Non Surgical Cosmetic Treatments - What Works?

Doctor Answers (22)

Non Surgical Facelift-Fillers and Botox or Dysport Most Effective

+5

Thank you for your important question. The internet is filled with advertisements promising a Non Surgical Facelift but sadly most of them are marketing hype.

Non surgical skin tightening machines like Thermage, Titan, LuxIR Deep, Ulthera, Radiofrequency and many others achieve at best 20-25% skin tightening and only in younger healthy skin, not aged skin that really needs tightening.

Laser skin resurfacing can produce excellent wrinkle removal and remove sun damage, but cannot significantly lift the face without risk of scarring and loss of pigment.

The popular "Liquid Facelift" which utilizes fillers like Restylane, Juvederm, Radiesse, Perlane, Sculptra and others can restore the aging face nicely by adding volume to the aged face. Neurolytic agents like Botox and Dysport can reduce dynamic lines and elevate the brow and do make the face look younger.

Choose a Board Certified Plastic Surgeon who is experienced and who has a good reputation and consult them for your best options.

 


Boston Plastic Surgeon
5.0 out of 5 stars 36 reviews

Non Surgical Cosmetic Treatments - What Works?

+2

Most non-invasive procedures will improve the facial appearance but depending on the problems, surgery may be the final option. Certainly, Botox and fillers can result in excellent improvement if done on the right patient.

Mohsen Tavoussi, MD, DO
Huntington Beach Facial Plastic Surgeon
4.5 out of 5 stars 9 reviews

Non Surgical Face Rejuvenation: What Works

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Knowing the causes of aging will help answer your question. One approach does not substitute for another and often they can be done at the same time. The most important thing is to find the most skilled Plastic Surgeon available and he/she will determine what is needed and the timing especially since you did not provide photos. Fillers and resurfacing procedures at the same time or following a Face Lift procedure makes Sense for most. There is a higher risk in smokers however.
This is because you age by three factors - sagging (through gravity and time), loss of volume (counteracted by fillers), and skin texture (determined by environmental and genetic factors). Your fillers should enhance your effect of the lifting if placed appropriately by addressing one of the causes of aging. Most often one of these factors is more out of balance than another and therefore your procedures should customize for what is most needed. Often fillers alone can "stall" the inevitable as they only correct one aspect of aging.
Facelift and Skin resurfacing procedures (laser, Ulthera or Thermage ) and fillers are synergistic so as long as you wait until the Sculptra injection site is soft you should do fine. Not a problem and there is no problem with the timing for a facelift. Sculptra, Radiesse, Jeuvederm, Restylane, your own fat and other fillers address volume issues, resurfacing procedures corrects surface flaws associated with aging and face lifting addresses the sagging loose skin. Resurfacing procedures address skin texture, color variation (e.g. sun spots)- so all three are synergistic and complementary. It is very common in my practice to do all three approaches to rejuvenation at the same time

Larry S. Nichter, MD, MS, FACS
Orange County Plastic Surgeon
5.0 out of 5 stars 48 reviews

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Voluma to give you younger look

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Thank you for your question, this may depend on what you’re looking to achieve. If you have hollowness in your face I recommend Voluma to instantly volumize the mid-face area. Voluma can last up to two years giving you a younger appearance.

Bruce E. Katz, MD
New York Dermatologic Surgeon
3.5 out of 5 stars 15 reviews

Non Surgical Cosmetic Treatments and Effectiveness

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There are many non surgical cosmetic treatments that are highly effective such as facial injections of Sculptra, Botox, Dysport, Voluma, Restylane, and Botox.  The injections can volumize the face and correct wrinkles in different areas.  If you combine facial injections with lasers such as Fraxel to help with pigmentation and fine lines, you improve the overall complexion and rejuvate the skin as well.  Skin tightening lasers definitely work but realistic expectations are the key.  Skin tightening with lasers such as BBL or Thermage work very well but need to be repeated every two years for the best results.  For the best cosmetic results please consult a board certified dermatologist with a great deal of experience with lasers and facial injections.

Michele S. Green, MD
New York Dermatologist
5.0 out of 5 stars 33 reviews

Resurfacing, fillers and BOTOX® are a great combination for nonsurgical rejuvenation.

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Nonsurgical procedures like resurfacing (microdermabrasion, chemical peels or laser resurfacing) combined with dermal fillers and BOTOX® Cosmetic can make a big impact on the minor signs of aging throughout the face. This approach is becoming very popular as a “first line of defense” in the battle against aging for many men and women. The trick is to find a surgeon who is happy to work closely with you in developing an individualized treatment plan that addresses your specific concerns. Also, keep in mind that as effective as these are in the short-term, more advanced signs of aging due to muscle laxity are best addressed through surgery.

Glenn M. Davis, MD, FACS
Raleigh-Durham Plastic Surgeon
5.0 out of 5 stars 40 reviews

Ulthera non surgical facelift - Los Angeles

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We have found the Ulthera procedure to be an excellent treatment for those seeking lower face and neck rejuvenation without surgery. Raffy Karamanoukian, Los Angeles

Raffy Karamanoukian, MD, FACS
Los Angeles Plastic Surgeon
5.0 out of 5 stars 49 reviews

Multiple Nonsurgical Options; Surgeon's Skill and Customization Are Key

+1
We live in a great time where there are multiple modalities to rejuvenate . Weeding out the poorly productive treatments is difficult for a patient. Make sure that the cosmetic surgeon that you pick is able to customize the treatments for YOU. Be wary of spas that only offer one treatment or where you do not meet the doctor. In general when we age, three processes occur:deflation (loss of volume), loss of elasticity (skin stretches), and sun damage to the skin. Unfortunately no one treatment is the cure all for all three of these categories. Deflation can be improved with a multitude of fillers: Juvederm, radiesse, restylane can last around one year while Artefill or natural fill (fat transfer) can last several years. Skin tightening can be achieved from outside of the skin with radiofrequency devices like thermage or exilis. A major advance has occurred with laser skin tightening which is performed underneath the skin lazerlift. Of course surgically a face lift will give the best tightening. Make sure your doctor can provide natural results. The skin can be improved with great products like Obagi. Regenica, and a multitude of other great physician offered products. Co2 laser resurfacing with the mixto fractional laser or coherent ultra pulse can make beautiful improvements with variable downtime . The icing on the cake is botox which can decrease dynamic lines. You can choose to make improvements in one or all categories. Most of the procedures can be performed all at the same time. The majority of clients find the more of these procedures they have the nicer the results. My signature Accents lift is a combination of dual laser skin tightening and skin resurfacing. Most patients add filler and botox. In one hour I can turn back time up to 10 years.

Mark Berkowitz, MD
Sterling Heights Oculoplastic Surgeon
5.0 out of 5 stars 17 reviews

Non-surgical cosmetic treatments

+1

Forutunately, we live in an era where we have so many wonderful non surgical options available for facial rejuvination. For wrinkles caused by movement (forehead, between eyebrows, crow's feet), botulinum toxin works wonderfully. To replace lost volume, many filler options are available, including restylane, juvederm, radiesse, and sculptra. For fine lines and wrinkles, a resurfacing laser is very effective. Intense pulsed light treats brown spots and broken blood vessels. Radiofrequency is used to tighten loose skin. Finally, vitamin A creams, antioxidants, and sunscreen are an important part of a daily skin regimen.  

Donna Bilu Martin, MD
Miami Beach Dermatologist

Non Surgical Cosmetic Treatments

+1

Great question!

Botox and fillers are great with wonderful results when used for the right patient.  Fillers are also used in  the cheek region as a test.  If the patient likes the results she may opt to have cheek implants sometime in the future.  Fillers can also be used in the chin region and if the patient likes the results, may opt to have a more permanent solution with a chin implant. These are just a few of the results that can be accomplished with fillers.

Best of luck to you,

Dr. David Alessi

David Alessi, MD
Beverly Hills Facial Plastic Surgeon
4.5 out of 5 stars 7 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.