Is a lower facelift worth it?

5 Facial Cosmetic Surgeon Approved Alternatives to a Facelift

There is no procedure around that can best an artfully carried out facelift surgery preferably designed for the patient’s one-of-a-kind makeup as well as private aging modifications. However many facelifts done out there can still yield a cookie-cutter outcome where the result might look terrific in one individual as well as not so terrific in her pal, also when carried out by the exact same surgeon. Even worse yet are situations where patients too soon go under the knife to avoid aging changes and wind up regretting their decision due to loss of their natural essence or personalities.

For those savvy, perceptive patients who are afraid less than an optimal result from a “cookie-cutter” facelift surgery; for those that want to preempt the inescapable aging changes without prematurely undergoing a facelift surgery; for those that previously underwent a facelift surgery and desire update enhancements without going through one more surgery; for those that just do not have a week or longer to recoup from a facelift surgery; for those who are afraid general anesthetic and even twilight sedation; for smokers that face better threat of issues from undertaking facelift surgery; for those who can’t allocate a facelift surgery, there are lastly time-tested, FDA authorized alternatives to a conventional facelift surgery which Surgeons can provide to their patients. In this short article I will certainly be talking about a few of the a lot more preferred choices offered at my clinic.

The five alternatives to facelift surgery I use in my office are Thermage, Ultherapy, String training, Fillers, as well as 2 “Mini Surgery” procedures including 3-D volume repair as well as re-contouring utilizing fat transfer as well as lower eyelid fat bag elimination making use of transconjunctival method.

Extremely frequently these methods are utilized in collaborating mixes for the individual client’ s needs to attain optimal result. The combination made use of are based on understanding of the private client’s fundamental bony and also soft tissue physiological structure and also precise evaluation of the aging adjustments which have taken place. These aging adjustments can be normally correlated to clients age, ethnic history, and also genetical and also ecological variables.

These are suitable in those individuals who really feel the collagen in their soft tissues are obtaining as well soft as well as gravitating downward, which can be felt also in very early 30’s for some clients. These devices are faves as stand-alone treatment in people that are in their 30’s to 50’s.

In people from 40’s and also up that keep in mind sagging of mid-face with stable strengthening of the tear nasolabial, marionette, as well as trough line as well as look of the dreadful jowling and also neck laxity, either Thermage or Ultherapy is suggested to tighten their native collagen in the soft tissue. After completion of one side, individual is brought up to a resting setting so patients can directly picture as well as contrast the lifted vs unlifted side as well as with their pre-operative pictures. Due to virtually no bruising and swelling, some patients resume their complete activities as well as return to dine or work out on the exact same day.

If a patient presents with lower eyelid puffiness which is serious enough to be seen also from throughout the room, reduced eyelid surgery can be performed under regional anesthetic with almost no discoloration, enabling recovery duration to be no even more than a few days to a week at a lot of. Incorporating these two “Mini Surgical” procedures in my collection of options to facelift surgery is imperative in my practice because in my viewpoint, the look of the fat bag under the eyes and also loss of face volume are truly the first indications of aging adjustments noticeable in clients as very early as late 20’s and also very early 30’s. Not a week passes by with people coming in wishing some kind of “lifting” surgery due to their “worn out” and also “gaunt” appearance when in truth, reduced eyelid surgery is what they needed to clear of their exhausted look due to puffy eye bags as well as volume repair as well as re-contouring with fat transfer is what they needed to clear of the gaunt as well as extended look.

I will go through a few individual circumstances I have come across in the past couple of months.

Individual # 1 is a 61 year old woman who came in wanting to look far better a week prior to her child’s wedding. After cautious discussion, she underwent a 1.5 cc Radiesse shot to high light her cheek eminence as well as to fill up out the hollowing of her cheeks. One More 1cc of Restylene was used to fill up along the hollowing in the tear trough area as well over the nasolabial line which better supplied an optical sense of mid-face lift.

Individual # 2 is a 55 year old CEO of a huge realty firm. She was welcomed to a Gala occasion in Paris turning up in a couple of weeks as well as required to look her best. She doesn’t believe in going through any type of kind of lifting surgery but agrees to try anything else to improve her ever getting worse facial as well as neck laxity as well as marionette line. After careful conversation, she undertook Ultherapy to her cheek as well as jawline, after that her upper as well as reduced neck, followed by her reduced temple, eyelid and also eyebrow. On the same day, she undertook Shape Instalift to lift her jawline as well as mid-face and also soften her marionette line. Added Novathreads were used to tighten her neck line. Finally 1.5 cc of Radiesse was used to enhance her chin and 1cc of Restyene was utilized to further smoothen out her nasolabial and also marionette line. On follow up telephone call the adhering to day, she was able to resume with her hectic routine and also was quite satisfied with her end result. She eagerly anticipates all the picture taking sessions at the Gala in Paris.

Client # 3 is a 42 year old accountant who came in for an assessment to learn regarding the different face training procedures readily available to obtain rid of her tired and also weary appearance. After careful conversation, she undertook the 2 “Mini-Surgical” treatments consisting of removal of lower eyelid fat bags through trans-conjunctival strategy to clear of puffiness to her eyes followed by 35cc of fat transfer to different compartments of her face, previously collected from her reduced stomach location. When she returned back to work the adhering to week, individuals noted she looked well relaxed from her much was entitled to trip, yet otherwise were clueless as to her in fact undergoing her “Mini-Surgical” procedures.

Patient # 4 is a 35 year old college instructor that kept in mind that her round face was getting more bigger as well as much heavier, especially when taking pictures on her smartphone. After cautious conversation, she underwent Botox to minimize the Masseter muscular tissue hypertrophy from her teeth grinding which is additionally restorative to lessen damages to her TM joint. In enhancement she underwent Ultherapy making use of both 3mm and 4.5 mm transducers to not just tighten the collagen in the soft cells as well as fascia enveloping the muscle mass, however also decrease the charitable fatty cells in her subcutaneous cells layer along the jaw line and also cheek area.

Person # 5 is a 64 year old waitress that still smokes near a pack of cigarettes daily. She had lost most of her upper teeth several years ago with significant oral bone loss leading to reducing as well as retrusion to her mid-face area. She has been wishing for some kind of lifting procedure for years, but has always hesitated to shoot due to close friends who searched for the worse in her eyes following their face lifting surgical treatments and also her lack of ability to quit cigarette smoking. She had and had a fixed spending plan to return to Philadelphia the same night. After careful discussion, she undertook lifting of her jawline, neck, and cheek utilizing a combination of Sillhouette Instalift as well as PDO Novathreads. She undertook 40cc of fat transfer to all facet of fat compartment in her face, with unique interest to her temporal losing and also her mid face retrusion. Fat transfer permitted significant repair of her soft tissue quantity as well as restoring back to her vibrant shape with higher anterior measurement which she had shed long period of time ago because of her early oral extraction. The mixed treatment took 3 hours and also with nearly no bruising as well as swelling, was securely able to return to Philly on the very same night. On her follow up, between the string lift and also 3-D remediation of her facial contour, she felt she took a look at least 10 years younger and also was quiet pleased with the result.

Patient # 6 is a retired exec who had formerly undertaken 2 facelift surgical treatments, last one being greater than 3 years back. She is in her mid 70’s and also still very active in several cultures she belongs to. She desires upgrade raising procedure but wishes to prevent any kind of surgical treatments and absolutely stay clear of any kind of anesthetic due to bad experience throughout recent hip replacement surgery. After careful conversation, she underwent Shape string raising to enhance her jowling and also nasolabial line. She went through PDO Novathread lift to improve the relentless ideal side neck laxity and also turkey waddle. Just the right side was lifted as the left side was satisfactory. Furthermore, 1cc of Restylene was used to more boost the nasolabial line and edge of the mouth on both sides. She right away really felt a couple of years more youthful as well as eagerly anticipated fulfilling her close friends at her 50th college get-together.

Patient # 7 and also # 8 are couples from Boston in their 50’s who have actually been dropping by yearly for the past 5 years to go through “Couples” Thermage. After seeing their loved ones in UK, they drop by my workplace to receive their annual Thermage on their means residence. They both feel that Thermage has assisted to reduce the inevitable drooping of their face and neck. In their current check out, in addition to the Thermage, better half received 1cc of Restylene to the temporal economic downturn areas as well as one more 1cc of Restylene to the Nasolabial line while the husband obtained Botox to smooth out the solid glabellar frown lines. They are both happy with the end result and plan to stop by the following year.

Person # 9 is a 47 y.o. male person who wants facelift surgery to enhance the fastooning around his malar mound. He is less concerned concerning the minor jowling and also fullness under his chin, but he is really bothered by his malar mound which is even worse in the early mornings. Upon carful analysis, he has serious puffiness under his eyes which straight attaches to his puffy malar mound. He has experienced allergies and also sinus issues a lot of his life, which aggravates the lower eyelid as well as malar puffiness. After cautious conversation, patient undertook transconjunctival lower eyelid surgery under regional anesthetic to surpass a minimum of the median fifty percent of the big fastooning. As soon as one side was completed, he was brought up to sitting up placement to show the immediate renovation of the operated vs non-operative side. Although the patient would certainly have benefited with pinching up of the skin under the eyes, he really did not desire any kind of indication of undertaking surgery. Instead of the pinch, the reduced eyelid muscle mass was warmed with Ellman RF system with transconjunctival strategy which tightened the muscle and to a degree, the overlying skin. PDO Novathreads were after that deployed to tighten the soft tissue as well as skin around the puffy malar piles. Just nominal quantity of lift was attained from the PDO strings, as reviewed prior to the treatment with the patient. Nevertheless, he was over-all fairly delighted with near complete resolution of medial fifty percent of his fastooning as well as mild training and also flattening of the puffiness over the malar mound, side to side. Despite the fact that he had no discoloration, He was asked to recoup in your home for a few days because of the lower eyelid surgery as well as asked to minimize strenuous activities for a full week. On his follow up he was incredibly delighted that natural enhancement could be attained without a lot down time as well as without having to undergo expensive major lifting surgery which was suggested to him by numerous doctors from previous consultations.

To conclude, if these alternatives to a facelift surgery might be an alternative for you, please review with your Cosmetic surgeon to see if you might be an excellent prospect for these procedures. Do keep in mind that every procedure comes with risks and benefits in addition to limitations and it would certainly behoove you to locate a Surgeon well versed in these strategies that can connect to you how you can potentially benefit from the procedures with very little to no downtime.