Is 50 too old for Botox?

5 Facial Plastic Surgeon Approved Alternatives to a Facelift

There is no procedure out there that can best an artfully executed facelift surgery ideally created for the patient’s special anatomy and also individual aging adjustments. Lots of facelifts executed out there can still produce a cookie-cutter result where the result may look excellent in one individual as well as not so wonderful in her buddy, even when done by the very same surgeon. Worse yet are instances where patients too soon go under the knife to stop aging changes and also wind up regretting their choice due to loss of their all-natural significance or personalities.

For those savvy, perceptive patients that are afraid less than an excellent arise from a “cookie-cutter” facelift surgery; for those that wish to preempt the unavoidable aging modifications without prematurely going through a facelift surgery; for those that previously undertook a facelift surgery and also desire upgrade improvements without going through an additional surgery; for those that simply do not have a week or longer to recoup from a facelift surgery; for those who fear basic anesthesia and even twilight sedation; for cigarette smokers who face greater threat of complications from undergoing facelift surgery; for those that can not allocate a facelift surgery, there are ultimately tried and true, FDA accepted choices to a conventional facelift surgery which Surgeons can give to their individuals. In this post I will certainly be talking about a few of the extra preferred options offered at my clinic.

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

Very commonly these modalities are made use of in synergistic combinations for the specific person’ s needs to attain optimal outcome. The combination made use of are based on understanding of the specific person’s fundamental bony and soft cells physiological structure and also accurate analysis of the aging modifications which have actually occurred. These aging adjustments can be usually correlated to patients age, ethnic history, and also ecological and also genetical variables.

These are perfect in those people that really feel the collagen in their soft cells are obtaining as well soft and also being attracted downward, which can be felt even in early 30’s for some patients. These equipments are favorites as stand-alone treatment in patients who are in their 30’s to 50’s.

In people from 40’s as well as up that note sagging of mid-face with consistent growing of the tear nasolabial, trough, and marionette line along with appearance of the dreaded jowling as well as neck laxity, either Thermage or Ultherapy is advised to tighten their indigenous collagen in the soft cells. Yet to achieve more lifting, thread training making use of either Shape Instalift or Novathread is advised. The technique to an effective thread training is recognizing the subtleties of the system and strength of the threads and producing appropriate vectors as well as supports to create a refined yet precise and also all-natural lift. After conclusion of one side, person is brought up to a sitting setting so people can directly envision and also contrast the raised vs unlifted side as well as with their pre-operative images. Because of almost no discoloration and also swelling, some patients resume their complete tasks as well as go back to function or dine out on the same day. Nonetheless we ask our individuals to schedule a day or more to recuperate just in case they run into some swelling.

If a client provides with reduced eyelid puffiness which is severe sufficient to be seen also from throughout the room, lower eyelid surgery can be carried out under regional anesthetic with almost no discoloration, enabling healing duration to be no more than a few days to a week at the majority of. Incorporating these two “Mini Surgical” procedures in my arsenal of alternatives to facelift surgery is necessary in my practice due to the fact that in my viewpoint, the look of the fat bag under the eyes and also loss of facial quantity are absolutely the first signs of aging modifications noticeable in people as early as late 20’s and also very early 30’s. Not a week passes by with clients coming in wanting some kind of “lifting” surgery due to their “weary” and also “gaunt” appearance when in truth, lower eyelid surgery is what they needed to clear of their tired appearance due to puffy eye bags as well as volume remediation as well as re-contouring with fat transfer is what they required to free of the gaunt and extended look.

I will certainly go through a couple of patient scenarios I have actually encountered in the past few months.

Person # 1 is a 61 years of age female who came in wishing to look much better a week before her little girl’s wedding. 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 as well as the ever aggravating nasolabial line and jowling. Worst yet were the sunken in appearance of her cheek bone making her look worn out. Her budget plan was extremely restricted as a lot of her savings mosted likely to assisting with her child’s wedding celebration. After careful discussion, she underwent a 1.5 cc Radiesse injection to high light her cheek eminence as well as to fill out the hollowing of her cheeks. In essence the Radiesse was made use of to produce a “liquid” lift. One More 1cc of Restylene was used to fill up along the hollowing in the tear trough location as well over the nasolabial line which further gave an optical feeling of mid-face lift. She was likewise provided some Botox to smooth the crow’s feet as well as frown lines; and, at the same time offering a mild lateral brow lift as well as therefore a refined improvement to the lateral hooding of her upper eyes.

Patient # 2 is a 55 year old CEO of a huge property business. She was invited to a Gala event in Paris turning up in a few weeks as well as required to look her finest. She doesn’t believe in going through any kind of type of lifting surgery but is willing to attempt anything else to enhance her ever before intensifying facial and also neck laxity as well as marionette line. After mindful conversation, she underwent Ultherapy to her cheek and jawline, then her upper and also lower neck, adhered to by her lower brow, temple and also eyelid. On the very same day, she underwent Silhouette Instalift to lift her jawline as well as mid-face as well as soften her marionette line. Added Novathreads were utilized to tighten her neck line. 1.5 cc of Radiesse was made use of to improve her chin and 1cc of Restyene was used to more smoothen out her nasolabial and also marionette line. On follow up phone call the adhering to day, she was able to resume with her hectic schedule and was quite satisfied with her result. She eagerly anticipates all the picture taking sessions at the Gala in Paris.

Individual # 3 is a 42 years of age accounting professional who came in for an appointment to learn about the different face lifting treatments available to remove her weary as well as exhausted appearance. Due to the fact that otherwise she looked cross and upset, she was mentally even more worn out from listening to from good friends and also coworkers that she should smile extra commonly. She was formerly a version with a well defined cheek bone as well as fairly strong jaw line. No jowling neither neck laxity was appreciated. Her eyes still showed a lot of shimmer with very early sign of lateral hooding, however was much more controlled by the serious puffiness in her lower eyelids. Upon more conversation, she has experienced nearly 6 month of individual concerns and also had shed near seven pounds which as a result has actually made her cheek a lot more sunken in, made extra significant by her well defined cheek and also jaw bones. Certainly upon her merely smiling, her reduced eye muscle mass was able to tighten enough to press the puffy fat bags in while her grinning cheek provided more positive fullness to her otherwise hollowed out gaunt look. After mindful discussion, she undertook both “Mini-Surgical” treatments consisting of removal of reduced eyelid fat bags by means of trans-conjunctival strategy to eliminate puffiness to her eyes complied with by 35cc of fat transfer to various compartments of her face, previously collected from her lower stomach area. Both treatments were executed under neighborhood anesthetic in less than a few hours. She had minimal to no discoloration yet due to progressive swelling over the following few days, she was advised to recuperate at home. Due to the fact that she worked as a companion in a large CPA company, she picked to work out of her home for the remainder of the week, but was able to resume her activities within a few days. When she returned back to work the complying with week, individuals noted she looked well relaxed from her much was entitled to holiday, yet or else were unaware as to her really undertaking her “Mini-Surgical” procedures.

Individual # 4 is a 35 year old institution teacher who noted that her round face was obtaining much more wider and much heavier, especially when taking images on her smartphone. After mindful conversation, she undertook Botox to lower the Masseter muscle mass hypertrophy from her teeth grinding which is also therapeutic to minimize damages to her TM joint. In addition she underwent Ultherapy utilizing both 3mm as well as 4.5 mm transducers to not just tighten the collagen in the soft cells and fascia wrapping up the muscular tissue, yet likewise reduce the charitable fatty cells in her subcutaneous tissue layer along the jaw line and cheek area.

Client # 5 is a 64 years of age waitress that still smokes near to a pack of cigarettes daily. She had lost a lot of her upper teeth years ago with considerable oral bone loss leading to shortening as well as retrusion to her mid-face area. She has actually been yearning for some sort of raising treatment for many years, however has actually always hesitated to shoot due to good friends that tried to find the even worse in her eyes following their face lifting surgeries and her lack of ability to give up cigarette smoking. She had as well as had a set budget plan to go back to Philadelphia the same night. After mindful discussion, she went through training of her neck, jawline, and cheek making use of a combination of Sillhouette Instalift and PDO Novathreads. She went through 40cc of fat transfer to all facet of fat compartment in her face, with unique focus to her temporal losing as well as her mid face retrusion. Fat transfer permitted considerable restoration of her soft cells volume as well as restoring back to her youthful shape with higher anterior dimension which she had lost long time ago as a result of her early oral extraction. The consolidated procedure took 3 hrs and also with virtually no bruising as well as swelling, was securely able to return to Philadelphia on the same evening. On her follow up, in between the thread lift as well as 3-D repair of her face shape, she felt she looked at the very least ten years younger and also was quiet happy with the outcome.

Individual # 6 is a retired executive that had actually previously gone through two facelift surgical treatments, last one being more than 3 years earlier. She remains in her mid 70’s and also still really active in many cultures she comes from. She wants upgrade lifting treatment however wants to avoid any surgical treatments and also definitely avoid any kind of anesthetic because of disappointment throughout current hip substitute surgery. After careful conversation, she underwent Shape string raising to boost her jowling as well as nasolabial line. She went through PDO Novathread lift to enhance the consistent ideal side neck laxity as well as turkey waddle. Only the appropriate side was lifted as the left side was adequate. Furthermore, 1cc of Restylene was used to more boost the nasolabial line and corner of the mouth on both sides. She immediately really felt a few years more youthful and anticipated fulfilling her pals at her 50th university get-together.

Client # 7 and # 8 are pairs from Boston in their 50’s that have been dropping by every year for the past five years to go through “Pairs” Thermage. In their current browse through, in enhancement to the Thermage, wife obtained 1cc of Restylene to the temporal recession locations and another 1cc of Restylene to the Nasolabial line while the other half got Botox to smooth out the strong glabellar frown lines.

Patient # 9 is a 47 y.o. male patient that wants facelift surgery to boost the fastooning around his malar pile. After mindful conversation, person undertook transconjunctival lower eyelid surgery under neighborhood anesthetic to enhance upon at least the medial half of the big fastooning. The patient would certainly have profited with pinching up of the skin under the eyes, he didn’t want any sign of going through surgery.

Finally, if these options to a facelift surgery might be an alternative for you, please talk about with your Plastic Surgeon to see if you might be an excellent candidate for these treatments. Do bear in mind that every procedure features benefits as well as risks as well as limitations and also it would befit you to discover a Surgeon well versed in these techniques who can connect to you exactly how you can potentially benefit from the procedures with minimal to no downtime.