Can you wash your face after HIFU?

5 Facial Cosmetic Surgeon Approved Alternatives to a Facelift

There is no procedure around that can best a skillfully done facelift surgery preferably made for the person’s special composition and also specific aging modifications. Lots of facelifts done out there can still yield a cookie-cutter result where the end result might look fantastic in one person as well as not so terrific in her close friend, even when done by the exact same surgeon. Even worse yet are situations where clients prematurely go under the blade to avoid aging changes as well as wind up regretting their choice because of loss of their all-natural significance or personae.

For those wise, perceptive individuals who fear less than an ideal arise from a “cookie-cutter” facelift surgery; for those that desire to preempt the unpreventable aging changes without prematurely going through a facelift surgery; for those who formerly went through a facelift surgery and dream upgrade renovations without undertaking one more surgery; for those who just don’t have a week or longer to recuperate from a facelift surgery; for those that fear general anesthetic and even twilight sedation; for cigarette smokers that deal with greater danger of difficulties from undergoing facelift surgery; for those that can’t allocate a facelift surgery, there are finally time-tested, FDA accepted options to a conventional facelift surgery which Surgeons can supply to their clients. In this post I will be talking about several of the much more prominent alternatives supplied at my facility.

The five options to facelift surgery I utilize in my workplace are Thermage, Ultherapy, Thread training, Fillers, and also two “Mini Surgery” procedures containing 3-D quantity restoration and also re-contouring making use of fat transfer and lower eyelid fat bag elimination utilizing transconjunctival method.

Really commonly these techniques are used in synergistic combinations for the specific person’ s requires to achieve ideal end result. The mix utilized are based upon understanding of the individual person’s intrinsic bony and soft tissue physiological structure as well as exact analysis of the aging changes which have occurred. These aging adjustments can be generally correlated to patients age, ethnic background, as well as environmental and also genetical factors.

Thermage and also Ultherapy are both energy based training devices 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 perfect in those individuals that feel the collagen in their soft cells are obtaining also soft and gravitating downward, which can be felt also in early 30’s for some patients. Both machines have sufficient nuances that the Surgeon needs to be well versed in the optimum use the equipments and in whom to match with which device. These machines are favorites as stand-alone treatment in patients who remain in their 30’s to 50’s. Usually they are utilized in conjunction with Botox as well as Fillers to achieve better synergistic result.

In individuals from 40’s as well as up that note sagging of mid-face with stable strengthening of the tear marionette, trough, and nasolabial line as well as look of the dreaded jowling and neck laxity, either Thermage or Ultherapy is advised to tighten their native collagen in the soft tissue. After conclusion of one side, individual is brought up to a resting position so people can directly envision and contrast the raised vs unlifted side as well as with their pre-operative images. Due to almost no bruising and swelling, some clients resume their full activities as well as return to work or dine out on the very same day.

3-D facial volume restoration and also re-contouring with fat transfer is also suggested if the client additionally has significant loss of face quantity past the reaches of a few tubes of Fillers. In my center fat transfer is typically done under neighborhood anesthesia and as a result of nearly no bruising, recovery is typically no more than a few days. Also if an individual presents with lower eyelid puffiness which is serious sufficient to be seen also from across the area, lower eyelid surgery can be done under neighborhood anesthesia with almost no bruising, permitting recovery period to be no more than a few days to a week at most. Including these 2 “Mini Surgical” treatments in my arsenal of choices to facelift surgery is necessary in my technique since in my point of view, the appearance of the fat bag under the eyes as well as loss of facial volume are truly the first indications of aging changes noticeable in people as early as late 20’s and also early 30’s. Not a week passes by with clients can be found in wanting some kind of “training” surgery because of their “worn out” and also “gaunt” appearance when actually, reduced eyelid surgery is what they required to rid of their exhausted look as a result of puffy eye bags and quantity restoration and also re-contouring with fat transfer is what they required to rid of the gaunt and extended look. This strategy shares the very same principle as the “fluid fit” making use of fillers that most individuals know with. If a couple of 1cc tube of fillers can be valuable, picture what 30cc or 40cc of fat transfer can do in terms of recovering the shed volume and re-sculpting and also re-contouring the face back to much extra vibrant days. I really feel the true sculpture in me is specified by what I can achieve with my fat transfer.

I will experience a few person scenarios I have encountered in the past few months.

Client # 1 is a 61 year old woman that came in wanting to look much better a week before her child’s wedding celebration. After mindful conversation, she went through a 1.5 cc Radiesse injection to high light her cheek prominence as well as to load out the hollowing of her cheeks. One More 1cc of Restylene was used to fill up along the hollowing in the tear trough area as well over the nasolabial line which even more provided an optical sense of mid-face lift.

Patient # 2 is a 55 year old Chief Executive Officer of a huge realty company. She was invited to a Gala event in Paris coming up in a couple of weeks and also needed to look her best. She does not count on undergoing any kind of form of lifting surgery but agrees to try anything else to improve her ever aggravating facial and neck laxity and also marionette line. After mindful conversation, she underwent Ultherapy to her cheek and jawline, after that her upper as well as lower neck, complied with by her reduced eyelid, eyebrow as well as temple. On the very same day, she undertook Shape Instalift to lift her jawline as well as mid-face and soften her marionette line. Added Novathreads were used to tighten her neck line. Ultimately 1.5 cc of Radiesse was utilized to boost her chin as well as 1cc of Restyene was made use of to further smoothen out her nasolabial and marionette line. On follow up call the adhering to day, she was able to resume with her active schedule and also was rather pleased with her outcome. She anticipates all the picture taking sessions at the Gala in Paris.

Individual # 3 is a 42 year old accounting professional who came in for an assessment to find out about the different face lifting treatments available to remove her fatigued and also tired look. She was mentally more worn out from hearing from close friends as well as coworkers that she ought to grin more often because otherwise she looked cross and also upset. She was previously a model with a well specified cheek bone and relatively strong jaw line. No jowling neither neck laxity was appreciated. Her eyes still revealed plenty of sparkle with very early indication of side hooding, however was extra controlled by the severe puffiness in her lower eyelids. Upon more discussion, she has gone through virtually six month of individual issues as well as had lost near to seven pounds which subsequently has made her cheek extra sunken in, made more dramatic by her well defined cheek as well as jaw bones. Upon her merely grinning, her reduced eye muscular tissue was able to tighten enough to push the puffy fat bags in while her smiling cheek gave much more positive fullness to her otherwise hollowed out gaunt appearance. After careful conversation, she underwent the two “Mini-Surgical” treatments containing elimination of lower eyelid fat bags by means of trans-conjunctival approach to rid of puffiness to her eyes adhered to by 35cc of fat transfer to different compartments of her face, previously collected from her lower stomach location. Both procedures were carried out under local anesthesia in less than a couple of hours. She had minimal to no discoloration but due to modern swelling over the next few days, she was instructed to recover at home. Because she worked as a partner in a huge Certified Public Accountant firm, she chose to work out of her house for the rest of the week, however had the ability to resume her tasks within a few days. When she returned back to function the following week, people noted she looked well rested from her much was entitled to vacation, yet otherwise were unaware as to her in fact undergoing her “Mini-Surgical” procedures.

Person # 4 is a 35 years of age college instructor that kept in mind that her round face was getting a lot more bigger and also heavier, specifically when taking photos on her smart device. She bewares with her diet regimen and no weight gain is kept in mind over the past couple of years. She understands she can never have a V line because of her full face, yet would like to stop additional widening of her face if not show up a bit extra lifted and slimmer like she used to look a couple of years back. Upon more discussion, she grinds her teeth and also puts on an evening guard. After cautious discussion, she undertook Botox to minimize the Masseter muscle hypertrophy from her teeth grinding which is additionally restorative to reduce damages to her TM joint. Additionally she underwent Ultherapy using both 3mm as well as 4.5 mm transducers to not only tighten the collagen in the soft cells and also fascia enveloping the muscle, however additionally reduce the charitable fatty tissue in her subcutaneous tissue layer along the jaw line and cheek area. On her follow up browse through she was ecstatically pleased with mix of subtle lift and constricting of her face frame from Ultherapy and narrowing of her jaw angle from minimizing the bulk of her Masseter muscle making use of the Botox. She jokingly acknowledges “practically” seeing the V-line but essential, pleased concerning not having to worry about positioning behind her close friends to make her face look smaller when taking selfies.

Patient # 5 is a 64 year old waitress that still smokes near to a pack of cigarettes daily. She had shed the majority of her top teeth several years ago with substantial oral bone loss leading to reducing as well as retrusion to her mid-face area. She has actually been wanting some kind of raising treatment for several years, yet has always been afraid to pull the trigger because of good friends who sought the even worse in her eyes following their face lifting surgical treatments and her failure to stop cigarette smoking. She had a fixed budget plan and had to return to Philly the very same night. After careful discussion, she underwent lifting of her jawline, cheek, as well as neck making use of a mix of Sillhouette Instalift as well as PDO Novathreads. She went through 40cc of fat transfer to all element of fat area in her face, with unique focus to her temporal wasting and her mid face retrusion. Fat transfer permitted considerable remediation of her soft cells volume in addition to restoring back to her vibrant contour with better anterior dimension which she had lost long period of time ago because of her early oral extraction. The mixed treatment took 3 hours and also with nearly no discoloration as well as swelling, was securely able to return to Philly on the exact same evening. On her follow up, in between the string lift as well as 3-D reconstruction of her facial shape, she felt she considered least 10 years younger and also was quiet happy with the outcome.

Patient # 6 is a retired exec that had actually formerly undergone two facelift surgical treatments, last one being more than 3 years ago. She remains in her mid 70’s as well as still really energetic in lots of societies she belongs to. She wants update raising procedure however wants to stay clear of any kind of surgical procedures and certainly prevent any anesthetic as a result of disappointment throughout recent hip replacement surgery. After mindful conversation, she went through Silhouette thread raising to boost her jowling and nasolabial line. She underwent PDO Novathread lift to enhance the persistent right side neck laxity and also turkey waddle. Only the appropriate side was lifted as the left side was adequate. In addition, 1cc of Restylene was used to additional improve the nasolabial line and also corner of the mouth on both sides. She instantly really felt a couple of years younger and also eagerly anticipated satisfying her good friends at her 50th university get-together.

Client # 7 and also # 8 are pairs from Boston in their 50’s that have actually been coming by every year for the past five years to go through “Pairs” Thermage. After seeing their loved ones in UK, they come by my office to receive their annual Thermage on their way residence. They both feel that Thermage has helped to decrease the inevitable drooping of their face as well as neck. In their current browse through, along with the Thermage, other half obtained 1cc of Restylene to the temporal recession areas and also another 1cc of Restylene to the Nasolabial line while the husband got Botox to smooth out the solid glabellar frown lines. They are both pleased with the end result as well as strategy to drop by the list below year.

Person # 9 is a 47 y.o. male person who wishes facelift surgery to improve the fastooning around his malar mound. He is less concerned about the slight jowling and also fullness under his chin, but he is actually troubled by his malar mound which is even worse in the mornings. Upon carful analysis, he has serious puffiness under his eyes which straight links to his puffy malar mound. He has struggled with allergies and also sinus issues most of his life, which aggravates the reduced eyelid as well as malar puffiness. After mindful conversation, person undertook transconjunctival lower eyelid surgery under local anesthesia to improve upon at the very least the medial half of the huge fastooning. Once one side was ended up, he was raised to staying up position to reveal the prompt enhancement of the run vs non-operative side. Although the person would certainly have profited with pinching up of the skin under the eyes, he really did not want any type of sign of going through surgery. In lieu of the pinch, the reduced eyelid muscle mass was heated up with Ellman RF device through transconjunctival method which tightened the muscular tissue and somewhat, the overlying skin. PDO Novathreads were after that deployed to tighten the soft cells as well as skin around the puffy malar piles. Only small amount of lift was achieved from the PDO strings, as gone over prior to the procedure with the client. Nevertheless, he was over-all quite delighted with near complete resolution of median fifty percent of his fastooning as well as slight lifting and also flattening of the puffiness over the malar mound, laterally. Even though he had no discoloration, He was asked to recover in your home for a couple of days as a result of the reduced eyelid surgery and asked to reduce difficult tasks for a complete week. On his follow up he was very pleased that natural enhancement could be accomplished without much down time and also without needing to undergo expensive major training surgery which was suggested to him by several specialists from prior examinations.

In conclusion, if these choices to a facelift surgery might be an option for you, please discuss with your Cosmetic surgeon to see if you may be an excellent candidate for these procedures. Do bear in mind that every treatment comes with benefits and also dangers along with restrictions as well as it would befit you to find a Surgeon well versed in these methods who can connect to you how you can possibly gain from the procedures with marginal to no downtime.