How can I make my face smooth and spotless? – Updated 2021

5 Facial Plastic Surgeon Approved Alternatives to a Facelift

There is no procedure around that can best a skillfully executed facelift surgery ideally created for the individual’s one-of-a-kind makeup as well as specific aging modifications. Unfortunately many facelifts executed out there can still produce a cookie-cutter outcome where the outcome might look fantastic in one individual and not so excellent in her friend, also when executed by the very same surgeon. Worse yet are instances where patients too soon go under the knife to avoid aging adjustments and also end up regretting their choice due to loss of their natural significance or personae.

For those smart, observant clients that are afraid less than an excellent arise from a “cookie-cutter” facelift surgery; for those who wish to preempt the inescapable aging adjustments without prematurely undertaking a facelift surgery; for those who previously undertook a facelift surgery and wish update enhancements without undertaking one more surgery; for those who just don’t have a week or longer to recuperate from a facelift surgery; for those who are afraid basic anesthesia or even twilight sedation; for cigarette smokers who face higher danger of difficulties from undertaking facelift surgery; for those who can not budget for a facelift surgery, there are ultimately reliable, FDA accepted alternatives to a traditional facelift surgery which Surgeons can give to their patients. In this post I will be discussing several of the more preferred alternatives offered at my facility.

The 5 choices to facelift surgery I use in my workplace are Thermage, Ultherapy, String training, Fillers, and 2 “Mini Surgery” procedures containing 3-D volume remediation and re-contouring utilizing fat transfer as well as lower eyelid fat bag removal making use of transconjunctival approach.

Very often these methods are used in synergistic combinations for the private client’ s requires to attain optimum end result. The combination utilized are based upon understanding of the individual patient’s integral bony and soft cells anatomical foundation and precise analysis of the aging adjustments which have actually happened. These aging adjustments can be typically correlated to clients age, ethnic history, as well as genetical as well as environmental elements.

Thermage as well as Ultherapy are both energy based lifting tools which function by sinking RF (Thermage) or Sonar (Ulthera) energy to warm up the collagen and also tighten the connective tissue listed below the skin. These are suitable in those individuals who feel the collagen in their soft tissues are obtaining as well soft as well as gravitating downward, which can be felt even in early 30’s for some patients. Both equipments have sufficient nuances that the Surgeon requires to be well versed in the optimal use the devices and also in whom to match with which equipment. These machines rate as stand-alone treatment in clients who remain in their 30’s to 50’s. Commonly they are made use of in conjunction with Botox and Fillers to accomplish higher synergistic result.

In people from 40’s and up that keep in mind sagging of mid-face with steady deepening of the tear marionette, nasolabial, and also trough line as well as look of the feared jowling as well as neck laxity, either Thermage or Ultherapy is advised to tighten their indigenous collagen in the soft tissue. After conclusion of one side, person is brought up to a resting position so clients can directly imagine and compare the lifted vs unlifted side as well as with their pre-operative pictures. Due to almost no discoloration and swelling, some people resume their full activities as well as return to work or dine out on the exact same day.

3-D facial quantity restoration and re-contouring with fat transfer is additionally suggested if the client likewise has substantial loss of facial quantity past the reaches of a couple of tubes of Fillers. In my clinic fat transfer is normally done under regional anesthesia and because of nearly no bruising, healing is normally no greater than a couple of days. Also if a patient offers with reduced eyelid puffiness which is extreme enough to be seen also from across the room, lower eyelid surgery can be executed under neighborhood anesthetic with almost no bruising, enabling recovery duration to be no more than a few days to a week at most. Integrating these two “Mini Surgical” procedures in my repertoire of alternatives to facelift surgery is vital in my technique due to the fact that in my opinion, the appearance of the fat bag under the eyes and also loss of facial volume are genuinely the first indicators of aging adjustments noticeable in patients as early as late 20’s and early 30’s. Not a week passes by with individuals coming in wanting some type of “lifting” surgery as a result of their “weary” and also “gaunt” look when in reality, lower eyelid surgery is what they needed to rid of their worn out appearance due to puffy eye bags and also volume remediation and re-contouring with fat transfer is what they needed to eliminate the gaunt and also elongated look. This strategy shares the very same concept as the “fluid fit” making use of fillers that a lot of patients know with. If a few 1cc tube of fillers can be helpful, visualize what 30cc or 40cc of fat transfer can do in terms of recovering the lost volume and re-sculpting and also re-contouring the face back to much a lot more youthful days. I feel real sculpture in me is defined by what I can achieve with my fat transfer.

I will go through a few client scenarios I have actually experienced in the past few months.

Individual # 1 is a 61 year old female who came in wishing to look much better a week prior to her little girl’s wedding celebration. After careful conversation, she went through a 1.5 cc Radiesse injection to high light her cheek eminence as well as to fill out the hollowing of her cheeks. Another 1cc of Restylene was used to fill up along the hollowing in the tear trough location as well over the nasolabial line which even more offered an optical feeling of mid-face lift.

Patient # 2 is a 55 years of age CEO of a huge real estate company. She was welcomed to a Gala occasion in Paris turning up in a couple of weeks as well as required to look her best. She doesn’t believe in undertaking any type of form of training surgery yet agrees to try anything else to improve her ever before intensifying facial as well as neck laxity and also marionette line. After cautious conversation, she underwent Ultherapy to her cheek as well as jawline, after that her upper and also lower neck, followed by her reduced temple, eyebrow as well as eyelid. On the same day, she went through Silhouette Instalift to lift her jawline as well as mid-face as well as soften her marionette line. Additional Novathreads were used to tighten her neck line. 1.5 cc of Radiesse was utilized to boost her chin and 1cc of Restyene was made use of to further smoothen out her nasolabial as well as marionette line. On follow up telephone call the complying with day, she was able to return to with her active schedule as well as was quite pleased with her outcome. She looks forward to all the picture taking sessions at the Gala in Paris.

Individual # 3 is a 42 year old accountant who came in for an examination to learn concerning the numerous face lifting procedures available to obtain rid of her tired as well as tired appearance. After mindful conversation, she underwent the 2 “Mini-Surgical” treatments consisting of removal of reduced eyelid fat bags using trans-conjunctival technique to clear of puffiness to her eyes complied with by 35cc of fat transfer to various areas of her face, formerly collected from her reduced stomach location. When she returned back to function the following week, individuals noted she looked well relaxed from her much deserved trip, however otherwise were clueless as to her really undergoing her “Mini-Surgical” treatments.

Individual # 4 is a 35 years of age institution teacher that kept in mind that her round face was getting a lot more broader as well as larger, especially when taking images on her smartphone. She bewares with her diet as well as no weight gain is noted over the past couple of years. She recognizes she can never ever have a V line as a result of her full face, but wish to stop further widening of her face if not appear a little bit more lifted and also slimmer like she made use of to look a couple of years back. Upon additional conversation, she grinds her teeth and puts on an evening guard. After cautious conversation, she underwent Botox to decrease the Masseter muscular tissue hypertrophy from her teeth grinding which is likewise healing to minimize damage to her TM joint. Furthermore she undertook Ultherapy making use of both 3mm as well as 4.5 mm transducers to not only tighten the collagen in the soft tissue as well as fascia enveloping the muscle, however likewise lower the charitable cellulite in her subcutaneous tissue layer along the jaw line and cheek area. On her follow up see she was ecstatically pleased with mix of subtle lift as well as narrowing of her facial frame from Ultherapy and narrowing of her jaw angle from reducing the mass of her Masseter muscle using the Botox. She jokingly acknowledges “nearly” seeing the V-line yet most important, happy about not having to worry about positioning behind her pals to make her face look smaller when taking selfies.

Individual # 5 is a 64 year old waitress who still smokes close to a pack of cigarettes daily. She has actually been wanting for some type of raising procedure for lots of years, but has actually constantly been scared to pull the trigger due to pals that looked for the worse in her eyes following their face raising surgical procedures and also her inability to quit cigarette smoking. She underwent 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.

Individual # 6 is a retired exec that had previously gone through two facelift surgeries, last one being more than 3 years earlier. She is in her mid 70’s and still really energetic in lots of societies she belongs to. She wants upgrade lifting treatment but wishes to prevent any type of surgeries as well as definitely avoid any kind of anesthetic because of bad experience during recent hip replacement surgery. After cautious conversation, she undertook Shape string raising to improve her jowling as well as nasolabial line. She went through PDO Novathread lift to boost the relentless right side neck laxity and turkey waddle. Only the appropriate side was raised as the left side was acceptable. In addition, 1cc of Restylene was utilized to further enhance the nasolabial line as well as edge of the mouth on both sides. She immediately really felt a few years more youthful and also eagerly anticipated meeting her pals at her 50th college reunion.

Patient # 7 as well as # 8 are pairs from Boston in their 50’s that have been coming by every year for the past 5 years to go through “Couples” Thermage. After seeing their relatives in UK, they drop by my workplace to get their yearly Thermage on their means house. They both really feel that Thermage has helped to reduce the inescapable drooping of their face and also neck. In their recent go to, along with the Thermage, better half received 1cc of Restylene to the temporal economic crisis locations as well as another 1cc of Restylene to the Nasolabial line while the husband got Botox to smooth out the strong glabellar frown lines. They are both delighted with the outcome and plan to come by the following year.

Individual # 9 is a 47 y.o. male person that desires facelift surgery to enhance the fastooning around his malar mound. After cautious discussion, patient undertook transconjunctival lower eyelid surgery under neighborhood anesthesia to boost upon at least the medial half of the big fastooning. The individual would have profited with pinching up of the skin under the eyes, he didn’t want any kind of sign of undertaking surgery.

In conclusion, if these alternatives to a facelift surgery might be an alternative for you, please talk about with your Plastic Surgeon to see if you may be a good candidate for these treatments. Do bear in mind that every treatment includes advantages and also risks as well as constraints and also it would certainly behoove you to discover a Surgeon well versed in these methods who can interact to you how you can potentially gain from the procedures with minimal to no downtime.