Mar 7, 2019

Imagine that your face is a house. When you are born it's perfect, as if it were just built. All the walls are strong, the paint is smooth, the floors are shiny, and the roof is tight and never lets in a drop of rain. Then years pass and the sun beats down on it day after day, the rain pours onto the roof, winter comes, and slowly there are changes. But you are busy living inside this house and you barely notice the alterations. Still, the roof leaks a little, the paint begins to crack and peel, and the walls slump a bit. If your house goes on like this for many years and you don't address the problems; repaint the walls, fix the roof, or replace the windows, eventually the house is going to look shabby. But still you've been busy inside that house. You've had kids, done important jobs, made a life. And one day when you're a little less busy you take a look at your house and you see there's a lot of work to do. And if you try to just paint the outside and ignore the leaking roof and sagging beams, it won't do the job. You’ll need to support the inside structure or the house will continue to collapse.

Imagine again that this house is your face. After many years of taking our faces for granted, we suddenly notice that things are sagging. This is a common problem. We go to the doctor and ask for some Botox, maybe a little in the frown lines, which can be helpful. But this is like painting the house and ignoring the sagging roof. Fillers are usually more helpful than Botox because they do actually replace what we have lost: the supporting structures beneath the skin. Fillers are designed to prop up the skin just as a beam supports a roof. Imagine filler as the supporting beams of the house. Used properly, it actually can lift the structure back up.

A good aesthetic doctor will look at your face as a whole, like a house that reflects your identity. First she will use fillers to support the skin by replacing the deep structures that have faded over time. Fillers like Restylane Lyft, VERSA, or Voluma are good choices for this type of scaffold. Then your doctor will add Botox or Dysport to smooth the surfaces, and perhaps follow that with a laser or chemical peel to seal the cracks. Then your renovation will be complete and you can face the challenges in your life confident that your face will both reflect and protect you.