What happens if you take too much collagen?

5 Facial Cosmetic Surgeon Approved Alternatives to a Facelift

There is no procedure around that can best an artfully done facelift surgery preferably designed for the person’s one-of-a-kind composition as well as private aging changes. Many facelifts performed out there can still produce a cookie-cutter outcome where the outcome may look terrific in one individual and not so fantastic in her pal, even when done by the very same surgeon. Even worse yet are instances where people too soon go under the blade to prevent aging changes as well as end up regretting their decision as a result of loss of their natural significance or personalities.

For those savvy, observant clients that are afraid less than a suitable arise from a “cookie-cutter” facelift surgery; for those that wish to preempt the inevitable aging modifications without too soon going through a facelift surgery; for those that formerly underwent a facelift surgery and desire update enhancements without undertaking one more surgery; for those that simply don’t have a week or longer to recuperate from a facelift surgery; for those that are afraid general anesthesia or even twilight sedation; for smokers that deal with better risk of complications from undertaking facelift surgery; for those who can not allocate a facelift surgery, there are lastly time-tested, FDA authorized alternatives to a typical facelift surgery which Surgeons can offer to their people. In this short article I will be reviewing some of the much more preferred alternatives provided at my center.

The five choices to facelift surgery I make use of in my workplace are Thermage, Ultherapy, String training, Fillers, and also 2 “Mini Surgery” treatments including 3-D volume repair and re-contouring making use of fat transfer and also reduced eyelid fat bag elimination using transconjunctival approach.

Extremely frequently these modalities are made use of in collaborating combinations for the individual person’ s needs to accomplish optimal end result. The combination made use of are based upon understanding of the individual person’s integral bony and also soft cells physiological foundation as well as exact analysis of the aging changes which have taken place. These aging modifications can be generally correlated to people age, ethnic history, as well as environmental and genetical aspects.

These are excellent in those people who feel the collagen in their soft tissues are obtaining too soft and also being attracted downward, which can be felt also in early 30’s for some clients. These equipments are faves as stand-alone treatment in clients who are in their 30’s to 50’s.

In individuals from 40’s as well as up that note sagging of mid-face with consistent growing of the tear trough, marionette, and nasolabial line as well as appearance of the dreaded jowling and neck laxity, either Thermage or Ultherapy is recommended to tighten their native collagen in the soft cells. After conclusion of one side, person is brought up to a sitting position so patients can directly picture and also contrast the raised vs unlifted side as well as with their pre-operative pictures. Due to almost no discoloration as well as swelling, some patients resume their complete tasks as well as return to function or eat out on the same day.

If a person presents with lower eyelid puffiness which is serious enough to be seen also from across the area, reduced eyelid surgery can be done under neighborhood anesthesia with nearly no bruising, enabling healing period to be no more than a couple of days to a week at many. Integrating these 2 “Mini Surgical” treatments in my repertoire of alternatives to facelift surgery is crucial in my practice due to the fact that in my opinion, the look of the fat bag under the eyes and also loss of facial quantity are truly the initial indicators of aging changes visible in patients as very early as late 20’s and early 30’s. Not a week passes by with clients coming in wishing some kind of “training” surgery due to their “weary” and “gaunt” look when in truth, lower eyelid surgery is what they needed to free of their weary look due to puffy eye bags and quantity remediation as well as re-contouring with fat transfer is what they needed to rid of the gaunt and also extended appearance.

I will go through a couple of patient circumstances I have actually encountered in the past few months.

Patient # 1 is a 61 year old female who can be found in wanting to look far better a week before her child’s wedding. She had a very busy week ahead of her so not also a day to recover. She didn’t such as the tear trough under her eyes along with the ever getting worse nasolabial line and jowling. Worst yet were the sunken in look of her cheek bone making her look weary. Her spending plan was extremely restricted as the majority of her financial savings mosted likely to helping with her child’s wedding. After mindful discussion, she undertook a 1.5 cc Radiesse injection to high light her cheek prominence along with to submit the hollowing of her cheeks. Basically the Radiesse was made use of to produce a “liquid” lift. An Additional 1cc of Restylene was made use of to fill along the hollowing in the tear trough area too over the nasolabial line which better supplied an optical sense of mid-face lift. She was likewise provided some Botox to smooth the crow’s feet and frown lines; as well as, at the same time offering a minor lateral brow lift and therefore a subtle improvement to the side hooding of her top eyes.

Client # 2 is a 55 year old Chief Executive Officer of a large property business. She was invited to a Gala occasion in Paris turning up in a couple of weeks as well as required to look her finest. She does not believe in undertaking any type of type of training surgery yet wants to attempt anything else to boost her ever aggravating facial and neck laxity and marionette line. After careful conversation, she went through Ultherapy to her cheek as well as jawline, after that her upper and also lower neck, complied with by her reduced eyelid, brow and also forehead. On the exact same day, she went through Silhouette Instalift to lift her jawline and mid-face and also soften her marionette line. Additional Novathreads were utilized to tighten her neck line. Ultimately 1.5 cc of Radiesse was utilized to improve her chin as well as 1cc of Restyene was used to additional smoothen out her nasolabial and marionette line. On follow up telephone call the adhering to day, she had the ability to return to with her hectic routine and was fairly completely satisfied with her outcome. She expects all the picture taking sessions at the Gala in Paris.

Person # 3 is a 42 year old accountant that came in for an assessment to find out about the numerous face lifting procedures offered to remove her tired and weary appearance. She was psychologically even more exhausted from speaking with buddies and colleagues that she need to smile more frequently since otherwise she looked cross and angry. She was formerly a model with a well defined cheek bone as well as reasonably strong jaw line. No jowling nor neck laxity was valued. Her eyes still revealed lots of sparkle with early sign of lateral hooding, however was much more controlled by the severe puffiness in her lower eyelids. Upon additional conversation, she has undergone almost 6 month of individual issues and had shed near 7 extra pounds which consequently has made her cheek more sunken in, made much more dramatic by her well specified cheek as well as jaw bones. Upon her merely smiling, her reduced eye muscle mass was able to tighten enough to press the puffy fat bags in while her grinning cheek offered more pleasant volume to her or else hollowed out gaunt appearance. After careful discussion, she went through both “Mini-Surgical” procedures including removal of reduced eyelid fat bags by means of trans-conjunctival technique to eliminate puffiness to her eyes adhered to by 35cc of fat transfer to various areas of her face, formerly collected from her lower stomach location. Both procedures were performed under regional anesthetic in less than a few hours. She had minimal to no due but bruising to dynamic swelling over the following couple of days, she was instructed to recuperate at home. Since she functioned as a partner in a large CPA firm, she selected to work out of her residence for the remainder of the week, but had the ability to resume her activities within a few days. When she returned back to function the complying with week, people noted she looked well relaxed from her much was worthy of trip, however or else were unaware regarding her really undertaking her “Mini-Surgical” procedures.

Client # 4 is a 35 year old institution instructor that kept in mind that her round face was getting extra wider as well as much heavier, especially when taking photos on her mobile phone. She takes care with her diet regimen and no weight gain is noted over the past couple of years. She knows she can never have a V line due to her complete face, yet wish to halt additional widening of her face otherwise show up a bit more lifted and also slimmer like she made use of to look a few years back. Upon more discussion, she grinds her teeth as well as wears a night guard. After careful conversation, she undertook Botox to decrease the Masseter muscle hypertrophy from her teeth grinding which is additionally therapeutic to decrease damage to her TM joint. On top of that she underwent Ultherapy utilizing both 3mm and 4.5 mm transducers to not only tighten the collagen in the soft cells as well as fascia enveloping the muscle mass, yet likewise decrease the generous fatty tissue in her subcutaneous tissue layer along the jaw line and cheek location. On her follow up browse through she was ecstatically pleased with mix of subtle lift as well as narrowing of her facial framework from Ultherapy as well as narrowing of her jaw angle from reducing the bulk of her Masseter muscular tissue utilizing the Botox. She jokingly recognizes “practically” seeing the V-line yet essential, delighted concerning not having to worry about presenting behind her buddies to make her face look smaller sized when taking selfies.

Individual # 5 is a 64 year old waitress who still smokes close to a pack of cigarettes daily. She has been wishing for some type of lifting treatment for numerous years, yet has actually always been worried to draw the trigger due to friends who looked for the even worse in her eyes following their face raising surgeries and her inability to quit smoking. She undertook 40cc of fat transfer to all aspect of fat compartment in her face, with special focus to her temporal losing and her mid face retrusion.

Client # 6 is a retired exec who had actually previously undertaken 2 facelift surgical treatments, last one being more than 3 years ago. She remains in her mid 70’s and also still really active in several cultures she belongs to. She desires update raising procedure however intends to prevent any kind of surgical procedures as well as certainly stay clear of any type of anesthesia due to bad experience during recent hip replacement surgery. After mindful discussion, she undertook Silhouette thread raising to boost her jowling as well as nasolabial line. She undertook PDO Novathread lift to enhance the persistent best side neck laxity and turkey waddle. Just the appropriate side was raised as the left side was acceptable. In addition, 1cc of Restylene was used to further boost the nasolabial line and also edge of the mouth on both sides. She immediately felt a few years more youthful and anticipated fulfilling her buddies at her 50th university reunion.

Individual # 7 and # 8 are pairs from Boston in their 50’s who have actually been stopping by annually for the past five years to undertake “Couples” Thermage. After seeing their family members in UK, they come by my office to obtain their annual Thermage on their way residence. They both really feel that Thermage has actually helped to slow down the inescapable drooping of their face as well as neck. In their current see, in addition to the Thermage, spouse got 1cc of Restylene to the temporal recession areas as well as another 1cc of Restylene to the Nasolabial line while the husband got Botox to smoothen out the strong glabellar frown lines. They are both delighted with the result and plan to come by the following year.

Client # 9 is a 47 y.o. male client that desires facelift surgery to enhance the fastooning around his malar pile. He is less worried regarding the mild jowling as well as volume under his chin, yet he is actually bothered by his malar mound which is even worse in the early mornings. Upon carful analysis, he has extreme puffiness under his eyes which directly links to his puffy malar mound. He has actually dealt with allergies and sinus concerns the majority of his life, which gets worse the reduced eyelid and malar puffiness. After cautious conversation, patient underwent transconjunctival lower eyelid surgery under regional anesthetic to surpass at the very least the median fifty percent of the large fastooning. When one side was finished, he was brought up to staying up position to show the prompt improvement of the operated vs non-operative side. Although the individual would certainly have benefited with squeezing up of the skin under the eyes, he didn’t desire any kind of indicator of going through surgery. In lieu of the pinch, the reduced eyelid muscle mass was warmed with Ellman RF system with transconjunctival strategy which tightened the muscle and also somewhat, the superior skin. PDO Novathreads were then released to tighten the soft tissue and skin around the puffy malar mounds. Only small quantity of lift was accomplished from the PDO threads, as gone over prior to the procedure with the person. However, he was over-all quite delighted with close to complete resolution of median half of his fastooning as well as small training as well as flattening of the puffiness over the malar pile, laterally. Although he had no discoloration, He was asked to recoup at home for a few days due to the lower eyelid surgery and also asked to reduce strenuous tasks for a complete week. On his follow up he was exceptionally delighted that natural renovation could be achieved without much down time and without needing to go through costly significant lifting surgery which was suggested to him by a number of cosmetic surgeons from previous examinations.

In conclusion, if these options to a facelift surgery may be a choice for you, please go over with your Cosmetic surgeon to see if you might be a good prospect for these treatments. Do keep in mind that every treatment comes with benefits and dangers as well as constraints and it would befit you to locate a Surgeon well versed in these strategies who can communicate to you just how you can possibly gain from the treatments with minimal to no downtime.