Whats a Non Surgical Face Lift? What Do Doctors Use? Do They Use the Carbolic Acid (Endopeel)?

any idea about the carbolic acid injections named endopeel?? the medical progressive face lift injections? i wanted to ask about the safety..is it safe to use it as much and as long as its requiered?

Doctor Answers (5)

Non surgical facelift not the same as a facelift

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A facelift is a surgical procedure and is effective for tightening the jaw line, reducing the appearance of jowls, significantly tightening the neck and eliminating extra skin. There are many types of facelift procedures that can be performed depending on what is required - but they are all surgeries.

What are sometimes referred to as "non surgical facelifts" are definitely not surgical and definitely not facelifts at all. They are combination treatments that take advantage of wrinkle reduction (Botox), volume enhancement (fillers) and skin texture improvements (skin resurfacing). These are good things when needed and can improve your appearance, but do not achieve the same results as a facelift.


Vancouver Facial Plastic Surgeon
5.0 out of 5 stars 61 reviews

The "Nonsurgical 3D Vectoring Lift" Is the Ultimate Nonsurgical Facelift

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Over only the last ten to fifteen our understanding of how our skin ages has undergone a revolution. Whereas once the visible signs of facial and neck aging were attributed exclusively to skin laxity or looseness, today, we know that the sagging, drooping, wrinkling, textural alterations, etc that characterize the passage of time are a result of a number of anatomical and physiological events. These include loss in the quality and quantity of collagen and elastic fibers, largely due to years of accumulated sun exposure and other environmental damage; an increase in facial expression muscle activity (hyperkinesis);  loss of facial volume (due to decreases in fat, bone, cartilage and muscle); weakening of the retaining ligaments that suspend and hold the skin and underlying tissues in place; and the fragmentation and downward displacement--due to the effects of gravity--of the fat compartments that are responsible for giving fullness, smoothness, and youthful contour to the face and neck. The result of this gravitational pull on compromised, devolumized facial tissue is that the face loses its youthful triangular shape and takes on a more boxy look as the jowls and neck sag.

To illustrate what happens to our skin as we age, just Imagine a fully expanded dining room table covered with a beautiful, smooth table cloth that hangs just so halfway down each of the sides of the table. Now consider what would happen if you were to remove both leaves from the middle of the table. Not surprisingly, the table cloth that draped so beautifully now droops down to the floor. To restore the table cloth to its proper position, you wouldn't conclude that it had gotten too loose and proceed to cutting it down all the way around the table to shorten it. You would simply reinsert the leaves of the table and voila. However, for decades, physicians perceived jowls and turkey necks and sagging cheeks to be simple laxity (skin hanging) and merely cut away the "excess" tissue" as part of surgical facelifts, necklifts and eyelifts--often creating artificial, cadaverous, skeleton-like, overly pulled tight faces--giving rise to the obvious and dreaded, "They've been done" look.

Today, we can address many aging skin changes nonsurgically in a matter of minutes with little or no downtime. For muscle overactivity, we have neuromodulators, such as Botox, Dysport and Xeomin. For roughness, textural changes, skin dullness and mottled pigmentation, we have topical prescription medications, chemical peels, medical microneedling, etc. For fine wrinkles, we have fillers and for deeper furrows and volume loss, we have developed volumizing injectable fillers. And now, for sagging skin and apparent laxity, we have the Nonsurgical 3D Vectoring Lift.

A vector describes a magnitude and direction of force. Aging skin is characterized by a negative downward and inward vector of sagging. To counter this, surgeons traditionally pulled skin upward and outward--i.e. using a positive vector. The key difference between the outcomes of traditional surgical correction and nonsurgical 3D vectoring, both of which lift upwards and outwards, is the Nonsurgical 3D Vectoring Lift's additional corrective dimension of ‘forward projection’. This 3D effect is the result of volumizing with the use of injectable agents designed for this purpose, such as Radiesse, Voluma, Restylane SQ, and Stylage XXL.

The Nonsurgical 3D Vectoring Lift is predicated upon the fact that the face and portions of the neck differ in their degree of mobility. The region directly in front and behind the ears is a fixed, denser, relatively immobile area, in contrast to the mid-cheek region (hence the greater tendency of this region to sag with the passage of time). These anatomical differences are exploited in the Nonsurgical 3D Vectoring Lift by making the fixed areas serve as anchoring points for the mobile tissues.  In determining the positive vectors for the mid to lower face, the tissues that require lifting are identified by pulling the skin directly in front of the ears in a direction perpendicular to the area that requires correction. If the pulling results in lifting of the desired tissue, then the vector has been correctly identified and is then marked in accordance with 3D vectoring protocol. A similar approach is used in the region of the angle of the jawbone when dealing with neck laxity.

Once the proper vectors are marked, the volumizing agents are injected in a series of radiating bands that serve as support struts to the skin and that impart the necessary 3D outward projection--the lift--that distinguishes and defines this nonsurgical approach. The high viscosity and elasticity of the volumizing fillers serves to hold and re-support the overlying tissue and restore more youthful contours.

Although volumizing fillers are reabsorbed over time, they do promote new, native collagen synthesis, which may continue to provide structure, firmness and improved skin quality while continuing to lift tissues. A typical Nonsurgical 3D Vectoring Lift of the face takes about fifteen minutes to perform. Bruising and swelling tend to be minimal, and most people can return to work or social activities immediately following treatment.

Nelson Lee Novick, MD
New York Dermatologic Surgeon
5.0 out of 5 stars 13 reviews

Non surgical Facelift

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Dear zainab78,

  • A non surgical facelift uses a combination of non surgical techniques (fillers, botox/dysport, lasers) to achieve the results
  • I do not use carbolic acid injections and it looks relatively new, I would allow some time to pass to see how well it works before trying it on myself
  • The results do not last as long as a typical facelift, and can be used as a little rejuvenation when you want it
  • There is much less downtime (little if any) and minimal discomfort

Best regards,

Nima Shemirani

Nima Shemirani, MD
Beverly Hills Facial Plastic Surgeon
5.0 out of 5 stars 27 reviews

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What is a Non Surgical Facelift? It's Not a Facelift

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I would be very cautious when a practitioner advertises or promotes a "Non Surgical Facelift" because there is no such thing.  This term is appealing because we would all like to have as much facial rejuvenation with the least amount of work.  Patients and Facial Plastic Surgeons generally share this goal.  However, since there is no minimally invasive procedure that even approximates the results of a Facelift, it is important to align expectations with reality.  Minimally invasive treatments like Botox and filers are very good at achieving specific goals, but do not have the same effect as a Facelift.  You will find practitioners who will suggest this in their advertising or even in consultations, but such claims are not backed up by facts.  The safety and efficacy of carbolic acid injections is not something I can recommend to you at this time.  I can tell you that you that if you are looking for a Facelift result, you will be disappointed. 

Stephen Prendiville, MD
Fort Myers Facial Plastic Surgeon
5.0 out of 5 stars 38 reviews

Botox and a Non-Surgical Face Lift

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A non-surgical face lift is not defined by a specific technique. It is basically the effect of a face lift without the use of invasive surgical tools.


Depending on the doctor’s skills, lifting sagging areas of the face can be accomplished with tools like Radiesse and even Botox.


This patient wanted to get rid of crows feet, forehead lines and frown lines between her brows. Botox was able to solve these issues. And it also improved the appearance of her droopy eyebrows as well. This really changed and rejuvenated her look.


This video shows before and after images of what she looked like.
In a sense, she achieved the effects of a face lift without going through surgery.


 

Sanusi Umar, MD
Redondo Beach Dermatologic Surgeon
5.0 out of 5 stars 23 reviews

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.