Does HIFU build collagen?

5 Facial Plastic Surgeon Approved Alternatives to a Facelift

There is no procedure out there that can best a skillfully executed facelift surgery preferably created for the client’s one-of-a-kind composition as well as private aging adjustments. Many facelifts performed out there can still generate a cookie-cutter outcome where the result might look excellent in one individual and not so fantastic in her pal, even when done by the same surgeon. Worse yet are instances where people too soon go under the knife to prevent aging modifications and wind up regretting their choice due to loss of their natural essence or identities.

For those smart, observant individuals who are afraid less than an optimal result from a “cookie-cutter” facelift surgery; for those that desire to preempt the unavoidable aging adjustments without prematurely going through a facelift surgery; for those who formerly underwent a facelift surgery and desire update enhancements without undergoing an additional surgery; for those that simply don’t have a week or longer to recover from a facelift surgery; for those who are afraid basic anesthesia or perhaps twilight sedation; for smokers who deal with greater risk of complications from undertaking facelift surgery; for those who can not allocate a facelift surgery, there are lastly reliable, FDA authorized choices to a typical facelift surgery which Surgeons can supply to their people. In this write-up I will be talking about several of the more prominent options supplied at my facility.

The 5 choices to facelift surgery I use in my office are Thermage, Ultherapy, Thread lifting, Fillers, and also 2 “Mini Surgery” treatments containing 3-D quantity restoration and also re-contouring making use of fat transfer as well as lower eyelid fat bag removal using transconjunctival approach.

Very frequently these modalities are made use of in collaborating mixes for the private patient’ s needs to achieve optimum end result. The mix used are based on understanding of the specific client’s inherent bony and soft cells physiological structure as well as accurate analysis of the aging adjustments which have taken place. These aging changes can be usually associated to people age, ethnic background, and genetical as well as environmental aspects.

Thermage and also Ultherapy are both power based lifting gadgets which function by sinking RF (Thermage) or Sonar (Ulthera) power to heat up the collagen and also tighten the connective cells below the skin. These are optimal in those individuals that feel the collagen in their soft tissues are obtaining as well soft and also being attracted downward, which can be felt also in very early 30’s for some clients. Both devices have sufficient subtleties that the Surgeon requires to be well versed in the optimal use of the machines as well as in whom to match with which maker. These makers rate as stand-alone procedure in individuals who remain in their 30’s to 50’s. Usually they are utilized combined with Botox as well as Fillers to attain better collaborating result.

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

If a person presents with reduced eyelid puffiness which is severe sufficient to be seen even from throughout the space, reduced eyelid surgery can be executed under regional anesthesia with nearly no discoloration, allowing healing period to be no more than a few days to a week at the majority of. Including these two “Mini Surgical” procedures in my repertoire of choices to facelift surgery is necessary 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 facial volume are absolutely the first indicators of aging changes visible in patients as early as late 20’s as well as early 30’s. Not a week passes by with individuals coming in wishing some type of “training” surgery due to their “weary” and “gaunt” appearance when in truth, lower eyelid surgery is what they needed to clear of their exhausted look due to puffy eye bags and volume reconstruction and re-contouring with fat transfer is what they required to rid of the gaunt and elongated look.

I will go through a couple of individual situations I have actually experienced in the past couple of months.

Person # 1 is a 61 year old woman that came in desiring to look better a week before her little girl’s wedding celebration. 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. An Additional 1cc of Restylene was made use of to fill up along the hollowing in the tear trough area as well over the nasolabial line which further provided an optical feeling of mid-face lift.

Client # 2 is a 55 year old CEO of a big real estate company. She was welcomed to a Gala event in Paris turning up in a few weeks as well as required to look her ideal. She does not rely on going through any kind of lifting surgery however is willing to try anything else to enhance her ever aggravating facial and also neck laxity and also marionette line. After cautious discussion, she undertook Ultherapy to her cheek and also jawline, after that her upper and also lower neck, followed by her lower forehead, brow as well as eyelid. On the very same day, she underwent Silhouette Instalift to lift her jawline and mid-face as well as soften her marionette line. Additional Novathreads were made use of to tighten her neck line. 1.5 cc of Radiesse was utilized to boost her chin and 1cc of Restyene was used to further smoothen out her nasolabial as well as marionette line. On follow up telephone call the adhering to day, she was able to resume with her hectic routine and also was fairly satisfied with her outcome. She looks forward to all the picture taking sessions at the Gala in Paris.

Client # 3 is a 42 year old accountant who came in for an appointment to learn more about the numerous face lifting treatments available to get rid of her exhausted and also fatigued appearance. She was psychologically more worn out from learning through close friends and also associates that she ought to grin more frequently due to the fact that or else she looked cross and also mad. She was previously a design with a well defined cheek bone and also relatively solid jaw line. No jowling neither neck laxity was valued. Her eyes still revealed a lot of sparkle with early indication of side hooding, yet was a lot more dominated by the serious puffiness in her lower eyelids. Upon more conversation, she has undergone nearly 6 month of personal problems and had actually shed close to 7 pounds which subsequently has actually made her cheek much more sunken in, made a lot more significant by her well specified cheek as well as jaw bones. Undoubtedly upon her simply grinning, her reduced eye muscle mass had the ability to tighten enough to push the puffy fat bags in while her grinning cheek provided much more enjoyable fullness to her or else burrowed gaunt look. After mindful discussion, she went through both “Mini-Surgical” treatments containing elimination of reduced eyelid fat bags through trans-conjunctival strategy to eliminate puffiness to her eyes followed by 35cc of fat transfer to various compartments of her face, previously collected from her reduced abdominal area. Both procedures were done under local anesthetic in less than a couple of hrs. She had very little to no discoloration however due to modern swelling over the next couple of days, she was advised to recuperate in the house. Because she functioned as a companion in a huge CPA firm, she picked to work out of her residence for the rest of the week, but had the ability to resume her tasks within a few days. When she returned back to work the complying with week, individuals noted she looked well rested from her much should have trip, however otherwise were unaware as to her actually undertaking her “Mini-Surgical” treatments.

Person # 4 is a 35 year old institution instructor who kept in mind that her round face was obtaining more wider as well as heavier, specifically when taking images on her smart device. She takes care with her diet and no weight gain is kept in mind over the past couple of years. She understands she can never ever have a V line because of her full face, yet would like to stop additional widening of her face if not show up a little bit more raised and also slimmer like she used to look a couple of years back. Upon more discussion, she grinds her teeth as well as puts on an evening guard. After mindful discussion, she undertook Botox to lower the Masseter muscle mass hypertrophy from her teeth grinding which is additionally restorative to minimize damage to her TM joint. In addition she went through Ultherapy making use of both 3mm and 4.5 mm transducers to not just tighten the collagen in the soft cells as well as fascia covering the muscle, however additionally lower the generous fatty tissue in her subcutaneous cells layer along the jaw line as well as cheek area. On her follow up visit she was ecstatically pleased with combination of subtle lift as well as narrowing of her facial frame from Ultherapy as well as constricting of her jaw angle from reducing the mass of her Masseter muscular tissue utilizing the Botox. She jokingly recognizes “nearly” seeing the V-line yet essential, satisfied about not having to fret about positioning behind her close friends to make her face look smaller sized when taking selfies.

Person # 5 is a 64 year old waitress that still smokes close to a pack of cigarettes daily. She has been desiring for some kind of lifting treatment for many years, yet has constantly been afraid to pull the trigger due to pals who looked for the even worse in her eyes following their face lifting surgical procedures as well as her inability to stop smoking cigarettes. She undertook 40cc of fat transfer to all aspect of fat area in her face, with unique focus to her temporal wasting as well as her mid face retrusion.

Patient # 6 is a retired exec that had actually formerly undertaken 2 facelift surgical procedures, last one being greater than 3 years earlier. She is in her mid 70’s as well as still very active in several societies she belongs to. She desires upgrade raising treatment however intends to prevent any type of surgeries as well as definitely avoid any type of anesthesia due to bad experience throughout current hip replacement surgery. After careful discussion, she went through Silhouette string raising to boost her jowling and also nasolabial line. She went through PDO Novathread lift to improve the consistent right side neck laxity as well as turkey waddle. Just the right side was lifted as the left side was satisfying. Furthermore, 1cc of Restylene was utilized to additional improve the nasolabial line as well as edge of the mouth on both sides. She instantly really felt a couple of years younger and expected satisfying her close friends at her 50th university get-together.

Person # 7 and also # 8 are couples from Boston in their 50’s that have been visiting each year for the past five years to undergo “Couples” Thermage. After seeing their loved ones in UK, they come by my workplace to obtain their yearly Thermage on their method home. They both feel that Thermage has aided to slow down the unavoidable drooping of their face and neck. In their current check out, in addition to the Thermage, wife got 1cc of Restylene to the temporal economic downturn areas as well as an additional 1cc of Restylene to the Nasolabial line while the other half received Botox to smoothen out the solid glabellar frown lines. They are both happy with the result and strategy to stop by the following year.

Patient # 9 is a 47 y.o. male person who desires facelift surgery to boost the fastooning around his malar mound. After cautious conversation, patient went through transconjunctival lower eyelid surgery under regional anesthesia to improve upon at least the median half of the large fastooning. The person would certainly have benefited with squeezing up of the skin under the eyes, he didn’t want any type of sign of undertaking surgery.

Finally, if these choices to a facelift surgery might be an alternative for you, please review with your Plastic Surgeon to see if you might be a great prospect for these procedures. Do remember that every treatment includes benefits and also risks in addition to constraints as well as it would behoove you to locate a Surgeon well versed in these methods that can interact to you how you can possibly gain from the treatments with minimal to no downtime.