Is 50 too old for Botox? – Updated 2021

5 Facial Cosmetic Surgeon Approved Alternatives to a Facelift

There is no procedure out there that can best a skillfully done facelift surgery preferably designed for the individual’s special anatomy as well as individual aging adjustments. However many facelifts executed around can still produce a cookie-cutter result where the result might look fantastic in one person as well as not so fantastic in her buddy, even when done by the same surgeon. Worse yet are cases where patients too soon go under the knife to avoid aging modifications and also wind up regretting their choice because of loss of their all-natural significance or personalities.

For those savvy, perceptive patients who are afraid less than an excellent arise from a “cookie-cutter” facelift surgery; for those who desire to preempt the inescapable aging modifications without prematurely going through a facelift surgery; for those that formerly underwent a facelift surgery and also desire update enhancements without going through an additional surgery; for those who just do not have a week or longer to recover from a facelift surgery; for those who fear basic anesthetic or even twilight sedation; for cigarette smokers who deal with higher risk of complications from undertaking facelift surgery; for those that can’t allocate a facelift surgery, there are finally reliable, FDA approved alternatives to a standard facelift surgery which Surgeons can supply to their individuals. In this write-up I will certainly be reviewing some of the more prominent choices provided at my clinic.

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

Really commonly these modalities are made use of in collaborating mixes for the private patient’ s needs to attain ideal end result. The mix used are based upon understanding of the specific person’s fundamental bony and also soft cells anatomical structure and accurate evaluation of the aging modifications which have taken place. These aging adjustments can be generally correlated to individuals age, ethnic history, as well as genetical and also ecological aspects.

These are excellent in those patients who feel the collagen in their soft cells are getting as well soft as well as gravitating downward, which can be felt also in very early 30’s for some individuals. These equipments are faves as stand-alone procedure in clients who are in their 30’s to 50’s.

In individuals from 40’s and also up who note sagging of mid-face with consistent strengthening of the tear trough, nasolabial, and marionette line as well as appearance of the dreadful jowling and also neck laxity, either Thermage or Ultherapy is recommended to tighten their indigenous collagen in the soft cells. However to attain additional training, thread training utilizing either Silhouette Instalift or Novathread is recommended. The technique to a successful thread lifting is recognizing the nuances of the device and also strength of the threads and also creating correct vectors as well as supports to develop a subtle however guaranteed as well as all-natural lift. After completion of one side, individual is brought up to a sitting position so clients can directly envision as well as compare the raised vs unlifted side as well as with their pre-operative pictures. Due to almost no discoloration and also swelling, some patients resume their full activities and return to dine or function out on the very same day. However we ask our people to reserve a day or more to recover simply in case they encounter some swelling.

3-D facial quantity repair and also re-contouring with fat transfer is also recommended if the individual additionally has significant loss of face quantity past the reaches of a few tubes of Fillers. In my center fat transfer is typically done under local anesthetic and also because of nearly no bruising, recuperation is generally no greater than a couple of days. Similarly if a person presents with reduced eyelid puffiness which is extreme sufficient to be seen also from throughout the room, lower eyelid surgery can be done under neighborhood anesthetic with nearly no bruising, allowing recovery period to be no greater than a few days to a week at most. Incorporating these 2 “Mini Surgical” treatments in my arsenal of alternatives to facelift surgery is essential in my method due to the fact that in my opinion, the appearance of the fat bag under the eyes and loss of face quantity are genuinely the initial indicators old adjustments noticeable in patients as very early as late 20’s and early 30’s. Not a week passes by with clients being available in wishing some type of “training” surgery as a result of their “exhausted” and also “gaunt” appearance when in reality, reduced eyelid surgery is what they needed to eliminate their exhausted appearance as a result of puffy eye bags and also volume repair and also re-contouring with fat transfer is what they needed to eliminate the gaunt as well as elongated appearance. This technique shares the very same idea as the “liquid fit” utilizing fillers that a lot of people are familiar with. But if a few 1cc tube of fillers can be handy, visualize what 30cc or 40cc of fat transfer can do in regards to bring back the lost quantity and re-sculpting and re-contouring the face back to a lot more youthful days. I really feel the true sculpture in me is specified by what I can accomplish with my fat transfer.

I will undergo a couple of patient circumstances I have come across in the past couple of months.

Person # 1 is a 61 year old female who can be found in wanting to look better a week prior to her child’s wedding celebration. She had an extremely active week ahead of her so not even a day to recoup. She didn’t like the tear trough under her eyes in addition to the ever before worsening nasolabial line and jowling. Worst yet were the sunken in look of her cheek bone making her look worn out. Her spending plan was very restricted as most of her cost savings went to assisting with her little girl’s wedding. After cautious conversation, she underwent a 1.5 cc Radiesse injection to high light her cheek renown as well as to complete the hollowing of her cheeks. In essence the Radiesse was utilized to create a “liquid” lift. Another 1cc of Restylene was used to fill along the hollowing in the tear trough area too over the nasolabial line which better provided an optical feeling of mid-face lift. She was likewise provided some Botox to smooth the crow’s feet and also frown lines; as well as, at the same time offering a small side eyebrow lift and consequently a refined renovation to the lateral hooding of her top eyes.

Patient # 2 is a 55 year old Chief Executive Officer of a large genuine estate company. She doesn’t think in going through any kind of kind of training surgery however is willing to try anything else to improve her ever worsening face and neck laxity and also marionette line. On the very same day, she went through Shape Instalift to lift her jawline and mid-face as well as soften her marionette line.

Client # 3 is a 42 years of age accounting professional who came in for an appointment to learn more about the various face lifting treatments offered to do away with her worn out as well as fatigued look. Since otherwise she looked cross and also upset, she was emotionally more weary from hearing from pals as well as colleagues that she must grin a lot more typically. She was formerly a model with a well specified cheek bone and relatively strong jaw line. No jowling neither neck laxity was appreciated. Her eyes still showed plenty of shimmer with very early indicator of lateral hooding, but was more controlled by the serious puffiness in her reduced eyelids. Upon further conversation, she has undergone virtually 6 month of personal problems as well as had actually lost close to seven extra pounds which subsequently has made her cheek extra sunken in, made more remarkable by her well specified cheek and also jaw bones. Indeed upon her simply grinning, her lower eye muscle was able to tighten enough to press the puffy fat bags in while her grinning cheek supplied much more pleasurable volume to her otherwise hollowed out gaunt appearance. After cautious discussion, she underwent both “Mini-Surgical” treatments consisting of elimination of lower eyelid fat bags via trans-conjunctival method to rid of puffiness to her eyes complied with by 35cc of fat transfer to different compartments of her face, formerly gathered from her lower stomach area. Both procedures were executed under neighborhood anesthetic in less than a couple of hrs. She had very little to no discoloration but due to progressive swelling over the following few days, she was instructed to recuperate at home. Since she worked as a partner in a large Certified Public Accountant firm, she chose to work out of her house for the rest of the week, however had the ability to resume her activities within a few days. When she returned back to function the complying with week, individuals noted she looked well rested from her much should have getaway, yet or else were unaware as to her in fact undertaking her “Mini-Surgical” procedures.

Individual # 4 is a 35 year old institution instructor that kept in mind that her round face was obtaining much more larger as well as heavier, specifically when taking photos on her smartphone. After mindful discussion, she underwent Botox to minimize the Masseter muscular tissue hypertrophy from her teeth grinding which is likewise restorative to decrease damage to her TM joint. In enhancement she underwent Ultherapy using both 3mm and 4.5 mm transducers to not only tighten the collagen in the soft tissue and also fascia covering the muscle, but also minimize the generous fatty cells in her subcutaneous cells layer along the jaw line and also cheek location.

Client # 5 is a 64 year old waitress who still smokes close to a pack of cigarettes daily. She has been desiring for some type of raising treatment for several years, however has actually always been worried to draw the trigger due to buddies who looked for the worse in her eyes following their face lifting surgical procedures and her inability to quit smoking. She undertook 40cc of fat transfer to all aspect of fat compartment in her face, with special attention to her temporal wasting and her mid face retrusion.

Patient # 6 is a retired executive that had formerly undergone 2 facelift surgical procedures, last one being more than 3 years ago. She remains in her mid 70’s and still very active in lots of cultures she comes from. She desires upgrade raising procedure yet intends to avoid any surgical treatments as well as absolutely stay clear of any kind of anesthesia because of disappointment during current hip substitute surgery. After mindful conversation, she undertook Silhouette thread lifting to boost her jowling as well as nasolabial line. She went through PDO Novathread lift to enhance the relentless best side neck laxity and also turkey waddle. Just the best side was raised as the left side was sufficient. In addition, 1cc of Restylene was made use of to further improve the nasolabial line and also corner of the mouth on both sides. She instantly really felt a few years younger and also anticipated fulfilling her close friends at her 50th college get-together.

Individual # 7 and # 8 are pairs from Boston in their 50’s who have actually been going down by each year for the previous 5 years to go through “Pairs” Thermage. In their recent browse through, in enhancement to the Thermage, better half got 1cc of Restylene to the temporal economic downturn areas and also another 1cc of Restylene to the Nasolabial line while the spouse obtained Botox to smoothen out the solid glabellar frown lines.

Individual # 9 is a 47 y.o. male patient who wishes facelift surgery to boost the fastooning around his malar pile. He is much less worried about the minor jowling as well as volume under his chin, however he is truly troubled by his malar pile which is even worse in the mornings. Upon carful evaluation, he has extreme puffiness under his eyes which directly attaches to his puffy malar pile. He has actually dealt with allergies and also sinus concerns a lot of his life, which worsens the lower eyelid and malar puffiness. After careful conversation, individual went through transconjunctival reduced eyelid surgery under neighborhood anesthesia to improve upon at the very least the medial fifty percent of the big fastooning. As soon as one side was completed, he was raised to staying up placement to reveal the instant enhancement of the operated vs non-operative side. Although the client would have profited with pinching up of the skin under the eyes, he really did not want any type of indicator of undertaking surgery. In lieu of the pinch, the lower eyelid muscle was warmed with Ellman RF unit with transconjunctival approach which tightened the muscle mass as well as to a degree, the superior skin. PDO Novathreads were then deployed to tighten the soft cells and skin around the puffy malar piles. Just nominal quantity of lift was achieved from the PDO threads, as discussed before the treatment with the client. However, he was over-all fairly delighted with near complete resolution of median fifty percent of his fastooning and also small training as well as flattening of the puffiness over the malar mound, laterally. Even though he had no discoloration, He was asked to recoup in your home for a couple of days because of the reduced eyelid surgery as well as asked to lessen difficult tasks for a full week. On his follow up he was extremely delighted that natural improvement could be accomplished without a lot down time as well as without needing to undertake pricey significant lifting surgery which was suggested to him by several doctors from prior assessments.

Finally, if these alternatives to a facelift surgery may be a choice for you, please go over with your Plastic Surgeon to see if you may be a good candidate for these procedures. Do remember that every procedure includes threats and benefits along with limitations and also it would behoove you to find a Surgeon well versed in these methods that can connect to you exactly how you can potentially gain from the treatments with minimal to no downtime.