Will Botox lift my jowls?

5 Facial Cosmetic Surgeon Approved Alternatives to a Facelift

There is no procedure available that can best a skillfully done facelift surgery ideally developed for the patient’s special composition as well as private aging modifications. Lots of facelifts performed out there can still produce a cookie-cutter result where the outcome may look great in one individual as well as not so fantastic in her friend, even when executed by the same surgeon. Even worse yet are instances where people too soon go under the blade to stop aging changes and end up regretting their decision due to loss of their natural essence or characters.

For those savvy, observant patients who fear less than an ideal arise from a “cookie-cutter” facelift surgery; for those that wish to preempt the inescapable aging adjustments without too soon undergoing a facelift surgery; for those who formerly undertook a facelift surgery as well as dream upgrade renovations without undergoing one more surgery; for those that just do not have a week or longer to recoup from a facelift surgery; for those who are afraid general anesthesia or perhaps twilight sedation; for smokers who deal with better risk of difficulties from going through facelift surgery; for those that can’t budget for a facelift surgery, there are finally tried and true, FDA approved options to a typical facelift surgery which Surgeons can offer to their patients. In this write-up I will certainly be reviewing several of the a lot more prominent alternatives provided at my clinic.

The 5 options to facelift surgery I use in my office are Thermage, Ultherapy, String lifting, Fillers, and also 2 “Mini Surgery” treatments including 3-D quantity repair as well as re-contouring making use of fat transfer as well as lower eyelid fat bag removal making use of transconjunctival technique.

Extremely frequently these modalities are utilized in synergistic combinations for the specific person’ s needs to attain optimum result. The combination utilized are based on understanding of the private person’s fundamental bony and soft cells physiological structure and exact analysis of the aging modifications which have occurred. These aging changes can be generally correlated to people age, ethnic history, and genetical and also ecological variables.

Thermage as well as Ultherapy are both power based lifting devices which work by sinking RF (Thermage) or Finder (Ulthera) energy to heat up the collagen and also tighten the connective tissue below the skin. These are excellent in those individuals who feel the collagen in their soft tissues are getting too soft as well as moving downward, which can be really felt even in early 30’s for some individuals. Both makers have enough nuances that the Surgeon needs to be well versed in the ideal use the makers as well as in whom to match with which maker. These makers are favorites as stand-alone procedure in people that are in their 30’s to 50’s. Usually they are used in conjunction with Botox and also Fillers to achieve greater collaborating result.

In clients from 40’s as well as up who keep in mind sagging of mid-face with consistent strengthening of the tear marionette, nasolabial, as well as trough line as well as look of the dreadful jowling and also neck laxity, either Thermage or Ultherapy is recommended to tighten their native collagen in the soft tissue. After completion of one side, patient is brought up to a sitting position so clients can straight envision and also contrast the lifted vs unlifted side as well as with their pre-operative pictures. Due to almost no bruising and swelling, some people resume their complete activities and return to eat or work out on the same day.

If a client presents with lower eyelid puffiness which is serious enough to be seen even from across the area, reduced eyelid surgery can be carried out under neighborhood anesthetic with nearly no bruising, enabling healing duration to be no more than a couple of days to a week at a lot of. Incorporating these 2 “Mini Surgical” treatments in my collection of choices to facelift surgery is essential in my technique because in my viewpoint, the appearance of the fat bag under the eyes and also loss of face volume are really the first indicators of aging changes visible in clients as early as late 20’s and also early 30’s. Not a week passes by with individuals coming in wishing some type of “lifting” surgery due to their “worn out” and also “gaunt” appearance when in fact, lower eyelid surgery is what they needed to clear of their worn out appearance due to puffy eye bags and also volume reconstruction and re-contouring with fat transfer is what they needed to clear of the gaunt and extended appearance.

I will certainly go through a couple of patient circumstances I have actually run into in the past couple of months.

Patient # 1 is a 61 years of age woman that came in desiring to look much better a week before her child’s wedding celebration. She had a really active week ahead of her so not also a day to recoup. She really did not like the tear trough under her eyes as well as the ever before getting worse nasolabial line as well as jowling. Worst yet were the sunken in appearance of her cheek bone making her look exhausted. Her budget plan was extremely restricted as a lot of her savings went to assisting with her little girl’s wedding. After careful discussion, she underwent a 1.5 cc Radiesse injection to high light her cheek renown along with to complete the hollowing of her cheeks. Fundamentally the Radiesse was made use of to produce a “fluid” lift. An Additional 1cc of Restylene was utilized to load along the hollowing in the tear trough area also over the nasolabial line which further provided an optical sense of mid-face lift. She was additionally provided some Botox to smoothen the crow’s feet and frown lines; and, at the same time supplying a mild side brow lift and thus a refined renovation to the lateral hooding of her upper eyes.

Client # 2 is a 55 year old CEO of a big real estate company. She doesn’t think in going through any type of type of lifting surgery but is ready to try anything else to boost her ever worsening face and neck laxity and marionette line. On the same day, she underwent Shape Instalift to lift her jawline and mid-face as well as soften her marionette line.

Individual # 3 is a 42 year old accountant who came in for an appointment to learn regarding the various face training treatments available to obtain rid of her weary as well as exhausted appearance. After careful conversation, she underwent the two “Mini-Surgical” procedures consisting of removal of reduced eyelid fat bags through trans-conjunctival method to clear of puffiness to her eyes complied with by 35cc of fat transfer to different areas of her face, previously harvested from her lower abdominal area. When she returned back to function the adhering to week, individuals noted she looked well rested from her much should have trip, but otherwise were unaware as to her in fact undertaking her “Mini-Surgical” procedures.

Client # 4 is a 35 year old school educator that noted that her round face was getting much more broader as well as much heavier, particularly when taking images on her mobile phone. She bewares with her diet regimen as well as no weight gain is noted over the past few years. She knows she can never ever have a V line due to her full face, yet would like to halt further widening of her face otherwise show up a bit a lot more raised and also slimmer like she utilized to look a few years back. Upon more conversation, she grinds her teeth and wears an evening guard. After mindful conversation, she underwent Botox to decrease the Masseter muscular tissue hypertrophy from her teeth grinding which is also healing to reduce damages to her TM joint. On top of that she underwent Ultherapy using both 3mm as well as 4.5 mm transducers to not only tighten the collagen in the soft tissue and fascia covering the muscular tissue, but additionally reduce the charitable fatty tissue in her subcutaneous cells layer along the jaw line as well as cheek area. On her follow up visit she was ecstatically pleased with mix of subtle lift and also narrowing of her facial frame from Ultherapy and also constricting of her jaw angle from decreasing the mass of her Masseter muscular tissue making use of the Botox. She amusingly recognizes “practically” seeing the V-line but most important, delighted about not having to worry about presenting behind her good friends to make her face look smaller when taking selfies.

Patient # 5 is a 64 year old waitress that still smokes close to a pack of cigarettes daily. She has been wishing for some kind of lifting procedure for several years, but has constantly been scared to draw the trigger due to good friends that looked for the worse in her eyes following their face lifting surgeries and also her lack of ability to quit cigarette smoking. She undertook 40cc of fat transfer to all element of fat compartment in her face, with unique interest to her temporal wasting as well as her mid face retrusion.

Client # 6 is a retired executive who had formerly gone through 2 facelift surgeries, last one being more than 3 years earlier. She remains in her mid 70’s as well as still very energetic in several cultures she belongs to. She wants update raising procedure but intends to avoid any kind of surgeries and definitely avoid any anesthesia as a result of disappointment during recent hip substitute surgery. After mindful conversation, she undertook Silhouette string lifting to boost her jowling as well as nasolabial line. She undertook PDO Novathread lift to enhance the persistent best side neck laxity as well as turkey waddle. Just the appropriate side was raised as the left side was sufficient. On top of that, 1cc of Restylene was made use of to more improve the nasolabial line as well as edge of the mouth on both sides. She quickly felt a few years more youthful and expected meeting her good friends at her 50th college reunion.

Patient # 7 as well as # 8 are pairs from Boston in their 50’s who have been visiting each year for the past 5 years to undertake “Pairs” Thermage. After seeing their loved ones in UK, they come by my office to obtain their yearly Thermage on their method home. They both really feel that Thermage has actually aided to reduce the unpreventable drooping of their face and also neck. In their recent visit, along with the Thermage, other half obtained 1cc of Restylene to the temporal economic crisis areas and also another 1cc of Restylene to the Nasolabial line while the husband obtained Botox to smooth out the solid glabellar frown lines. They are both delighted with the outcome and also plan to visit the following year.

Patient # 9 is a 47 y.o. male client that desires facelift surgery to improve the fastooning around his malar pile. After mindful discussion, person went through transconjunctival reduced eyelid surgery under regional anesthesia to boost upon at least the median half of the big fastooning. The person would certainly have benefited with pinching up of the skin under the eyes, he really did not want any sign of going through surgery.

Finally, if these choices to a facelift surgery might be an alternative for you, please talk about with your Plastic Surgeon to see if you might be an excellent candidate for these procedures. Do keep in mind that every treatment features dangers as well as advantages along with limitations and it would befit you to find a Surgeon well versed in these methods that can connect to you exactly how you can potentially take advantage of the treatments with minimal to no downtime.