What is the best treatment for face wrinkles? – Updated 2021

5 Facial Plastic Surgeon Approved Alternatives to a Facelift

There is no procedure around that can best a skillfully done facelift surgery preferably designed for the client’s unique composition and also individual aging changes. Several facelifts executed out there can still produce a cookie-cutter outcome where the end result may look wonderful in one individual and also not so fantastic in her pal, even when done by the same surgeon. Worse yet are situations where clients too soon go under the knife to stop aging adjustments and end up regretting their choice as a result of loss of their all-natural significance or personalities.

For those savvy, perceptive people who are afraid less than an excellent result from a “cookie-cutter” facelift surgery; for those who want to preempt the unavoidable aging changes without too soon undergoing a facelift surgery; for those that formerly went through a facelift surgery and dream update improvements without going through another surgery; for those that merely don’t have a week or longer to recover from a facelift surgery; for those that are afraid general anesthetic or even twilight sedation; for smokers that encounter greater danger of complications from undergoing facelift surgery; for those that can’t allocate a facelift surgery, there are finally tried and true, FDA approved options to a standard facelift surgery which Surgeons can provide to their people. In this post I will certainly be discussing some of the more prominent choices offered at my clinic.

The 5 options to facelift surgery I utilize in my office are Thermage, Ultherapy, String lifting, Fillers, and also two “Mini Surgery” procedures containing 3-D quantity reconstruction as well as re-contouring utilizing fat transfer as well as reduced eyelid fat bag removal using transconjunctival technique.

Very usually these modalities are utilized in collaborating combinations for the individual person’ s needs to achieve optimal result. The combination used are based upon understanding of the specific person’s integral bony and also soft tissue physiological foundation and also precise evaluation of the aging changes which have taken place. These aging adjustments can be normally associated to people age, ethnic history, as well as environmental and also genetical variables.

Thermage and Ultherapy are both power based training devices which work by sinking RF (Thermage) or Sonar (Ulthera) power to heat up the collagen and tighten the connective cells below the skin. These are optimal in those clients who really feel the collagen in their soft tissues are obtaining as well soft as well as moving downward, which can be really felt also in very early 30’s for some individuals. Both devices have sufficient nuances that the Surgeon requires to be well versed in the optimum use the devices and in whom to match with which device. These machines are favorites as stand-alone procedure in individuals who are in their 30’s to 50’s. Commonly they are used combined with Botox as well as Fillers to accomplish better synergistic effect.

In clients from 40’s and up that note sagging of mid-face with stable growing of the tear trough, marionette, and nasolabial line in addition to appearance of the dreadful jowling and neck laxity, either Thermage or Ultherapy is recommended to tighten their indigenous collagen in the soft tissue. Yet to achieve more lifting, thread training making use of either Shape Instalift or Novathread is recommended. The technique to a successful thread training is comprehending the subtleties of the device and strength of the threads and creating appropriate vectors as well as anchors to develop a certain yet refined as well as all-natural lift. After conclusion of one side, person is brought up to a resting position so patients can straight imagine and contrast the lifted vs unlifted side as well as with their pre-operative pictures. Due to virtually no bruising and swelling, some patients resume their complete tasks and also go back to eat or function out on the exact same day. We ask our individuals to schedule a day or 2 to recuperate just in case they run right into some swelling.

If a patient presents with reduced eyelid puffiness which is extreme sufficient to be seen even from throughout the room, lower eyelid surgery can be carried out under local anesthesia with virtually no discoloration, enabling healing period to be no more than a few days to a week at most. Integrating these two “Mini Surgical” treatments in my arsenal of alternatives to facelift surgery is imperative in my practice since in my opinion, the appearance of the fat bag under the eyes and also loss of facial quantity are genuinely the first indicators of aging adjustments visible in people as early as late 20’s and also very early 30’s. Not a week passes by with patients coming in desiring some kind of “lifting” surgery due to their “worn out” as well as “gaunt” look when in reality, lower eyelid surgery is what they required to rid of their weary appearance due to puffy eye bags and also quantity restoration as well as re-contouring with fat transfer is what they needed to free of the gaunt and also elongated appearance.

I will undergo a few individual circumstances I have actually experienced in the past couple of months.

Patient # 1 is a 61 year old woman that came in wishing to look much better a week prior to her daughter’s wedding celebration. After careful discussion, she undertook a 1.5 cc Radiesse injection to high light her cheek prominence as well as to fill up out the hollowing of her cheeks. Another 1cc of Restylene was made use of to load along the hollowing in the tear trough location as well over the nasolabial line which additionally provided an optical sense of mid-face lift.

Individual # 2 is a 55 year old Chief Executive Officer of a big realty business. She was invited to a Gala event in Paris turning up in a few weeks as well as required to look her finest. She doesn’t rely on undertaking any kind of kind of lifting surgery yet agrees to try anything else to boost her ever getting worse face as well as neck laxity as well as marionette line. After mindful discussion, she undertook Ultherapy to her cheek and jawline, then her upper and reduced neck, complied with by her lower temple, eyelid and brow. On the exact same day, she undertook Silhouette Instalift to lift her jawline and mid-face and also soften her marionette line. Extra Novathreads were made use of to tighten her neck line. 1.5 cc of Radiesse was utilized to improve her chin and also 1cc of Restyene was made use of to more smoothen out her nasolabial as well as marionette line. On follow up call the following day, she was able to return to with her active schedule and was fairly satisfied with her outcome. She looks forward to all the picture taking sessions at the Gala in Paris.

Client # 3 is a 42 year old accountant that came in for an examination to find out about the different face training treatments offered to get rid of her tired and fatigued look. After careful conversation, she undertook the two “Mini-Surgical” treatments being composed of elimination of lower eyelid fat bags using trans-conjunctival technique to clear of puffiness to her eyes followed by 35cc of fat transfer to different compartments of her face, formerly harvested from her lower abdominal location. When she returned back to work the adhering to week, individuals noted she looked well rested from her much was entitled to trip, but otherwise were clueless as to her actually undertaking her “Mini-Surgical” treatments.

Individual # 4 is a 35 year old institution teacher who noted that her round face was obtaining more bigger as well as heavier, specifically when taking pictures on her mobile phone. After cautious discussion, she undertook Botox to lower the Masseter muscle hypertrophy from her teeth grinding which is also therapeutic to minimize damage to her TM joint. In enhancement she underwent Ultherapy utilizing 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, but also reduce the charitable fatty tissue in her subcutaneous cells layer along the jaw line and cheek area.

Person # 5 is a 64 years of age waitress that still smokes near a pack of cigarettes daily. She had actually shed most of her top teeth many years ago with considerable dental bone loss causing shortening and also retrusion to her mid-face location. She has actually been yearning for some kind of lifting treatment for years, but has constantly hesitated to shoot due to close friends that tried to find the worse in her eyes following their face lifting surgical treatments as well as her lack of ability to give up cigarette smoking. She had a fixed budget and also had to return to Philly the same evening. After careful discussion, she went through lifting of her jawline, cheek, as well as neck utilizing a mix of Sillhouette Instalift and also PDO Novathreads. She undertook 40cc of fat transfer to all aspect of fat compartment in her face, with unique interest to her temporal losing and also her mid face retrusion. Fat transfer permitted considerable reconstruction of her soft tissue volume along with restoring back to her younger shape with higher former dimension which she had actually lost long time ago because of her premature oral extraction. The mixed treatment took 3 hours and with almost no discoloration and also swelling, was securely able to return to Philly on the very same evening. On her follow up, between the string lift and also 3-D restoration of her face contour, she felt she took a look at least ten years younger and was quiet happy with the result.

Client # 6 is a retired exec who had actually previously undergone 2 facelift surgical treatments, last one being even more than 3 years earlier. She wants upgrade lifting treatment however wants to prevent any kind of surgical procedures and also absolutely stay clear of any kind of anesthetic due to poor experience throughout current hip substitute surgery. After careful discussion, she went through Silhouette string lifting to enhance her jowling and nasolabial line.

Patient # 7 as well as # 8 are couples from Boston in their 50’s that have been dropping by every year for the past five years to undertake “Pairs” Thermage. After seeing their loved ones in UK, they visit my workplace to receive their yearly Thermage on their means house. They both really feel that Thermage has actually aided to slow down the unpreventable drooping of their face and also neck. In their recent browse through, along with the Thermage, spouse got 1cc of Restylene to the temporal recession locations as well as another 1cc of Restylene to the Nasolabial line while the spouse received Botox to smoothen out the solid glabellar frown lines. They are both delighted with the end result and plan to drop by the list below year.

Person # 9 is a 47 y.o. male person who wishes facelift surgery to improve the fastooning around his malar mound. After mindful discussion, patient undertook transconjunctival reduced eyelid surgery under local anesthetic to improve upon at least the medial half of the big fastooning. The patient would have profited with pinching up of the skin under the eyes, he didn’t desire any kind of indication of undergoing surgery.

To conclude, if these options to a facelift surgery may be a choice for you, please discuss with your Plastic Surgeon to see if you may be a great candidate for these treatments. Do remember that every treatment includes threats and also benefits along with constraints as well as it would certainly behoove you to locate a Surgeon well versed in these techniques who can communicate to you how you can potentially gain from the procedures with marginal to no downtime.