Can jowls be lifted without surgery?

5 Facial Cosmetic Surgeon Approved Alternatives to a Facelift

There is no procedure around that can best a skillfully performed facelift surgery ideally created for the patient’s unique makeup as well as specific aging adjustments. Many facelifts executed out there can still yield a cookie-cutter outcome where the result might look great in one individual and also not so wonderful in her close friend, even when carried out by the exact same surgeon. Worse yet are situations where people prematurely go under the blade to avoid aging changes and also wind up regretting their decision due to loss of their natural essence or identities.

For those wise, perceptive people that are afraid less than a suitable arise from a “cookie-cutter” facelift surgery; for those that desire to preempt the unpreventable aging modifications without too soon undertaking a facelift surgery; for those that previously undertook a facelift surgery and dream update improvements without going through one more surgery; for those that simply do not have a week or longer to recoup from a facelift surgery; for those that fear basic anesthetic or perhaps twilight sedation; for cigarette smokers who deal with greater danger of issues from undergoing facelift surgery; for those that can not budget for a facelift surgery, there are finally reliable, FDA accepted options to a traditional facelift surgery which Surgeons can supply to their people. In this write-up I will be going over several of the much more popular choices used at my clinic.

The 5 options to facelift surgery I make use of in my office are Thermage, Ultherapy, String training, Fillers, as well as two “Mini Surgery” treatments including 3-D quantity remediation as well as re-contouring using fat transfer and reduced eyelid fat bag removal using transconjunctival strategy.

Very often these techniques are used in collaborating mixes for the private patient’ s requires to accomplish optimal end result. The mix made use of are based upon understanding of the individual client’s inherent bony and soft cells anatomical structure and also exact analysis of the aging adjustments which have taken place. These aging adjustments can be normally correlated to patients age, ethnic history, and also genetical as well as ecological elements.

Thermage and Ultherapy are both power based lifting devices which work by sinking RF (Thermage) or Finder (Ulthera) energy to warm up the collagen as well as tighten the connective cells below the skin. These are ideal in those people who really feel the collagen in their soft tissues are getting too soft as well as being attracted downward, which can be felt also in early 30’s for some patients. Both equipments have enough subtleties that the Surgeon needs to be well versed in the ideal use of the equipments and also in whom to match with which maker. These devices rate as stand-alone treatment in individuals who are in their 30’s to 50’s. Frequently they are utilized along with Botox as well as Fillers to accomplish better collaborating effect.

In individuals from 40’s as well as up that note sagging of mid-face with consistent growing of the tear trough, nasolabial, and marionette line as well as look of the feared jowling as well as neck laxity, either Thermage or Ultherapy is suggested to tighten their native collagen in the soft cells. After conclusion of one side, client is brought up to a sitting placement so people can directly envision as well as contrast the lifted vs unlifted side as well as with their pre-operative images. Due to nearly no discoloration as well as swelling, some clients resume their full tasks and return to eat or work out on the exact same day.

If the client likewise has substantial loss of face quantity past the reaches of a few tubes of Fillers, 3-D facial quantity remediation as well as re-contouring with fat transfer is additionally advised. In my clinic fat transfer is typically done under neighborhood anesthesia and also due to virtually no discoloration, recuperation is normally no greater than a few days. Also if an individual presents with reduced eyelid puffiness which is severe enough to be seen also from throughout the space, lower eyelid surgery can be done under local anesthetic with almost no discoloration, permitting healing period to be no more than a couple of days to a week at most. Incorporating these 2 “Mini Surgical” procedures in my arsenal of options to facelift surgery is critical in my technique since in my viewpoint, the appearance of the fat bag under the eyes as well as loss of facial volume are absolutely the first signs old changes visible in people as very early as late 20’s and also very early 30’s. Not a week goes by with individuals coming in wishing some type of “lifting” surgery due to their “worn out” as well as “gaunt” look when actually, reduced eyelid surgery is what they required to rid of their worn out look due to puffy eye bags and also volume reconstruction and re-contouring with fat transfer is what they required to eliminate the gaunt as well as elongated look. This method shares the very same concept as the “fluid fit” utilizing fillers that many individuals are familiar with. But if a couple of 1cc tube of fillers can be handy, picture what 30cc or 40cc of fat transfer can do in terms of recovering the shed volume and also re-sculpting and re-contouring the face back to much more vibrant days. I feel the true sculpture in me is specified by what I can accomplish with my fat transfer.

I will certainly undergo a few patient scenarios I have actually run into in the past couple of months.

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

Person # 2 is a 55 year old CEO of a big actual estate firm. She doesn’t believe in undertaking any type of type of training surgery yet is willing to attempt anything else to improve her ever before aggravating facial as well as neck laxity as well as marionette line. On the very same day, she went through Shape Instalift to lift her jawline and mid-face as well as soften her marionette line.

Patient # 3 is a 42 year old accountant that came in for an assessment to find out concerning the different face lifting treatments readily available to obtain rid of her exhausted as well as exhausted appearance. After careful conversation, she underwent the 2 “Mini-Surgical” treatments consisting of removal of lower eyelid fat bags through trans-conjunctival strategy to free of puffiness to her eyes complied with by 35cc of fat transfer to various compartments of her face, formerly harvested from her lower stomach location. When she returned back to work the following week, individuals noted she looked well relaxed from her much was worthy of vacation, yet otherwise were unaware as to her really undergoing her “Mini-Surgical” procedures.

Patient # 4 is a 35 year old college educator who noted that her round face was obtaining more broader and also larger, particularly when taking pictures on her mobile phone. After careful conversation, she went through Botox to minimize the Masseter muscular tissue hypertrophy from her teeth grinding which is likewise healing to lessen damage to her TM joint. In enhancement she undertook Ultherapy using both 3mm as well as 4.5 mm transducers to not just tighten the collagen in the soft tissue and also fascia enveloping the muscle mass, however likewise lower the generous fatty cells in her subcutaneous tissue layer along the jaw line and also cheek area.

Client # 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 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 lifting surgeries and her lack of ability to quit smoking cigarettes. She underwent 40cc of fat transfer to all aspect of fat area in her face, with unique attention to her temporal wasting and her mid face retrusion.

Person # 6 is a retired executive who had actually previously undertaken two facelift surgeries, last one being more than 3 years ago. She wants upgrade lifting treatment yet wants to avoid any type of surgical treatments and absolutely prevent any kind of anesthetic due to negative experience during current hip substitute surgery. After careful conversation, she went through Shape thread lifting to improve her jowling and nasolabial line.

Individual # 7 as well as # 8 are pairs from Boston in their 50’s who have actually been dropping by each year for the previous 5 years to undergo “Couples” Thermage. In their current see, in addition to the Thermage, partner received 1cc of Restylene to the temporal economic crisis areas as well as an additional 1cc of Restylene to the Nasolabial line while the partner got Botox to smoothen out the solid glabellar frown lines.

Patient # 9 is a 47 y.o. male person who wishes facelift surgery to boost the fastooning around his malar mound. He is less worried concerning the mild jowling and volume under his chin, however he is actually bothered by his malar mound which is even worse in the early mornings. Upon carful analysis, he has serious puffiness under his eyes which directly links to his puffy malar mound. He has actually struggled with allergies as well as sinus concerns most of his life, which intensifies the lower eyelid and malar puffiness. After cautious conversation, client undertook transconjunctival reduced eyelid surgery under neighborhood anesthesia to improve upon at the very least the medial fifty percent of the large fastooning. Once one side was finished, he was raised to sitting up placement to show the prompt 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 indicator of going through surgery. In lieu of the pinch, the lower eyelid muscular tissue was heated up with Ellman RF device through transconjunctival technique which tightened the muscle mass and to a degree, the overlying skin. PDO Novathreads were after that released to tighten the soft cells as well as skin around the puffy malar mounds. Just nominal amount of lift was attained from the PDO threads, as gone over before the treatment with the patient. However, he was over-all rather pleased with near complete resolution of medial half of his fastooning as well as mild lifting as well as flattening of the puffiness over the malar mound, laterally. Despite the fact that he had no discoloration, He was asked to recoup at home for a few days due to the reduced eyelid surgery as well as asked to lessen strenuous tasks for a full week. On his follow up he was exceptionally delighted that all-natural enhancement could be attained without a lot down time as well as without having to go through costly major lifting surgery which was advised to him by a number of cosmetic surgeons from prior consultations.

Finally, if these alternatives to a facelift surgery might be an option for you, please talk about with your Plastic Surgeon to see if you may be a great prospect for these treatments. Do remember that every procedure includes benefits as well as dangers as well as limitations and it would befit you to find a Surgeon well versed in these techniques that can interact to you how you can potentially benefit from the treatments with marginal to no downtime.