Is collagen good for skin?

5 Facial Cosmetic Surgeon Approved Alternatives to a Facelift

There is no treatment available that can best an artfully executed facelift surgery preferably made for the person’s special composition and specific aging modifications. However numerous facelifts performed available can still produce a cookie-cutter outcome where the result might look terrific in one person as well as not so terrific in her good friend, even when executed by the very same surgeon. Worse yet are cases where patients too soon go under the blade to avoid aging adjustments as well as wind up regretting their decision as a result of loss of their all-natural essence or characters.

For those smart, perceptive people who are afraid less than an ideal arise from a “cookie-cutter” facelift surgery; for those who desire to preempt the inevitable aging changes without too soon going through a facelift surgery; for those that previously underwent a facelift surgery and also wish update enhancements without undergoing one more surgery; for those that just don’t have a week or longer to recoup from a facelift surgery; for those that fear basic anesthesia and even twilight sedation; for cigarette smokers who face higher danger of issues from undergoing facelift surgery; for those who can’t allocate a facelift surgery, there are lastly time-tested, FDA authorized options to a traditional facelift surgery which Surgeons can provide to their people. In this article I will be discussing a few of the a lot more prominent alternatives supplied at my clinic.

The 5 options to facelift surgery I use in my office are Thermage, Ultherapy, Thread lifting, Fillers, as well as two “Mini Surgery” treatments containing 3-D volume repair and also re-contouring making use of fat transfer and also reduced eyelid fat bag removal using transconjunctival approach.

Extremely commonly these modalities are made use of in collaborating mixes for the private person’ s requires to attain optimal outcome. The combination made use of are based upon understanding of the private client’s integral bony and soft cells anatomical structure and also accurate evaluation of the aging modifications which have occurred. These aging changes can be typically correlated to people age, ethnic background, as well as ecological and also genetical variables.

These are suitable in those clients who feel the collagen in their soft cells are obtaining as well soft and also being attracted downward, which can be felt also in very early 30’s for some people. These machines are favorites as stand-alone treatment in clients who are in their 30’s to 50’s.

In patients from 40’s and up who note sagging of mid-face with stable strengthening of the tear marionette, nasolabial, as well as trough line as well as appearance of the feared jowling and also neck laxity, either Thermage or Ultherapy is advised to tighten their native collagen in the soft cells. After completion of one side, patient is brought up to a sitting placement so clients can straight picture and compare the raised vs unlifted side as well as with their pre-operative pictures. Due to nearly no discoloration as well as swelling, some patients resume their complete tasks and return to function or dine out on the very same day.

If the client likewise has substantial loss of face quantity beyond the reaches of a couple of tubes of Fillers, 3-D face quantity restoration as well as re-contouring with fat transfer is likewise recommended. In my clinic fat transfer is usually done under regional anesthesia as well as because of virtually no discoloration, recuperation is generally no more than a few days. Also if a person provides with lower eyelid puffiness which is severe sufficient to be seen also from across the room, lower eyelid surgery can be executed under regional anesthetic with almost no discoloration, enabling recovery period to be no greater than a couple of days to a week at most. Including these 2 “Mini Surgical” treatments in my repertoire of alternatives to facelift surgery is crucial in my practice because in my opinion, the appearance of the fat bag under the eyes and also loss of facial quantity are genuinely the preliminary indications of aging adjustments noticeable in patients as early as late 20’s and early 30’s. Not a week passes by with clients being available in wanting some sort of “lifting” surgery because of their “exhausted” and “gaunt” appearance when actually, lower eyelid surgery is what they needed to rid of their tired appearance due to puffy eye bags and also volume restoration as well as re-contouring with fat transfer is what they required to rid of the gaunt as well as lengthened appearance. This technique shares the exact same concept as the “liquid fit” utilizing fillers that a lot of clients are familiar with. If a couple of 1cc tube of fillers can be useful, envision what 30cc or 40cc of fat transfer can do in terms of restoring the lost volume and also re-sculpting and also re-contouring the face back to a lot extra vibrant days. I really feel the true sculpture in me is defined by what I can attain with my fat transfer.

I will certainly go through a couple of person scenarios I have run into in the past few months.

Individual # 1 is a 61 year old female who came in wishing to look better a week prior to her little girl’s wedding. After mindful discussion, she underwent a 1.5 cc Radiesse injection to high light her cheek prominence as well as to fill up out the hollowing of her cheeks. Another 1cc of Restylene was made use of to fill along the hollowing in the tear trough location as well over the nasolabial line which better supplied an optical feeling of mid-face lift.

Individual # 2 is a 55 year old Chief Executive Officer of a large property firm. She was welcomed to a Gala occasion in Paris showing up in a couple of weeks as well as needed to look her best. She does not believe in undertaking any form of training surgery yet agrees to try anything else to boost her ever before intensifying face and neck laxity and marionette line. After careful discussion, she underwent Ultherapy to her cheek as well as jawline, then her upper and reduced neck, complied with by her reduced eyelid, brow and also forehead. On the very same day, she undertook Shape Instalift to lift her jawline as well as mid-face as well as soften her marionette line. Added Novathreads were used to tighten her neck line. Finally 1.5 cc of Radiesse was used to improve her chin and 1cc of Restyene was made use of to more smoothen out her nasolabial as well as marionette line. On follow up phone call the following day, she was able to resume with her active routine and also was rather satisfied with her end result. She anticipates all the picture taking sessions at the Gala in Paris.

Individual # 3 is a 42 years of age accountant that came in for an appointment to find out about the different face lifting procedures offered to do away with her tired and tired look. Because otherwise she looked cross and also angry, she was emotionally more tired from listening to from close friends and coworkers that she must grin a lot more typically. She was previously a design with a well specified cheek bone and also reasonably solid jaw line. No jowling nor neck laxity was appreciated. Her eyes still showed lots of glimmer with early indication of side hooding, however was much more dominated by the extreme puffiness in her reduced eyelids. Upon additional conversation, she has actually gone through nearly 6 month of individual issues and had actually lost close to seven extra pounds which subsequently has made her cheek much more sunken in, made a lot more significant by her well specified cheek as well as jaw bones. Upon her simply smiling, her lower eye muscular tissue was able to tighten sufficient to push the puffy fat bags in while her grinning cheek supplied extra enjoyable volume to her or else hollowed out gaunt appearance. After cautious discussion, she went through the two “Mini-Surgical” procedures including removal of lower eyelid fat bags by means of trans-conjunctival method to rid of puffiness to her eyes followed by 35cc of fat transfer to numerous compartments of her face, formerly harvested from her reduced abdominal area. Both treatments were performed under regional anesthetic in less than a couple of hours. She had minimal to no due yet bruising to modern swelling over the next few days, she was advised to recuperate at home. Because she functioned as a partner in a large CPA firm, she picked to work out of her residence for the rest of the week, but was able to resume her activities within a few days. When she returned back to function the adhering to week, individuals noted she looked well rested from her much was entitled to getaway, but or else were unaware regarding her actually undergoing her “Mini-Surgical” procedures.

Client # 4 is a 35 years of age school instructor that kept in mind that her round face was obtaining a lot more larger and much heavier, specifically when taking pictures on her smart device. She bewares with her diet plan and no weight gain is noted over the past few years. She knows she can never have a V line as a result of her full face, however wish to halt additional widening of her face if not appear a bit a lot more raised as well as slimmer like she utilized to look a couple of years back. Upon additional discussion, she grinds her teeth and uses an evening guard. After cautious conversation, she went through Botox to lower the Masseter muscle hypertrophy from her teeth grinding which is likewise restorative to lessen damage to her TM joint. On top of that she underwent Ultherapy utilizing both 3mm as well as 4.5 mm transducers to not only tighten the collagen in the soft cells as well as fascia enveloping the muscle mass, yet additionally lower the charitable cellulite in her subcutaneous cells layer along the jaw line as well as cheek location. On her follow up go to she was ecstatically pleased with combination of subtle lift and constricting of her facial structure from Ultherapy and also constricting of her jaw angle from decreasing the mass of her Masseter muscular tissue making use of the Botox. She amusingly acknowledges “nearly” seeing the V-line yet essential, pleased about not needing to worry about presenting behind her good friends to make her face look smaller when taking selfies.

Person # 5 is a 64 year old waitress who still smokes close to a pack of cigarettes daily. She had shed a lot of her top teeth several years ago with substantial dental bone loss leading to shortening and also retrusion to her mid-face area. She has been longing for some kind of lifting procedure for many years, yet has actually always hesitated to pull the trigger because of close friends that looked for the worse in her eyes following their face lifting surgeries and her lack of ability to quit smoking. She had as well as had a set budget plan to return to Philadelphia the very same night. After mindful conversation, she undertook training of her jawline, neck, and cheek using a combination of Sillhouette Instalift as well as PDO Novathreads. She went through 40cc of fat transfer to all aspect of fat area in her face, with special attention to her temporal losing as well as her mid face retrusion. Fat transfer permitted considerable remediation of her soft cells quantity along with recovering back to her youthful shape with better anterior measurement which she had lost long time ago because of her early dental extraction. The consolidated treatment took 3 hours as well as with practically no discoloration and also swelling, was securely able to go back to Philly on the very same evening. On her follow up, between the string lift and also 3-D restoration of her facial shape, she felt she considered the very least ten years younger and was quiet pleased with the end result.

Client # 6 is a retired executive who had actually previously undertaken two facelift surgeries, last one being even more than 3 years back. She desires update lifting procedure but wants to stay clear of any kind of surgical treatments and definitely avoid any kind of anesthesia due to bad experience throughout current hip replacement surgery. After cautious discussion, she underwent Silhouette string lifting to improve her jowling as well as nasolabial line.

Client # 7 and # 8 are pairs from Boston in their 50’s that have actually been coming by annually for the past 5 years to undertake “Pairs” Thermage. After seeing their loved ones in UK, they visit my office to obtain their yearly Thermage on their means home. They both really feel that Thermage has actually helped to decrease the unavoidable drooping of their face and also neck. In their recent visit, along with the Thermage, better half obtained 1cc of Restylene to the temporal economic downturn areas and another 1cc of Restylene to the Nasolabial line while the husband received Botox to smooth out the solid glabellar frown lines. They are both happy with the end result as well as strategy to come by the list below year.

Individual # 9 is a 47 y.o. male client who wants facelift surgery to boost the fastooning around his malar mound. He is less concerned about the slight jowling and fullness under his chin, however he is truly troubled by his malar mound which is even worse in the mornings. Upon carful analysis, he has extreme puffiness under his eyes which straight attaches to his puffy malar mound. He has actually dealt with allergies and also sinus concerns the majority of his life, which intensifies the lower eyelid and malar puffiness. After careful conversation, patient underwent transconjunctival reduced eyelid surgery under local anesthetic to surpass at the very least the medial half of the big fastooning. As soon as one side was ended up, he was brought up to sitting up setting to reveal the prompt renovation of the operated vs non-operative side. The patient would certainly have profited with pinching up of the skin under the eyes, he really did not desire any type of sign of undergoing surgery. Instead of the pinch, the reduced eyelid muscle mass was heated up with Ellman RF device through transconjunctival method which tightened the muscle mass as well as somewhat, the overlying skin. PDO Novathreads were after that deployed to tighten the soft cells and also skin around the puffy malar piles. Only nominal amount of lift was achieved from the PDO strings, as gone over before the procedure with the individual. However, he was over-all quite delighted with close to total resolution of medial half of his fastooning as well as slight lifting and also flattening of the puffiness over the malar pile, side to side. Despite the fact that he had no bruising, He was asked to recover in the house for a few days as a result of the lower eyelid surgery and also asked to reduce laborious activities for a full week. On his follow up he was extremely happy that natural enhancement could be accomplished without much down time and without needing to undergo pricey major training surgery which was advised to him by several specialists from previous appointments.

Finally, if these options to a facelift surgery might be a choice for you, please review with your Plastic Surgeon to see if you might be an excellent candidate for these treatments. Do remember that every procedure comes with threats and also benefits along with restrictions and it would certainly befit you to locate a Surgeon well versed in these methods that can communicate to you exactly how you can potentially take advantage of the treatments with marginal to no downtime.