Facelift: Q&A

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Non-surgical Means to Improve Face and Neck While on Steroids?

I've had total knee replacement and am on steroids for an indefinite period of time. I've had Arthritis for years and am having a difficult recovery. Also I have Barrett's (due to years of Arthritis meds) and can't take anti-inflammatories or pain meds. The surgery seemed to age my face even more. I can't have a mini-lift, due to the steroids. Is there another procedure that would help, Botox, anything, and still be safe while on steroids and effective? I really dislike the way I look. I'm in my sixties and mentally sharp.

6 Doctor Answers | Asked by 4377anon in north carolina
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Effect of Steroids on Facial Rejuvenation

The answer to your question truly depends on the specific steroids you're taking and what quantities. Your rheumatologist will give you advice regarding what is acceptable considering your medical treatment.
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Steroids means more precautions

Being on steroids does not exclude you from surgery. You just have to take more precautions during and after it and the results may not last as long. You could have a non surgical facial procedure like with THermage, radiuofrequency waves. It works quite well in 80% of patients but never like a traditional facelift. It may not be as helpful in your case for your collagen is probably damaged. 
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Aesthetic Facial Treatments, injectables, botox and lasers when on Steroids

There are many minimally invasive procedures that facilitate you looking fresh, rested and youthful. Procedures such as IPL FotoFacial, Soft tissue fillers such as Restylane and juvederm, botox for relaxing lines and even mild fractional ablative lasers. Each of these procedures, while non-scalpel based do have some risks associated with them. Systemic steroids may adversely your normal reaction to aesthtetic procedures and put you at more risk. My advice would be to seek out a board... more

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NonSurgical Means for Facial rejuvenation when taking Corticosteroids

The corticosteroids used in your treatment stop the body's inflammatory response. While this is beneficial in halting auto-immune destruction of joints it will largely inhibit and slow down the healing required with any surgical therapy and depresses your immune system making infections much more likely. As a result any surgery on you would be associated with high risk of poor healing and should be reserved only for emergency conditions which can only be treated surgically... more
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Non-surgical face and neck while on steroids.

Your issues and questions are of concern in that you are addressing them over the internet. YOU should consult with at least 3 plastic surgeons FACE TO FACE!. Call today. From MIAMI Dr. B
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It all depends on what your needs are

Most patients on chronic steroids will develop a rounder face which may actually appear more youthful. This does not rule out using some botox to improve position of your brows and reduce wrinkles about your lids if that is appropriate. I have also done surgery on patients who are taking steroids and the results have been good providing the surgery is not massive and their steroid levels are managed.
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These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.

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