Anonymous wrote:

Anonymous wrote:I would start with a deep laser and botox. Get a prescription for tretinoin and use it daily.

You might need a mini face life. They look very natural now. Don't do any fillers even if it might be the only thing to fix your marionettes. I would wait to see if you like the laser/botox/tret first. It might be all you need. Exercise will tighten loose skin too.

why all the "no fillers!" comments, when my google research seems to suggest fillers are the answer to marionette lines?

Because fillers always look bad.

Anonymous wrote:anyone familiar with Tamjidi Skin Institute, Dr Patricia Lucy?

I've seen her elsewhere for skin cancer checks. Had no idea she did the medspa stuff. Ick.

Anonymous wrote:I would start with a deep laser and botox. Get a prescription for tretinoin and use it daily.

You might need a mini face life. They look very natural now. Don't do any fillers even if it might be the only thing to fix your marionettes. I would wait to see if you like the laser/botox/tret first. It might be all you need. Exercise will tighten loose skin too.

why all the "no fillers!" comments, when my google research seems to suggest fillers are the answer to marionette lines?

anyone familiar with Tamjidi Skin Institute, Dr Patricia Lucy?

I really like Dr. Naz in Tyson's. Go for a consultation. Her IG/marketing are a bit over the top and intimidating, but I found her very down-to-earth in person, and she did not push unnecessary treatments.

Anonymous wrote:I got BBL treatments for spots and it was very effective. I did the first 2-3 in the first year and now just get an annual booster. It removed/minimized melasma, sun spots and freckles and eliminated the need to wear heavy foundation.

PP here - I go to Dr. Elizabeth Tanzi in Chevy Chase. They are very good.

No fillers. Unless your goal is to be the most believable alien at the next Star Trek convention.

I got BBL treatments for spots and it was very effective. I did the first 2-3 in the first year and now just get an annual booster. It removed/minimized melasma, sun spots and freckles and eliminated the need to wear heavy foundation.

Anonymous wrote:Do NOT go to a local med spa. Find a qualified plastic surgeon. They will have a team of aestheticians.

I went to a medspa and found a gem but she moved out of state. Then since I've been to three and all three had dumb staff who didn't know what to recommend. One was a 22 year old girl who recommended TANNING for a more even skin tone!

Do NOT go to a local med spa. Find a qualified plastic surgeon. They will have a team of aestheticians.

If money is no object then I would start with a great dermatologist in New York for lasers and filler with your own PRP. I'd see how that goes first.

I would start with a deep laser and botox. Get a prescription for tretinoin and use it daily.

You might need a mini face life. They look very natural now. Don't do any fillers even if it might be the only thing to fix your marionettes. I would wait to see if you like the laser/botox/tret first. It might be all you need. Exercise will tighten loose skin too.

I’d save up for a good deep plane.

Go to your local med spa and ask about microneedling and IPL laser. Get a monthly subscription and get a facial or peel or other treatment each month. Most med spas have “events” where the treatments will be on sale. Try all this and then move up to neurotoxins and fillers if necessary. Find one person whose work you trust and tip her well and always go to her.

and money is not necessarily a limiting factor but still unprepared for surgery, who would you call, what products/procedures would you recommend? Late 50s, currently most glaring issue is deep marionette lines, more pronounced with recent weight loss. Next is probably just lots of spots (age and others I think), light freckles, etc, on my face. Preference for Tysons/McLean/Reston area. Thanks for any guidance.