44, what filler will be the most natural looking & not impact a future lift (no Sculptra)?

Ultherapy is a non-invasive procedure that lifts the neck, chin and brow, and improves lines and wrinkles on the upper chest. As we age, collagen breaks down, resulting in loss of skin strength and elasticity. For tissue tightening, Ultherapy is ideal for the lower face and neck and we often combine it with CO2 laser or Morpheus8 to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity.

Best,
Dr. Karamanoukian
Realself100 Surgeon

The Endolift Laser is FDA cleared to tighten lax skin and stimulate your collagen. The procedure uses a thin micro-fiber place through tiny pin holes to pass below the skin and target the cells that rejuvenate the face and neck.

Thank you for your query. Hyaluronic acid fillers (Restylane or Juviderm) are a good option. I also often do a non surgical facial rejuvenation using a combination of your own fat with PRP and antioxidants . This latter can be done under sedation and is long lasting. Please find an experienced Board certified Plastic surgeon who can examine you and help you with all your concerns. All the best!

If a patient says they liked the results of volumizing with PRF. Then I would think volumizing with a longer lasting product would be my first choice. I would only add Endolift to decrease the heavy lower face or to tighten skin, but volumizing would be the first step.Many products can be used from HA fillers to collagen stimulators to Fat transfer or Renuva.I would discuss these options with the patient to see what the best fit is.

Hello; 44 years old is too early for facelifting operation. I recommend for leaving this option for later period. Because, an operation is only good once. You can't have surgery every time your face sags. Since adhesions will form in the underlying tissue, second operations are always become risky and involve the possibility of many complications. Due to this reason, I give an advise for you to choose the most suitable non-surgical face lift treatment for 44 years old. Actually, I find Thermage FLX very effective in this point. My patients are extremely satisfied. The results are extremely satisfactory as well. Thermage FLX is a high technology product and FDA approved for chin contour removal. It is applied in a single session. The result remains for many years. Since it increases natural collagen, there is no bombshell. No pain,no injection as well. It does not disrupt daily life. Its affect appears gradually. The final affect is fully visible after six months. Since it improves tissue quality, it has an affect far beyond the face lifting operation. If you have extra depressions on your face, I recommend for Radiesse. This calcium Hydroxyapatite molecule not only raises the lifting effect, but also stimulates collagen synthesis, supporting a face lift treatment that lasts for many years. I'm sure you will be very pleased with this combination.

HA fillers sound like the right choice to help you bridge the gap until you are ready for a facelift. These will last 1-2 years depending on the filler selected. You can also consider FaceTite. This is a minimally invasive procedure that does not require general anesthesia. It uses RF technology to tighten the skin. You can learn more by visiting my website or a provider near you.

There’s absolutely nothing that’s better than using your own fat to rejuvenate the face. As long as fat grafting is done, an expert in fat grafting Plastic Surgeon, the results should be extremely natural, practically permanent and make you look the way you used to look so 20 years earlier. I hope this helps and best of luck from New York City Plastic Surgery.