Can I use Vitamin C serum under my eyes? – Updated 2021

5 Facial Plastic Surgeon Approved Alternatives to a Facelift

There is no procedure available that can best a skillfully done facelift surgery preferably made for the individual’s distinct anatomy and also private aging changes. Several facelifts done out there can still generate a cookie-cutter result where the end result might look fantastic in one individual and also not so fantastic in her buddy, also when carried out by the same surgeon. Worse yet are instances where people too soon go under the blade to stop aging modifications as well as wind up regretting their decision due to loss of their natural significance or characters.

For those savvy, observant individuals that fear less than an optimal result from a “cookie-cutter” facelift surgery; for those that wish to preempt the inescapable aging adjustments without too soon undertaking a facelift surgery; for those that formerly underwent a facelift surgery and dream update renovations without going through another surgery; for those that merely don’t have a week or longer to recoup from a facelift surgery; for those who fear basic anesthetic or even twilight sedation; for smokers that face greater threat of problems from undertaking facelift surgery; for those who can’t budget for a facelift surgery, there are ultimately time-tested, FDA accepted alternatives to a conventional facelift surgery which Surgeons can supply to their patients. In this short article I will be talking about some of the much more preferred options supplied at my clinic.

The 5 choices to facelift surgery I make use of in my workplace are Thermage, Ultherapy, Thread lifting, Fillers, and two “Mini Surgery” treatments containing 3-D volume repair and also re-contouring utilizing fat transfer as well as reduced eyelid fat bag removal using transconjunctival approach.

Very often these methods are made use of in synergistic combinations for the individual patient’ s requires to achieve optimum end result. The combination utilized are based on understanding of the individual person’s inherent bony as well as soft cells anatomical structure as well as accurate evaluation of the aging changes which have actually taken place. These aging changes can be usually associated to clients age, ethnic history, as well as genetical and also ecological elements.

Thermage as well as Ultherapy are both power based lifting gadgets which function by sinking RF (Thermage) or Finder (Ulthera) power to heat up the collagen as well as tighten the connective cells listed below the skin. These are suitable in those clients that really feel the collagen in their soft tissues are getting as well soft and also being attracted downward, which can be really felt also in early 30’s for some clients. Both devices have sufficient subtleties that the Surgeon needs to be well versed in the optimum use of the machines and in whom to match with which device. These devices are favorites as stand-alone procedure in clients that remain in their 30’s to 50’s. Typically they are used in conjunction with Botox as well as Fillers to attain better collaborating impact.

In individuals from 40’s as well as up that note sagging of mid-face with consistent growing of the tear trough, marionette, and nasolabial line along with look of the dreaded jowling and also neck laxity, either Thermage or Ultherapy is advised to tighten their indigenous collagen in the soft cells. But to attain additional training, string lifting utilizing either Silhouette Instalift or Novathread is recommended. The technique to a successful thread lifting is recognizing the nuances of the device as well as toughness of the threads and developing correct vectors as well as anchors to develop a subtle but guaranteed and also all-natural lift. After completion of one side, client is raised to a sitting setting so patients can straight imagine and also compare the raised vs unlifted side along with with their pre-operative photos. Due to virtually no bruising and also swelling, some clients resume their full activities and also return to eat or function out on the very same day. We ask our clients to schedule a day or two to recuperate simply in case they run into some swelling.

If the person also has substantial loss of face quantity past the reaches of a few tubes of Fillers, 3-D face quantity remediation and also re-contouring with fat transfer is additionally advised. In my clinic fat transfer is typically done under local anesthesia and also as a result of nearly no bruising, recuperation is usually no more than a couple of days. Also if an individual presents with lower eyelid puffiness which is severe sufficient to be seen even from across the room, lower eyelid surgery can be executed under local anesthetic with nearly no discoloration, enabling recovery duration to be no greater than a few days to a week at most. Including these 2 “Mini Surgical” procedures in my repertoire of choices to facelift surgery is imperative in my practice due to the fact that in my point of view, the appearance of the fat bag under the eyes and also loss of facial quantity are really the preliminary indications old adjustments visible in people as early as late 20’s and also early 30’s. Not a week goes by with people coming in desiring some kind of “training” surgery because of their “tired” and “gaunt” appearance when actually, reduced eyelid surgery is what they needed to eliminate their tired look due to puffy eye bags and also quantity reconstruction and re-contouring with fat transfer is what they required to rid of the gaunt and also elongated appearance. This technique shares the exact same principle as the “fluid fit” utilizing fillers that a lot of individuals are familiar with. If a couple of 1cc tube of fillers can be helpful, imagine what 30cc or 40cc of fat transfer can do in terms of restoring the shed volume as well as re-sculpting and also re-contouring the face back to much extra youthful days. I feel the true sculpture in me is defined by what I can accomplish with my fat transfer.

I will certainly experience a few patient circumstances I have actually experienced in the past couple of months.

Patient # 1 is a 61 year old female that came in desiring to look much better a week before her daughter’s wedding celebration. After cautious conversation, she undertook a 1.5 cc Radiesse injection to high light her cheek eminence as well as to load out the hollowing of her cheeks. Another 1cc of Restylene was used to fill up along the hollowing in the tear trough location as well over the nasolabial line which even more provided an optical feeling of mid-face lift.

Client # 2 is a 55 years of age CEO of a huge realty firm. She was invited to a Gala event in Paris showing up in a few weeks as well as needed to look her ideal. She doesn’t count on undertaking any type of kind of training surgery yet is willing to try anything else to enhance her ever worsening facial and neck laxity and marionette line. After mindful discussion, she undertook Ultherapy to her cheek and jawline, then her upper and reduced neck, complied with by her reduced brow, temple and eyelid. On the same day, she underwent Shape Instalift to lift her jawline and also mid-face and soften her marionette line. Additional Novathreads were made use of to tighten her neck line. Ultimately 1.5 cc of Radiesse was used to boost her chin and 1cc of Restyene was made use of to more smoothen out her nasolabial and also marionette line. On follow up call the complying with day, she had the ability to resume with her hectic schedule and was fairly completely satisfied with her end result. She expects all the picture taking sessions at the Gala in Paris.

Patient # 3 is a 42 year old accounting professional who came in for a consultation to find out about the numerous face lifting treatments readily available to get rid of her exhausted as well as weary appearance. After careful conversation, she underwent the 2 “Mini-Surgical” procedures being composed of removal of reduced eyelid fat bags by means of trans-conjunctival approach to free of puffiness to her eyes followed by 35cc of fat transfer to different areas of her face, formerly gathered from her reduced abdominal area. When she returned back to function the complying with week, individuals noted she looked well rested from her much should have trip, yet otherwise were unaware as to her really undertaking her “Mini-Surgical” procedures.

Person # 4 is a 35 year old college instructor who noted that her round face was obtaining a lot more bigger and also much heavier, particularly when taking pictures on her mobile phone. She is careful with her diet regimen and also no weight gain is kept in mind over the past couple of years. She knows she can never ever have a V line due to her complete face, however wish to halt further widening of her face if not show up 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 as well as uses an evening guard. After mindful discussion, she went through Botox to reduce the Masseter muscle mass hypertrophy from her teeth grinding which is also healing to reduce damage to her TM joint. Furthermore she underwent Ultherapy using both 3mm as well as 4.5 mm transducers to not just tighten the collagen in the soft tissue and also fascia wrapping up the muscular tissue, but likewise reduce the charitable fatty tissue in her subcutaneous tissue layer along the jaw line as well as cheek area. On her follow up check out she was ecstatically pleased with combination of subtle lift and constricting of her facial frame from Ultherapy as well as narrowing of her jaw angle from reducing the bulk of her Masseter muscle using the Botox. She jokingly recognizes “practically” seeing the V-line yet most important, satisfied concerning not having to fret about presenting behind her good friends to make her face look smaller sized when taking selfies.

Person # 5 is a 64 year old waitress who still smokes close to a pack of cigarettes daily. She has actually been desiring for some kind of raising procedure for several years, yet has constantly been scared to draw the trigger due to buddies who looked for the worse in her eyes following their face lifting surgical procedures and her failure to stop cigarette smoking. She went through 40cc of fat transfer to all aspect of fat area in her face, with special interest to her temporal losing as well as her mid face retrusion.

Client # 6 is a retired exec who had previously undertaken 2 facelift surgeries, last one being more than 3 years ago. She remains in her mid 70’s and also still very active in many cultures she comes from. She wishes upgrade raising procedure but wants to prevent any kind of surgical procedures and absolutely stay clear of any kind of anesthetic due to disappointment during current hip replacement surgery. After careful conversation, she went through Shape string raising to boost her jowling and nasolabial line. She went through PDO Novathread lift to improve the relentless right side neck laxity and turkey waddle. Only the best side was lifted as the left side was acceptable. Furthermore, 1cc of Restylene was utilized to further boost the nasolabial line and corner of the mouth on both sides. She immediately really felt a couple of years younger as well as anticipated meeting her friends at her 50th university get-together.

Client # 7 and also # 8 are pairs from Boston in their 50’s who have been going down by each year for the past five years to go through “Pairs” Thermage. In their current check out, in enhancement to the Thermage, spouse received 1cc of Restylene to the temporal economic downturn areas as well as an additional 1cc of Restylene to the Nasolabial line while the other half obtained Botox to smooth out the solid glabellar frown lines.

Client # 9 is a 47 y.o. male client who desires facelift surgery to enhance the fastooning around his malar mound. He is much less concerned regarding the small jowling as well as fullness under his chin, yet he is actually bothered by his malar pile which is worse in the mornings. Upon carful analysis, he has extreme puffiness under his eyes which straight attaches to his puffy malar pile. He has actually dealt with allergies as well as sinus concerns a lot of his life, which intensifies the lower eyelid as well as malar puffiness. After careful conversation, client went through transconjunctival reduced eyelid surgery under local anesthesia to improve upon a minimum of the medial half of the big fastooning. When one side was finished, he was raised to sitting up placement to reveal the immediate renovation of the run vs non-operative side. The person would certainly have profited with pinching up of the skin under the eyes, he didn’t desire any sign of undergoing surgery. Instead of the pinch, the reduced eyelid muscle was warmed with Ellman RF system through transconjunctival technique which tightened the muscle mass and to a degree, the superior skin. PDO Novathreads were then deployed to tighten the soft cells and skin around the puffy malar mounds. Only nominal amount of lift was attained from the PDO threads, as reviewed before the procedure with the person. Nevertheless, he was over-all rather happy with near complete resolution of median half of his fastooning and mild training and also flattening of the puffiness over the malar pile, laterally. Even though he had no discoloration, He was asked to recover in your home for a couple of days due to the lower eyelid surgery and also asked to reduce difficult tasks for a complete week. On his follow up he was incredibly delighted that all-natural renovation could be accomplished without a lot down time and without needing to go through expensive significant training surgery which was advised to him by a number of surgeons from previous appointments.

To conclude, if these options to a facelift surgery may be an alternative for you, please review with your Cosmetic surgeon to see if you might be an excellent prospect for these procedures. Do remember that every treatment features advantages and also risks in addition to limitations as well as it would certainly behoove you to locate a Surgeon well versed in these strategies that can connect to you how you can potentially take advantage of the procedures with very little to no downtime.