Is HIFU considered surgery?

5 Facial Cosmetic Surgeon Approved Alternatives to a Facelift

There is no procedure out there that can best a skillfully executed facelift surgery ideally developed for the patient’s one-of-a-kind makeup as well as specific aging changes. Numerous facelifts performed out there can still generate a cookie-cutter result where the result might look wonderful in one person as well as not so fantastic in her good friend, also when done by the same surgeon. Worse yet are situations where clients too soon go under the blade to stop aging changes and end up regretting their choice due to loss of their all-natural essence or characters.

For those savvy, observant clients that are afraid less than an excellent result from a “cookie-cutter” facelift surgery; for those who want to preempt the unavoidable aging changes without prematurely undergoing a facelift surgery; for those who previously underwent a facelift surgery and dream upgrade renovations without undertaking one more surgery; for those who simply do not have a week or longer to recover from a facelift surgery; for those who are afraid basic anesthetic or even twilight sedation; for smokers who face better risk of difficulties from undertaking facelift surgery; for those who can’t budget for a facelift surgery, there are lastly reliable, FDA accepted choices to a conventional facelift surgery which Surgeons can offer to their people. In this write-up I will be reviewing some of the extra prominent options used at my facility.

The 5 alternatives to facelift surgery I use in my workplace are Thermage, Ultherapy, String training, Fillers, and 2 “Mini Surgery” treatments including 3-D volume repair and re-contouring utilizing fat transfer and also lower eyelid fat bag removal making use of transconjunctival technique.

Very usually these techniques are used in synergistic mixes for the specific client’ s requires to attain optimal outcome. The mix used are based upon understanding of the private client’s intrinsic bony and soft tissue anatomical structure as well as accurate analysis of the aging adjustments which have happened. These aging changes can be usually associated to individuals age, ethnic history, as well as environmental and also genetical variables.

These are ideal in those patients that feel the collagen in their soft cells are obtaining too soft and also moving downward, which can be really felt also in early 30’s for some people. These equipments are favorites as stand-alone procedure in people that are in their 30’s to 50’s.

In clients from 40’s as well as up who note sagging of mid-face with stable deepening of the tear marionette, nasolabial, and trough line as well as appearance of the dreadful jowling and neck laxity, either Thermage or Ultherapy is advised to tighten their native collagen in the soft cells. However to attain more lifting, thread training using either Shape Instalift or Novathread is advised. The trick to a successful thread training is comprehending the nuances of the device and also stamina of the threads and also developing proper vectors as well as anchors to create a subtle however guaranteed and also natural lift. After conclusion of one side, individual is brought up to a resting setting so patients can straight envision as well as compare the raised vs unlifted side in addition to with their pre-operative images. As a result of virtually no bruising and swelling, some people resume their complete activities and return to eat or work out on the very same day. We ask our clients to schedule a day or 2 to recuperate simply in case they run into some swelling.

If the person additionally has substantial loss of facial quantity beyond the reaches of a couple of tubes of Fillers, 3-D face volume restoration as well as re-contouring with fat transfer is likewise advised. In my center fat transfer is generally done under local anesthesia as well as because of nearly no bruising, recovery is generally no greater than a few days. Also if an individual presents with lower eyelid puffiness which is extreme sufficient to be seen even from throughout the area, lower eyelid surgery can be executed under neighborhood anesthesia with almost no discoloration, allowing recuperation period to be no greater than a few days to a week at most. Incorporating these two “Mini Surgical” procedures in my arsenal of alternatives to facelift surgery is important in my technique since in my point of view, the appearance of the fat bag under the eyes and loss of face volume are absolutely the first indications old changes visible in people as very early as late 20’s as well as very early 30’s. Not a week passes by with people coming in desiring some type of “training” surgery as a result of their “worn out” as well as “gaunt” appearance when actually, reduced eyelid surgery is what they needed to rid of their weary appearance because of puffy eye bags and also volume reconstruction and re-contouring with fat transfer is what they needed to eliminate the gaunt and extended appearance. This technique shares the exact same concept as the “fluid fit” utilizing fillers that a lot of people recognize with. Yet if a few 1cc tube of fillers can be valuable, envision what 30cc or 40cc of fat transfer can do in terms of restoring the shed volume and re-sculpting and also re-contouring the face back to far more vibrant days. I really feel real sculpture in me is specified by what I can achieve with my fat transfer.

I will certainly go through a couple of person scenarios I have actually experienced in the past couple of months.

Patient # 1 is a 61 years of age woman who came in wishing to look far better a week before her little girl’s wedding. She had an extremely busy week ahead of her so not even a day to recuperate. She really did not such as the tear trough under her eyes in addition to the ever before getting worse nasolabial line as well as jowling. Worst yet were the sunken in appearance of her cheek bone making her look exhausted. Her budget was really limited as most of her savings mosted likely to aiding with her little girl’s wedding celebration. After cautious conversation, she undertook a 1.5 cc Radiesse injection to high light her cheek eminence as well as to submit the hollowing of her cheeks. Fundamentally the Radiesse was utilized to create a “fluid” lift. Another 1cc of Restylene was utilized to load along the hollowing in the tear trough area too over the nasolabial line which additionally gave an optical sense of mid-face lift. She was additionally given some Botox to smoothen the crow’s feet and also frown lines; and also, at the same time offering a mild side eyebrow lift and also thereby a subtle renovation to the lateral hooding of her top eyes.

Person # 2 is a 55 year old Chief Executive Officer of a big real estate firm. She was invited to a Gala occasion in Paris coming up in a couple of weeks and also required to look her ideal. She doesn’t count on undertaking any type of type of lifting surgery but is willing to attempt anything else to improve her ever worsening face and also neck laxity and also marionette line. After careful conversation, she went through Ultherapy to her cheek and jawline, after that her top as well as reduced neck, followed by her lower eyelid, temple as well as brow. On the same day, she went through Shape Instalift to lift her jawline and also mid-face and soften her marionette line. Added Novathreads were made use of to tighten her neck line. 1.5 cc of Radiesse was used to boost her chin and also 1cc of Restyene was made use of to more smoothen out her nasolabial and also marionette line. On follow up telephone call the following day, she was able to return to with her hectic schedule and was quite completely satisfied with her outcome. She eagerly anticipates all the picture taking sessions at the Gala in Paris.

Person # 3 is a 42 year old accountant who came in for an examination to discover the numerous face lifting procedures available to do away with her exhausted and also worn out look. She was emotionally even more tired from learning through friends and colleagues that she ought to grin more often because otherwise she looked cross as well as upset. She was formerly a version with a well defined cheek bone as well as reasonably strong jaw line. No jowling neither neck laxity was appreciated. Her eyes still showed a lot of glimmer with very early indicator of side hooding, but was more dominated by the extreme puffiness in her lower eyelids. Upon additional discussion, she has actually undergone almost six month of individual concerns and also had shed close to seven pounds which subsequently has actually made her cheek extra sunken in, made much more remarkable by her well defined cheek and jaw bones. Without a doubt upon her merely grinning, her lower eye muscle was able to tighten sufficient to push the puffy fat bags in while her smiling cheek supplied a lot more enjoyable fullness to her otherwise hollowed out gaunt look. After careful conversation, she undertook the two “Mini-Surgical” procedures consisting of elimination of lower eyelid fat bags via trans-conjunctival strategy to rid of puffiness to her eyes followed by 35cc of fat transfer to different compartments of her face, previously gathered from her reduced abdominal area. Both treatments were carried out under neighborhood anesthesia in less than a few hours. She had minimal to no discoloration yet due to modern swelling over the next few days, she was instructed to recuperate in the house. Because she functioned as a companion in a large CPA company, she selected to work out of her residence for the remainder of the week, but was able to resume her tasks within a few days. When she returned back to function the following week, individuals noted she looked well rested from her much deserved trip, but or else were unaware as to her actually undergoing her “Mini-Surgical” procedures.

Client # 4 is a 35 year old school instructor who kept in mind that her round face was obtaining extra broader and heavier, specifically when taking images on her mobile phone. After careful discussion, she underwent Botox to decrease the Masseter muscular tissue hypertrophy from her teeth grinding which is also restorative to decrease damages to her TM joint. In addition she underwent Ultherapy using both 3mm and also 4.5 mm transducers to not just tighten the collagen in the soft cells as well as fascia wrapping up the muscle mass, however also minimize the charitable fatty tissue in her subcutaneous cells layer along the jaw line as well as cheek area.

Individual # 5 is a 64 year old waitress that still smokes close to a pack of cigarettes daily. She has been desiring for some kind of raising treatment for several years, but has actually always been afraid to draw the trigger due to close friends who looked for the worse in her eyes following their face raising surgeries and also her inability to quit cigarette smoking. She went through 40cc of fat transfer to all facet of fat compartment in her face, with unique focus to her temporal losing and also her mid face retrusion.

Person # 6 is a retired exec that had previously gone through two facelift surgical procedures, last one being even more than 3 years earlier. She desires update lifting treatment however desires to prevent any type of surgical procedures as well as certainly stay clear of any anesthetic due to bad experience throughout current hip replacement surgery. After careful discussion, she undertook Silhouette string lifting to boost her jowling and also nasolabial line.

Patient # 7 and # 8 are couples from Boston in their 50’s who have been dropping by yearly for the previous 5 years to undergo “Pairs” Thermage. In their recent go to, in addition to the Thermage, spouse obtained 1cc of Restylene to the temporal economic downturn locations and also another 1cc of Restylene to the Nasolabial line while the spouse obtained Botox to smoothen out the solid glabellar frown lines.

Client # 9 is a 47 y.o. male patient who wishes facelift surgery to enhance the fastooning around his malar mound. After careful discussion, client underwent transconjunctival reduced eyelid surgery under local anesthesia to enhance upon at the very least the median half of the huge fastooning. The patient would certainly have benefited with squeezing up of the skin under the eyes, he really did not want any type of indication of undergoing surgery.

In conclusion, if these alternatives to a facelift surgery might be an alternative for you, please discuss with your Cosmetic surgeon to see if you may be a great prospect for these treatments. Do keep in mind that every treatment comes with threats and benefits in addition to restrictions and also it would certainly befit you to discover a Surgeon well versed in these techniques that can interact to you just how you can possibly benefit from the procedures with minimal to no downtime.