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Pros And Cons Of A Facelift

Posted: 6:00 a.m. Friday, Mar. 2, 2018

By Anita Mandal, M.D.
Question: I saw a surgeon who recommended fillers, Botox and laser for the many wrinkles all over my face. The total cost of all these procedures was going to be the same a facelift? Wouldn’t it just be easier to get a facelift with one recuperation?

Answer: While a facelift, on the right candidate, can be a very satisfying procedure, facelift surgery is not a substitute for botox, fillers or lasers.

Many patients have the faulty belief that facelift surgery will correct all of their facial aging in just one shot. This is a false assumption since a facelift is primarily designed to lift sagging of the lower face and neck. While some wrinkles may improve when sagging tissue is lifted, a facelift does not improve most facial wrinkles.

There are various treatment options for facial lines, depending on the type of wrinkle. Fine lines can be treated with lasers that smooth out the skin and, in some cases, injectable fillers such as Restylane Silk or Bellatero. Deeper lines are treated with injectable fillers such as Restylane Lyft, Juvederm or Radiesse. However, if you have upper facial lines between the brows, in the forehead or around the eyes, Botox is the optimal treatment for these muscle-related wrinkles.

If you have heavy upper eyelid skin or baggy lower eyelids, a facelift won’t help but an eyelid lift can improve the aging around your eyes.

Hollowing in your cheeks, temples or under the eyes requires a volumization filler such as Sculptra, Bellafill-the 5 year filler, or Voluma. A facelift tightens and lifts sagging but does not typically restore facial volume.

In summary, each facial rejuvenation procedure has its purpose and targets specific types of aging. There is no single magical solution to all of the aging we experience on our face. Different procedures address different concerns.

A thorough consultation with a Board Certified Facial Plastic Surgeon who understands the complex facial anatomy and facial aging process is the first step in helping you decide the best combination of procedures to suit your unique facial rejuvenation needs.


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