Will collagen help sagging skin? – Updated 2021

5 Facial Plastic Surgeon Approved Alternatives to a Facelift

There is no procedure out there that can best a skillfully carried out facelift surgery ideally developed for the person’s special composition and specific aging modifications. Numerous facelifts executed out there can still generate a cookie-cutter result where the outcome might look fantastic in one individual and not so great in her pal, even when executed by the very same surgeon. Even worse yet are instances where patients prematurely go under the knife to stop aging adjustments and also wind up regretting their decision due to loss of their natural significance or characters.

For those wise, perceptive patients that fear less than an excellent result from a “cookie-cutter” facelift surgery; for those that want to preempt the unpreventable aging adjustments without prematurely undertaking a facelift surgery; for those who formerly went through a facelift surgery and desire upgrade improvements without undertaking another surgery; for those that just do not have a week or longer to recuperate from a facelift surgery; for those that fear basic anesthetic and even twilight sedation; for cigarette smokers that encounter greater danger of complications from undertaking facelift surgery; for those that can not budget for a facelift surgery, there are finally time-tested, FDA accepted choices to a conventional facelift surgery which Surgeons can give to their individuals. In this article I will certainly be discussing a few of the much more prominent options supplied at my clinic.

The 5 choices to facelift surgery I utilize in my office are Thermage, Ultherapy, Thread lifting, Fillers, and also 2 “Mini Surgery” procedures including 3-D quantity repair as well as re-contouring utilizing fat transfer and lower eyelid fat bag elimination making use of transconjunctival strategy.

Very frequently these techniques are used in synergistic mixes for the private person’ s needs to achieve optimal outcome. The combination used are based upon understanding of the individual patient’s integral bony and also soft cells anatomical structure as well as exact evaluation of the aging modifications which have happened. These aging changes can be normally correlated to people age, ethnic background, as well as environmental and also genetical variables.

These are suitable in those patients who feel the collagen in their soft cells are getting also soft and also being attracted downward, which can be felt even in very early 30’s for some people. These machines are favorites as stand-alone treatment in clients who are in their 30’s to 50’s.

In patients from 40’s and also up who keep in mind sagging of mid-face with stable growing of the tear trough, nasolabial, and also marionette line as well as look of the dreadful jowling as well as neck laxity, either Thermage or Ultherapy is advised to tighten their native collagen in the soft tissue. After conclusion of one side, person is brought up to a resting position so clients can directly imagine and contrast the raised vs unlifted side as well as with their pre-operative pictures. Due to almost no bruising and swelling, some patients resume their full tasks as well as return to function or dine out on the very same day.

If the individual additionally has considerable loss of face quantity past the reaches of a few tubes of Fillers, 3-D facial volume repair and also re-contouring with fat transfer is additionally recommended. In my center fat transfer is typically done under neighborhood anesthesia and also due to almost no bruising, recovery is typically no greater than a few days. Likewise if a patient offers with reduced eyelid puffiness which is serious sufficient to be seen also from throughout the room, lower eyelid surgery can be performed under local anesthetic with virtually no bruising, allowing recuperation duration to be no more than a couple of days to a week at most. Integrating these 2 “Mini Surgical” procedures in my collection of alternatives to facelift surgery is important in my practice because in my viewpoint, the look of the fat bag under the eyes as well as loss of face quantity are genuinely the initial indications old adjustments noticeable in people as early as late 20’s as well as early 30’s. Not a week goes by with individuals can be found in desiring some kind of “training” surgery due to their “tired” and also “gaunt” appearance when in reality, reduced eyelid surgery is what they needed to eliminate their tired look because of puffy eye bags and also quantity restoration and also re-contouring with fat transfer is what they required to rid of the gaunt and lengthened appearance. This technique shares the very same principle as the “fluid fit” utilizing fillers that the majority of clients know with. But if a few 1cc tube of fillers can be useful, picture what 30cc or 40cc of fat transfer can do in terms of restoring the shed quantity and re-sculpting and also re-contouring the face back to far more younger days. I really feel truth sculpture in me is defined by what I can achieve with my fat transfer.

I will certainly go through a few client scenarios I have come across in the past couple of months.

Patient # 1 is a 61 year old lady that came in wanting to look better a week prior to her little girl’s wedding celebration. After cautious discussion, she went through a 1.5 cc Radiesse injection to high light her cheek reputation as well as to fill up out the hollowing of her cheeks. One More 1cc of Restylene was made use of to fill up 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 years of age Chief Executive Officer of a big property business. She was invited to a Gala event in Paris showing up in a few weeks and needed to look her best. She doesn’t count on undergoing any kind of form of training surgery yet agrees to try anything else to boost her ever worsening facial and also neck laxity as well as marionette line. After careful discussion, she undertook Ultherapy to her cheek as well as jawline, after that her upper as well as reduced neck, adhered to by her reduced brow, eyelid as well as temple. On the same day, she went through Shape Instalift to lift her jawline and also mid-face as well as soften her marionette line. Additional Novathreads were utilized to tighten her neck line. 1.5 cc of Radiesse was made use of to improve her chin as well as 1cc of Restyene was utilized to more smoothen out her nasolabial and also marionette line. On follow up telephone call the adhering to day, she was able to return to with her busy timetable as well as was rather completely satisfied with her end result. She looks forward to all the picture taking sessions at the Gala in Paris.

Client # 3 is a 42 years of age accounting professional that came in for an assessment to find out about the various face lifting procedures readily available to remove her worn out as well as tired look. Since or else she looked cross as well as upset, she was emotionally even more tired from hearing from close friends and colleagues that she should smile a lot more commonly. She was formerly a model with a well specified cheek bone and relatively solid jaw line. No jowling neither neck laxity was appreciated. Her eyes still revealed lots of shimmer with very early indication of lateral hooding, however was much more dominated by the extreme puffiness in her lower eyelids. Upon additional discussion, she has experienced almost six month of individual problems and also had shed close to seven extra pounds which as a result has made her cheek extra sunken in, made more significant by her well defined cheek as well as jaw bones. Without a doubt upon her just grinning, her lower eye muscle mass had the ability to tighten sufficient to press the puffy fat bags in while her grinning cheek supplied more positive volume to her or else hollowed out gaunt appearance. After cautious conversation, she undertook the two “Mini-Surgical” treatments consisting of removal of lower eyelid fat bags using trans-conjunctival method to rid of puffiness to her eyes adhered to by 35cc of fat transfer to various areas of her face, previously collected from her reduced stomach location. Both treatments were performed under regional anesthetic in less than a few hours. She had marginal to no due however bruising to dynamic swelling over the following couple of days, she was advised to recoup in your home. Due to the fact that she functioned as a companion in a huge Certified Public Accountant firm, she selected to work out of her home for the remainder of the week, yet was able to resume her activities within a few days. When she returned back to work the complying with week, individuals noted she looked well rested from her much was entitled to trip, however otherwise were clueless regarding her really undergoing her “Mini-Surgical” treatments.

Person # 4 is a 35 year old school educator who kept in mind that her round face was obtaining extra bigger and also much heavier, especially when taking photos on her mobile phone. After careful conversation, she undertook Botox to reduce the Masseter muscular tissue hypertrophy from her teeth grinding which is also healing to decrease damage to her TM joint. In enhancement she undertook Ultherapy using both 3mm as well as 4.5 mm transducers to not only tighten the collagen in the soft tissue and also fascia covering the muscle mass, but likewise decrease the charitable fatty cells in her subcutaneous tissue layer along the jaw line and also cheek area.

Individual # 5 is a 64 years of age waitress who still smokes close to a pack of cigarettes daily. She had shed the majority of her top teeth several years ago with considerable dental bone loss resulting in reducing as well as retrusion to her mid-face location. She has actually been wishing for some type of lifting procedure for years, but has actually constantly hesitated to pull the trigger because of pals that searched for the worse in her eyes following their face lifting surgical procedures and also her lack of ability to give up smoking cigarettes. She had a fixed budget as well as had to return to Philly the very same night. After cautious conversation, she underwent lifting of her jawline, cheek, and neck utilizing a combination of Sillhouette Instalift as well as PDO Novathreads. She undertook 40cc of fat transfer to all aspect of fat area in her face, with special interest to her temporal wasting and also her mid face retrusion. Fat transfer permitted significant repair of her soft tissue volume along with restoring back to her younger contour with greater former measurement which she had actually shed long time ago due to her early dental extraction. The consolidated treatment took 3 hrs and with almost no bruising as well as swelling, was safely able to return to Philadelphia on the very same evening. On her follow up, in between the thread lift as well as 3-D remediation of her face shape, she felt she considered least ten years younger and also was quiet pleased with the result.

Patient # 6 is a retired exec that had previously gone through 2 facelift surgical treatments, last one being even more than 3 years ago. She desires update raising procedure but wants to prevent any kind of surgical procedures and also absolutely prevent any anesthesia due to negative experience throughout current hip substitute surgery. After careful discussion, she undertook Silhouette string raising to boost her jowling and nasolabial line.

Patient # 7 as well as # 8 are pairs from Boston in their 50’s who have been dropping by every year for the past 5 years to go through “Couples” Thermage. After seeing their loved ones in UK, they come by my workplace to get their yearly Thermage on their method residence. They both feel that Thermage has actually helped to decrease the inescapable drooping of their face and neck. In their recent visit, in addition to the Thermage, partner got 1cc of Restylene to the temporal economic downturn locations as well as one more 1cc of Restylene to the Nasolabial line while the hubby obtained Botox to smooth out the strong glabellar frown lines. They are both happy with the outcome and also strategy to stop by the list below year.

Person # 9 is a 47 y.o. male person that desires facelift surgery to improve the fastooning around his malar pile. He is much less concerned regarding the minor jowling and fullness under his chin, yet he is truly bothered by his malar mound which is even worse in the early mornings. Upon carful evaluation, he has extreme puffiness under his eyes which straight links to his puffy malar pile. He has actually dealt with allergic reactions and sinus problems most of his life, which gets worse the lower eyelid and also malar puffiness. After careful discussion, individual went through transconjunctival reduced eyelid surgery under regional anesthesia to improve upon a minimum of the medial half of the big fastooning. As soon as one side was completed, he was raised to staying up placement to show the prompt renovation of the run vs non-operative side. Although the patient would certainly have profited with pinching up of the skin under the eyes, he didn’t desire any type of indication of undertaking surgery. In lieu of the pinch, the lower eyelid muscle mass was heated with Ellman RF system via transconjunctival technique which tightened the muscle and also somewhat, the overlapping skin. PDO Novathreads were then released to tighten the soft cells as well as skin around the puffy malar piles. Just nominal quantity of lift was accomplished from the PDO threads, as gone over prior to the procedure with the client. He was over-all rather satisfied with near total resolution of median half of his fastooning as well as minor training as well as flattening of the puffiness over the malar pile, side to side. Even though he had no discoloration, He was asked to recuperate at home for a few days as a result of the lower eyelid surgery and also asked to minimize strenuous tasks for a complete week. On his follow up he was incredibly happy that natural enhancement could be attained without much down time and without having to go through pricey significant lifting surgery which was recommended to him by several doctors from previous appointments.

In conclusion, if these options to a facelift surgery may be an alternative for you, please go over with your Cosmetic surgeon to see if you may be a good prospect for these procedures. Do remember that every procedure includes advantages and also threats in addition to constraints and also it would certainly behoove you to locate a Surgeon well versed in these methods who can interact to you how you can potentially gain from the procedures with marginal to no downtime.