What is the most effective nonsurgical alternative to a facelift?

My upper cheeks have sagged, as well as my lower cheeks. The lower part of my face has a bit of fat past the jawline. I don't have a lot of facial fat, which is why my lower eyelids are now hollow. What is the most effective way to lift the sagging skin, without having a facelift? I'm young, and I've been told it wasn't a good idea to get a facelift at my age, plus I'm too scared. This was caused by a year of insomnia. Thank you very much.

Doctor Answers (16)

Nonsurgical Alternatives To A Facelift

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 There are really no true nonsurgical alternatives to a facelift that will work. There are many techniques and technologies that are being discussed and are being used both experimentally and clinically, but none have the effect of a “True Facelift”. This really requires a surgical rejuvenation with central facial fat compartment “Filling” and “Lifting” laterally with a SMAS type of facelift. This should be done in the hands of a Board Certified Plastic Surgeon with understanding and expertise in the science of facial aging.


Dallas Plastic Surgeon
5.0 out of 5 stars 20 reviews

Non Surgical Face Lift

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Thank you for your question about non surgical face lift.

A liquid facelift might be helpful, including the use of Voluma for your cheeks.

To be sure, see two or more licensed and board-certified providers in your area for a complete evaluation to make sure you are a good candidate and that it is safe for you to have these treatments.

I hope this helps.

J. Jason Wendel, MD, FACS
Nashville Plastic Surgeon
5.0 out of 5 stars 49 reviews

Nonsurgical alternatives to a facelift

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Thankfully you are now living in a time where nonsurgical options for rejuvenating the face are safe, effective, and reducing or delaying the need for surgical interventions. Best to speak with your dermatologist about neurotoxins such as Botox for dynamic wrinkles (forehead, frown lines, Crow's feet) and fillers such as Juvederm and Restylane for laugh/nasolabial lines, sad lines / Marionette lines, plumping up lips or cheek bones, or defining the jawline. Laser ablative resurfacing and deep chemical peels can also be quite beneficial. Microneedling/dermaroller is another safe treatment to consider to stimulate your own collagen.

Benjamin Barankin, MD
Toronto Dermatologic Surgeon
5.0 out of 5 stars 24 reviews

Face Lift Alternatives

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Thank you for your question. Facial fractional CO2 laser and fillers and Neurotoxins are a good alternative, and can deliver very satisfying results in the right hands. See a Board Certified Plastic Surgeon and a Board Certified Dermatologist for a consultation on these options.I hope this helps!

Vivek Bansal, MD
Danville Plastic Surgeon
5.0 out of 5 stars 11 reviews

Sagging facial skin

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Thank you for your question about a non-surgical face lift.

Without an examination, no one can tell you what might help.
But if you are young, treatments can include Botox, fillers, skin care, peels and lasers. 
if you are under 35 it is almost definitely too early for a face lift .
If the changes you are seeing were caused by insomnia, they are probably reversible -
A good diet, exercise and happiness can work wonders as well -
Look after yourself and enjoy the results of the treatments you choose.

Always consult a Board Certified Plastic Surgeon
Hope you find this information helpful. Best wishes.

Personalized consultation

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The good news is that there are now multiple non-surgical options.  You will need to get an in-person consultation to determine what options are best.

Fillers, botox, lasers, and ultherapy are among the many non-surgical options that I use on my patients.

In addition, good skin care, and topical creams can also help you look better.

Get a consultation with a qualified Facial Plastic Surgeon to find out what your options are.

James Chan, MD
Portland Facial Plastic Surgeon
5.0 out of 5 stars 43 reviews

What is the most effective nonsurgical alternative to a facelift?

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Thanks for your question. Without photos or a face-to-face consultation, I can only answer in generalities. Our faces age three ways; skin quality, facial volume and skin laxity. The only robust treatment for skin laxity is surgery but there are non-surgical treatments that can rejuvenate. A good skin care program is a must. I recommend (and use) skin care products from SkinMedica. There are also various devices that can improve the skin quality and obtain some skin tightening such as laser, light-based therapies, radio-frequency devices, etc that may be helpful.
Lastly, volume restoration may yield the most dramatic results in your situation. The most sculptural filler, Juvederm Voluma, can achieve a remarkable amount of fill AND lift if properly placed by  an experienced board certified plastic surgeon, facial plastic surgeon or dermatologist (or a certified injector under their DIRECT supervision). There are many other fillers available as well that are safe and effective. Also, your own fat can be used to volumize and re-shape your face for a more youthful look. I recommend that patients start with the hyaluronic acid fillers. These filler can be reversed with the injection of an enzyme if, for any reason, you don't like the result. Then, once you are happy with the outcome, longer lasting solutions like fat can be utilized. 

Facelift alternative

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Nothing can really lift the face other than a facelift.  Fillers or fat grafting can camouflage sagging of the face, but the effect is limited.  I would discuss your options with a board certified plastic surgeon.  I agree that a minilift might be a good option in your case.
 

Shim Ching, MD
Honolulu Plastic Surgeon
4.5 out of 5 stars 16 reviews

Non Surgical Face Rejuvenation

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Non surgical options include RF (ThermiRF seems better than Thermage), Ultrasound (Ultherapy) or Laser. I prefer the Sciton Laser Skintyte and/or Forever Young settings for this purpose. See the below link for more details.

For best results however a mini lower facelift would be best and can be done with minimal scars compared with older more traditional approaches. See details for example about the LiteLift or MACS procedure.

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 59 reviews

Non surgical facial rejuvenation in younger patients

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Non surgical facial rejuvenation in younger patients
Volume sometimes helps.  Fat grafting may be a good option and can improve the quality of skin
Skin care, laser treatments are all helpful

Jed H. Horowitz, MD, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 24 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.