Do chin straps really work? – Updated 2021

5 Facial Cosmetic Surgeon Approved Alternatives to a Facelift

There is no procedure available that can best an artfully performed facelift surgery ideally developed for the client’s unique anatomy and also specific aging modifications. Several facelifts performed out there can still yield a cookie-cutter result where the result may look terrific in one individual and also not so fantastic in her buddy, even when done by the exact same surgeon. Even worse yet are instances where individuals too soon go under the knife to avoid aging adjustments and also wind up regretting their decision because of loss of their natural significance or personalities.

For those savvy, observant clients that fear less than an optimal result from a “cookie-cutter” facelift surgery; for those who desire to preempt the unavoidable aging modifications without prematurely undergoing a facelift surgery; for those who formerly underwent a facelift surgery and also dream upgrade renovations without going through an additional surgery; for those who just don’t have a week or longer to recuperate from a facelift surgery; for those that are afraid general anesthesia and even twilight sedation; for smokers that face greater danger of complications from undergoing facelift surgery; for those that can not budget for a facelift surgery, there are lastly reliable, FDA accepted options to a typical facelift surgery which Surgeons can supply to their patients. In this post I will certainly be discussing several of the a lot more preferred alternatives provided at my clinic.

The 5 choices to facelift surgery I make use of in my office are Thermage, Ultherapy, String lifting, Fillers, and also 2 “Mini Surgery” procedures consisting of 3-D volume restoration and re-contouring utilizing fat transfer as well as reduced eyelid fat bag elimination making use of transconjunctival method.

Extremely frequently these methods are made use of in synergistic mixes for the private client’ s requires to achieve ideal outcome. The combination utilized are based on understanding of the specific patient’s fundamental bony as well as soft tissue anatomical foundation as well as precise analysis of the aging modifications which have taken place. These aging modifications can be usually correlated to patients age, ethnic background, as well as ecological and also genetical aspects.

Thermage and Ultherapy are both energy based lifting devices which function by sinking RF (Thermage) or Finder (Ulthera) energy to warm up the collagen and also tighten the connective cells listed below the skin. These are optimal in those people who really feel the collagen in their soft cells are getting too soft as well as moving downward, which can be really felt also in early 30’s for some people. Both machines have enough subtleties that the Surgeon requires to be well versed in the ideal use of the devices and in whom to match with which equipment. These equipments are favorites as stand-alone treatment in individuals that are in their 30’s to 50’s. Commonly they are utilized in conjunction with Botox and also Fillers to accomplish higher collaborating impact.

In people from 40’s as well as up who note sagging of mid-face with constant strengthening of the tear marionette, nasolabial, as well as trough line as well as appearance of the dreaded jowling and also neck laxity, either Thermage or Ultherapy is recommended to tighten their native collagen in the soft cells. After completion of one side, person is brought up to a sitting setting so people can straight visualize and compare the lifted vs unlifted side as well as with their pre-operative pictures. Due to virtually no bruising as well as swelling, some patients resume their full tasks as well as return to dine or work out on the exact same day.

If the person likewise has considerable loss of facial quantity beyond the reaches of a couple of tubes of Fillers, 3-D facial volume repair as well as re-contouring with fat transfer is also suggested. In my center fat transfer is typically done under regional anesthesia and as a result of virtually no bruising, recuperation is normally no more than a couple of days. If a patient offers with lower eyelid puffiness which is extreme sufficient to be seen also from throughout the room, reduced eyelid surgery can be done under regional anesthesia with nearly no discoloration, enabling recuperation period to be no more than a couple of days to a week at most. Incorporating these two “Mini Surgical” procedures in my arsenal of choices to facelift surgery is critical in my practice due to the fact that in my viewpoint, the appearance of the fat bag under the eyes and also loss of facial volume are absolutely the preliminary indications old changes noticeable in individuals as early as late 20’s as well as early 30’s. Not a week passes by with people can be found in wishing some kind of “training” surgery because of their “tired” as well as “gaunt” look when in truth, reduced eyelid surgery is what they required to rid of their tired appearance due to puffy eye bags and also volume repair and also re-contouring with fat transfer is what they required to rid of the gaunt and extended look. This technique shares the same concept as the “liquid fit” using fillers that most individuals are familiar with. But if a few 1cc tube of fillers can be practical, imagine what 30cc or 40cc of fat transfer can do in terms of restoring the lost volume as well as re-sculpting and re-contouring the face back to much more younger days. I feel truth sculpture in me is specified by what I can achieve with my fat transfer.

I will certainly undergo a few individual circumstances I have actually come across in the past couple of months.

Patient # 1 is a 61 years of age woman that came in wishing to look far better a week prior to her child’s wedding. She had a really busy week ahead of her so not also a day to recoup. She really did not such as the tear trough under her eyes as well as the ever before getting worse nasolabial line and also jowling. Worst yet were the sunken in appearance of her cheek bone making her look tired. Her budget was extremely restricted as a lot of her savings mosted likely to helping with her child’s wedding. After cautious discussion, she underwent a 1.5 cc Radiesse injection to high light her cheek prominence as well as to fill in the hollowing of her cheeks. In essence the Radiesse was utilized to produce a “liquid” lift. Another 1cc of Restylene was used to fill up along the hollowing in the tear trough area also over the nasolabial line which additionally supplied an optical sense of mid-face lift. She was likewise offered some Botox to smoothen the crow’s feet and also frown lines; as well as, at the same time giving a small lateral eyebrow lift as well as consequently a subtle enhancement to the lateral hooding of her upper eyes.

Patient # 2 is a 55 year old CEO of a large genuine estate company. She doesn’t think in undergoing any kind of type of lifting surgery yet is eager to attempt anything else to boost her ever before aggravating facial as well as neck laxity and also marionette line. On the very same day, she underwent Shape Instalift to lift her jawline and mid-face and also soften her marionette line.

Client # 3 is a 42 years of age accountant that came in for an assessment to find out about the numerous face lifting treatments available to eliminate her fatigued as well as tired look. She was psychologically even more tired from learning through good friends as well as coworkers that she need to smile regularly because otherwise she looked cross and upset. She was previously a version with a well defined cheek bone as well as reasonably solid jaw line. No jowling nor neck laxity was appreciated. Her eyes still showed lots of shimmer with very early sign of side hooding, however was extra dominated by the extreme puffiness in her reduced eyelids. Upon further conversation, she has undergone almost 6 month of individual issues and also had shed near to 7 pounds which as a result has actually made her cheek more sunken in, made much more dramatic by her well defined cheek as well as jaw bones. Upon her just grinning, her lower eye muscle mass was able to tighten enough to push the puffy fat bags in while her smiling cheek provided much more pleasant volume to her or else hollowed out gaunt appearance. After cautious discussion, she undertook both “Mini-Surgical” treatments including removal of reduced eyelid fat bags using trans-conjunctival method to eliminate puffiness to her eyes complied with by 35cc of fat transfer to different areas of her face, formerly harvested from her reduced stomach location. Both treatments were done under neighborhood anesthesia in less than a few hrs. She had marginal to no due however bruising to modern swelling over the next few days, she was instructed to recuperate at home. Because she functioned as a companion in a huge Certified Public Accountant firm, she picked to work out of her residence 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, individuals noted she looked well relaxed from her much was worthy of holiday, yet or else were unaware regarding her actually undergoing her “Mini-Surgical” procedures.

Patient # 4 is a 35 year old school instructor who noted that her round face was getting a lot more broader and also much heavier, particularly when taking photos on her smart device. She is careful 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 full face, yet would like to halt further widening of her face if not show up a little bit much more raised as well as slimmer like she utilized to look a few years back. Upon further conversation, she grinds her teeth and also uses an evening guard. After mindful conversation, she undertook Botox to lower the Masseter muscle hypertrophy from her teeth grinding which is also healing to minimize damage to her TM joint. Furthermore she underwent 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, but also reduce the generous fatty tissue in her subcutaneous cells layer along the jaw line and cheek area. On her follow up go to she was ecstatically pleased with combination of refined lift and also constricting of her face structure from Ultherapy and also constricting of her jaw angle from decreasing the bulk of her Masseter muscle using the Botox. She amusingly recognizes “practically” seeing the V-line however crucial, satisfied concerning not needing to bother with positioning behind her pals to make her face look smaller when taking selfies.

Person # 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 upper teeth several years ago with considerable dental bone loss resulting in shortening and also retrusion to her mid-face area. She has been longing for some type of lifting procedure for years, however has actually always been afraid to shoot due to buddies who searched for the worse in her eyes following their face lifting surgeries and her failure to quit cigarette smoking. She had a fixed spending plan and had to go back to Philadelphia the same evening. After mindful discussion, she went through training of her neck, jawline, as well as cheek making use of a mix of Sillhouette Instalift and PDO Novathreads. She went through 40cc of fat transfer to all aspect of fat area in her face, with unique interest to her temporal wasting and also her mid face retrusion. Fat transfer permitted substantial remediation of her soft cells volume along with recovering back to her vibrant shape with higher anterior measurement which she had lost long time ago because of her early oral extraction. The consolidated procedure took 3 hours and also with virtually no discoloration as well as swelling, was safely able to go back to Philadelphia on the very same night. On her follow up, in between the thread lift as well as 3-D remediation of her facial contour, she felt she checked out least 10 years younger and was quiet pleased with the result.

Person # 6 is a retired exec that had actually formerly undertaken two facelift surgical treatments, last one being even more than 3 years earlier. She desires update lifting procedure however wants to prevent any kind of surgeries as well as definitely prevent any anesthesia due to negative experience throughout recent hip replacement surgery. After cautious discussion, she undertook Shape thread raising to improve her jowling as well as nasolabial line.

Client # 7 and # 8 are pairs from Boston in their 50’s that have actually been dropping by each year for the previous five years to go through “Pairs” Thermage. In their recent check out, in addition to the Thermage, other half received 1cc of Restylene to the temporal economic crisis areas as well as one more 1cc of Restylene to the Nasolabial line while the hubby got Botox to smoothen out the solid glabellar frown lines.

Client # 9 is a 47 y.o. male individual who wants facelift surgery to enhance the fastooning around his malar pile. He is much less worried regarding the small jowling and fullness under his chin, however he is truly bothered by his malar pile which is worse in the mornings. Upon carful analysis, he has severe puffiness under his eyes which straight links to his puffy malar mound. He has dealt with allergic reactions and also sinus concerns the majority of his life, which aggravates the reduced eyelid and also malar puffiness. After cautious conversation, patient went through transconjunctival reduced eyelid surgery under neighborhood anesthesia to improve upon at least the medial half of the big fastooning. As soon as one side was ended up, he was raised to sitting up placement to reveal the prompt improvement of the operated vs non-operative side. Although the client would certainly have benefited with squeezing up of the skin under the eyes, he really did not want any type of sign of undergoing surgery. In lieu of the pinch, the reduced eyelid muscle mass was heated with Ellman RF system via transconjunctival strategy which tightened the muscle mass and to a degree, the overlapping skin. PDO Novathreads were after that deployed to tighten the soft tissue and skin around the puffy malar piles. Only nominal amount of lift was accomplished from the PDO strings, as talked about prior to the procedure with the client. He was over-all rather satisfied with near complete resolution of medial half of his fastooning and also mild training and also flattening of the puffiness over the malar pile, side to side. Despite the fact that he had no bruising, He was asked to recoup in the house for a few days because of the reduced eyelid surgery and asked to lessen strenuous activities for a complete week. On his follow up he was incredibly delighted that all-natural enhancement could be accomplished without much down time and also without having to undertake costly major training surgery which was advised to him by several doctors from prior appointments.

In conclusion, if these choices to a facelift surgery might be an option for you, please review with your Cosmetic surgeon to see if you may be an excellent prospect for these treatments. Do remember that every treatment includes risks and advantages in addition to restrictions as well as it would befit you to discover a Surgeon well versed in these techniques who can communicate to you just how you can potentially take advantage of the procedures with minimal to no downtime.