Nonsurgical Facelifts "Liquid Facelifts" Are Often Recommended By Nonsurgeons

David L. Mobley, MD answers: Is there a non surgical face lift that works?

in my early 50s with drooping facial features.  pray that someone tells me that a non surgery face lift is available -- alternative that doesnt require going through lots of recovering.  May be I can get away with treating using filling wiht things like resatylne?


David L. Mobley, MD
1 month ago

Often the marketing term "Non-surgical facelift" or "Liquid Facelift" is used by doctors who cannot perform a real facelift because they are not trained to do so.  

Because they can't do a facelift, these doctors attempt to rejuvenate the face using only injectable products such as Restylane, Juvederm, Sculptra, Radiesse and Botox Cosmetic.  Many of these patients would be better served by a combination of skin tightening using a facelift, cheeklift, or necklift along with the "nonsurgical" techniques mentioned above and and sometimes frational CO2 laser.  The overall result would be better and and more durable, lasting 7 - 10 years.  While the initial cost of facial rejuvenation surgery is more,  the "non-surgical" techniques could easily add up to more cost over  a 7 - 10 year period because of the need for repeated injections.

Most board certified plastic surgeons are trained to do all of these procedures, therefor they have no vested interest in trying to "sell" someone on a "non-surgical facelift".  

Physicians offering only a "Non-surgical facelift" are most likely not trained to do advanced facial surgery (including the gold standard facelift), therefor they have a vested interest in marketing the "Non-surgical Facelift" as the best or only approach.  If all you have is a hammer (needle in this case) everyone starts to look like a nail.

Often this aggressive marketing attempts to play on your fears by saying you don't need to have invasive surgical procedures or that the downtime is much less for a "non-surgical facelift" or even worse claims that the "non-surgical facelift" is a replacement for a real facelift

To avoid being lured in by slick or deceptive marketing:

          1.  Always consult with a board certified surgeon who has training and experience doing the entire spectrum of procedures for facial rejuvenation including the gold standard facelift.   If you are not sure about the doctor you are seeing, find out by asking the question, "If I needed a facelift would you be doing it or would I have to go to a different doctor."          

          2.  Avoid physicians who treat all facial aging only with injectable fillers and Botox or that say a "non-surgical facelift" can replace a real facelift.  

          3.  Remember that dermal fillers, Botox cosmetic and Sculptra have added greatly to our ability to rejuvenate the face by replacing lost volume in key areas, and reducing wrinkles but they don't solve the problem of laxity (loose skin of the face and/or neck)

          4.  Don't fall for the ploy that the "non-surgical facelift"  involves less cost, or downtime.  Over 7 - 10 years this is probably not true.

          5.  Understand that not all patients with facial aging need a facelift.  If there is little or no loose skin (laxity) dermal fillers, Botox Cosmetic and Sculptra often work very well.  But you will not know the answer to this question unless you ask a surgeon who can offer you all of the different surgeries and injectable techniques.

Truly sound, long lasting facial rejuvenation often involves a combination of surgery (facelift, cheeklift, necklift, eyelid lift, browlift), injectable techniques such as fat grafting, sculptra and dermal fillers and Botox Cosmetic and laser (fractional or traditional laser resurfacing).  

This unified approach to facial rejuvenation will  give you the best and longest lasting results. 

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A: Nonsurgical Face Lifts Provide Nonsurgical (limited, temporary) Results

James H. Schmidt, MD
1 month ago

The term "Nonsurgical Facelift" usually refers to nonsurgical options for improving the volume loss and wrinkles in the facial area. They usually consist of fillers, Botox, laser or a combination of these. 

A surgical facelift supports the underlying tissues in the face and neck as well as artfully redraping the skin. The face lift is a long term solution to resupporting the facial tissues. It usually last for about 7-10 years. Because of it longevity, it is also the most cost effective form of facial rejuvenation. 

The tissue fillers and botox can provide some correction of specific areas, but usually does not provide a generalized correction of the face and neck. Most of these products are temporary, lasting a few months to a couple of years. The need to repeat these procedures can amount to a larger cost than a surgical face lift over the same period of time.

The nonsurgical techniques can help those with minimal aging, but for the person with more significant tissue laxity, the surgical option is most effective.

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