What can you not do after HIFU treatment?

5 Facial Cosmetic Surgeon Approved Alternatives to a Facelift

There is no treatment out there that can best an artfully performed facelift surgery ideally designed for the client’s special makeup and individual aging changes. Regrettably several facelifts done around can still generate a cookie-cutter result where the result might look fantastic in one person and also not so great in her pal, also when executed by the same surgeon. Even worse yet are situations where individuals prematurely go under the knife to stop aging modifications as well as wind up regretting their decision as a result of loss of their all-natural essence or identities.

For those savvy, perceptive patients that fear less than an ideal arise from a “cookie-cutter” facelift surgery; for those who want to preempt the inescapable aging adjustments without too soon undertaking a facelift surgery; for those that formerly went through a facelift surgery and also dream upgrade renovations without undertaking an additional surgery; for those who simply do not have a week or longer to recoup from a facelift surgery; for those who are afraid general anesthesia or even twilight sedation; for cigarette smokers who face higher danger of complications from undertaking facelift surgery; for those that can’t allocate a facelift surgery, there are finally reliable, FDA authorized choices to a typical facelift surgery which Surgeons can offer to their people. In this short article I will be reviewing a few of the extra popular alternatives supplied at my facility.

The five options to facelift surgery I utilize in my office are Thermage, Ultherapy, Thread training, Fillers, and two “Mini Surgery” procedures containing 3-D quantity restoration and re-contouring utilizing fat transfer and also lower eyelid fat bag elimination using transconjunctival strategy.

Extremely frequently these methods are made use of in collaborating combinations for the private person’ s needs to accomplish ideal outcome. The mix used are based upon understanding of the specific person’s intrinsic bony as well as soft tissue physiological foundation and exact analysis of the aging modifications which have actually taken place. These aging modifications can be normally correlated to individuals age, ethnic background, as well as genetical and also environmental factors.

These are perfect in those clients who feel the collagen in their soft cells are getting too soft as well as being attracted downward, which can be really felt also in very early 30’s for some patients. These makers are favorites as stand-alone treatment in individuals who are in their 30’s to 50’s.

In people from 40’s and up that note sagging of mid-face with stable strengthening of the tear marionette, nasolabial, and trough line as well as look of the dreaded jowling and neck laxity, either Thermage or Ultherapy is suggested to tighten their indigenous collagen in the soft cells. After completion of one side, client is brought up to a sitting setting so patients can directly picture as well as compare the lifted vs unlifted side as well as with their pre-operative pictures. Due to almost no bruising as well as swelling, some patients resume their full activities as well as return to function or eat out on the same day.

3-D facial quantity remediation and re-contouring with fat transfer is also suggested if the person likewise has considerable loss of face volume past the reaches of a few tubes of Fillers. In my center fat transfer is normally done under regional anesthetic as well as because of virtually no bruising, recuperation is normally no greater than a few days. Similarly if a patient presents with lower eyelid puffiness which is severe enough to be seen even from throughout the space, reduced eyelid surgery can be executed under local anesthetic with nearly no discoloration, enabling recuperation period to be no more than a few days to a week at most. Integrating these two “Mini Surgical” treatments in my arsenal of choices to facelift surgery is crucial in my practice since in my viewpoint, the appearance of the fat bag under the eyes as well as loss of face volume are really the initial indicators of aging adjustments visible in clients as very early as late 20’s and early 30’s. Not a week passes by with individuals being available in desiring some kind of “lifting” surgery because of their “tired” as well as “gaunt” appearance when in truth, reduced eyelid surgery is what they required to eliminate their exhausted appearance because of puffy eye bags and volume remediation as well as re-contouring with fat transfer is what they required to eliminate the gaunt and elongated appearance. This method shares the same idea as the “liquid fit” utilizing fillers that many patients recognize with. If a couple of 1cc tube of fillers can be helpful, visualize what 30cc or 40cc of fat transfer can do in terms of recovering the lost volume as well as re-sculpting and also re-contouring the face back to much more vibrant days. I feel real sculpture in me is defined by what I can accomplish with my fat transfer.

I will certainly go through a couple of individual situations I have run into in the past couple of months.

Person # 1 is a 61 year old woman who came in wanting to look better a week before her little girl’s wedding celebration. After cautious conversation, she underwent a 1.5 cc Radiesse injection to high light her cheek renown as well as to fill up out the hollowing of her cheeks. An Additional 1cc of Restylene was made use of to load 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 big real estate business. She was welcomed to a Gala event in Paris showing up in a few weeks and required to look her finest. She does not believe in undergoing any type of type of training surgery yet agrees to attempt anything else to enhance her ever worsening face as well as neck laxity and also marionette line. After cautious conversation, she underwent Ultherapy to her cheek as well as jawline, then her top and also reduced neck, followed by her lower eyebrow, temple and eyelid. On the same day, she underwent Silhouette Instalift to lift her jawline and also mid-face and soften her marionette line. Added Novathreads were used to tighten her neck line. 1.5 cc of Radiesse was used to enhance her chin as well as 1cc of Restyene was used to further smoothen out her nasolabial and marionette line. On follow up telephone call the complying with day, she had the ability to resume with her hectic schedule and also was quite completely satisfied with her end result. She eagerly anticipates all the picture taking sessions at the Gala in Paris.

Patient # 3 is a 42 year old accountant that came in for an examination to learn concerning the different face lifting treatments offered to get rid of her weary and exhausted appearance. After mindful discussion, she went through the two “Mini-Surgical” procedures consisting of elimination of lower eyelid fat bags through trans-conjunctival technique to clear of puffiness to her eyes adhered to by 35cc of fat transfer to numerous compartments of her face, formerly collected from her reduced stomach location. When she returned back to work the adhering to week, people noted she looked well rested from her much deserved vacation, however or else were unaware as to her actually undergoing her “Mini-Surgical” procedures.

Person # 4 is a 35 years of age institution instructor who noted that her round face was obtaining extra bigger and also heavier, especially when taking images on her smart device. She is careful with her diet as well as no weight gain is noted over the past couple of years. She understands she can never ever have a V line due to her complete face, but would like to stop more widening of her face if not appear a little bit much more raised and also slimmer like she used to look a couple of years back. Upon further conversation, she grinds her teeth and also wears an evening guard. After cautious discussion, she went through Botox to decrease the Masseter muscular tissue hypertrophy from her teeth grinding which is additionally healing to decrease damage to her TM joint. On top of that she went through Ultherapy utilizing both 3mm and 4.5 mm transducers to not just tighten the collagen in the soft tissue and fascia covering the muscular tissue, yet also lower the generous fat in her subcutaneous tissue layer along the jaw line as well as cheek location. On her follow up check out 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 minimizing the mass of her Masseter muscular tissue using the Botox. She amusingly acknowledges “nearly” seeing the V-line but crucial, pleased concerning not having to stress over positioning behind her buddies 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 lost a lot of her top teeth many years ago with substantial oral bone loss resulting in reducing and retrusion to her mid-face location. She has actually been wanting some type of raising procedure for years, yet has constantly hesitated to shoot as a result of close friends that tried to find the worse in her eyes following their face lifting surgical procedures as well as her inability to stop smoking cigarettes. She had and had a fixed spending plan to return to Philadelphia the very same evening. After careful discussion, she went through lifting of her jawline, cheek, as well as neck making use of a mix of Sillhouette Instalift and also PDO Novathreads. She underwent 40cc of fat transfer to all aspect of fat compartment in her face, with special focus to her temporal wasting and her mid face retrusion. Fat transfer allowed considerable remediation of her soft tissue quantity in addition to recovering back to her younger shape with greater anterior measurement which she had shed very long time ago due to her premature oral extraction. The mixed treatment took 3 hrs and with practically no bruising and also swelling, was securely able to return to Philadelphia on the exact same night. On her follow up, in between the thread lift and 3-D remediation of her facial shape, she felt she took a look at least ten years younger and also was quiet happy with the result.

Person # 6 is a retired executive who had actually formerly undergone 2 facelift surgical procedures, last one being more than 3 years back. She remains in her mid 70’s as well as still very active in numerous societies she belongs to. She desires upgrade raising treatment however wishes to prevent any surgical treatments and absolutely prevent any anesthetic due to disappointment during current hip substitute surgery. After mindful discussion, she underwent Silhouette thread raising to enhance her jowling as well as nasolabial line. She went through PDO Novathread lift to improve the consistent right side neck laxity and also turkey waddle. Only the right side was raised as the left side was satisfactory. On top of that, 1cc of Restylene was used to additional enhance the nasolabial line and also edge of the mouth on both sides. She immediately really felt a few years younger and also anticipated satisfying her friends at her 50th college get-together.

Client # 7 and # 8 are pairs from Boston in their 50’s that have actually been dropping by every year for the past 5 years to undertake “Couples” Thermage. In their recent check out, in addition to the Thermage, other half obtained 1cc of Restylene to the temporal economic crisis locations and also one more 1cc of Restylene to the Nasolabial line while the spouse received Botox to smooth out the strong glabellar frown lines.

Individual # 9 is a 47 y.o. male person who wants facelift surgery to boost the fastooning around his malar mound. He is less concerned regarding the minor jowling and also fullness under his chin, but he is truly troubled by his malar mound which is even worse in the early mornings. Upon carful evaluation, he has serious puffiness under his eyes which straight links to his puffy malar mound. He has experienced allergic reactions and sinus concerns a lot of his life, which worsens the reduced eyelid and also malar puffiness. After cautious conversation, individual went through transconjunctival lower eyelid surgery under neighborhood anesthesia to surpass a minimum of the medial half of the huge fastooning. As soon as one side was completed, he was brought up to staying up position to reveal the instant enhancement of the operated vs non-operative side. Although the person would certainly have profited with squeezing up of the skin under the eyes, he really did not want any type of indicator of undertaking surgery. Instead of the pinch, the reduced eyelid muscle mass was warmed with Ellman RF device via transconjunctival approach which tightened the muscle mass as well as somewhat, the overlapping skin. PDO Novathreads were then released to tighten the soft tissue and also skin around the puffy malar mounds. Just nominal quantity of lift was accomplished from the PDO threads, as talked about prior to the treatment with the client. He was over-all fairly pleased with close to complete resolution of median fifty percent of his fastooning and small training and flattening of the puffiness over the malar pile, laterally. Although he had no discoloration, He was asked to recuperate in the house for a few days as a result of the reduced eyelid surgery and asked to reduce difficult activities for a complete week. On his follow up he was incredibly delighted that all-natural enhancement could be achieved without a lot down time and also without needing to go through expensive significant lifting surgery which was advised to him by a number of surgeons from previous appointments.

Finally, if these options to a facelift surgery may be an option for you, please discuss with your Plastic Surgeon to see if you might be a good candidate for these treatments. Do bear in mind that every treatment includes benefits as well as dangers along with restrictions and also it would behoove you to find a Surgeon well versed in these methods that can communicate to you just how you can potentially gain from the treatments with very little to no downtime.