If you understand the causes of facial sagging, you will know that it is a complex problem. There is no treatment that can address all problems at once.
Laser treatment can only improve problems from the epidermis to the dermis layer. Monopolar radiofrequency can only improve problems from the deep to the fat layer. Other issues such as fat loss and severe muscle relaxation can be treated with fillers or surgery, but there is currently no treatment for bone issues. This article discusses various treatment methods for facial sagging.
There are many ways to address sagging in the facial skin layer. If it is due to the loss of collagen in the surface layer, such as fine lines and enlarged pores, segmented laser treatment can be used to stimulate collagen regeneration. For deeper wrinkles, such as tiger stripes and marionette lines, radiofrequency treatments like Thermage® or thread embedding can be used. For severe cases, facelift surgery is the solution. Of course, regular skincare is also important.
When facial fat loss occurs and the soft tissue loses support, sagging problems will appear, which cannot be solved with laser treatment alone. In this case, fillers can be used, such as hyaluronic acid, poly-L-lactic acid (PLLA), calcium hydroxylapatite (Radiesse), or even autologous fat. Each method has its own advantages and disadvantages.
Muscle relaxation is difficult to treat with drugs or equipment. For severe cases, surgery may be necessary.
If the sagging problem is related to the bone, neither drugs nor equipment are useful. Surgery is the only option, but it has high risks.
In reality, all problems may occur at the same time, and combination therapy is needed to address them. For example, a woman in her forties has sunken cheekbones, deep nasolabial folds, downturned corners of the mouth, marionette lines, and prominent eye bags. Fillers can be used to plump up the cheekbones, and then monopolar radiofrequency can be used to tighten the skin. Combining multiple treatments is more effective than using a single treatment method.