At what age does a woman stop producing collagen?

5 Facial Cosmetic Surgeon Approved Alternatives to a Facelift

There is no procedure around that can best a skillfully performed facelift surgery ideally created for the individual’s special makeup and individual aging changes. Regrettably many facelifts done out there can still produce a cookie-cutter outcome where the end result might look fantastic in one person and not so great in her close friend, also when carried out by the same surgeon. Even worse yet are situations where people prematurely go under the knife to avoid aging modifications and wind up regretting their choice because of loss of their all-natural significance or personae.

For those wise, perceptive clients that are afraid less than an optimal result from a “cookie-cutter” facelift surgery; for those who desire to preempt the inescapable aging adjustments without too soon undertaking a facelift surgery; for those that formerly underwent a facelift surgery as well as desire update improvements without undertaking one more surgery; for those that merely don’t have a week or longer to recoup from a facelift surgery; for those that are afraid general anesthesia or even twilight sedation; for cigarette smokers that encounter greater danger of complications from undertaking facelift surgery; for those that can not allocate a facelift surgery, there are finally reliable, FDA approved options to a traditional facelift surgery which Surgeons can supply to their people. In this post I will certainly be going over a few of the a lot more popular choices used at my facility.

The five options to facelift surgery I use in my workplace are Thermage, Ultherapy, Thread training, Fillers, as well as 2 “Mini Surgery” treatments consisting of 3-D volume restoration and also re-contouring using fat transfer and also lower eyelid fat bag removal using transconjunctival method.

Very commonly these modalities are utilized in collaborating combinations for the private patient’ s requires to achieve optimum outcome. The combination used are based upon understanding of the specific person’s fundamental bony as well as soft cells anatomical foundation as well as accurate evaluation of the aging adjustments which have actually happened. These aging changes can be normally correlated to individuals age, ethnic background, and genetical as well as ecological variables.

Thermage and also Ultherapy are both power based lifting tools which function by sinking RF (Thermage) or Finder (Ulthera) energy to heat up the collagen and also tighten the connective tissue below the skin. These are suitable in those patients who really feel the collagen in their soft cells are obtaining also soft as well as being attracted downward, which can be really felt also in very early 30’s for some individuals. Both makers have enough subtleties that the Surgeon requires to be well versed in the optimum use of the machines as well as in whom to match with which maker. These equipments are favorites as stand-alone procedure in people that are in their 30’s to 50’s. Usually they are made use of in conjunction with Botox and Fillers to attain better synergistic result.

In individuals from 40’s as well as up who note sagging of mid-face with consistent deepening of the tear marionette, nasolabial, and trough line as well as look of the dreaded jowling and neck laxity, either Thermage or Ultherapy is recommended to tighten their native collagen in the soft tissue. After completion of one side, individual is brought up to a sitting placement so people can directly envision and also contrast the lifted vs unlifted side as well as with their pre-operative images. Due to almost no bruising as well as swelling, some clients resume their complete activities as well as return to dine or function out on the very same day.

If a person offers with lower eyelid puffiness which is extreme sufficient to be seen even from throughout the area, reduced eyelid surgery can be carried out under local anesthesia with nearly no bruising, permitting recovery period to be no even more than a few days to a week at many. Including these two “Mini Surgical” procedures in my collection of options to facelift surgery is important in my method because in my opinion, the look of the fat bag under the eyes as well as loss of face quantity are really the initial indications of aging adjustments visible in patients as very early as late 20’s as well as early 30’s. Not a week passes by with individuals coming in desiring some kind of “training” surgery due to their “tired” and “gaunt” appearance when in reality, reduced eyelid surgery is what they required to clear of their worn out look due to puffy eye bags and volume remediation and re-contouring with fat transfer is what they required to clear of the gaunt and extended appearance.

I will go through a few client situations I have come across in the past few months.

Patient # 1 is a 61 years of age female who came in wishing to look much better a week before her little girl’s wedding celebration. She had a very active week ahead of her so not even a day to recuperate. She didn’t such as the tear trough under her eyes along with the ever getting worse nasolabial line as well as jowling. Worst yet were the sunken in appearance of her cheek bone making her look weary. Her budget plan was extremely limited as most of her financial savings went to assisting with her daughter’s wedding event. After cautious conversation, she underwent a 1.5 cc Radiesse shot to high light her cheek eminence as well as to fill out the hollowing of her cheeks. In essence the Radiesse was made use of to develop a “liquid” lift. Another 1cc of Restylene was used to load along the hollowing in the tear trough area also over the nasolabial line which even more offered an optical feeling of mid-face lift. She was also provided some Botox to smooth the crow’s feet and frown lines; and also, at the same time giving a mild side brow lift and also consequently a refined improvement to the lateral hooding of her upper eyes.

Patient # 2 is a 55 year old CEO of a big real estate business. She does not believe in undertaking any kind of lifting surgery yet is willing to try anything else to improve her ever before aggravating face and also neck laxity and also marionette line. On the same day, she went through Silhouette Instalift to lift her jawline and mid-face and soften her marionette line.

Client # 3 is a 42 year old accounting professional that came in for a consultation to find out about the different face lifting procedures available to eliminate her exhausted and also exhausted appearance. Because otherwise she looked cross as well as upset, she was mentally more exhausted from listening to from friends and colleagues that she must smile much more often. She was previously a design with a well defined cheek bone and also fairly solid jaw line. No jowling nor neck laxity was appreciated. Her eyes still showed lots of glimmer with early sign of side hooding, but was much more controlled by the serious puffiness in her lower eyelids. Upon more discussion, she has actually undergone virtually six month of individual problems and had actually lost near to seven extra pounds which subsequently has made her cheek extra sunken in, made a lot more significant by her well specified cheek and jaw bones. Undoubtedly upon her simply grinning, her reduced eye muscular tissue was able to tighten sufficient to press the puffy fat bags in while her smiling cheek offered much more pleasurable volume to her or else hollowed out gaunt look. After cautious conversation, she undertook the two “Mini-Surgical” procedures including elimination of reduced eyelid fat bags using trans-conjunctival method to eliminate puffiness to her eyes adhered to by 35cc of fat transfer to different areas of her face, formerly gathered from her lower abdominal location. Both treatments were performed under neighborhood anesthesia in less than a couple of hours. She had very little to no due yet discoloration to modern swelling over the next few days, she was advised to recover in the house. Because she functioned as a partner in a large Certified Public Accountant company, she picked to work out of her house for the remainder of the week, but was able to resume her activities within a couple of days. When she returned back to work the adhering to week, individuals noted she looked well rested from her much was entitled to trip, however otherwise were clueless as to her in fact undergoing her “Mini-Surgical” procedures.

Person # 4 is a 35 year old college teacher who noted that her round face was obtaining a lot more broader and larger, particularly when taking photos on her smartphone. After cautious conversation, she went through Botox to lower the Masseter muscle mass hypertrophy from her teeth grinding which is likewise restorative to decrease damages to her TM joint. In addition she undertook Ultherapy making use of both 3mm and 4.5 mm transducers to not just tighten the collagen in the soft tissue and also fascia wrapping up the muscle, however additionally decrease the charitable fatty cells in her subcutaneous tissue layer along the jaw line and also cheek area.

Client # 5 is a 64 year old waitress that still smokes close to a pack of cigarettes daily. She has been wishing for some type of raising treatment for several years, but has actually constantly been afraid to pull the trigger due to friends who looked for the worse in her eyes following their face raising surgical procedures as well as her lack of ability to quit smoking. She underwent 40cc of fat transfer to all aspect of fat compartment in her face, with special focus to her temporal wasting as well as her mid face retrusion.

Individual # 6 is a retired executive that had actually formerly gone through two facelift surgical treatments, last one being more than 3 years earlier. She wants update raising procedure however desires to prevent any kind of surgical treatments and also definitely stay clear of any anesthetic due to bad experience throughout current hip replacement surgery. After cautious conversation, she went through Silhouette thread lifting to improve her jowling as well as nasolabial line.

Individual # 7 and also # 8 are couples from Boston in their 50’s that have actually been stopping by every year for the past 5 years to undergo “Pairs” Thermage. After seeing their loved ones in UK, they stop by my office to get their yearly Thermage on their means home. They both really feel that Thermage has actually assisted to slow down the unavoidable drooping of their face as well as neck. In their current browse through, in addition to the Thermage, other half got 1cc of Restylene to the temporal economic crisis locations as well as an additional 1cc of Restylene to the Nasolabial line while the hubby received Botox to smooth out the strong glabellar frown lines. They are both happy with the result and strategy to come by the following year.

Client # 9 is a 47 y.o. male client who wants facelift surgery to improve the fastooning around his malar pile. He is much less concerned regarding the minor jowling and also fullness under his chin, but he is actually bothered by his malar mound which is worse in the early mornings. Upon carful evaluation, he has serious puffiness under his eyes which straight connects to his puffy malar mound. He has actually dealt with allergies and sinus issues most of his life, which intensifies the reduced eyelid and also malar puffiness. After careful discussion, person underwent transconjunctival reduced eyelid surgery under regional anesthetic to improve upon a minimum of the medial fifty percent of the large fastooning. Once one side was ended up, he was raised to staying up setting to reveal the prompt improvement of the run vs non-operative side. Although the client would have benefited with pinching up of the skin under the eyes, he didn’t want any sign of going through surgery. Instead of the pinch, the reduced eyelid muscle was heated with Ellman RF unit via transconjunctival approach which tightened the muscular tissue and somewhat, the overlying skin. PDO Novathreads were after that released to tighten the soft tissue and skin around the puffy malar mounds. Just nominal amount of lift was achieved from the PDO strings, as talked about before the treatment with the client. However, he was over-all quite delighted with close to total resolution of medial half of his fastooning as well as minor training as well as flattening of the puffiness over the malar mound, side to side. Even though he had no bruising, He was asked to recuperate in the house for a couple of days due to the lower eyelid surgery as well as asked to minimize strenuous tasks for a full week. On his follow up he was extremely happy that natural improvement could be attained without a lot down time as well as without having to undertake pricey major lifting surgery which was suggested to him by numerous cosmetic surgeons from previous appointments.

To conclude, if these options to a facelift surgery might be a choice for you, please talk about with your Plastic Surgeon to see if you may be an excellent prospect for these procedures. Do bear in mind that every treatment features risks and also benefits as well as constraints and it would befit you to find a Surgeon well versed in these techniques who can connect to you how you can potentially gain from the treatments with minimal to no downtime.