Can Botox help sagging jowls?

5 Facial Plastic Surgeon Approved Alternatives to a Facelift

There is no procedure around that can best an artfully carried out facelift surgery preferably made for the client’s special composition as well as individual aging changes. Sadly numerous facelifts done available can still generate a cookie-cutter result where the outcome may look fantastic in one individual and not so terrific in her buddy, even when carried out by the same surgeon. Worse yet are instances where clients too soon go under the knife to stop aging adjustments and also end up regretting their decision as a result of loss of their natural significance or characters.

For those wise, observant clients who are afraid less than an ideal arise from a “cookie-cutter” facelift surgery; for those who desire to preempt the inevitable aging adjustments without prematurely going through a facelift surgery; for those that previously went through a facelift surgery as well as wish upgrade enhancements without undergoing 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 anesthesia or even twilight sedation; for cigarette smokers that encounter greater risk of complications from undertaking facelift surgery; for those that can not allocate a facelift surgery, there are lastly time-tested, FDA accepted options to a traditional facelift surgery which Surgeons can supply to their individuals. In this article I will be going over several of the more prominent options used at my facility.

The five choices to facelift surgery I make use of in my workplace are Thermage, Ultherapy, Thread lifting, Fillers, and two “Mini Surgery” procedures consisting of 3-D volume reconstruction and re-contouring making use of fat transfer and also reduced eyelid fat bag elimination making use of transconjunctival technique.

Very typically these methods are made use of in synergistic combinations for the specific patient’ s requires to attain ideal end result. The mix made use of are based upon understanding of the specific person’s fundamental bony and soft tissue anatomical foundation as well as accurate analysis of the aging modifications which have actually happened. These aging adjustments can be usually correlated to individuals age, ethnic history, and environmental and also genetical elements.

These are optimal in those individuals that really feel the collagen in their soft tissues are obtaining as well soft and also gravitating downward, which can be felt also in early 30’s for some patients. These makers are faves as stand-alone treatment in individuals that are in their 30’s to 50’s.

In patients from 40’s and also up that keep in mind sagging of mid-face with consistent deepening of the tear nasolabial, trough, and also marionette line along with appearance of the dreaded jowling and neck laxity, either Thermage or Ultherapy is advised to tighten their indigenous collagen in the soft cells. To accomplish additional lifting, string training using either Shape Instalift or Novathread is recommended. The method to an effective string training is understanding the nuances of the system and strength of the threads as well as producing proper vectors as well as supports to develop a refined however precise and also all-natural lift. After conclusion of one side, patient is raised to a resting placement so patients can straight visualize as well as compare the raised vs unlifted side along with with their pre-operative images. Due to almost no bruising and also swelling, some people resume their full tasks as well as go back to work or eat out on the exact same day. We ask our individuals to book a day or 2 to recuperate just in case they run into some swelling.

3-D face volume reconstruction and also re-contouring with fat transfer is likewise suggested if the client additionally has considerable loss of facial volume past the reaches of a couple of tubes of Fillers. In my facility fat transfer is generally done under regional anesthesia as well as because of virtually no bruising, healing is generally no more than a few days. Similarly if a patient provides with reduced eyelid puffiness which is severe enough to be seen even from across the space, reduced eyelid surgery can be performed under neighborhood anesthetic with nearly no bruising, enabling healing duration to be no more than a few days to a week at most. Incorporating these two “Mini Surgical” procedures in my collection of alternatives to facelift surgery is critical in my practice due to the fact that in my point of view, the appearance of the fat bag under the eyes as well as loss of face volume are truly the preliminary indicators old modifications visible in individuals as very early as late 20’s and early 30’s. Not a week goes by with clients being available in desiring some kind of “lifting” surgery because of their “weary” and also “gaunt” look when in truth, lower eyelid surgery is what they required to eliminate their exhausted look because of puffy eye bags as well as quantity restoration and re-contouring with fat transfer is what they required to rid of the gaunt as well as elongated look. This method shares the same concept as the “fluid fit” utilizing fillers that many patients are familiar with. However if a couple of 1cc tube of fillers can be helpful, picture what 30cc or 40cc of fat transfer can do in regards to recovering the lost quantity and also re-sculpting and also re-contouring the face back to far more youthful days. I really feel the true sculpture in me is defined by what I can attain with my fat transfer.

I will experience a couple of individual circumstances I have actually encountered in the past few months.

Patient # 1 is a 61 year old woman that came in wanting to look much better a week before her child’s wedding event. After careful discussion, she underwent a 1.5 cc Radiesse injection to high light her cheek renown as well as to fill up out the hollowing of her cheeks. An Additional 1cc of Restylene was utilized to fill up along the hollowing in the tear trough location as well over the nasolabial line which further supplied an optical sense of mid-face lift.

Client # 2 is a 55 year old CEO of a large real estate business. She does not think in undertaking any kind of form of lifting surgery yet is ready to try anything else to enhance her ever before getting worse face as well as neck laxity as well as marionette line. On the same day, she went through Silhouette Instalift to lift her jawline as well as mid-face and soften her marionette line.

Person # 3 is a 42 year old accountant that came in for an examination to discover concerning the numerous face training treatments offered to get rid of her worn out as well as tired look. After mindful discussion, she undertook the two “Mini-Surgical” procedures being composed of elimination of lower eyelid fat bags through trans-conjunctival approach to rid of puffiness to her eyes complied with by 35cc of fat transfer to different areas of her face, formerly gathered from her lower abdominal location. When she returned back to function the complying with week, individuals noted she looked well rested from her much should have vacation, yet or else were clueless as to her actually undertaking her “Mini-Surgical” treatments.

Person # 4 is a 35 year old institution educator that noted that her round face was getting much more larger as well as much heavier, particularly when taking pictures on her smartphone. After cautious conversation, she undertook Botox to decrease the Masseter muscle hypertrophy from her teeth grinding which is additionally therapeutic to reduce 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 as well as fascia covering the muscle mass, but additionally decrease the charitable fatty cells in her subcutaneous tissue layer along the jaw line and also cheek area.

Patient # 5 is a 64 years of age waitress that still smokes near a pack of cigarettes daily. She had actually shed a lot of her upper teeth several years ago with significant dental bone loss leading to reducing and also retrusion to her mid-face location. She has actually been wanting some type of lifting procedure for years, but has actually always been afraid to pull the trigger as a result of good friends who looked for the even worse in her eyes following their face lifting surgical treatments as well as her lack of ability to give up smoking cigarettes. She had as well as had a set budget to return to Philadelphia the same night. After mindful discussion, she underwent training of her neck, cheek, and also 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 compartment in her face, with special attention to her temporal losing as well as her mid face retrusion. Fat transfer allowed significant reconstruction of her soft cells quantity as well as recovering back to her vibrant shape with higher former dimension which she had actually lost very long time ago because of her early oral removal. The combined treatment took 3 hours and also with nearly no discoloration as well as swelling, was safely able to go back to Philly on the same night. On her follow up, in between the thread lift and 3-D reconstruction of her facial contour, she felt she took a look at the very least ten years younger as well as was quiet happy with the result.

Person # 6 is a retired executive who had actually formerly gone through 2 facelift surgical procedures, last one being more than 3 years earlier. She wishes upgrade raising procedure but desires to stay clear of any surgical treatments and also absolutely stay clear of any anesthetic due to negative experience throughout current hip replacement surgery. After careful discussion, she undertook Shape thread lifting to enhance her jowling as well as nasolabial line.

Person # 7 and # 8 are couples from Boston in their 50’s that have been dropping by each year for the past 5 years to undergo “Pairs” Thermage. In their recent go to, in addition to the Thermage, better half got 1cc of Restylene to the temporal recession locations and also an additional 1cc of Restylene to the Nasolabial line while the other half got Botox to smoothen out the strong glabellar frown lines.

Client # 9 is a 47 y.o. male person that desires facelift surgery to improve the fastooning around his malar mound. He is less worried concerning the small jowling and also fullness under his chin, but he is truly troubled by his malar mound which is worse in the mornings. Upon carful evaluation, he has extreme puffiness under his eyes which directly attaches to his puffy malar mound. He has suffered from allergic reactions and sinus issues most of his life, which intensifies the lower eyelid and also malar puffiness. After cautious conversation, person went through transconjunctival lower eyelid surgery under regional anesthesia to surpass a minimum of the medial half of the huge fastooning. As soon as one side was finished, he was brought up to staying up position to show the immediate renovation of the operated vs non-operative side. Although the client would have benefited with squeezing up of the skin under the eyes, he really did not want any type of indicator of undertaking surgery. In lieu of the pinch, the reduced eyelid muscle was heated up with Ellman RF unit with transconjunctival strategy which tightened the muscular tissue as well as to a degree, the overlying skin. PDO Novathreads were then released to tighten the soft cells and skin around the puffy malar piles. Only nominal quantity of lift was attained from the PDO threads, as gone over before the treatment with the person. Nonetheless, he was over-all fairly satisfied with near full resolution of medial half of his fastooning and also slight lifting as well as flattening of the puffiness over the malar pile, laterally. Even though he had no bruising, He was asked to recuperate at home for a few days as a result of the lower eyelid surgery and also asked to lessen difficult activities for a complete week. On his follow up he was exceptionally happy that natural enhancement could be accomplished without a lot down time and without having to undergo costly major training surgery which was suggested to him by several surgeons from previous examinations.

Finally, if these alternatives to a facelift surgery may be a choice for you, please go over with your Plastic Surgeon to see if you may be a good candidate for these treatments. Do remember that every procedure comes with benefits as well as risks as well as limitations and it would behoove you to locate a Surgeon well versed in these strategies who can communicate to you exactly how you can possibly gain from the procedures with minimal to no downtime.