Clinical Case: Sofwave, Thermage, Radiesse, and Botox for Perioral Creasing and Lower Face Laxity

Patients presenting with pronounced wrinkles around the mouth and sagging along the jawline often consider multi-modality approaches. For this case, the selected procedural protocol includes Sofwave, Thermage, Radiesse, and Botox to address both skin laxity and dynamic or static folds in the lower facial region.

Pre-procedure photographic evaluation reveals fine wrinkling surrounding the vermilion border of the lips, accompanied by deep folds in the nasolabial and marionette areas, as well as visible sagging along the mandibular contour. Because these observations reflect baseline structural features before intervention, determining proper tissue planes and energy parameters requires precise, individualized assessment.