How do you stop sagging jowls? – Updated 2021

5 Facial Plastic Surgeon Approved Alternatives to a Facelift

There is no procedure out there that can best an artfully performed facelift surgery preferably made for the client’s one-of-a-kind composition and private aging changes. Numerous facelifts done out there can still generate a cookie-cutter outcome where the outcome may look fantastic in one person and not so terrific in her pal, also when done by the same surgeon. Worse yet are situations where individuals prematurely go under the knife to prevent aging modifications and end up regretting their choice as a result of loss of their all-natural essence or characters.

For those smart, observant clients that fear less than a perfect result from a “cookie-cutter” facelift surgery; for those who wish to preempt the unavoidable aging modifications without prematurely undergoing a facelift surgery; for those that previously undertook a facelift surgery as well as desire update renovations without undertaking one more surgery; for those that just do not have a week or longer to recover from a facelift surgery; for those that are afraid general anesthetic or perhaps twilight sedation; for cigarette smokers who encounter greater danger of complications from undergoing facelift surgery; for those that can not budget for a facelift surgery, there are finally tried and true, FDA authorized options to a traditional facelift surgery which Surgeons can offer to their people. In this write-up I will be discussing a few of the more prominent alternatives offered at my clinic.

The five choices to facelift surgery I utilize in my workplace are Thermage, Ultherapy, String lifting, Fillers, and two “Mini Surgery” treatments containing 3-D quantity reconstruction and also re-contouring utilizing fat transfer and also lower eyelid fat bag removal using transconjunctival approach.

Very typically these techniques are made use of in collaborating mixes for the specific person’ s needs to accomplish optimal end result. The mix made use of are based on understanding of the individual person’s inherent bony and soft tissue anatomical structure and accurate analysis of the aging adjustments which have actually taken place. These aging modifications can be typically correlated to individuals age, ethnic history, and also genetical and also environmental aspects.

Thermage as well as Ultherapy are both power based lifting gadgets which work by sinking RF (Thermage) or Sonar (Ulthera) power to heat up the collagen as well as tighten the connective cells below the skin. These are suitable in those patients that feel the collagen in their soft tissues are obtaining too soft as well as gravitating downward, which can be felt even in very early 30’s for some patients. Both makers have sufficient subtleties that the Surgeon requires to be well versed in the ideal use of the machines as well as in whom to match with which machine. These makers are favorites as stand-alone procedure in individuals who remain in their 30’s to 50’s. Usually they are used in conjunction with Botox as well as Fillers to attain greater synergistic result.

In people from 40’s and also up who keep in mind sagging of mid-face with steady growing of the tear nasolabial, trough, and also marionette line as well as look of the dreaded jowling as well as neck laxity, either Thermage or Ultherapy is advised to tighten their native collagen in the soft tissue. After conclusion of one side, client is brought up to a resting placement so patients can straight visualize and contrast the lifted vs unlifted side as well as with their pre-operative images. Due to nearly no discoloration as well as swelling, some patients resume their complete tasks and also return to function or eat out on the same day.

If a person presents with reduced eyelid puffiness which is serious sufficient to be seen also from throughout the space, lower eyelid surgery can be performed under neighborhood anesthesia with virtually no bruising, allowing healing period to be no even more than a few days to a week at a lot of. Incorporating these two “Mini Surgical” treatments in my collection of choices to facelift surgery is critical in my practice since in my point of view, the look of the fat bag under the eyes and loss of facial volume are really the initial signs of aging adjustments visible in patients as very early as late 20’s as well as early 30’s. Not a week passes by with patients coming in wishing some kind of “training” surgery due to their “exhausted” as well as “gaunt” appearance when in truth, reduced eyelid surgery is what they needed to free of their worn out look due to puffy eye bags and volume repair and also re-contouring with fat transfer is what they needed to clear of the gaunt and also lengthened appearance.

I will certainly experience a few individual scenarios I have experienced in the past couple of months.

Patient # 1 is a 61 year old female who came in wishing to look much better a week before her little girl’s wedding. After mindful discussion, she undertook a 1.5 cc Radiesse shot to high light her cheek reputation as well as to load out the hollowing of her cheeks. An Additional 1cc of Restylene was used to load along the hollowing in the tear trough location as well over the nasolabial line which further supplied an optical feeling of mid-face lift.

Patient # 2 is a 55 year old CEO of a huge actual estate business. She does not believe in undertaking any kind of lifting surgery however is eager to try anything else to improve her ever worsening face and also neck laxity and also marionette line. On the very same day, she underwent Silhouette Instalift to lift her jawline and mid-face and soften her marionette line.

Individual # 3 is a 42 year old accounting professional that came in for a consultation to discover the numerous face lifting treatments offered to do away with her tired as well as exhausted appearance. Because or else she looked cross and also upset, she was psychologically even more exhausted from listening to from close friends as well as associates that she need to grin extra frequently. She was formerly a design with a well defined cheek bone and also relatively solid jaw line. No jowling neither neck laxity was appreciated. Her eyes still showed a lot of shimmer with very early indicator of side hooding, however was extra controlled by the serious puffiness in her lower eyelids. Upon more discussion, she has actually gone through virtually 6 month of personal concerns and had actually lost near seven extra pounds which as a result has actually made her cheek more sunken in, made extra significant by her well specified cheek and jaw bones. Upon her merely smiling, her reduced eye muscle was able to tighten sufficient to push the puffy fat bags in while her smiling cheek offered more enjoyable volume to her otherwise hollowed out gaunt look. After mindful discussion, she underwent the two “Mini-Surgical” treatments containing elimination of lower 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, formerly harvested from her lower stomach location. Both treatments were done under regional anesthetic in less than a couple of hrs. She had marginal to no bruising yet due to dynamic swelling over the following couple of days, she was advised to recover at home. Since she worked as a partner in a large Certified Public Accountant firm, she selected to work out of her home for the remainder of the week, but was able to resume her activities within a couple of days. When she returned back to work the adhering to week, people noted she looked well relaxed from her much was worthy of trip, however otherwise were unaware as to her in fact undergoing her “Mini-Surgical” procedures.

Person # 4 is a 35 year old school instructor who noted that her round face was getting more broader as well as larger, especially when taking photos on her mobile phone. After cautious conversation, she undertook Botox to lower the Masseter muscle mass hypertrophy from her teeth grinding which is also healing to reduce damage to her TM joint. In addition she went through Ultherapy making use of both 3mm as well as 4.5 mm transducers to not just tighten the collagen in the soft cells as well as fascia wrapping up the muscular tissue, yet likewise lower the generous fatty tissue in her subcutaneous cells layer along the jaw line and cheek area.

Patient # 5 is a 64 year old waitress who still smokes close to a pack of cigarettes daily. She has actually been desiring for some kind of raising treatment for numerous years, but has constantly been terrified to draw the trigger due to good friends who looked for the worse in her eyes following their face lifting surgical treatments and her inability to give up smoking. She underwent 40cc of fat transfer to all element of fat compartment in her face, with special interest to her temporal wasting as well as her mid face retrusion.

Patient # 6 is a retired exec that had actually formerly undertaken 2 facelift surgeries, last one being more than 3 years ago. She remains in her mid 70’s as well as still very active in several cultures she comes from. She desires update lifting procedure however intends to stay clear of any type of surgical procedures as well as certainly stay clear of any anesthesia due to bad experience throughout recent hip replacement surgery. After mindful conversation, she undertook Silhouette string raising to improve her jowling and also nasolabial line. She went through PDO Novathread lift to enhance the persistent right side neck laxity as well as turkey waddle. Only the ideal side was lifted as the left side was adequate. On top of that, 1cc of Restylene was made use of to further boost the nasolabial line as well as corner of the mouth on both sides. She promptly felt a few years younger and expected satisfying her friends at her 50th college get-together.

Client # 7 as well as # 8 are pairs from Boston in their 50’s that have actually been dropping by every year for the past 5 years to undergo “Couples” Thermage. After seeing their loved ones in UK, they come by my office to receive their annual Thermage on their way house. They both feel that Thermage has actually helped to slow down the unpreventable drooping of their face and also neck. In their recent browse through, along with the Thermage, spouse obtained 1cc of Restylene to the temporal recession locations and another 1cc of Restylene to the Nasolabial line while the hubby got Botox to smoothen out the solid glabellar frown lines. They are both pleased with the end result as well as plan to come by the following year.

Individual # 9 is a 47 y.o. male person who wants facelift surgery to boost the fastooning around his malar pile. After mindful discussion, patient went through transconjunctival lower eyelid surgery under neighborhood anesthesia to improve upon at the very least the medial half of the big fastooning. The patient would have benefited with squeezing up of the skin under the eyes, he really did not want any sign of undergoing surgery.

To conclude, if these options to a facelift surgery may be an option for you, please go over with your Plastic Surgeon to see if you might be a great candidate for these procedures. Do remember that every procedure features risks as well as advantages as well as restrictions and also it would behoove you to discover a Surgeon well versed in these methods that can communicate to you just how you can possibly benefit from the procedures with marginal to no downtime.