How can I prevent my face from sagging? – Updated 2021

5 Facial Cosmetic Surgeon Approved Alternatives to a Facelift

There is no treatment around that can best a skillfully done facelift surgery ideally developed for the client’s one-of-a-kind anatomy as well as specific aging modifications. Many facelifts performed out there can still generate a cookie-cutter outcome where the end result might look excellent in one person as well as not so great in her pal, also when carried out by the very same surgeon. Even worse yet are cases where individuals too soon go under the blade to stop aging adjustments and end up regretting their decision as a result of loss of their all-natural essence or personae.

For those savvy, perceptive people who fear less than a perfect arise from a “cookie-cutter” facelift surgery; for those who wish to preempt the unavoidable aging adjustments without prematurely undertaking a facelift surgery; for those who formerly underwent a facelift surgery as well as dream upgrade enhancements without undertaking another surgery; for those who simply do not have a week or longer to recoup from a facelift surgery; for those who are afraid general anesthesia or perhaps twilight sedation; for smokers who deal with higher risk of problems from undergoing facelift surgery; for those who can not allocate a facelift surgery, there are lastly tried and true, FDA authorized choices to a conventional facelift surgery which Surgeons can supply to their patients. In this write-up I will certainly be discussing several of the more popular alternatives provided at my facility.

The 5 alternatives to facelift surgery I make use of in my office are Thermage, Ultherapy, String lifting, Fillers, and two “Mini Surgery” treatments containing 3-D quantity remediation as well as re-contouring making use of fat transfer and reduced eyelid fat bag removal utilizing transconjunctival method.

Really often these methods are utilized in synergistic combinations for the private patient’ s requires to achieve optimal result. The mix utilized are based on understanding of the individual patient’s fundamental bony and soft tissue anatomical structure as well as exact analysis of the aging adjustments which have actually taken place. These aging adjustments can be usually associated to clients age, ethnic history, and also environmental as well as genetical variables.

These are excellent in those patients who really feel the collagen in their soft tissues are obtaining also soft and also being attracted downward, which can be felt even in very early 30’s for some patients. These makers are faves as stand-alone treatment in patients who are in their 30’s to 50’s.

In patients from 40’s and up who note sagging of mid-face with stable growing of the tear marionette, trough, and nasolabial line as well as appearance of the feared jowling and neck laxity, either Thermage or Ultherapy is suggested to tighten their indigenous collagen in the soft cells. After completion of one side, patient is brought up to a sitting setting so people can directly picture and compare the raised vs unlifted side as well as with their pre-operative images. Due to almost no discoloration and swelling, some individuals resume their complete tasks as well as return to dine or work out on the exact same day.

If the client also has considerable loss of facial volume beyond the reaches of a couple of tubes of Fillers, 3-D facial volume reconstruction and re-contouring with fat transfer is additionally suggested. In my center fat transfer is typically done under neighborhood anesthesia as well as because of almost no discoloration, recuperation is normally no greater than a couple of days. If a patient provides with lower eyelid puffiness which is extreme sufficient to be seen also from throughout the room, lower eyelid surgery can be done under local anesthetic with almost no discoloration, allowing healing duration to be no even more than a couple of days to a week at many. Incorporating these two “Mini Surgical” procedures in my repertoire of options to facelift surgery is necessary in my practice since in my opinion, the look of the fat bag under the eyes as well as loss of face volume are absolutely the first signs of aging modifications noticeable in patients as early as late 20’s and also early 30’s. Not a week goes by with clients can be found in wanting some kind of “training” surgery because of their “tired” and “gaunt” look when actually, reduced eyelid surgery is what they needed to eliminate their weary look due to puffy eye bags and volume remediation and re-contouring with fat transfer is what they required to eliminate the gaunt as well as extended appearance. This approach shares the exact same concept as the “fluid fit” making use of fillers that the majority of clients are familiar with. Yet if a few 1cc tube of fillers can be handy, picture what 30cc or 40cc of fat transfer can do in terms of restoring the shed volume as well as re-sculpting and re-contouring the face back to far more vibrant days. I feel truth sculpture in me is defined by what I can attain with my fat transfer.

I will undergo a few patient scenarios I have actually run into in the past couple of months.

Person # 1 is a 61 year old lady that came in desiring to look far better a week before her child’s wedding event. After cautious discussion, she went through a 1.5 cc Radiesse shot to high light her cheek prominence as well as to fill up out the hollowing of her cheeks. One More 1cc of Restylene was utilized to load along the hollowing in the tear trough location as well over the nasolabial line which further provided an optical sense of mid-face lift.

Patient # 2 is a 55 years of age CEO of a huge real estate firm. She was welcomed to a Gala occasion in Paris coming up in a couple of weeks and required to look her finest. She doesn’t count on going through any kind of form of training surgery however agrees to try anything else to enhance her ever worsening facial as well as neck laxity and marionette line. After careful conversation, she underwent Ultherapy to her cheek as well as jawline, after that her top and also lower neck, followed by her reduced forehead, eyebrow as well as eyelid. On the very same day, she went through Silhouette Instalift to lift her jawline and also mid-face and also soften her marionette line. Additional Novathreads were used to tighten her neck line. Finally 1.5 cc of Radiesse was made use of to enhance her chin and 1cc of Restyene was used to more smoothen out her nasolabial as well as marionette line. On follow up telephone call the adhering to day, she was able to return to with her active schedule and was fairly completely satisfied with her end result. She looks forward to all the picture taking sessions at the Gala in Paris.

Individual # 3 is a 42 years of age accountant that came in for an assessment to find out about the different face lifting treatments available to eliminate her worn out and also fatigued look. Because otherwise she looked cross and mad, she was emotionally even more exhausted from listening to from good friends as well as coworkers that she need to grin much more usually. She was formerly a version with a well specified cheek bone and also relatively solid jaw line. No jowling nor neck laxity was appreciated. Her eyes still showed plenty of sparkle with very early indication of lateral hooding, however was extra dominated by the severe puffiness in her lower eyelids. Upon additional discussion, she has gone through virtually 6 month of personal concerns and had lost near to seven pounds which subsequently has actually made her cheek more sunken in, made a lot more significant by her well specified cheek and also jaw bones. Upon her just smiling, her lower eye muscle mass was able to tighten enough to push the puffy fat bags in while her grinning cheek gave extra positive fullness to her otherwise hollowed out gaunt look. After careful discussion, she went through both “Mini-Surgical” procedures containing elimination of reduced eyelid fat bags via trans-conjunctival strategy to eliminate puffiness to her eyes adhered to by 35cc of fat transfer to various compartments of her face, formerly collected from her reduced abdominal area. Both procedures were performed under neighborhood anesthetic in less than a few hours. She had minimal to no due however bruising to modern swelling over the next couple of days, she was instructed to recuperate at home. Since she worked as a companion in a big CPA firm, she selected to work out of her home for the remainder of the week, but had the ability to resume her tasks within a few days. When she returned back to function the complying with week, people noted she looked well rested from her much was entitled to trip, yet or else were clueless regarding her in fact undertaking her “Mini-Surgical” treatments.

Client # 4 is a 35 year old college educator that noted that her round face was getting more bigger and also much heavier, especially when taking pictures on her smartphone. After cautious discussion, she underwent Botox to decrease the Masseter muscle mass hypertrophy from her teeth grinding which is additionally therapeutic to lessen damages to her TM joint. In addition she undertook Ultherapy using both 3mm and also 4.5 mm transducers to not just tighten the collagen in the soft cells and also fascia covering the muscle mass, yet likewise minimize the charitable fatty tissue in her subcutaneous tissue layer along the jaw line and also cheek location.

Person # 5 is a 64 years of age waitress who still smokes near a pack of cigarettes daily. She had shed most of her upper teeth years ago with significant dental bone loss leading to shortening as well as retrusion to her mid-face area. She has actually been wanting some type of raising procedure for many years, but has actually always hesitated to pull the trigger because of good friends who sought the worse in her eyes following their face lifting surgical treatments and her failure to quit smoking. She had a set budget and also had to return to Philadelphia the exact same evening. After cautious discussion, she undertook training of her jawline, cheek, and neck making use of a combination of Sillhouette Instalift as well as PDO Novathreads. She went through 40cc of fat transfer to all element of fat compartment in her face, with special attention to her temporal losing as well as her mid face retrusion. Fat transfer allowed significant reconstruction of her soft cells volume in addition to recovering back to her youthful shape with greater former measurement which she had actually shed long time ago due to her premature oral extraction. The consolidated treatment took 3 hours and with nearly no discoloration and swelling, was securely able to go back to Philly on the exact same evening. On her follow up, between the thread lift as well as 3-D restoration of her facial contour, she felt she looked at least ten years younger and was quiet delighted with the result.

Patient # 6 is a retired exec who had previously undertaken 2 facelift surgeries, last one being greater than 3 years ago. She is in her mid 70’s and still very energetic in several cultures she comes from. She desires upgrade raising treatment however wants to prevent any kind of surgical treatments as well as absolutely prevent any type of anesthetic as a result of disappointment throughout current hip replacement surgery. After cautious discussion, she went through Shape string lifting to enhance her jowling and also nasolabial line. She underwent PDO Novathread lift to boost the relentless appropriate side neck laxity as well as turkey waddle. Just the right side was raised as the left side was satisfactory. On top of that, 1cc of Restylene was used to further improve the nasolabial line and also corner of the mouth on both sides. She quickly felt a few years more youthful and anticipated satisfying her friends at her 50th college reunion.

Individual # 7 as well as # 8 are pairs from Boston in their 50’s who have been coming by yearly for the past five years to undertake “Pairs” Thermage. After seeing their family members in UK, they stop by my workplace to obtain their yearly Thermage on their means home. They both feel that Thermage has actually aided to reduce the unpreventable drooping of their face and neck. In their recent see, in addition to the Thermage, other half received 1cc of Restylene to the temporal economic crisis areas and another 1cc of Restylene to the Nasolabial line while the spouse received Botox to smoothen out the strong glabellar frown lines. They are both pleased with the end result and strategy to stop by the following year.

Patient # 9 is a 47 y.o. male patient that desires facelift surgery to boost the fastooning around his malar mound. He is less worried concerning the slight jowling and volume under his chin, yet he is actually troubled by his malar pile which is worse in the early mornings. Upon carful evaluation, he has serious puffiness under his eyes which directly connects to his puffy malar mound. He has actually suffered from allergic reactions and also sinus issues the majority of his life, which aggravates the reduced eyelid and malar puffiness. After cautious conversation, individual undertook transconjunctival reduced eyelid surgery under regional anesthesia to surpass at the very least the median fifty percent of the big fastooning. As soon as one side was ended up, he was brought up to sitting up position to show the prompt enhancement of the run vs non-operative side. The person would certainly have profited with pinching up of the skin under the eyes, he didn’t want any type of sign of going through surgery. In lieu of the pinch, the lower eyelid muscle was heated up with Ellman RF system via transconjunctival approach which tightened the muscle mass and also to a degree, the overlying skin. PDO Novathreads were after that released to tighten the soft cells and also skin around the puffy malar piles. Just small quantity of lift was achieved from the PDO strings, as reviewed prior to the treatment with the individual. He was over-all quite delighted with near total resolution of median half of his fastooning as well as slight lifting as well as flattening of the puffiness over the malar mound, side to side. Although 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 also asked to minimize arduous activities for a complete week. On his follow up he was exceptionally happy that natural renovation could be attained without much down time and also without needing to undergo pricey significant training surgery which was advised to him by numerous cosmetic surgeons from prior appointments.

Finally, if these choices to a facelift surgery might be an alternative for you, please go over with your Plastic Surgeon to see if you might be an excellent candidate for these treatments. Do remember that every procedure comes with dangers and also benefits as well as limitations and also it would certainly behoove you to discover a Surgeon well versed in these methods that can connect to you just how you can possibly benefit from the procedures with minimal to no downtime.