How do you fix sagging jowls without surgery?

5 Facial Cosmetic Surgeon Approved Alternatives to a Facelift

There is no treatment around that can best an artfully executed facelift surgery ideally made for the client’s unique anatomy and also private aging changes. Sadly lots of facelifts executed available can still generate a cookie-cutter outcome where the end result might look excellent in one person and not so wonderful in her good friend, also when carried out by the same surgeon. Even worse yet are situations where individuals too soon go under the knife to stop aging changes and also end up regretting their decision because of loss of their all-natural significance or personalities.

For those smart, perceptive people who fear less than a perfect result from a “cookie-cutter” facelift surgery; for those who desire to preempt the inescapable aging modifications without too soon going through a facelift surgery; for those that previously went through a facelift surgery as well as dream upgrade improvements without going through another surgery; for those that just do not have a week or longer to recoup from a facelift surgery; for those that fear basic anesthetic or perhaps twilight sedation; for smokers that face better danger of issues from undertaking facelift surgery; for those that can not budget for a facelift surgery, there are lastly time-tested, FDA approved alternatives to a traditional facelift surgery which Surgeons can offer to their people. In this short article I will certainly be talking about some of the a lot more popular alternatives offered at my facility.

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

Very typically these techniques are utilized in collaborating combinations for the specific person’ s requires to accomplish optimal result. The combination utilized are based upon understanding of the private patient’s intrinsic bony as well as soft tissue physiological foundation as well as exact analysis of the aging adjustments which have actually taken place. These aging adjustments can be typically correlated to clients age, ethnic history, and also genetical as well as environmental factors.

Thermage and Ultherapy are both energy based lifting gadgets which work by sinking RF (Thermage) or Sonar (Ulthera) energy to heat up the collagen as well as tighten the connective cells listed below the skin. These are perfect in those clients that really feel the collagen in their soft tissues are obtaining too soft and also gravitating downward, which can be felt even in early 30’s for some individuals. Both makers have sufficient subtleties that the Surgeon requires to be well versed in the ideal use of the equipments and in whom to match with which maker. These equipments rate as stand-alone procedure in individuals who remain in their 30’s to 50’s. Often they are utilized in conjunction with Botox as well as Fillers to achieve higher synergistic result.

In clients from 40’s and also up who note sagging of mid-face with constant deepening of the tear marionette, trough, as well as nasolabial 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 cells. To achieve additional training, string training utilizing either Shape Instalift or Novathread is recommended. The trick to a successful thread training is comprehending the nuances of the system and stamina of the strings as well as creating appropriate vectors and anchors to produce a refined however certain and natural lift. After conclusion of one side, patient is brought up to a sitting setting so people can straight visualize and compare the raised vs unlifted side along with with their pre-operative pictures. Because of almost no bruising as well as swelling, some people resume their complete tasks as well as return to function or eat out on the very same day. We ask our patients to book a day or 2 to recuperate just in instance they run right into some swelling.

If a client offers with lower eyelid puffiness which is severe enough to be seen even from throughout the room, lower eyelid surgery can be done under local anesthesia with virtually no discoloration, allowing healing duration to be no even more than a few days to a week at the majority of. Integrating these two “Mini Surgical” treatments in my repertoire of choices to facelift surgery is important in my technique since in my point of view, the look of the fat bag under the eyes as well as loss of facial quantity are really the preliminary indicators of aging changes visible in clients as very early as late 20’s as well as very early 30’s. Not a week passes by with individuals coming in wanting some kind of “lifting” surgery due to their “weary” and also “gaunt” appearance when in fact, lower eyelid surgery is what they required to free of their weary appearance due to puffy eye bags and quantity repair and re-contouring with fat transfer is what they needed to free of the gaunt and elongated look.

I will certainly undergo a couple of individual situations I have encountered in the past few months.

Client # 1 is a 61 year old woman who came in wanting to look far better a week prior to her child’s wedding event. After cautious discussion, she underwent a 1.5 cc Radiesse shot to high light her cheek renown as well as to load out the hollowing of her cheeks. An Additional 1cc of Restylene was utilized to fill along the hollowing in the tear trough area as well over the nasolabial line which further supplied an optical feeling of mid-face lift.

Individual # 2 is a 55 years of age CEO of a big property business. She was invited to a Gala event in Paris showing up in a couple of weeks as well as needed to look her best. She doesn’t believe in undertaking any type of kind of lifting surgery however agrees to attempt anything else to improve her ever before worsening face and neck laxity as well as marionette line. After careful conversation, she went through Ultherapy to her cheek and jawline, then her upper and reduced neck, adhered to by her reduced temple, brow as well as eyelid. On the exact same day, she underwent Silhouette Instalift to lift her jawline as well as mid-face and also soften her marionette line. Additional Novathreads were utilized to tighten her neck line. Lastly 1.5 cc of Radiesse was used to enhance her chin and 1cc of Restyene was utilized to further smoothen out her nasolabial as well as marionette line. On follow up call the adhering to day, she had the ability to resume with her active schedule as well as was fairly pleased with her result. She expects all the picture taking sessions at the Gala in Paris.

Client # 3 is a 42 year old accountant that came in for an examination to discover the various face lifting procedures available to get rid of her weary as well as tired look. Due to the fact that or else she looked cross and also mad, she was psychologically more weary from hearing from good friends and associates that she ought to grin much more usually. She was formerly a version with a well defined cheek bone and also relatively strong jaw line. No jowling nor neck laxity was valued. Her eyes still revealed a lot of glimmer with very early indicator of side hooding, but was much more dominated by the extreme puffiness in her lower eyelids. Upon more discussion, she has actually experienced virtually 6 month of individual problems and had lost close to 7 pounds which as a result has made her cheek extra sunken in, made much more significant by her well defined cheek and also jaw bones. Upon her simply grinning, her lower eye muscle was able to tighten sufficient to press the puffy fat bags in while her grinning cheek offered more pleasurable volume to her or else hollowed out gaunt look. After cautious conversation, she undertook both “Mini-Surgical” procedures containing removal of lower eyelid fat bags via trans-conjunctival technique to rid of puffiness to her eyes adhered to by 35cc of fat transfer to numerous areas of her face, previously collected from her reduced stomach area. Both procedures were performed under regional 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 recoup in your home. Because she worked as a partner in a huge Certified Public Accountant firm, she selected to work out of her home for the remainder of the week, however had the ability to resume her activities within a couple of days. When she returned back to work the complying with week, individuals noted she looked well relaxed from her much deserved holiday, yet otherwise were clueless regarding her really undertaking her “Mini-Surgical” treatments.

Person # 4 is a 35 years of age school teacher who kept in mind that her round face was getting extra bigger as well as much heavier, particularly when taking photos on her smartphone. She takes care with her diet as well as no weight gain is kept in mind over the past few years. She understands she can never ever have a V line because of her full face, yet wish to stop further widening of her face otherwise show up a bit more raised and also slimmer like she made use of to look a few years back. Upon further discussion, she grinds her teeth and also puts on a night guard. After cautious discussion, she underwent Botox to decrease the Masseter muscular tissue hypertrophy from her teeth grinding which is additionally restorative to decrease damages to her TM joint. Additionally she underwent Ultherapy using both 3mm as well as 4.5 mm transducers to not just tighten the collagen in the soft tissue and fascia covering the muscle, yet also decrease the generous cellulite in her subcutaneous tissue layer along the jaw line as well as cheek location. On her follow up see she was ecstatically pleased with mix of refined lift and also constricting of her face structure from Ultherapy as well as narrowing of her jaw angle from minimizing the mass of her Masseter muscle mass using the Botox. She jokingly recognizes “practically” seeing the V-line but most important, delighted concerning not having to fret about posing behind her good friends to make her face look smaller sized when taking selfies.

Person # 5 is a 64 year old waitress that still smokes near a pack of cigarettes daily. She had lost most of her top teeth several years ago with substantial oral bone loss leading to shortening and also retrusion to her mid-face location. She has been wishing for some kind of lifting treatment for several years, yet has actually always hesitated to pull the trigger as a result of close friends who looked for the worse in her eyes following their face lifting surgical procedures and her lack of ability to quit cigarette smoking. She had and also had a fixed spending plan to go back to Philadelphia the very same night. After cautious discussion, she went through training of her cheek, neck, and jawline using a combination of Sillhouette Instalift and PDO Novathreads. She undertook 40cc of fat transfer to all facet of fat area in her face, with unique attention to her temporal losing as well as her mid face retrusion. Fat transfer enabled significant repair of her soft cells volume in addition to restoring back to her vibrant contour with better former measurement which she had actually lost very long time ago as a result of her early oral extraction. The mixed treatment took 3 hours as well as with almost no discoloration and also swelling, was securely able to go back to Philly on the exact same night. On her follow up, in between the thread lift and also 3-D repair of her face contour, she felt she considered the very least 10 years more youthful as well as was quiet delighted with the end result.

Individual # 6 is a retired executive who had actually formerly gone through two facelift surgical treatments, last one being greater than 3 years ago. She remains in her mid 70’s and also still extremely active in lots of societies she belongs to. She wants update raising treatment but wishes to avoid any surgical procedures and certainly prevent any kind of anesthetic due to disappointment during current hip substitute surgery. After cautious conversation, she undertook Silhouette thread raising to enhance her jowling and nasolabial line. She went through PDO Novathread lift to improve the relentless best side neck laxity as well as turkey waddle. Only the appropriate side was lifted as the left side was acceptable. Additionally, 1cc of Restylene was made use of to further enhance the nasolabial line as well as edge of the mouth on both sides. She right away felt a couple of years more youthful and anticipated meeting her buddies at her 50th college reunion.

Person # 7 and # 8 are pairs from Boston in their 50’s who have been dropping by each year for the previous five years to undergo “Pairs” Thermage. In their current browse through, in enhancement to the Thermage, spouse received 1cc of Restylene to the temporal recession locations as well as another 1cc of Restylene to the Nasolabial line while the other half got Botox to smoothen out the strong glabellar frown lines.

Person # 9 is a 47 y.o. male individual who desires facelift surgery to boost the fastooning around his malar mound. He is less worried regarding the mild jowling as well as fullness under his chin, however he is truly bothered by his malar pile which is worse in the mornings. Upon carful analysis, he has extreme puffiness under his eyes which straight attaches to his puffy malar mound. He has experienced allergic reactions as well as sinus issues the majority of his life, which worsens the reduced eyelid and also malar puffiness. After mindful conversation, person went through transconjunctival reduced eyelid surgery under regional anesthetic to improve upon a minimum of the median half of the large fastooning. As soon as one side was ended up, he was brought up to sitting up setting to reveal the prompt renovation of the run vs non-operative side. The individual would certainly have benefited with pinching up of the skin under the eyes, he really did not want any indication of undertaking surgery. In lieu of the pinch, the reduced eyelid muscle mass was heated with Ellman RF system via transconjunctival approach which tightened the muscle mass and somewhat, the superior skin. PDO Novathreads were then deployed to tighten the soft cells and also skin around the puffy malar mounds. Only small amount of lift was attained from the PDO strings, as talked about before the treatment with the person. He was over-all rather delighted with near total resolution of medial half of his fastooning as well as small training and also flattening of the puffiness over the malar pile, side to side. Even though he had no discoloration, He was asked to recover at home for a couple of days because of the lower eyelid surgery and also asked to lessen strenuous activities for a complete week. On his follow up he was extremely delighted that all-natural renovation could be accomplished without a lot down time and also without having to go through expensive significant lifting surgery which was recommended to him by several cosmetic surgeons from prior consultations.

Finally, if these alternatives to a facelift surgery might be an alternative for you, please talk about with your Cosmetic surgeon to see if you might be an excellent candidate for these treatments. Do keep in mind that every treatment comes with benefits and also threats as well as restrictions as well as it would certainly behoove you to locate a Surgeon well versed in these strategies that can interact to you just how you can potentially benefit from the treatments with very little to no downtime.