Can you fix hooded eyes without surgery? – Updated 2021

5 Facial Plastic Surgeon Approved Alternatives to a Facelift

There is no treatment available that can best a skillfully performed facelift surgery preferably made for the individual’s unique composition and individual aging modifications. Regrettably numerous facelifts done out there can still produce a cookie-cutter outcome where the outcome might look great in one person and also not so terrific in her close friend, also when carried out by the same surgeon. Worse yet are situations where individuals prematurely go under the blade to prevent aging modifications and also wind up regretting their decision because of loss of their natural essence or identities.

For those smart, observant clients that are afraid less than a suitable result from a “cookie-cutter” facelift surgery; for those that wish to preempt the unpreventable aging adjustments without prematurely undergoing a facelift surgery; for those who previously undertook a facelift surgery and wish upgrade renovations without going through another surgery; for those who merely don’t have a week or longer to recover from a facelift surgery; for those who are afraid basic anesthetic or even twilight sedation; for cigarette smokers who encounter greater threat of problems from going through facelift surgery; for those who can not allocate a facelift surgery, there are lastly reliable, FDA approved alternatives to a conventional facelift surgery which Surgeons can offer to their individuals. In this post I will certainly be talking about some of the more popular options supplied at my clinic.

The 5 alternatives to facelift surgery I make use of in my workplace are Thermage, Ultherapy, Thread training, Fillers, and also 2 “Mini Surgery” treatments consisting of 3-D volume repair and re-contouring making use of fat transfer as well as lower eyelid fat bag elimination using transconjunctival strategy.

Really frequently these techniques are used in synergistic combinations for the individual client’ s requires to attain ideal outcome. The mix utilized are based on understanding of the individual person’s integral bony as well as soft cells anatomical foundation as well as precise evaluation of the aging changes which have actually taken place. These aging changes can be typically associated to people age, ethnic background, and genetical and also ecological variables.

Thermage and Ultherapy are both energy based training gadgets which function by sinking RF (Thermage) or Sonar (Ulthera) power to warm up the collagen and also tighten the connective cells below the skin. These are perfect in those clients who really feel the collagen in their soft cells are obtaining also soft as well as being attracted downward, which can be really felt also in very early 30’s for some patients. Both makers have sufficient subtleties that the Surgeon needs to be well versed in the optimum use of the devices and also in whom to match with which equipment. These makers are favorites as stand-alone treatment in clients who are in their 30’s to 50’s. Commonly they are made use of in conjunction with Botox and also Fillers to attain better collaborating result.

In clients from 40’s and up who note sagging of mid-face with stable growing of the tear trough, marionette, and nasolabial line in addition to appearance of the dreaded jowling and also neck laxity, either Thermage or Ultherapy is suggested to tighten their indigenous collagen in the soft cells. To achieve additional lifting, string lifting using either Silhouette Instalift or Novathread is recommended. The technique to a successful thread training is understanding the nuances of the device and also toughness of the strings and creating correct vectors as well as supports to produce a subtle yet guaranteed as well as natural lift. After completion of one side, client is raised to a resting position so individuals can directly envision as well as contrast the raised vs unlifted side as well as with their pre-operative images. As a result of virtually no bruising as well as swelling, some clients resume their full tasks and also return to function or eat out on the very same day. We ask our individuals to schedule a day or 2 to recuperate just in instance they run into some swelling.

If the individual likewise has considerable loss of face volume past the reaches of a couple of tubes of Fillers, 3-D face volume reconstruction and re-contouring with fat transfer is also recommended. In my center fat transfer is normally done under local anesthesia and also as a result of nearly no discoloration, recovery is normally no greater than a few days. Furthermore if a client presents with lower eyelid puffiness which is serious sufficient to be seen even from across the room, lower eyelid surgery can be executed under regional anesthetic with virtually no bruising, permitting recuperation duration to be no more than a couple of days to a week at most. Incorporating these 2 “Mini Surgical” procedures in my arsenal of alternatives 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 as well as loss of face quantity are absolutely the initial indications of aging modifications visible in individuals as very early as late 20’s as well as early 30’s. Not a week passes by with people being available in wanting some sort of “lifting” surgery as a result of their “tired” and “gaunt” appearance when actually, lower eyelid surgery is what they required to rid of their tired appearance due to puffy eye bags and volume remediation and re-contouring with fat transfer is what they required to rid of the gaunt and also elongated look. This approach shares the very same principle as the “liquid fit” using fillers that a lot of people recognize with. However if a few 1cc tube of fillers can be helpful, imagine what 30cc or 40cc of fat transfer can do in terms of recovering the shed quantity and also re-sculpting as well as re-contouring the face back to much more younger days. I feel truth sculpture in me is defined by what I can achieve with my fat transfer.

I will go through a couple of person situations I have experienced in the past few months.

Client # 1 is a 61 year old lady that came in desiring to look better a week prior to her daughter’s wedding event. After cautious conversation, she went through a 1.5 cc Radiesse shot to high light her cheek reputation as well as to fill up out the hollowing of her cheeks. One More 1cc of Restylene was utilized to fill up along the hollowing in the tear trough area as well over the nasolabial line which better supplied an optical feeling of mid-face lift.

Individual # 2 is a 55 year old CEO of a big realty firm. She was welcomed to a Gala event in Paris showing up in a couple of weeks and also needed to look her best. She does not believe in undergoing any type of kind of lifting surgery however wants to attempt anything else to enhance her ever worsening facial and also neck laxity and also marionette line. After careful discussion, she underwent Ultherapy to her cheek and jawline, then her top as well as lower neck, adhered to by her reduced eyelid, brow and temple. On the very same day, she undertook Silhouette Instalift to lift her jawline and also mid-face and soften her marionette line. Additional Novathreads were used to tighten her neck line. 1.5 cc of Radiesse was used to enhance her chin and 1cc of Restyene was made use of to more smoothen out her nasolabial as well as marionette line. On follow up call the adhering to day, she was able to return to with her active timetable as well as was rather satisfied with her result. She looks forward to all the picture taking sessions at the Gala in Paris.

Person # 3 is a 42 year old accounting professional that came in for an examination to find out about the numerous face lifting treatments offered to get rid of her tired and also tired appearance. After careful conversation, she undertook the 2 “Mini-Surgical” procedures consisting of elimination of reduced eyelid fat bags by means of trans-conjunctival approach to clear of puffiness to her eyes complied with by 35cc of fat transfer to numerous areas of her face, formerly gathered from her lower stomach location. When she returned back to function the following week, people noted she looked well relaxed from her much was worthy of getaway, however or else were clueless as to her really undergoing her “Mini-Surgical” procedures.

Client # 4 is a 35 year old institution educator who kept in mind that her round face was obtaining extra broader and also larger, specifically when taking images on her smartphone. She takes care with her diet regimen and also no weight gain is kept in mind over the past few years. She understands she can never have a V line due to her complete face, yet wish to stop additional widening of her face if not show up a bit a lot more raised as well as slimmer like she used to look a couple of years back. Upon more conversation, she grinds her teeth and also uses a night guard. After careful discussion, she went through Botox to lower the Masseter muscle hypertrophy from her teeth grinding which is additionally healing to reduce damages to her TM joint. In addition she undertook Ultherapy using both 3mm and also 4.5 mm transducers to not only tighten the collagen in the soft tissue and also fascia enveloping the muscle mass, but likewise lower the charitable fatty tissue in her subcutaneous tissue layer along the jaw line and also cheek area. On her follow up go to she was ecstatically pleased with mix of subtle lift and narrowing of her facial structure from Ultherapy and also constricting of her jaw angle from reducing the bulk of her Masseter muscle mass utilizing the Botox. She jokingly recognizes “almost” seeing the V-line but most important, happy about not needing to bother with posing behind her good friends to make her face look smaller when taking selfies.

Client # 5 is a 64 years of age waitress who still smokes near a pack of cigarettes daily. She had shed most of her top teeth several years ago with significant oral bone loss leading to shortening and retrusion to her mid-face area. She has actually been wanting some kind of raising procedure for many years, yet has actually constantly been afraid to shoot due to buddies that sought the worse in her eyes following their face lifting surgical procedures as well as her lack of ability to give up cigarette smoking. She had and had a fixed budget to return to Philadelphia the exact same evening. After cautious discussion, she underwent lifting of her jawline, cheek, and neck utilizing a combination of Sillhouette Instalift as well as PDO Novathreads. She undertook 40cc of fat transfer to all element of fat compartment in her face, with unique attention to her temporal losing and her mid face retrusion. Fat transfer permitted considerable repair of her soft cells quantity as well as recovering back to her youthful shape with greater anterior dimension which she had shed very long time ago due to her premature dental removal. The combined treatment took 3 hours as well as with nearly no discoloration and also swelling, was securely able to return to Philly on the very same night. On her follow up, in between the thread lift and 3-D repair of her facial contour, she felt she took a look at the very least ten years more youthful and was quiet happy with the result.

Individual # 6 is a retired exec that had formerly undergone 2 facelift surgical procedures, last one being even more than 3 years earlier. She desires update raising treatment but desires to stay clear of any kind of surgical treatments and also definitely stay clear of any type of anesthesia due to poor experience throughout current hip substitute surgery. After cautious conversation, she went through Silhouette string raising to boost her jowling and nasolabial line.

Person # 7 as well as # 8 are couples from Boston in their 50’s that have been visiting each year for the past five years to go through “Pairs” Thermage. After seeing their loved ones in UK, they drop by my workplace to get their annual Thermage on their method residence. They both feel that Thermage has assisted to slow down the unpreventable drooping of their face and neck. In their current browse through, in addition to the Thermage, wife received 1cc of Restylene to the temporal recession locations as well as another 1cc of Restylene to the Nasolabial line while the partner got Botox to smooth out the solid glabellar frown lines. They are both pleased with the outcome and plan to drop by the following year.

Individual # 9 is a 47 y.o. male patient who desires facelift surgery to boost the fastooning around his malar pile. After mindful conversation, client went through transconjunctival reduced eyelid surgery under neighborhood anesthetic to boost upon at least the median half of the huge fastooning. The person would certainly have profited with squeezing up of the skin under the eyes, he really did not desire any kind of indicator of undertaking surgery.

Finally, if these options to a facelift surgery may be an option for you, please go over with your Cosmetic surgeon to see if you may be an excellent candidate for these procedures. Do bear in mind that every procedure comes with advantages and also dangers in addition to restrictions as well as it would befit you to discover a Surgeon well versed in these methods who can interact to you just how you can potentially gain from the treatments with minimal to no downtime.