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Why Not A Facelift Instead of Minimal-Invasive Treatments?

Posted: 12:01 a.m. Sunday, Nov. 25, 2018

By Anita Mandal, M.D.
Question: I’m 72 and have deep smiles, sagging at the corners of my mouth, hollowing in my cheeks and loose neck skin. Ultherapy skin tightening along with fillers was recommended to me by two doctors. When I add up the costs of these minimal invasive procedures that I will have keep maintaining, isn’t it cheaper to get it all done in one shot with a facelift?

Answer: It is a common misconception to think that a facelift would be an adequate substitute for injectable fillers, laser and/ or Botox treatments. The main goal in facelift surgery is to reposition and pull back sagging tissues in the lower face and neck.

A facelift cannot relax muscles, as Botox does. Botox can reduce and soften upper facial wrinkles around the eyes and forehead area.

A facelift cannot restore lost volume in the cheeks, temples or lower lids. Hollowing in these areas can effectively be improved with volumization fillers like Bellafill, Sculptra or Voluma.
A facelift does not really improve fine lines, wrinkles or aged skin texture, but such concerns can be treated with Infini RF and lasers.

Facelifts cannot improve deep smiles, marionette lines or droopy mouth corners. Such areas can adequately be improved with injectable fillers such as Bellafill, Radiesse and Restylane Refyne.
Finally, facelifts do not improve the poor skin elasticity seen with age, nor do they restore lost collagen that causes loosening of the skin. In fact, if you have poor skin elasticity, a facelift may make you look even worse. Intrinsic skin tightening can, however, be effectively be achieved with Infini RF.

What a facelift can do is lift sagging soft tissues of face and neck. However, if you have facial volume loss, deep lines/wrinkles or poor skin elasticity, you are more likely need one or more minimal invasive rejuvenation treatments. A facelift is not a sufficient substitute for these less invasive treatments.

Seeking a Board Certified Facial Plastic Surgeon who exclusively specializes in the face and neck is the first step in helping you determine the optimal therapies for your unique rejuvenation needs.


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