I had dermal filler for the first time and had an extreme reaction that required extensive dissolving. It has been a long time and my skin has remained severely damaged (laxity/sagging/). I tried a tiny amount of filler again at a loss, and it has just weighed down my face even more. I realise non-surgical means won't do much but is my age a contraindication? I have been recommended a high-SMAS lift to address mid-face and jowls. Non-surgical and non-invasive solutions have done little.
September 14, 2024
Answer: Facial voilume loss at a young age Wanting more facial volume at your age is quite common. Sometimes, dissolving fillers with hyaluronidase can lead to a sudden volume loss, which is what you have experienced. Based on your photos, it doesn't seem like you have significant facial laxity that would make a facelift, like a high-SMAS lift necessary, or helpful. Instead, you might consider fat grafting to the face, which uses your own fat to restore volume naturally and potentially provides lasting results without the reactivity concerns of the fillers. It's important to find a surgeon experienced in facial fat grafting who you feel comfortable with. When done well, this technique can offer excellent results and help you achieve the look you're hoping for. Dr. B.
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September 14, 2024
Answer: Facial voilume loss at a young age Wanting more facial volume at your age is quite common. Sometimes, dissolving fillers with hyaluronidase can lead to a sudden volume loss, which is what you have experienced. Based on your photos, it doesn't seem like you have significant facial laxity that would make a facelift, like a high-SMAS lift necessary, or helpful. Instead, you might consider fat grafting to the face, which uses your own fat to restore volume naturally and potentially provides lasting results without the reactivity concerns of the fillers. It's important to find a surgeon experienced in facial fat grafting who you feel comfortable with. When done well, this technique can offer excellent results and help you achieve the look you're hoping for. Dr. B.
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September 14, 2024
Answer: Facelift at age 30; dangerous or complex? I have done many facelifts on younger oatients such as yourself, but in order for the surgery to give meaningful improvement there needs to be more relaxation than I see in your pictures . The surgery is not more complex than in patients with more aging changes but no surgery is completely risk free and there are obviously incisions recovery time and expense. You do have a volume deficiency which surgery won’t fix. I do agree that the only approach worth considering is a procedure that releases and lifts the Smas in the midface region and a high SMAS will achieve this. The limitation of surgery is that inevitably there is some relaxation in the postoperative recovery. Skin and superficial muscle (SMAS) respond to tension with some relaxation which is an inherent property of those tissues. So even though you would have some improvement, at 6 months it might not be visible on photographs.
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September 14, 2024
Answer: Facelift at age 30; dangerous or complex? I have done many facelifts on younger oatients such as yourself, but in order for the surgery to give meaningful improvement there needs to be more relaxation than I see in your pictures . The surgery is not more complex than in patients with more aging changes but no surgery is completely risk free and there are obviously incisions recovery time and expense. You do have a volume deficiency which surgery won’t fix. I do agree that the only approach worth considering is a procedure that releases and lifts the Smas in the midface region and a high SMAS will achieve this. The limitation of surgery is that inevitably there is some relaxation in the postoperative recovery. Skin and superficial muscle (SMAS) respond to tension with some relaxation which is an inherent property of those tissues. So even though you would have some improvement, at 6 months it might not be visible on photographs.
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