLA faculty member who has focused his practice exclusively on providing his patients with the latest in non-invasive, non-ablative cosmetic treatments in Southern California. He understands that no one relishes the thought of “going under the knife,” and believes modern medical technology can provide today's patients with superior alternatives to invasive, painful surgery that requires a long recovery time.

Tuesday, January 29, 2008

Jowls, Thermage, Titan and Perlane

At 57 I have a thin face, no sagging of the neck to speak of, but weird looking jowls and marionette lines around the mouth. THe jowls look weird because here is this jawline with no neck fat and there they are--they almost look like growths in pictures. Anyway, I have researched everything and had four consultations. Two of the PS suggested a skin only minilift because the neck was fine and upper part of face isn't sagging--not even eyes. The Titan people have been very upfront about what they can and cannot do--they have told me that some people see very little results. Finallyl, one of the PS said since I was hesitant about surgery maybe fillers (radiesse) would be a good experiement. Most of the people on the forums I have asked say this would probably make the jowls look worse. The Titan is a $3000 gamble and I hear very little positive about it but it seems to me the best thing is to always try the noninvasive stuff first. Any thoughts on this? Also, I am sorry my question is so long. Thank you for any input.
Also, is Perlane a good joice for marionettelines and chin creases? Thank you.

hi,
i would definitely try titan or thermage first. i have seen very good results for the jawline. it is certainly worth it. fillers may be ok, but they're temporary.
perlane is a good choice. juvederm is also good.
cheers,

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