As a 64-year-old woman, I have very deep wrinkles and folds

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Question: As a 64-year-old woman, I have very deep wrinkles and folds all over my face. I have been hearing about dermal fillers like Restylane, Juvederm, Perlane, and Radiesse. I would love to be able to make my lines disappear, but they are quite deep. Are injectable fillers effective on very deep wrinkles?

Answer: That is a difficult question for me to answer without personally examining your facial features, but there are certainly some patients with very deep folds that can have a wonderful improvement with injectable fillers. There are also those that are much better served by some sort of a surgical intervention, such as a facelift or even deep laser resurfacing, for improvement in their deeper folds. Ultimately, a consultation with a board-certified facial plastic surgeon would be appropriate so that the best option for your personal needs can be performed.

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