At what age does a woman stop producing collagen? – Updated 2021

5 Facial Cosmetic Surgeon Approved Alternatives to a Facelift

There is no treatment out there that can best an artfully executed facelift surgery ideally developed for the individual’s distinct anatomy and also private aging adjustments. However several facelifts executed out there can still generate a cookie-cutter result where the end result might look excellent in one individual and also not so terrific in her good friend, also when executed by the very same surgeon. Even worse yet are situations where people too soon go under the knife to avoid aging changes and also wind up regretting their choice due to loss of their all-natural significance or personae.

For those smart, observant clients who are afraid less than an optimal arise from a “cookie-cutter” facelift surgery; for those that wish to preempt the inevitable aging modifications without too soon going through a facelift surgery; for those that previously underwent a facelift surgery and wish update improvements without going through another surgery; for those that simply don’t have a week or longer to recoup from a facelift surgery; for those who are afraid basic anesthetic and even twilight sedation; for smokers that encounter higher danger of difficulties from undergoing facelift surgery; for those who can’t budget for a facelift surgery, there are ultimately tried and true, FDA authorized options to a standard facelift surgery which Surgeons can supply to their people. In this write-up I will be discussing a few of the more popular choices used at my clinic.

The 5 options to facelift surgery I use in my workplace are Thermage, Ultherapy, String lifting, Fillers, as well as 2 “Mini Surgery” procedures including 3-D quantity restoration as well as re-contouring using fat transfer as well as reduced eyelid fat bag removal utilizing transconjunctival strategy.

Extremely typically these modalities are used in synergistic combinations for the private person’ s needs to achieve ideal result. The combination used are based on understanding of the private person’s integral bony as well as soft tissue anatomical foundation and also exact analysis of the aging modifications which have happened. These aging changes can be typically associated to patients age, ethnic history, and genetical as well as environmental elements.

These are perfect in those clients that really feel the collagen in their soft cells are getting too soft as well as moving downward, which can be really felt even in early 30’s for some clients. These makers are favorites as stand-alone treatment in clients who are in their 30’s to 50’s.

In patients from 40’s as well as up that keep in mind sagging of mid-face with consistent strengthening of the tear trough, marionette, as well as nasolabial line as well as appearance of the dreadful jowling and neck laxity, either Thermage or Ultherapy is advised to tighten their native collagen in the soft cells. After conclusion of one side, patient is brought up to a resting setting so clients can directly envision and contrast the lifted vs unlifted side as well as with their pre-operative pictures. Due to nearly no discoloration and swelling, some clients resume their full tasks as well as return to dine or work out on the exact same day.

If the patient likewise has substantial loss of facial quantity past the reaches of a few tubes of Fillers, 3-D facial quantity repair and re-contouring with fat transfer is likewise advised. In my center fat transfer is normally done under regional anesthesia and also because of almost no discoloration, recuperation is usually no more than a couple of days. Similarly if a person provides with reduced eyelid puffiness which is severe enough to be seen also from across the space, reduced eyelid surgery can be done under regional anesthetic with almost no discoloration, allowing recuperation period to be no greater than a couple of days to a week at most. Incorporating these 2 “Mini Surgical” treatments in my arsenal of choices to facelift surgery is essential in my method due to the fact that in my point of view, the appearance of the fat bag under the eyes and loss of face volume are really the preliminary indicators of aging modifications noticeable in people as very early as late 20’s and also early 30’s. Not a week goes by with clients coming in wishing some kind of “training” surgery as a result of their “weary” as well as “gaunt” appearance when actually, lower eyelid surgery is what they needed to eliminate their tired look as a result of puffy eye bags and volume reconstruction as well as re-contouring with fat transfer is what they needed to eliminate the gaunt as well as extended appearance. This technique shares the same concept as the “liquid fit” using fillers that a lot of patients are familiar with. If a couple of 1cc tube of fillers can be practical, picture what 30cc or 40cc of fat transfer can do in terms of recovering the lost quantity as well as re-sculpting and re-contouring the face back to much a lot more vibrant days. I really feel truth sculpture in me is defined by what I can accomplish with my fat transfer.

I will certainly undergo a couple of individual scenarios I have actually encountered in the past couple of months.

Client # 1 is a 61 years of age woman who can be found in wishing to look far better a week before her child’s wedding. She had an extremely hectic week ahead of her so not also a day to recuperate. She didn’t such as the tear trough under her eyes along with the ever before intensifying nasolabial line and jowling. Worst yet were the sunken in look of her cheek bone making her look exhausted. Her budget plan was extremely limited as most of her savings went to aiding with her daughter’s wedding celebration. After cautious discussion, she undertook a 1.5 cc Radiesse shot to high light her cheek prominence in addition to to fill in the hollowing of her cheeks. In essence the Radiesse was utilized to create a “fluid” lift. One More 1cc of Restylene was utilized to fill along the hollowing in the tear trough location as well over the nasolabial line which even more supplied an optical sense of mid-face lift. She was likewise provided some Botox to smooth the crow’s feet and frown lines; and, at the same time giving a mild side eyebrow lift and thus a subtle improvement to the lateral hooding of her top eyes.

Client # 2 is a 55 year old Chief Executive Officer of a big genuine estate company. She doesn’t think in undertaking any type of form of training surgery yet is prepared to attempt anything else to improve her ever intensifying face and neck laxity and marionette line. On the same day, she undertook Shape Instalift to lift her jawline and also mid-face as well as soften her marionette line.

Individual # 3 is a 42 year old accountant who came in for an examination to find out regarding the numerous face lifting treatments readily available to obtain rid of her tired and also tired look. After careful discussion, she undertook the 2 “Mini-Surgical” procedures consisting of elimination of lower eyelid fat bags using trans-conjunctival approach to free of puffiness to her eyes adhered to by 35cc of fat transfer to various areas of her face, formerly harvested from her lower abdominal area. When she returned back to work the adhering to week, individuals noted she looked well rested from her much was entitled to holiday, yet or else were clueless as to her actually undergoing her “Mini-Surgical” procedures.

Patient # 4 is a 35 years of age college instructor that kept in mind that her round face was obtaining a lot more wider as well as larger, especially when taking photos on her smart device. She takes care with her diet regimen as well as no weight gain is kept in mind over the past couple of years. She knows she can never ever have a V line due to her full face, however would love to halt more widening of her face otherwise show up a bit a lot more raised and slimmer like she used to look a few years back. Upon further conversation, she grinds her teeth as well as puts on an evening guard. After careful discussion, she underwent Botox to decrease the Masseter muscle mass hypertrophy from her teeth grinding which is additionally healing to reduce damages to her TM joint. Furthermore she underwent Ultherapy utilizing both 3mm and also 4.5 mm transducers to not just tighten the collagen in the soft tissue and fascia enveloping the muscular tissue, but also lower the generous cellulite in her subcutaneous tissue layer along the jaw line as well as cheek location. On her follow up go to she was ecstatically pleased with mix of refined lift as well as constricting of her facial structure from Ultherapy and narrowing of her jaw angle from decreasing the mass of her Masseter muscle mass making use of the Botox. She jokingly acknowledges “virtually” seeing the V-line however most important, happy concerning not needing to worry about positioning behind her buddies to make her face look smaller sized when taking selfies.

Patient # 5 is a 64 years of age waitress who still smokes near a pack of cigarettes daily. She had lost the majority of her top teeth years ago with significant dental bone loss resulting in reducing and also retrusion to her mid-face location. She has actually been wanting some kind of lifting treatment for many years, yet has always been afraid to pull the trigger as a result of pals who tried to find the worse in her eyes following their face lifting surgical procedures and her lack of ability to stop smoking. She had and had a set spending plan to go back to Philadelphia the exact same evening. After cautious conversation, she undertook training of her cheek, neck, and jawline making use of a mix of Sillhouette Instalift and also PDO Novathreads. She went through 40cc of fat transfer to all facet of fat area in her face, with special interest to her temporal wasting and also her mid face retrusion. Fat transfer enabled considerable reconstruction of her soft tissue volume as well as recovering back to her vibrant contour with greater former measurement which she had lost very long time ago as a result of her early dental removal. The mixed procedure took 3 hrs and also with practically no discoloration and swelling, was safely able to return to Philadelphia on the exact same night. On her follow up, between the thread lift and also 3-D repair of her facial shape, she felt she took a look at the very least 10 years more youthful and also was quiet happy with the result.

Person # 6 is a retired executive who had actually formerly gone through two facelift surgeries, last one being greater than 3 years ago. She is in her mid 70’s as well as still very active in many societies she belongs to. She wishes upgrade lifting treatment but wants to stay clear of any kind of surgical procedures as well as certainly prevent any kind of anesthetic due to disappointment during recent hip substitute surgery. After cautious conversation, she went through Shape thread lifting to enhance her jowling and also nasolabial line. She undertook PDO Novathread lift to boost the consistent best side neck laxity as well as turkey waddle. Just the best side was lifted as the left side was adequate. Furthermore, 1cc of Restylene was made use of to more boost the nasolabial line as well as edge of the mouth on both sides. She quickly really felt a few years younger as well as anticipated fulfilling her pals at her 50th college get-together.

Client # 7 as well as # 8 are pairs from Boston in their 50’s who have been visiting yearly for the past 5 years to undertake “Pairs” Thermage. After seeing their relatives in UK, they visit my office to receive their yearly Thermage on their method residence. They both feel that Thermage has helped to reduce the inevitable drooping of their face and also neck. In their recent see, along with the Thermage, partner got 1cc of Restylene to the temporal economic downturn areas and another 1cc of Restylene to the Nasolabial line while the husband got Botox to smoothen out the solid glabellar frown lines. They are both delighted with the result and plan to visit the following year.

Individual # 9 is a 47 y.o. male client who wishes facelift surgery to enhance the fastooning around his malar mound. After careful discussion, individual underwent transconjunctival lower eyelid surgery under neighborhood anesthesia to boost upon at least the median fifty percent of the large fastooning. The person would have benefited with pinching up of the skin under the eyes, he really did not desire any kind of indication of undertaking surgery.

Finally, if these alternatives to a facelift surgery may be an alternative for you, please go over with your Plastic Surgeon to see if you may be an excellent prospect for these procedures. Do keep in mind that every treatment comes with risks as well as advantages in addition to restrictions and it would certainly befit you to find a Surgeon well versed in these methods that can connect to you how you can possibly take advantage of the procedures with minimal to no downtime.