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[quote=Anonymous][quote=Anonymous][quote=Anonymous][quote=Anonymous]I would go to an excellent dermatologist before a medspa but that's my opinion. Ask their opinion. Overall it is typical to begin a skincare routine using a retinol, ask the dermatologist for a script like tretinoin. I would start with botox around eyes, head, brow line. You can consider microneedling which increases collagen and improves skin quality. I've been pleased enough so far with these things but I lean toward liking a more natural look so I avoid anything with my lips or filler. Though these can be done well. I like Dr. Ann Rothman. 
 [/quote]
Is this the answer when the most glaringly obvious lines are the marionette lines (no crows feet, bangs mostly cover forehead)? [/quote]

I would start more conservatively than fillers. You noted spotty skin texture. That's why i said, perhaps start there. Maybe if you increase your collagen and your skin looks healthier and yes, younger, since we lose collagen as we age...perhaps your marionette lines will bother you less. I asked for filler for marionette lines when I started seeing dermo five years ago. She discouraged starting there and I think said something about removing the natural contours. Anyway, it's completely up to you and your provider obviously. Just understand that many people use these procedures in various ways and a certain segment of us are anti filler in general. It has to be done very carefully to look good. Pick your provider carefully. Good luck. [/quote]
thanks for the follow up[/quote]

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