Does collagen whiten skin? – Updated 2021

5 Facial Cosmetic Surgeon Approved Alternatives to a Facelift

There is no procedure available that can best a skillfully executed facelift surgery ideally designed for the person’s distinct anatomy and specific aging adjustments. Numerous facelifts performed out there can still produce a cookie-cutter result where the outcome may look fantastic in one individual as well as not so great in her pal, also when carried out by the very same surgeon. Worse yet are situations where patients too soon go under the blade to avoid aging modifications and also end up regretting their decision because of loss of their natural essence or identities.

For those wise, observant clients that are afraid less than a perfect arise from a “cookie-cutter” facelift surgery; for those that desire to preempt the inescapable aging changes without too soon going through a facelift surgery; for those that formerly undertook a facelift surgery and also wish upgrade improvements without going through an additional surgery; for those that simply do not have a week or longer to recuperate from a facelift surgery; for those who are afraid general anesthetic or even twilight sedation; for smokers that encounter higher danger of complications from undertaking facelift surgery; for those who can’t allocate a facelift surgery, there are finally tried and true, FDA authorized alternatives to a standard facelift surgery which Surgeons can provide to their patients. In this short article I will certainly be going over several of the much more prominent choices used at my clinic.

The five choices to facelift surgery I utilize in my workplace are Thermage, Ultherapy, Thread lifting, Fillers, as well as two “Mini Surgery” procedures including 3-D volume remediation and also re-contouring utilizing fat transfer as well as lower eyelid fat bag removal utilizing transconjunctival approach.

Extremely usually these methods are used in synergistic combinations for the private client’ s requires to attain ideal outcome. The mix made use of are based on understanding of the individual patient’s integral bony and also soft tissue anatomical structure as well as exact analysis of the aging changes which have occurred. These aging adjustments can be generally correlated to individuals age, ethnic history, and also genetical as well as ecological variables.

Thermage and Ultherapy are both energy based training devices which work by sinking RF (Thermage) or Sonar (Ulthera) power to heat up the collagen as well as tighten the connective cells listed below the skin. These are perfect in those patients that really feel the collagen in their soft tissues are obtaining also soft as well as gravitating downward, which can be felt also in very early 30’s for some people. Both machines have sufficient nuances that the Surgeon requires to be well versed in the optimal use of the devices and in whom to match with which machine. These machines are favorites as stand-alone treatment in individuals that remain in their 30’s to 50’s. Commonly they are made use of together with Botox as well as Fillers to attain better synergistic impact.

In individuals from 40’s as well as up that note sagging of mid-face with steady growing of the tear trough, marionette, and nasolabial line as well as appearance of the dreadful jowling and also neck laxity, either Thermage or Ultherapy is suggested to tighten their indigenous collagen in the soft tissue. After completion of one side, person is brought up to a resting position so people can directly visualize as well as contrast the raised vs unlifted side as well as with their pre-operative photos. Due to almost no bruising as well as swelling, some clients resume their full activities and return to work or eat out on the very same day.

If an individual provides with lower eyelid puffiness which is extreme enough to be seen also from throughout the area, reduced eyelid surgery can be performed under regional anesthetic with virtually no discoloration, enabling recuperation duration to be no even more than a few days to a week at a lot of. Incorporating these 2 “Mini Surgical” procedures in my arsenal of options to facelift surgery is imperative in my technique due to the fact that in my viewpoint, the look of the fat bag under the eyes as well as loss of face volume are really the preliminary indications of aging changes noticeable in people as very early as late 20’s and very early 30’s. Not a week passes by with patients coming in desiring some type of “lifting” surgery due to their “tired” as well as “gaunt” look when in fact, lower eyelid surgery is what they needed to clear of their tired look due to puffy eye bags and quantity restoration as well as re-contouring with fat transfer is what they required to clear of the gaunt and lengthened look.

I will undergo a couple of person situations I have actually experienced in the past few months.

Individual # 1 is a 61 year old woman who came in wishing to look far better a week before her child’s wedding celebration. She had a very active week ahead of her so not also a day to recuperate. She didn’t like 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 look of her cheek bone making her look worn out. Her spending plan was very limited as a lot of her savings went to aiding with her child’s wedding event. After mindful discussion, she underwent a 1.5 cc Radiesse injection to high light her cheek prominence along with to complete the hollowing of her cheeks. Basically the Radiesse was made use of to develop a “fluid” lift. Another 1cc of Restylene was used to load along the hollowing in the tear trough location too over the nasolabial line which even more supplied an optical sense of mid-face lift. She was likewise offered some Botox to smooth the crow’s feet and also frown lines; and, at the same time supplying a small side brow lift as well as therefore a subtle renovation to the lateral hooding of her top eyes.

Client # 2 is a 55 year old Chief Executive Officer of a large realty firm. She was invited to a Gala event in Paris turning up in a couple of weeks as well as needed to look her ideal. She does not rely on going through any type of type of lifting surgery but agrees to try anything else to enhance her ever before getting worse face and also neck laxity and marionette line. After mindful conversation, she undertook Ultherapy to her cheek and jawline, then her top and lower neck, adhered to by her lower eyebrow, eyelid and forehead. On the very same day, she underwent Silhouette Instalift to lift her jawline as well as mid-face and also soften her marionette line. Additional Novathreads were used to tighten her neck line. 1.5 cc of Radiesse was made use of to enhance her chin and also 1cc of Restyene was used to more smoothen out her nasolabial and marionette line. On follow up call the adhering to day, she was able to resume with her active routine as well as was rather pleased with her outcome. 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 appointment to find out about the numerous face lifting treatments offered to do away with her worn out and also exhausted look. She was mentally more worn out from hearing from pals and colleagues that she should smile regularly since otherwise she looked cross as well as angry. She was previously a version with a well specified cheek bone as well as relatively solid jaw line. No jowling neither neck laxity was valued. Her eyes still revealed plenty of sparkle with very early sign of lateral hooding, but was a lot more controlled by the severe puffiness in her lower eyelids. Upon more discussion, she has gone through nearly six month of individual issues and had lost near 7 extra pounds which subsequently has made her cheek a lot more sunken in, made more significant by her well defined cheek and jaw bones. Upon her just smiling, her lower eye muscle mass was able to tighten sufficient to press the puffy fat bags in while her smiling cheek offered more pleasurable fullness to her otherwise hollowed out gaunt look. After cautious discussion, she went through both “Mini-Surgical” treatments containing elimination of lower eyelid fat bags through trans-conjunctival strategy to eliminate puffiness to her eyes complied with by 35cc of fat transfer to various compartments of her face, previously gathered from her lower stomach area. Both procedures were done under neighborhood anesthetic in less than a few hours. She had very little to no discoloration but due to progressive swelling over the next few days, she was advised to recuperate in your home. Because she functioned as a partner in a large Certified Public Accountant company, she chose to work out of her house for the remainder of the week, but was able to resume her tasks within a couple of days. When she returned back to function the complying with week, individuals noted she looked well relaxed from her much was entitled to getaway, yet otherwise were clueless regarding her in fact undertaking her “Mini-Surgical” treatments.

Patient # 4 is a 35 year old institution teacher who kept in mind that her round face was obtaining extra larger and heavier, particularly when taking images on her smartphone. She bewares with her diet plan as well as no weight gain is kept in mind over the past few years. She recognizes she can never have a V line as a result of her full face, yet would like to halt further widening of her face if not show up a bit a lot more lifted and also slimmer like she made use of to look a couple of years back. Upon additional conversation, she grinds her teeth as well as wears an evening guard. After cautious conversation, she undertook Botox to reduce the Masseter muscle hypertrophy from her teeth grinding which is likewise restorative to lessen damages to her TM joint. Furthermore she underwent Ultherapy utilizing both 3mm as well as 4.5 mm transducers to not just tighten the collagen in the soft tissue and fascia covering the muscle mass, but likewise decrease the generous cellulite 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 refined lift and also constricting of her face frame from Ultherapy as well as narrowing of her jaw angle from decreasing the bulk of her Masseter muscle mass utilizing the Botox. She jokingly acknowledges “almost” seeing the V-line but essential, delighted about not having to stress over posturing behind her good friends to make her face look smaller sized when taking selfies.

Individual # 5 is a 64 year old waitress that still smokes close to a pack of cigarettes daily. She has actually been desiring for some type of raising treatment for lots of years, but has always been afraid to pull the trigger due to close friends who looked for the even worse in her eyes following their face raising surgical procedures and her lack of ability to give up smoking. She went through 40cc of fat transfer to all aspect of fat compartment in her face, with unique interest to her temporal losing and her mid face retrusion.

Person # 6 is a retired executive that had actually previously undergone two facelift surgical treatments, last one being greater than 3 years back. She is in her mid 70’s and still extremely energetic in numerous societies she belongs to. She wants upgrade raising procedure yet wishes to stay clear of any kind of surgeries and definitely stay clear of any type of anesthesia as a result of bad experience throughout current hip replacement surgery. After careful conversation, she went through Silhouette string raising to enhance her jowling and nasolabial line. She went through PDO Novathread lift to boost the consistent best side neck laxity and also turkey waddle. Just the appropriate side was lifted as the left side was satisfying. In addition, 1cc of Restylene was utilized to more boost the nasolabial line and also corner of the mouth on both sides. She promptly really felt a couple of years younger and expected fulfilling her buddies at her 50th university reunion.

Person # 7 and also # 8 are pairs from Boston in their 50’s that have actually been visiting every year for the past 5 years to go through “Pairs” Thermage. After seeing their loved ones in UK, they stop by my workplace to receive their yearly Thermage on their method residence. They both feel that Thermage has actually aided to reduce the unavoidable drooping of their face as well as neck. In their recent check out, along with the Thermage, spouse got 1cc of Restylene to the temporal economic downturn areas and also another 1cc of Restylene to the Nasolabial line while the spouse obtained Botox to smooth out the solid glabellar frown lines. They are both pleased with the end result and also plan to visit the following year.

Client # 9 is a 47 y.o. male individual that wants facelift surgery to boost the fastooning around his malar pile. He is less worried about the slight jowling as well as fullness under his chin, but he is really bothered by his malar pile which is worse in the mornings. Upon carful analysis, he has serious puffiness under his eyes which directly connects to his puffy malar pile. He has actually dealt with allergic reactions and sinus problems the majority of his life, which gets worse the lower eyelid and malar puffiness. After mindful conversation, client undertook transconjunctival lower eyelid surgery under regional anesthesia to surpass a minimum of the median half of the huge fastooning. Once one side was ended up, he was brought up to sitting up position to reveal the immediate renovation of the run vs non-operative side. The patient would have profited with squeezing up of the skin under the eyes, he really did not want any indicator of undergoing surgery. In lieu of the pinch, the lower eyelid muscle mass was heated with Ellman RF system with transconjunctival approach which tightened the muscular tissue and also to a degree, the superior skin. PDO Novathreads were after that deployed to tighten the soft cells as well as skin around the puffy malar mounds. Only nominal amount of lift was achieved from the PDO strings, as discussed before the treatment with the patient. Nevertheless, he was over-all rather pleased with near full resolution of medial fifty percent of his fastooning and slight training and also flattening of the puffiness over the malar mound, laterally. Although he had no bruising, He was asked to recoup in the house for a couple of days as a result of the reduced eyelid surgery as well as asked to decrease laborious tasks for a complete week. On his follow up he was very pleased that all-natural renovation could be achieved without a lot down time as well as without having to undergo costly significant lifting surgery which was advised to him by a number of specialists from prior examinations.

In conclusion, if these alternatives to a facelift surgery might be a choice for you, please go over with your Plastic Surgeon to see if you might be a great candidate for these procedures. Do bear in mind that every procedure features dangers as well as benefits along with restrictions and it would befit you to locate a Surgeon well versed in these methods that can communicate to you exactly how you can possibly gain from the procedures with very little to no downtime.