Hollowing of our facial features is a main contributor to looking older and more tired. This could happen due to weight loss, genetics, having a very low body fat composition, or certain diseases. There are several good options for someone with your issue:

Fillers: Fillers can be used to target the hollowing features. They can be directly injected and you see an immediate result. This group includes injectables like Restylane, Juvederm, and Perlane.

Collagen Stimulators: These include Sculptra and Radiesse. Sculptra is an injectable but is not a filler. It causes your body to build collagen in reaction to it. It slowly works over several weeks and has a very gradual effect. It is usually done gradually over 2 to 3 treatment sessions to achieve an optimal result. Radiesse is a hybrid between fillers and Sculptra. It has an immediate filling component which you will see right away, and a collagen stimulatory effect that is also gradual like Sculptra.

Fat Injections: Fat can be harvested from other parts of your body, purified, and then gently injected back into your face. This is closer to being a surgical procedure but can also be done with you awake in our treatment room.

As we age we loose facial volume and fat in a nonuniform manner. Our cheeks loose volume as well as the area around our eye, temples, and jaw line. This contributes greatly to the aging process. When you were younger you probably had decent facial volume which blended better with the cheek implants. Since you are now loosing more volume around the cheeks, such as in your temples, under eyes, and lower cheek and jawline area, it makes the cheek implants appear more obvious and fake.

You have a couple of choices: one would be to enhance your facial volume around the cheek area, including your temples, under eye area, and brows. This will put your face into greater balance and harmony again.

Your other option is to take out the cheek implants, but then you will be faced with more hollowness and a more aged appearance. Your cheeks will no longer look fake, but instead might look deflated and older. At that point you can decide whether you want to enhance your facial volume. Your choices for doing that include fillers such as Radiesse, Restylane, and Juvederm, or your own fat.

As we age, we loose facial fat and volume. With time, our temples become very hollow and sunken in. This also happens to young healthy people, usually who are very athletic and lean with a very low body fat percentage.

The hollowness in the temples make us look more gaunt and older. It also helps shift the harmony in out faces and draws more attention to our lower cheeks as opposed to keeping attention at our eyes.

Fortunately, this is a very simple problem to treat quickly and effectively.

The two main options include fillers such as radiesse and perlane, or fat injections. I would suggest fat injections to people who have a high degree of facial fat loss who would benefit from volume augmentation that would otherwise necessitate a very large quantity of fillers.

Otherwise, fillers such as radiesse or perlane work great to reverse the changes in our temple. It is a quick and simple in office treatment that takes no more than 5 minutes to complete with virtually NO PAIN.

Aging of the hands is usually due to two main factors: thinning of the skin (dermis) and subcutaneus fat, as well as pigmentary changes.

To deal with the thinning of the skin and fat, there are two main options: Fat injections, or injections of fillers. Fat injections can work very well, but have the downside of prolonged edema (swelling) as well as the potential for lumpiness, and need to add more fat at a later time. With the advent of fillers, the same result can be achieved quickly and easily, with minimal risk and no discomfort.

The pigmentary changes can be dealt with either peels, laser therapy, or creams.

The thinning for the dermis and subcutaneous tissues are usually the first sign of the aging process of the hands and can start in our early 30's. Fortunately pigmentary changes happen later on, especially if we protect our hands from the sun by wearing appropriate sunblock.