Can HIFU be repeated?

5 Facial Plastic Surgeon Approved Alternatives to a Facelift

There is no treatment available that can best a skillfully carried out facelift surgery preferably designed for the individual’s special anatomy and specific aging adjustments. Unfortunately several facelifts performed available can still generate a cookie-cutter result where the end result might look excellent in one person and also not so terrific in her pal, also when done by the same surgeon. Even worse yet are situations where patients too soon go under the knife to avoid aging changes as well as wind up regretting their choice as a result of loss of their all-natural significance or personae.

For those savvy, observant people who fear less than an optimal result from a “cookie-cutter” facelift surgery; for those who desire to preempt the unavoidable aging changes without prematurely undertaking a facelift surgery; for those who previously went through a facelift surgery and wish upgrade renovations without undergoing an additional surgery; for those that merely do not have a week or longer to recuperate from a facelift surgery; for those that are afraid basic anesthesia or even twilight sedation; for smokers who face higher risk of complications from undertaking facelift surgery; for those who can’t allocate a facelift surgery, there are ultimately time-tested, FDA authorized options to a conventional facelift surgery which Surgeons can supply to their clients. In this post I will certainly be talking about some of the much more preferred choices offered at my facility.

The 5 alternatives to facelift surgery I utilize in my office are Thermage, Ultherapy, Thread training, Fillers, and also 2 “Mini Surgery” treatments including 3-D quantity remediation as well as re-contouring utilizing fat transfer and reduced eyelid fat bag elimination making use of transconjunctival strategy.

Very typically these methods are used in synergistic combinations for the specific client’ s needs to achieve ideal result. The combination used are based upon understanding of the private person’s integral bony as well as soft tissue anatomical structure as well as precise analysis of the aging modifications which have happened. These aging changes can be normally correlated to people age, ethnic background, and also genetical and also ecological aspects.

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

In individuals from 40’s and up that note sagging of mid-face with consistent deepening of the tear marionette, nasolabial, and also trough line in addition to look of the feared jowling and also neck laxity, either Thermage or Ultherapy is recommended to tighten their indigenous collagen in the soft cells. To attain additional lifting, string training using either Silhouette Instalift or Novathread is recommended. The trick to an effective thread training is understanding the nuances of the device and toughness of the threads and developing appropriate vectors and also anchors to produce a definite yet subtle and all-natural lift. After completion of one side, individual is raised to a resting setting so patients can straight imagine and compare the lifted vs unlifted side in addition to with their pre-operative photos. Because of nearly no bruising as well as swelling, some clients resume their complete activities and also go back to function or dine out on the very same day. We ask our individuals to schedule a day or two to recoup just in situation they run into some swelling.

If a client presents with reduced eyelid puffiness which is severe enough to be seen even from across the space, lower eyelid surgery can be carried out under local anesthetic with almost no discoloration, enabling healing period to be no even more than a few days to a week at most. Incorporating these two “Mini Surgical” procedures in my repertoire of options to facelift surgery is imperative in my method since in my viewpoint, the look of the fat bag under the eyes and also loss of facial quantity are really the preliminary indications of aging modifications visible in patients as very early as late 20’s and early 30’s. Not a week passes by with individuals coming in desiring some kind of “lifting” surgery due to their “weary” and also “gaunt” look when in truth, lower eyelid surgery is what they needed to clear of their worn out appearance due to puffy eye bags and also volume remediation and re-contouring with fat transfer is what they required to clear of the gaunt as well as lengthened appearance.

I will experience a couple of person scenarios I have actually come across in the past couple of months.

Individual # 1 is a 61 year old woman that came in wanting to look far better a week before her little girl’s wedding celebration. After careful conversation, she went through a 1.5 cc Radiesse injection to high light her cheek reputation as well as to fill up out the hollowing of her cheeks. One More 1cc of Restylene was made use of to fill along the hollowing in the tear trough area as well over the nasolabial line which even more offered an optical sense of mid-face lift.

Individual # 2 is a 55 years of age CEO of a big realty business. She was welcomed to a Gala event in Paris turning up in a few weeks and also required to look her finest. She doesn’t rely on undertaking any type of lifting surgery however is willing to attempt anything else to boost her ever intensifying face as well as neck laxity as well as marionette line. After cautious discussion, she went through Ultherapy to her cheek and jawline, then her upper and also reduced neck, adhered to by her lower eyelid, eyebrow as well as temple. On the exact same day, she underwent Silhouette Instalift to lift her jawline and also mid-face and soften her marionette line. Extra Novathreads were utilized to tighten her neck line. Finally 1.5 cc of Radiesse was utilized to enhance her chin and 1cc of Restyene was made use of to additional smoothen out her nasolabial as well as marionette line. On follow up phone call the complying with day, she was able to resume with her busy timetable and also was fairly pleased with her result. She anticipates all the picture taking sessions at the Gala in Paris.

Person # 3 is a 42 year old accounting professional who came in for an assessment to find out about the different face lifting procedures available to get rid of her tired and also exhausted look. After mindful conversation, she undertook the 2 “Mini-Surgical” treatments being composed of removal of reduced eyelid fat bags through trans-conjunctival method to free of puffiness to her eyes adhered to by 35cc of fat transfer to various compartments of her face, formerly harvested from her reduced abdominal location. When she returned back to work the adhering to week, people noted she looked well rested from her much was worthy of vacation, yet otherwise were clueless as to her in fact undergoing her “Mini-Surgical” procedures.

Patient # 4 is a 35 year old college teacher that noted that her round face was obtaining extra wider and also heavier, specifically when taking pictures on her smartphone. She takes care with her diet plan as well as no weight gain is noted over the past couple of years. She recognizes she can never have a V line due to her full face, however wish to halt more widening of her face otherwise appear a bit much more raised as well as slimmer like she used to look a few years back. Upon additional discussion, she grinds her teeth and also puts on a night guard. After careful discussion, she went through Botox to minimize the Masseter muscle hypertrophy from her teeth grinding which is additionally healing to decrease damage to her TM joint. Furthermore she undertook Ultherapy utilizing both 3mm and 4.5 mm transducers to not only tighten the collagen in the soft cells and also fascia wrapping up the muscular tissue, yet additionally decrease the charitable fat in her subcutaneous cells layer along the jaw line as well as cheek area. On her follow up see she was ecstatically pleased with mix of refined lift and also constricting of her facial structure from Ultherapy as well as constricting of her jaw angle from reducing the mass of her Masseter muscular tissue utilizing the Botox. She amusingly acknowledges “nearly” seeing the V-line yet essential, happy about not needing to fret about posturing behind her buddies to make her face look smaller when taking selfies.

Person # 5 is a 64 year old waitress that still smokes close to a pack of cigarettes daily. She has been wishing for some kind of raising treatment for many years, yet has actually always been afraid to draw the trigger due to good friends that looked for the even worse in her eyes following their face raising surgical treatments and also her failure to quit smoking. She went through 40cc of fat transfer to all element of fat area in her face, with special attention to her temporal wasting as well as her mid face retrusion.

Client # 6 is a retired exec who had formerly undertaken two facelift surgical procedures, last one being more than 3 years earlier. She is in her mid 70’s and still really energetic in many societies she belongs to. She wants upgrade raising treatment yet wants to stay clear of any surgeries as well as definitely prevent any type of anesthetic because of bad experience during recent hip replacement surgery. After cautious conversation, she underwent Silhouette thread raising to boost her jowling and also nasolabial line. She went through PDO Novathread lift to improve the relentless appropriate side neck laxity and also turkey waddle. Just the right side was raised as the left side was acceptable. On top of that, 1cc of Restylene was utilized to additional boost the nasolabial line and corner of the mouth on both sides. She right away really felt a few years younger and also expected meeting her friends at her 50th university get-together.

Patient # 7 and also # 8 are pairs from Boston in their 50’s that have actually been visiting each year for the past 5 years to go through “Couples” Thermage. After seeing their relatives in UK, they come by my office to receive their annual Thermage on their way residence. They both really feel that Thermage has assisted to slow down the inevitable drooping of their face and also neck. In their current see, in addition to the Thermage, partner got 1cc of Restylene to the temporal recession areas and also another 1cc of Restylene to the Nasolabial line while the husband received Botox to smoothen out the strong glabellar frown lines. They are both happy with the outcome and also plan to visit the list below year.

Individual # 9 is a 47 y.o. male patient that wants facelift surgery to enhance the fastooning around his malar pile. He is much less concerned concerning the minor jowling and also fullness under his chin, however he is truly bothered by his malar pile which is even worse in the early mornings. Upon carful analysis, he has severe puffiness under his eyes which directly links to his puffy malar pile. He has struggled with allergies and sinus problems most of his life, which intensifies the reduced eyelid and also malar puffiness. After careful conversation, individual underwent transconjunctival lower eyelid surgery under local anesthetic to improve upon at least the medial fifty percent of the large fastooning. As soon as one side was completed, he was raised to sitting up placement to reveal the immediate renovation of the operated vs non-operative side. Although the client would certainly have benefited with pinching up of the skin under the eyes, he didn’t desire any type of indicator of going through surgery. Instead of the pinch, the lower eyelid muscle was heated with Ellman RF device through transconjunctival technique which tightened the muscle and also somewhat, the superior skin. PDO Novathreads were then deployed to tighten the soft cells as well as skin around the puffy malar piles. Only nominal quantity of lift was attained from the PDO threads, as discussed before the treatment with the person. Nonetheless, he was over-all quite pleased with close to full resolution of medial half of his fastooning as well as slight training and flattening of the puffiness over the malar mound, side to side. Despite the fact that he had no discoloration, He was asked to recuperate at home for a few days because of the lower eyelid surgery and also asked to decrease arduous tasks for a complete week. On his follow up he was exceptionally delighted that natural improvement could be attained without a lot down time as well as without having to undertake pricey major training surgery which was advised to him by numerous specialists from previous examinations.

In conclusion, if these options to a facelift surgery may be a choice for you, please review with your Plastic Surgeon to see if you may be a good prospect for these procedures. Do bear in mind that every procedure comes with advantages as well as threats along with limitations and also it would certainly behoove you to discover a Surgeon well versed in these methods who can interact to you how you can possibly benefit from the procedures with minimal to no downtime.