What happens if you take too much collagen? – Updated 2021

5 Facial Plastic Surgeon Approved Alternatives to a Facelift

There is no procedure out there that can best a skillfully done facelift surgery ideally made for the person’s distinct composition and also specific aging adjustments. Several facelifts executed out there can still produce a cookie-cutter result where the result might look fantastic in one person and not so terrific in her pal, even when performed by the exact same surgeon. Worse yet are situations where clients too soon go under the knife to prevent aging modifications and end up regretting their choice as a result of loss of their natural significance or characters.

For those wise, perceptive people who are afraid less than an optimal result from a “cookie-cutter” facelift surgery; for those that desire to preempt the unavoidable aging changes without prematurely undergoing a facelift surgery; for those that formerly underwent a facelift surgery as well as desire update improvements without going through one more surgery; for those that just do not have a week or longer to recover from a facelift surgery; for those who fear general anesthetic and even twilight sedation; for cigarette smokers who deal with better threat of difficulties from going through facelift surgery; for those who can not allocate a facelift surgery, there are finally time-tested, FDA approved options to a traditional facelift surgery which Surgeons can provide to their people. In this write-up I will be reviewing some of the extra popular options provided at my center.

The five options to facelift surgery I utilize in my office are Thermage, Ultherapy, String lifting, Fillers, and two “Mini Surgery” procedures including 3-D quantity repair as well as re-contouring using fat transfer and reduced eyelid fat bag elimination making use of transconjunctival technique.

Very often these methods are used in synergistic mixes for the specific person’ s requires to attain optimal result. The combination used are based on understanding of the individual client’s integral bony and also soft cells physiological structure and also exact analysis of the aging adjustments which have taken place. These aging adjustments can be normally associated to patients age, ethnic history, and also genetical and ecological variables.

These are optimal in those people who really feel the collagen in their soft tissues are getting too soft as well as moving downward, which can be really felt even in very early 30’s for some people. These makers are favorites as stand-alone treatment in patients that are in their 30’s to 50’s.

In clients from 40’s and also up who note sagging of mid-face with stable growing of the tear marionette, trough, and nasolabial line as well as look of the feared jowling and neck laxity, either Thermage or Ultherapy is recommended to tighten their native collagen in the soft tissue. After completion of one side, client is brought up to a sitting position so patients can directly picture and also compare the lifted vs unlifted side as well as with their pre-operative pictures. Due to nearly no discoloration as well as swelling, some people resume their full activities and also return to function or dine out on the exact same day.

3-D face quantity repair and also re-contouring with fat transfer is also suggested if the person additionally has significant loss of facial quantity beyond the reaches of a few tubes of Fillers. In my center fat transfer is generally done under local anesthetic as well as as a result of virtually no bruising, recovery is normally no more than a few days. If a patient offers with reduced eyelid puffiness which is extreme sufficient to be seen even from across the room, reduced eyelid surgery can be executed under local anesthetic with virtually no discoloration, allowing healing duration to be no more than a couple of days to a week at most. Incorporating these two “Mini Surgical” treatments in my repertoire of choices to facelift surgery is critical in my practice because in my point of view, the appearance of the fat bag under the eyes as well as loss of face quantity are absolutely the preliminary signs old modifications noticeable in people as early as late 20’s and also very early 30’s. Not a week passes by with patients being available in wishing some kind of “lifting” surgery as a result of their “tired” and also “gaunt” appearance when in reality, reduced eyelid surgery is what they needed to rid of their tired appearance as a result of puffy eye bags and volume repair and re-contouring with fat transfer is what they required to rid of the gaunt as well as lengthened appearance. This strategy shares the same idea as the “fluid fit” using fillers that many people know with. However if a few 1cc tube of fillers can be valuable, visualize what 30cc or 40cc of fat transfer can do in terms of bring back the shed quantity and also 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 few individual situations I have run into in the past couple of months.

Client # 1 is a 61 year old female who can be found in wishing to look far better a week prior to her daughter’s wedding celebration. She had an extremely active week ahead of her so not also a day to recoup. She didn’t such as the tear trough under her eyes along with the ever getting worse nasolabial line and also jowling. Worst yet were the sunken in appearance of her cheek bone making her look tired. Her budget plan was extremely restricted as most of her savings went to assisting with her daughter’s wedding event. After cautious discussion, she went through a 1.5 cc Radiesse injection to high light her cheek eminence in addition to to fill in the hollowing of her cheeks. Essentially the Radiesse was used to develop a “liquid” lift. One More 1cc of Restylene was made use of to fill along the hollowing in the tear trough area too over the nasolabial line which even more gave an optical feeling of mid-face lift. She was additionally offered some Botox to smooth the crow’s feet and also frown lines; and also, at the same time supplying a minor lateral eyebrow lift and thereby a refined renovation to the lateral hooding of her upper eyes.

Patient # 2 is a 55 year old Chief Executive Officer of a big genuine estate firm. She doesn’t think in undertaking any type of form of lifting surgery however is willing to attempt anything else to boost her ever before aggravating facial as well as neck laxity as well as marionette line. On the very same day, she undertook Shape Instalift to lift her jawline and also mid-face and soften her marionette line.

Patient # 3 is a 42 years of age accounting professional that came in for a consultation to learn about the different face lifting procedures readily available to get rid of her worn out and also tired look. Because or else she looked cross and also mad, she was mentally more weary from hearing from good friends as well as colleagues that she need to grin more often. She was previously a version with a well defined cheek bone and reasonably solid jaw line. No jowling neither neck laxity was valued. Her eyes still showed plenty of sparkle with early indicator of lateral hooding, yet was a lot more dominated by the serious puffiness in her lower eyelids. Upon further discussion, she has actually experienced almost six month of individual problems as well as had lost close to 7 pounds which consequently has made her cheek more sunken in, made extra dramatic by her well defined cheek as well as jaw bones. Certainly upon her just smiling, her lower eye muscle was able to tighten sufficient to press the puffy fat bags in while her grinning cheek provided a lot more enjoyable volume to her or else hollowed out gaunt appearance. After cautious conversation, she went through the two “Mini-Surgical” procedures containing removal of lower eyelid fat bags using trans-conjunctival strategy to rid of puffiness to her eyes adhered to by 35cc of fat transfer to different areas of her face, previously harvested from her reduced stomach area. Both treatments were performed under regional anesthetic in less than a few hrs. She had minimal to no bruising yet due to progressive swelling over the following few days, she was instructed to recuperate in your home. Because she worked as a companion in a large Certified Public Accountant company, she selected to work out of her house for the remainder of the week, but had the ability to resume her tasks within a couple of days. When she returned back to work the following week, people noted she looked well rested from her much should have getaway, however or else were clueless regarding her in fact undergoing her “Mini-Surgical” treatments.

Individual # 4 is a 35 years of age college instructor who noted that her round face was getting much more broader as well as much heavier, especially when taking photos on her smartphone. She is careful with her diet regimen as well as no weight gain is kept in mind over the past couple of years. She recognizes she can never ever have a V line due to her complete face, yet want to stop more widening of her face if not appear a bit extra lifted and slimmer like she made use of to look a few years back. Upon more discussion, she grinds her teeth and wears a night guard. After cautious conversation, she undertook Botox to minimize the Masseter muscular tissue hypertrophy from her teeth grinding which is likewise healing to lessen damages to her TM joint. Additionally she undertook Ultherapy using both 3mm as well as 4.5 mm transducers to not only tighten the collagen in the soft cells and fascia enveloping the muscle mass, yet additionally lower the generous fat in her subcutaneous tissue layer along the jaw line and cheek location. On her follow up visit she was ecstatically pleased with mix of refined lift and constricting of her face frame from Ultherapy and also constricting of her jaw angle from minimizing the bulk of her Masseter muscular tissue utilizing the Botox. She jokingly acknowledges “almost” seeing the V-line yet crucial, satisfied about not needing to stress over posturing behind her buddies to make her face look smaller when taking selfies.

Client # 5 is a 64 year old waitress who still smokes near a pack of cigarettes daily. She had shed the majority of her top teeth many years ago with significant oral bone loss resulting in shortening and retrusion to her mid-face location. She has actually been wishing for some type of lifting procedure for many years, yet has actually always hesitated to pull the trigger due to friends that looked for the worse in her eyes following their face lifting surgical procedures and her lack of ability to quit cigarette smoking. She had a set budget plan as well as had to go back to Philly the very same evening. After mindful conversation, she underwent lifting of her jawline, neck, as well as cheek utilizing a mix of Sillhouette Instalift and PDO Novathreads. She underwent 40cc of fat transfer to all aspect of fat compartment in her face, with unique attention to her temporal wasting and also her mid face retrusion. Fat transfer enabled substantial reconstruction of her soft cells quantity along with restoring back to her vibrant shape with higher anterior dimension which she had actually lost very long time ago as a result of her premature oral extraction. The mixed procedure took 3 hrs and also with almost no discoloration and also swelling, was securely able to go back to Philly on the exact same evening. On her follow up, between the string lift and 3-D remediation of her face shape, she felt she checked out least ten years more youthful as well as was quiet delighted with the end result.

Patient # 6 is a retired executive that had formerly gone through 2 facelift surgical treatments, last one being more than 3 years earlier. She remains in her mid 70’s as well as still extremely energetic in several societies she comes from. She wants update raising procedure however wishes to avoid any surgeries and absolutely prevent any type of anesthetic as a result of bad experience throughout recent hip replacement surgery. After careful discussion, she underwent Silhouette string lifting to improve her jowling and nasolabial line. She went through PDO Novathread lift to enhance the consistent right side neck laxity and turkey waddle. Only the right side was lifted as the left side was satisfying. On top of that, 1cc of Restylene was used to further boost the nasolabial line and corner of the mouth on both sides. She right away felt a couple of years younger and also expected satisfying her close friends at her 50th college reunion.

Person # 7 as well as # 8 are couples from Boston in their 50’s that have been going down by yearly for the past five years to go through “Pairs” Thermage. In their recent see, in addition to the Thermage, partner got 1cc of Restylene to the temporal recession areas as well as another 1cc of Restylene to the Nasolabial line while the spouse received Botox to smoothen out the solid glabellar frown lines.

Person # 9 is a 47 y.o. male individual who wants facelift surgery to enhance the fastooning around his malar mound. He is much less worried concerning the small jowling as well as volume under his chin, however he is really bothered by his malar pile which is worse in the mornings. Upon carful analysis, he has serious puffiness under his eyes which straight links to his puffy malar pile. He has actually dealt with allergic reactions and sinus issues most of his life, which intensifies the lower eyelid and also malar puffiness. After mindful discussion, person went through transconjunctival lower eyelid surgery under local anesthesia to surpass at least the median half of the huge fastooning. Once one side was completed, he was brought up to staying up position to show the prompt renovation of the operated vs non-operative side. The patient would have profited with squeezing up of the skin under the eyes, he didn’t desire any indicator of undergoing surgery. In lieu of the pinch, the lower eyelid muscular tissue was heated with Ellman RF system through transconjunctival technique which tightened the muscular tissue and also to a degree, the overlapping skin. PDO Novathreads were then released to tighten the soft cells and also skin around the puffy malar mounds. Only nominal quantity of lift was accomplished from the PDO threads, as reviewed prior to the procedure with the client. He was over-all rather happy with near full resolution of median fifty percent of his fastooning as well as mild training and also flattening of the puffiness over the malar mound, laterally. Even though he had no discoloration, He was asked to recover in the house for a couple of days because of the lower eyelid surgery as well as asked to decrease laborious tasks for a complete week. On his follow up he was incredibly happy that all-natural enhancement could be achieved without a lot down time as well as without having to undergo costly major training surgery which was suggested to him by several specialists from prior consultations.

To conclude, if these choices 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 procedures. Do remember that every treatment features benefits as well as threats along with limitations and it would certainly behoove you to find a Surgeon well versed in these techniques that can interact to you how you can potentially gain from the procedures with marginal to no downtime.