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What Cosmetic Surgeons Don’t Tell You

Posted: 12:01 a.m. Sunday, Feb. 17, 2019

By Anita Mandal, M.D.
Question: It is time for me to have some work done to rejuvenate my face to help improve the wrinkles, sagging and sunken-in look. It will be my first time having a cosmetic procedure on my face. I’ve had a few consultations. I keep getting many different opinions, some of which are contradictory. How does one know the truth about these cosmetic facial procedures?

Answer: Considerable misinformation exists in the cosmetic industry. This is, in part, due to differences in experience and expertise amongst different plastic surgeons since no one can be the expert on everything. In addition, many doctors who are not plastic surgeons are taking their shot at making a living by offering cosmetic procedures, despite their lack of training or board certification in plastic surgery.

Below are helpful facts about facial rejuvenation procedures that patients may not always be aware of.

Skin Elasticity can play a vital role in the outcome of a facelift. Sagging facial skin alone does not make you a good candidate for a facelift. If the skin elasticity is poor, a facelift result may not last very long. Infini RF, however, can tighten, lift and improve skin elasticity.

Injectable fillers don’t necessarily lift. Many patients are under the faulty impression that sagging jowls can be lifted by adding filler to the cheeks. Once you reach your 60?s or 70?s, this is unlikely to happen with fillers. So much filler would need to be placed in your cheeks that one would risk looking overfilled and unnatural.

Thread Lifts are not a good minimal-invasive alternative to a facelift. Thread lifts have made a come-back but, unlike a facelift, these threads are placed very superficially in the tissues and don’t come anywhere close to achieving the degree of lifting or have the duration of results that a surgical facelift can give.

Having a facelift does not mean you won’t need maintenance treatments. Facelifts mainly lift and tighten sagging along the jawline and neckline. Facelifts are not an effective alternative for the treatment of wrinkles or fine lines. Facelifts also don’t typically restore volume loss in the face. You will still require maintenance treatments with Botox, fillers and laser for other aging concerns.

Long-term fillers that last many years do not cause bumps as the years pass. I have been using Bellafill, the 5-year filler, for nearly 6 years with minimal to no risk of problems or side effects. Bellafill can also give very natural results and is used in various areas of the face including the smile lines, mouth corners, hollow temples and cheeks as well as the lower lid hollows. It is always important to only use FDA-approved fillers in order to assure the highest safety profile.


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