What is HIFU good for? – Updated 2021

5 Facial Cosmetic Surgeon Approved Alternatives to a Facelift

There is no procedure out there that can best an artfully carried out facelift surgery preferably made for the person’s distinct composition as well as individual aging changes. However many facelifts performed out there can still produce a cookie-cutter outcome where the end result may look great in one individual and not so terrific in her close friend, even when carried out by the exact same surgeon. Worse yet are situations where clients too soon go under the blade to avoid aging adjustments and also wind up regretting their decision as a result of loss of their natural essence or identities.

For those wise, perceptive individuals who are afraid less than a perfect result from a “cookie-cutter” facelift surgery; for those who want to preempt the unavoidable aging modifications without prematurely going through a facelift surgery; for those who previously underwent a facelift surgery and wish update enhancements without undergoing 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 smokers that encounter better risk of difficulties from undergoing facelift surgery; for those who can’t allocate a facelift surgery, there are ultimately tried and true, FDA approved options to a standard facelift surgery which Surgeons can give to their people. In this post I will be talking about several of the extra popular options used at my facility.

The 5 options to facelift surgery I utilize in my workplace are Thermage, Ultherapy, Thread lifting, Fillers, and also two “Mini Surgery” procedures including 3-D volume restoration and also re-contouring utilizing fat transfer as well as reduced eyelid fat bag elimination using transconjunctival approach.

Really commonly these techniques are utilized in synergistic mixes for the private patient’ s requires to achieve optimal outcome. The mix used are based upon understanding of the private person’s inherent bony as well as soft cells anatomical foundation and precise evaluation of the aging modifications which have actually taken place. These aging changes can be generally correlated to people age, ethnic history, as well as genetical and ecological aspects.

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

In individuals from 40’s as well as up that keep in mind sagging of mid-face with stable deepening of the tear marionette, trough, as well as nasolabial line as well as appearance of the dreadful jowling as well as neck laxity, either Thermage or Ultherapy is advised to tighten their indigenous collagen in the soft cells. After completion of one side, client is brought up to a sitting placement so clients can straight visualize and compare the lifted vs unlifted side as well as with their pre-operative pictures. Due to almost no discoloration and also swelling, some individuals resume their complete tasks and return to eat or work out on the exact same day.

If a patient offers with reduced eyelid puffiness which is severe sufficient to be seen even from across the space, reduced eyelid surgery can be executed under neighborhood anesthetic with virtually no bruising, permitting recovery duration to be no more than a couple of days to a week at a lot of. Including these 2 “Mini Surgical” treatments in my arsenal of choices to facelift surgery is essential in my practice due to the fact that in my viewpoint, the look of the fat bag under the eyes and also loss of face volume are absolutely the preliminary indications of aging modifications visible in clients as very early as late 20’s as well as early 30’s. Not a week passes by with clients coming in wishing some type of “lifting” surgery due to their “worn out” as well as “gaunt” look when in reality, reduced eyelid surgery is what they needed to free of their tired look due to puffy eye bags as well as volume remediation and re-contouring with fat transfer is what they required to free of the gaunt and elongated look.

I will certainly undergo a few patient scenarios I have actually encountered in the past few months.

Client # 1 is a 61 years of age woman who came in wishing to look much better a week prior to her little girl’s wedding celebration. She had an extremely hectic week ahead of her so not also a day to recuperate. She really did not such as the tear trough under her eyes along with the ever aggravating nasolabial line and also jowling. Worst yet were the sunken in appearance of her cheek bone making her look worn out. Her budget was extremely restricted as a lot of her cost savings mosted likely to helping with her daughter’s wedding event. After cautious conversation, she went through a 1.5 cc Radiesse shot to high light her cheek renown in addition to to complete the hollowing of her cheeks. Basically the Radiesse was utilized to create a “liquid” lift. Another 1cc of Restylene was utilized to fill up along the hollowing in the tear trough area as well over the nasolabial line which better provided an optical feeling of mid-face lift. She was additionally offered some Botox to smoothen the crow’s feet as well as frown lines; as well as, at the same time giving a slight lateral brow lift as well as thereby a subtle renovation to the side hooding of her top eyes.

Person # 2 is a 55 year old Chief Executive Officer of a huge actual estate firm. She doesn’t think in undergoing any type of training surgery but is eager to try anything else to boost her ever before getting worse facial and also neck laxity and also marionette line. On the very same day, she underwent Shape Instalift to lift her jawline and mid-face and also soften her marionette line.

Patient # 3 is a 42 year old accounting professional who came in for an assessment to learn about the various face lifting procedures available to remove her worn out and also tired appearance. Since or else she looked cross and also mad, she was mentally even more exhausted from listening to from friends and associates that she must smile a lot more typically. She was previously a design with a well defined cheek bone and reasonably solid jaw line. No jowling nor neck laxity was valued. Her eyes still showed plenty of glimmer with early indication of side hooding, but was more controlled by the severe puffiness in her reduced eyelids. Upon more discussion, she has undergone virtually 6 month of individual issues and also had actually shed near seven pounds which as a result has made her cheek more sunken in, made much more dramatic by her well specified cheek and also jaw bones. Without a doubt upon her merely grinning, her reduced eye muscle was able to tighten enough to push the puffy fat bags in while her smiling cheek gave more positive fullness to her otherwise burrowed gaunt appearance. After mindful conversation, she undertook the two “Mini-Surgical” procedures including removal of reduced eyelid fat bags via trans-conjunctival technique to eliminate puffiness to her eyes adhered to by 35cc of fat transfer to different areas of her face, previously collected from her lower stomach area. Both treatments were carried out under neighborhood anesthetic in less than a few hours. She had marginal to no due but discoloration to dynamic swelling over the next few days, she was instructed to recoup in the house. Because she worked as a partner in a huge Certified Public Accountant firm, she selected to work out of her home for the remainder of the week, yet had the ability to resume her tasks within a few days. When she returned back to work the following week, individuals noted she looked well relaxed from her much should have getaway, but otherwise were unaware as to her really undertaking her “Mini-Surgical” procedures.

Person # 4 is a 35 year old school teacher that noted that her round face was obtaining much more broader as well as much heavier, particularly when taking pictures on her smart device. After cautious discussion, she went through Botox to lower the Masseter muscle mass hypertrophy from her teeth grinding which is additionally therapeutic to minimize damages to her TM joint. In addition she went through Ultherapy using 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, but also lower the charitable fatty tissue in her subcutaneous cells layer along the jaw line as well as cheek area.

Person # 5 is a 64 years of age waitress who still smokes near to a pack of cigarettes daily. She had lost most of her upper teeth many years ago with considerable oral bone loss leading to reducing and also retrusion to her mid-face area. She has been wishing for some kind of lifting procedure for several years, but has always been afraid to pull the trigger because of buddies that looked for the worse in her eyes following their face lifting surgeries as well as her lack of ability to quit cigarette smoking. She had a fixed budget as well as had to return to Philly the very same night. After mindful conversation, she undertook training of her neck, cheek, and jawline making use of a combination of Sillhouette Instalift and also PDO Novathreads. She underwent 40cc of fat transfer to all element of fat area in her face, with unique attention to her temporal losing and her mid face retrusion. Fat transfer enabled significant repair of her soft tissue volume as well as recovering back to her younger contour with greater anterior dimension which she had shed long time ago due to her premature oral removal. The combined procedure took 3 hours and also with nearly no discoloration and swelling, was securely able to return to Philadelphia on the exact same evening. On her follow up, between the string lift and also 3-D reconstruction of her face shape, she felt she took a look at least 10 years younger and was quiet pleased with the outcome.

Client # 6 is a retired executive that had actually previously undergone 2 facelift surgeries, last one being greater than 3 years back. She remains in her mid 70’s and also still extremely active in many cultures she belongs to. She wants upgrade raising treatment yet wants to stay clear of any surgical treatments as well as definitely avoid any type of anesthesia due to bad experience during recent hip substitute surgery. After cautious discussion, she went through Shape string raising to improve her jowling and nasolabial line. She went through PDO Novathread lift to boost the consistent appropriate side neck laxity as well as turkey waddle. Only the appropriate side was raised as the left side was acceptable. Furthermore, 1cc of Restylene was utilized to more improve the nasolabial line and also edge of the mouth on both sides. She promptly really felt a few years younger as well as looked forward to fulfilling her good friends at her 50th university get-together.

Patient # 7 and # 8 are pairs from Boston in their 50’s who have been stopping by yearly for the past 5 years to go through “Couples” Thermage. After seeing their family members in UK, they drop by my office to get their yearly Thermage on their method residence. They both feel that Thermage has aided to decrease the unavoidable drooping of their face and neck. In their recent check out, along with the Thermage, other half got 1cc of Restylene to the temporal economic downturn locations and also an additional 1cc of Restylene to the Nasolabial line while the spouse got Botox to smooth out the strong glabellar frown lines. They are both happy with the outcome as well as plan to drop by the following year.

Patient # 9 is a 47 y.o. male individual who desires facelift surgery to improve the fastooning around his malar pile. He is less concerned about the mild jowling as well as volume under his chin, yet he is really troubled by his malar mound which is even worse in the mornings. Upon carful analysis, he has serious puffiness under his eyes which directly links to his puffy malar mound. He has dealt with allergic reactions and also sinus issues a lot of his life, which gets worse the lower eyelid and also malar puffiness. After mindful conversation, client underwent transconjunctival lower eyelid surgery under local anesthesia to surpass at the very least the median half of the large fastooning. Once one side was finished, he was brought up to staying up placement to reveal the instant renovation of the run vs non-operative side. The individual would certainly have benefited with squeezing up of the skin under the eyes, he didn’t desire any kind of indication of undertaking surgery. Instead of the pinch, the lower eyelid muscular tissue was heated up with Ellman RF device through transconjunctival strategy which tightened the muscle and somewhat, the superior skin. PDO Novathreads were then released to tighten the soft tissue and skin around the puffy malar mounds. Just small quantity of lift was attained from the PDO threads, as gone over before the procedure with the individual. He was over-all fairly happy with close to full resolution of medial fifty percent of his fastooning as well as slight training and flattening of the puffiness over the malar mound, laterally. Despite the fact that he had no discoloration, He was asked to recover at home for a few days because of the reduced eyelid surgery and asked to reduce strenuous activities for a full week. On his follow up he was exceptionally delighted that all-natural renovation could be attained without a lot down time and also without needing to undergo costly significant training surgery which was recommended to him by a number of doctors from previous appointments.

In conclusion, if these options to a facelift surgery might be an alternative for you, please go over with your Cosmetic surgeon to see if you may be an excellent prospect for these treatments. Do keep in mind that every procedure includes benefits and also dangers along with restrictions and it would behoove you to find a Surgeon well versed in these techniques that can communicate to you just how you can potentially benefit from the procedures with very little to no downtime.