Can cheek fillers lift jowls?

5 Facial Cosmetic Surgeon Approved Alternatives to a Facelift

There is no treatment around that can best a skillfully performed facelift surgery preferably developed for the patient’s one-of-a-kind composition as well as specific aging changes. Sadly numerous facelifts done around can still yield a cookie-cutter result where the result might look wonderful in one individual as well as not so excellent in her buddy, also when carried out by the exact same surgeon. Even worse yet are instances where patients prematurely go under the blade to avoid aging adjustments as well as wind up regretting their decision due to loss of their natural significance or personae.

For those smart, perceptive patients who are afraid less than an ideal result from a “cookie-cutter” facelift surgery; for those who wish to preempt the inescapable aging modifications without too soon undertaking a facelift surgery; for those who previously undertook a facelift surgery as well as dream update improvements without going through another surgery; for those that simply don’t have a week or longer to recover from a facelift surgery; for those who are afraid basic anesthesia and even twilight sedation; for cigarette smokers that deal with better danger of difficulties from undergoing facelift surgery; for those that can not allocate a facelift surgery, there are lastly reliable, FDA authorized alternatives to a traditional facelift surgery which Surgeons can supply to their patients. In this short article I will be talking about some of the a lot more preferred alternatives offered at my clinic.

The 5 options to facelift surgery I make use of in my office are Thermage, Ultherapy, Thread lifting, Fillers, and also two “Mini Surgery” treatments consisting of 3-D volume remediation and also re-contouring utilizing fat transfer as well as lower eyelid fat bag removal utilizing transconjunctival technique.

Really typically these methods are utilized in collaborating combinations for the specific client’ s needs to attain optimal outcome. The mix used are based upon understanding of the individual client’s fundamental bony as well as soft tissue anatomical foundation and also precise analysis of the aging changes which have actually occurred. These aging adjustments can be normally correlated to people age, ethnic history, and also environmental and genetical elements.

Thermage and also Ultherapy are both energy based lifting devices which work by sinking RF (Thermage) or Finder (Ulthera) energy to warm up the collagen and tighten the connective cells below the skin. These are perfect in those individuals that really feel the collagen in their soft tissues are getting as well soft and moving downward, which can be felt even in early 30’s for some patients. Both devices have sufficient subtleties that the Surgeon needs to be well versed in the optimal use of the devices and also in whom to match with which equipment. These machines rate as stand-alone treatment in people that remain in their 30’s to 50’s. Usually they are made use of together with Botox as well as Fillers to achieve higher collaborating result.

In people from 40’s and also up who keep in mind sagging of mid-face with steady growing of the tear nasolabial, marionette, and also trough line as well as look of the feared jowling as well as neck laxity, either Thermage or Ultherapy is advised to tighten their indigenous collagen in the soft cells. To achieve more lifting, thread lifting using either Shape Instalift or Novathread is advised. The trick to a successful string training is understanding the subtleties of the mechanism as well as toughness of the strings as well as developing correct vectors as well as anchors to develop a definite yet refined and also natural lift. After conclusion of one side, person is raised to a sitting placement so patients can straight picture and also contrast the lifted vs unlifted side along with with their pre-operative images. Due to nearly no discoloration and also swelling, some clients resume their full activities and also return to eat or work out on the very same day. We ask our patients to reserve a day or two to recoup just in instance they run right into some swelling.

If a person presents with reduced eyelid puffiness which is severe sufficient to be seen also from across the space, reduced eyelid surgery can be performed under neighborhood anesthesia with almost no bruising, permitting recovery period to be no even more than a few days to a week at most. Including these two “Mini Surgical” procedures in my repertoire of alternatives to facelift surgery is critical in my method because in my point of view, the appearance of the fat bag under the eyes as well as loss of face volume are genuinely the initial indications of aging adjustments visible in people as early as late 20’s and early 30’s. Not a week passes by with people coming in desiring some kind of “training” surgery due to their “tired” and “gaunt” look when in truth, lower eyelid surgery is what they needed to free of their weary look due to puffy eye bags and also quantity restoration as well as re-contouring with fat transfer is what they needed to rid of the gaunt as well as lengthened look.

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

Individual # 1 is a 61 year old woman that came in wanting to look better a week prior to her little girl’s wedding celebration. After mindful discussion, she underwent a 1.5 cc Radiesse injection to high light her cheek eminence as well as to load out the hollowing of her cheeks. One More 1cc of Restylene was used to fill along the hollowing in the tear trough area as well over the nasolabial line which further provided an optical sense of mid-face lift.

Patient # 2 is a 55 year old Chief Executive Officer of a huge actual estate business. She doesn’t think in undergoing any kind of kind of training surgery however is prepared to try anything else to boost her ever worsening facial and also neck laxity as well as marionette line. On the very same day, she undertook Silhouette Instalift to lift her jawline and mid-face as well as soften her marionette line.

Individual # 3 is a 42 year old accounting professional that came in for a consultation to discover concerning the various face lifting treatments offered to obtain rid of her fatigued and tired appearance. After cautious discussion, she went through the two “Mini-Surgical” treatments consisting of removal of reduced eyelid fat bags via trans-conjunctival technique to rid of puffiness to her eyes adhered to by 35cc of fat transfer to various compartments of her face, previously harvested from her reduced stomach location. When she returned back to function the adhering to week, people noted she looked well relaxed from her much was worthy of trip, yet otherwise were unaware as to her in fact undergoing her “Mini-Surgical” treatments.

Individual # 4 is a 35 years of age school instructor that kept in mind that her round face was obtaining much more larger and also larger, especially when taking pictures on her mobile phone. She takes care with her diet regimen and no weight gain is kept in mind over the past couple of years. She understands she can never have a V line as a result of her full face, however would love to stop more widening of her face if not appear a little bit extra lifted and also slimmer like she made use of to look a few years back. Upon additional discussion, she grinds her teeth and also puts on an evening guard. After careful discussion, she undertook Botox to lower the Masseter muscle mass hypertrophy from her teeth grinding which is also therapeutic to reduce damage to her TM joint. Additionally she underwent Ultherapy making use of both 3mm as well as 4.5 mm transducers to not just tighten the collagen in the soft cells and fascia wrapping up the muscular tissue, yet likewise reduce the charitable fat in her subcutaneous tissue layer along the jaw line as well as cheek area. On her follow up see she was ecstatically pleased with mix of subtle lift as well as narrowing of her face frame from Ultherapy and also constricting of her jaw angle from decreasing the bulk of her Masseter muscle utilizing the Botox. She amusingly recognizes “virtually” seeing the V-line however most important, delighted regarding not having to fret about presenting behind her friends to make her face look smaller when taking selfies.

Individual # 5 is a 64 years of age waitress who still smokes close to a pack of cigarettes daily. She had lost a lot of her upper teeth years ago with significant oral bone loss causing reducing and also retrusion to her mid-face location. She has actually been wanting some kind of lifting treatment for years, but has actually always been afraid to shoot because of good friends who sought the even worse in her eyes following their face lifting surgical treatments and also her inability to give up cigarette smoking. She had a set budget plan and also had to return to Philadelphia the very same night. After mindful discussion, she underwent training of her neck, jawline, as well as cheek using a mix of Sillhouette Instalift and also PDO Novathreads. She underwent 40cc of fat transfer to all facet of fat compartment in her face, with unique attention to her temporal losing and also her mid face retrusion. Fat transfer allowed significant remediation of her soft tissue volume as well as recovering back to her younger shape with higher anterior dimension which she had shed very long time ago due to her premature dental extraction. The combined treatment took 3 hrs as well as with practically no discoloration and swelling, was securely able to go back to Philly on the exact same evening. On her follow up, between the string lift and also 3-D restoration of her facial shape, she felt she took a look at least ten years more youthful and also was quiet delighted with the end result.

Person # 6 is a retired exec who had previously gone through two facelift surgical procedures, last one being more than 3 years ago. She is in her mid 70’s and still really energetic in numerous cultures she comes from. She wishes update lifting procedure but intends to stay clear of any type of surgical procedures and definitely avoid any anesthetic because of disappointment throughout current hip substitute surgery. After mindful conversation, she underwent Shape thread lifting to enhance her jowling and also nasolabial line. She went through PDO Novathread lift to boost the relentless appropriate side neck laxity and turkey waddle. Just the right side was lifted as the left side was satisfying. Additionally, 1cc of Restylene was used to additional boost the nasolabial line and edge of the mouth on both sides. She promptly felt a few years more youthful and also eagerly anticipated fulfilling her friends at her 50th college get-together.

Client # 7 and also # 8 are couples from Boston in their 50’s who have actually been dropping by every year for the previous five years to undertake “Couples” Thermage. In their recent browse through, in enhancement to the Thermage, partner got 1cc of Restylene to the temporal economic downturn areas and also another 1cc of Restylene to the Nasolabial line while the spouse got Botox to smooth out the strong glabellar frown lines.

Person # 9 is a 47 y.o. male person who wants facelift surgery to improve the fastooning around his malar pile. After careful discussion, person undertook transconjunctival reduced eyelid surgery under regional anesthesia to boost upon at least the median half of the big fastooning. The patient would have profited with pinching up of the skin under the eyes, he didn’t want any indication of going through surgery.

Finally, if these alternatives to a facelift surgery may be an alternative for you, please talk about with your Cosmetic surgeon to see if you may be a great candidate for these treatments. Do remember that every procedure features advantages and threats in addition to restrictions as well as it would befit you to locate a Surgeon well versed in these techniques that can interact to you how you can possibly benefit from the treatments with minimal to no downtime.