Can I do Profhilo and Botox together?

5 Facial Plastic Surgeon Approved Alternatives to a Facelift

There is no procedure out there that can best a skillfully executed facelift surgery preferably created for the person’s one-of-a-kind anatomy and specific aging adjustments. Several facelifts done out there can still produce a cookie-cutter outcome where the result might look excellent in one person as well as not so wonderful in her friend, even when executed by the exact same surgeon. Even worse yet are situations where individuals prematurely go under the knife to avoid aging changes as well as end up regretting their decision due to loss of their all-natural significance or personae.

For those wise, observant people that fear less than an ideal arise from a “cookie-cutter” facelift surgery; for those that desire to preempt the unavoidable aging changes without too soon going through a facelift surgery; for those that previously undertook a facelift surgery and dream upgrade renovations without going through one more surgery; for those who simply do not have a week or longer to recover from a facelift surgery; for those who are afraid general anesthetic or perhaps twilight sedation; for cigarette smokers who encounter greater threat of issues from going through facelift surgery; for those that can’t budget for a facelift surgery, there are lastly reliable, FDA authorized choices to a conventional facelift surgery which Surgeons can give to their patients. In this article I will be going over a few of the a lot more preferred alternatives used at my facility.

The five alternatives to facelift surgery I use in my office are Thermage, Ultherapy, String training, Fillers, and also two “Mini Surgery” treatments consisting of 3-D volume restoration as well as re-contouring making use of fat transfer and also lower eyelid fat bag removal making use of transconjunctival approach.

Extremely typically these techniques are utilized in synergistic mixes for the private patient’ s needs to accomplish optimum outcome. The combination used are based on understanding of the specific person’s integral bony and also soft cells anatomical structure as well as precise analysis of the aging adjustments which have actually happened. These aging changes can be typically correlated to individuals age, ethnic background, and also environmental and genetical aspects.

Thermage as well as Ultherapy are both energy based lifting tools which work by sinking RF (Thermage) or Finder (Ulthera) energy to heat up the collagen and tighten the connective tissue listed below the skin. These are excellent in those patients that really feel the collagen in their soft tissues are obtaining as well soft as well as being attracted downward, which can be felt also in early 30’s for some clients. Both makers have enough subtleties that the Surgeon requires to be well versed in the ideal use of the machines as well as in whom to match with which maker. These makers rate as stand-alone treatment in individuals who are in their 30’s to 50’s. Commonly they are used combined with Botox and also Fillers to accomplish greater collaborating impact.

In people from 40’s as well as up who note sagging of mid-face with stable strengthening of the tear trough, marionette, as well as nasolabial line as well as look of the dreaded jowling and also neck laxity, either Thermage or Ultherapy is suggested to tighten their native collagen in the soft tissue. After conclusion of one side, patient is brought up to a sitting position so patients can directly picture and contrast the raised vs unlifted side as well as with their pre-operative photos. Due to almost no bruising and swelling, some patients resume their complete tasks and return to work or dine out on the exact same day.

If the individual also has substantial loss of facial volume beyond the reaches of a couple of tubes of Fillers, 3-D face volume restoration as well as re-contouring with fat transfer is also suggested. In my center fat transfer is typically done under neighborhood anesthesia and as a result of virtually no discoloration, recuperation is typically no greater than a couple of days. Similarly if a person provides with lower eyelid puffiness which is extreme sufficient to be seen also from throughout the room, lower eyelid surgery can be executed under regional anesthetic with nearly no discoloration, enabling recovery duration to be no greater than a couple of days to a week at most. Integrating these 2 “Mini Surgical” procedures in my arsenal of choices to facelift surgery is necessary in my practice because in my opinion, the look of the fat bag under the eyes as well as loss of facial quantity are genuinely the first indications old changes noticeable in patients as early as late 20’s and early 30’s. Not a week goes by with individuals can be found in wanting some sort of “lifting” surgery due to their “worn out” and “gaunt” appearance when in reality, reduced eyelid surgery is what they required to eliminate their weary appearance as a result of puffy eye bags and quantity remediation and also re-contouring with fat transfer is what they needed to rid of the gaunt and lengthened look. This method shares the exact same principle as the “fluid fit” using fillers that most clients know with. If a couple of 1cc tube of fillers can be handy, visualize what 30cc or 40cc of fat transfer can do in terms of recovering the lost volume as well as re-sculpting and re-contouring the face back to a lot extra vibrant days. I really feel real sculpture in me is defined by what I can achieve with my fat transfer.

I will certainly go through a few patient scenarios I have actually experienced in the past couple of months.

Person # 1 is a 61 year old female that came in wanting to look better a week before her little girl’s wedding celebration. After mindful discussion, she went through a 1.5 cc Radiesse shot to high light her cheek prominence as well as to load out the hollowing of her cheeks. An Additional 1cc of Restylene was made use of to fill up along the hollowing in the tear trough location as well over the nasolabial line which additionally offered an optical feeling of mid-face lift.

Individual # 2 is a 55 year old Chief Executive Officer of a large actual estate company. She doesn’t think in undergoing any kind of type of training surgery but is eager to attempt anything else to improve her ever worsening facial and also neck laxity as well as marionette line. On the very same day, she went through Shape Instalift to lift her jawline and mid-face and also soften her marionette line.

Individual # 3 is a 42 year old accounting professional who came in for an examination to learn more about the different face lifting procedures readily available to eliminate her fatigued and weary appearance. Because or else she looked cross and mad, she was emotionally more worn out from hearing from buddies as well as associates that she must grin much more commonly. She was previously a model with a well specified cheek bone and also reasonably strong jaw line. No jowling nor neck laxity was valued. Her eyes still showed plenty of sparkle with early indicator of lateral hooding, yet was extra dominated by the severe puffiness in her lower eyelids. Upon more discussion, she has actually experienced virtually 6 month of personal problems as well as had actually shed near to seven extra pounds which consequently has made her cheek much more sunken in, made much more dramatic by her well specified cheek and also jaw bones. Upon her simply grinning, her reduced eye muscle was able to tighten sufficient to press the puffy fat bags in while her smiling cheek offered extra enjoyable fullness to her or else hollowed out gaunt appearance. After mindful discussion, she underwent the two “Mini-Surgical” procedures consisting of elimination of lower eyelid fat bags by means of trans-conjunctival technique to rid of puffiness to her eyes complied with by 35cc of fat transfer to numerous areas of her face, formerly harvested from her reduced stomach location. Both treatments were done under neighborhood anesthetic in less than a few hours. She had minimal to no due however discoloration to dynamic swelling over the following couple of days, she was advised to recover at home. Due to the fact that she worked as a partner in a big CPA firm, she picked to work out of her home for the remainder of the week, yet had the ability to resume her tasks within a couple of days. When she returned back to work the following week, people noted she looked well rested from her much was entitled to trip, yet otherwise were unaware regarding her actually undergoing her “Mini-Surgical” treatments.

Person # 4 is a 35 year old institution instructor that noted that her round face was obtaining extra wider and also larger, particularly when taking pictures on her mobile phone. After mindful conversation, she undertook Botox to decrease the Masseter muscle hypertrophy from her teeth grinding which is additionally healing to lessen damages to her TM joint. In addition she went through 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 muscle, but also decrease the generous fatty cells in her subcutaneous tissue layer along the jaw line and cheek location.

Client # 5 is a 64 years of age waitress that still smokes close to a pack of cigarettes daily. She had lost the majority of her top teeth several years ago with considerable dental bone loss resulting in reducing and retrusion to her mid-face location. She has actually been yearning for some sort of lifting procedure for many years, but has constantly been afraid to pull the trigger because of close friends that searched for the even worse in her eyes following their face lifting surgical treatments and her lack of ability to give up smoking. She had a fixed budget and also had to return to Philadelphia the same evening. After careful discussion, she went through training of her neck, cheek, and jawline making use of a mix of Sillhouette Instalift and also PDO Novathreads. She undertook 40cc of fat transfer to all element of fat compartment in her face, with special focus to her temporal wasting and also her mid face retrusion. Fat transfer permitted substantial restoration of her soft cells volume as well as restoring back to her youthful shape with better former measurement which she had lost very long time ago as a result of her early dental extraction. The mixed procedure took 3 hours and also with almost no discoloration as well as swelling, was safely able to go back to Philadelphia on the very same evening. On her follow up, between the thread lift and 3-D restoration of her facial contour, she felt she looked at the very least ten years more youthful as well as was quiet happy with the end result.

Client # 6 is a retired exec who had previously gone through 2 facelift surgeries, last one being greater than 3 years earlier. She is in her mid 70’s as well as still very active in many societies she belongs to. She desires upgrade raising procedure but wishes to stay clear of any kind of surgical treatments as well as certainly avoid any type of anesthetic because of bad experience throughout recent hip replacement surgery. After careful discussion, she went through Silhouette string raising to boost her jowling and nasolabial line. She undertook PDO Novathread lift to boost the persistent ideal side neck laxity and turkey waddle. Only the appropriate side was lifted as the left side was satisfactory. In addition, 1cc of Restylene was utilized to more enhance the nasolabial line and corner of the mouth on both sides. She right away felt a few years younger as well as expected satisfying her close friends at her 50th college get-together.

Individual # 7 and also # 8 are pairs from Boston in their 50’s who have been dropping by yearly for the past five years to undertake “Pairs” Thermage. After seeing their family members in UK, they stop by my workplace to get their yearly Thermage on their way house. They both feel that Thermage has assisted to slow down the inescapable drooping of their face as well as neck. In their recent browse through, along with the Thermage, better half got 1cc of Restylene to the temporal recession areas as well as an additional 1cc of Restylene to the Nasolabial line while the other half got Botox to smoothen out the strong glabellar frown lines. They are both pleased with the result and also plan to stop by the list below year.

Individual # 9 is a 47 y.o. male patient who desires facelift surgery to enhance the fastooning around his malar pile. He is much less worried regarding the mild jowling and also fullness under his chin, however he is really troubled by his malar pile which is worse in the mornings. Upon carful evaluation, he has extreme puffiness under his eyes which directly connects to his puffy malar mound. He has actually experienced allergies and also sinus problems the majority of his life, which worsens the reduced eyelid as well as malar puffiness. After cautious discussion, client underwent transconjunctival lower eyelid surgery under local anesthetic to surpass at least the median fifty percent of the huge fastooning. When one side was finished, he was raised to staying up setting to show the immediate improvement of the run vs non-operative side. The individual would certainly have benefited with pinching up of the skin under the eyes, he didn’t want any type of indication of going through surgery. In lieu of the pinch, the lower eyelid muscle was warmed with Ellman RF device through transconjunctival method which tightened the muscular tissue and also somewhat, the superior skin. PDO Novathreads were after that released to tighten the soft cells as well as skin around the puffy malar mounds. Only small quantity of lift was attained from the PDO threads, as reviewed prior to the treatment with the person. However, he was over-all quite delighted with close to full resolution of median half of his fastooning as well as mild lifting as well as flattening of the puffiness over the malar pile, laterally. Despite the fact that he had no bruising, He was asked to recuperate in the house for a few days as a result of the lower eyelid surgery as well as asked to minimize exhausting tasks for a complete week. On his follow up he was incredibly delighted that natural enhancement could be accomplished without a lot down time and also without having to undergo expensive significant training surgery which was advised to him by numerous cosmetic surgeons from prior consultations.

Finally, if these alternatives to a facelift surgery might be an alternative for you, please review with your Plastic Surgeon to see if you might be an excellent candidate for these procedures. Do bear in mind that every treatment comes with advantages as well as threats as well as constraints and it would certainly befit you to discover a Surgeon well versed in these techniques who can connect to you how you can potentially take advantage of the procedures with very little to no downtime.