Restoring Volume for a More Youthful You


We used to think aging was all about wrinkles and laxity and thus a facelift was all about tightening and lifting. Aging is also very much about loss of volume in the face. As we age, we get more hollow and sunken. When we add volume back into the face with fillers, results can be astounding. The goal is a more youthful appearance, but it should also be soft, because youthful beauty is soft. It’s not tight and it certainly isn’t flat, hollow or deflated. 
Using a combination of neurotoxins (such as Botox) combined with fillers (including Restylane, Juvederm, Radiesse, Artefill and others) is what we call the Liquid Facelift. This procedure offers wonderful possibilities to rejuvenate the face; it is an in-office procedure with no surgery and virtually no down time.  Neurotoxins relax the muscles that cause wrinkles and fillers restore depleted volume. Different techniques are used depending on the specific concerns of each patient.
One of the most frequently requested areas patients want smoothed out is the vertical lines between the eyebrows; often called the “11” because there can be two lines running vertically between the eyebrows. A couple of tiny injections of Botox diffused into the muscle relaxes it and not only smooths out the frown lines, but actually lifts up the brow and smooths the skin as well. A different technique with neurotoxins placed elsewhere on the forehead will result in a nice lifting of the lateral brow. The combination of lifting the brow and smoothing those frown lines is something that’s very popular with men and women. Another benefit of neurotoxins is that they shrink down the sebaceous glands, to further smooth the skin’s surface.
Technique is critical when it comes to injecting neurotoxins. Too much in the wrong place can result in a droopy brow as opposed to a raised brow. It’s also important to note the differences in men versus women; men’s eyebrows go straight across. Women’s eyebrows are arched. Turn up your antennae and start looking at faces all around you; your friends and neighbors, television personalities, people on the street. I’ve noticed some male television personalities in particular who’ve had a little too much Botox injected in the wrong places. Both science and art are involved in the Liquid Facelift. Knowledge of facial anatomy is essential to injecting the right quantities of Botox and fillers and injecting them in the right places.
Once the frown lines, forehead lines and crow’s feet have been smoothed out with neurotoxins, the next step is to fill deeper folds and add volume back into the face using fillers. Areas in which fillers are used to add volume include the lips, cheeks, temples, jawline, frown lines, folds and creases around the mouth and dark circles under the eyes. Since loss of volume from the face is global, we’re finding that adding fillers in multiple areas of the face can help turn back the hands of time.
A pleasing and natural facial rejuvenation is very often dependent upon a practitioner’s expert knowledge in combining therapies to achieve a natural, flawless result. 
Article by
Bonita Springs Oculoplastic Surgeon