I have been to both a plastic surgeon’s office and a very good medical spa (I have had great filler work there-even better than at the surgery center) The surgery locale has suggested to me that eventually, fillers no longer work and a facelift will be my only helpful option. That I probably should think sooner than later for a facelift. The medspa says fillers will give me volume that a facelift will not give me. I don’t know who to listen to. Thank you
Answer: Do I need a facelift Of course the med spa will recommend fillers and you’ll spend a lot of money by the time you realize you should have had a facelift. If you want to start slowly and not spend a lot of money consider having your upper lids done. That would be an excellent start and a lot of bang for the buck
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Answer: Do I need a facelift Of course the med spa will recommend fillers and you’ll spend a lot of money by the time you realize you should have had a facelift. If you want to start slowly and not spend a lot of money consider having your upper lids done. That would be an excellent start and a lot of bang for the buck
Helpful 5 people found this helpful
Answer: Full face lift Dear terriebari, Thankyou for your attaching pictures for reference. It seems you are experiencing face laxity where the skin is losing its firmness and tightness especially in the mid-face area. If you are looking for a permanent solution, In my opinion, a full-face lift seems to be the solution, this way it will target the loose skin in the neck, jaw area, midface and temporal area combined with Upper and Lower blepharoplasty, the lift will eliminate the sagging cheeks/nasolabial folds and the blepharoplasty will remove the excess skin in the upper and under the eyes and prevent your skin to collect under the eyes when smiling. Furthermore, I would also suggest that you get fat injections for your deep smile lines to fill in the lack of volume. For the midface lift and lower blepharoplasty i would strongly suggest finding an expert surgeon who does endoscopic scarless lift and follows the vertical lift technique in order to get much natural lifted look. Best Regards, TAS TEAM
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Answer: Full face lift Dear terriebari, Thankyou for your attaching pictures for reference. It seems you are experiencing face laxity where the skin is losing its firmness and tightness especially in the mid-face area. If you are looking for a permanent solution, In my opinion, a full-face lift seems to be the solution, this way it will target the loose skin in the neck, jaw area, midface and temporal area combined with Upper and Lower blepharoplasty, the lift will eliminate the sagging cheeks/nasolabial folds and the blepharoplasty will remove the excess skin in the upper and under the eyes and prevent your skin to collect under the eyes when smiling. Furthermore, I would also suggest that you get fat injections for your deep smile lines to fill in the lack of volume. For the midface lift and lower blepharoplasty i would strongly suggest finding an expert surgeon who does endoscopic scarless lift and follows the vertical lift technique in order to get much natural lifted look. Best Regards, TAS TEAM
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October 7, 2022
Answer: Everything looks like a nail when all you have is a hammer. This is a fun question. Both of these treatment options, facelifting and fillers have their benefits. The facelift is the most powerful tool to improve the jowels and laxity in the central neck, both of which you have early signs of. Filler is best to improve the upper facial deflation that also occurs with age. Ideally however, injectables are used very lightly in the lower face, to avoid exacerbating the facial shape changes that occur with age: shrinking of the upper third of the face and expansion of the lower third, making the face look less heart shape and more square. Fillers for volumizing the loss of cheek, brow and temple are useful in the sense that they can be done in an office, in a staged fashion as the budget permits and can be reversed with enzyme. The downsides however are that they are a volume source that has a relatively high rate of "cosmetic complication" whereby it can look unnatural, puffy, or discolored. Unfortunately, if fillers are continued, the chance of one of these cosmetic complications occurring does get higher. The ideal approach uses a neck/facelift to slim the lower third of the face and more natural volume sources such as sculptra or fat grafting for the upper third. Hope this wasn't too confusing of an explanation!
Helpful 2 people found this helpful
October 7, 2022
Answer: Everything looks like a nail when all you have is a hammer. This is a fun question. Both of these treatment options, facelifting and fillers have their benefits. The facelift is the most powerful tool to improve the jowels and laxity in the central neck, both of which you have early signs of. Filler is best to improve the upper facial deflation that also occurs with age. Ideally however, injectables are used very lightly in the lower face, to avoid exacerbating the facial shape changes that occur with age: shrinking of the upper third of the face and expansion of the lower third, making the face look less heart shape and more square. Fillers for volumizing the loss of cheek, brow and temple are useful in the sense that they can be done in an office, in a staged fashion as the budget permits and can be reversed with enzyme. The downsides however are that they are a volume source that has a relatively high rate of "cosmetic complication" whereby it can look unnatural, puffy, or discolored. Unfortunately, if fillers are continued, the chance of one of these cosmetic complications occurring does get higher. The ideal approach uses a neck/facelift to slim the lower third of the face and more natural volume sources such as sculptra or fat grafting for the upper third. Hope this wasn't too confusing of an explanation!
Helpful 2 people found this helpful
September 12, 2022
Answer: Facelift or Filler Given your photos, it appears that there is some descent of the deeper facial structures and excess skin. Fillers are good ONLY for adding volume. I would recommend a facelift / necklift with facial fat grafting but these are only recommendations that truly need a physical exam prior to providing any official recommendations. I would highly recommend seeing a board eligible or board certified plastic surgeon for a physical exam and accurate analysis with safe recommendations for potential surgical options. Best of luck!
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September 12, 2022
Answer: Facelift or Filler Given your photos, it appears that there is some descent of the deeper facial structures and excess skin. Fillers are good ONLY for adding volume. I would recommend a facelift / necklift with facial fat grafting but these are only recommendations that truly need a physical exam prior to providing any official recommendations. I would highly recommend seeing a board eligible or board certified plastic surgeon for a physical exam and accurate analysis with safe recommendations for potential surgical options. Best of luck!
Helpful 1 person found this helpful
August 30, 2022
Answer: Facelift with fat grafting A discussion of your concerns is important here, as well as a physical evaluation, but they are both "right" in a sense. A facelift alone will not give you the volume you need for facial rejuvenation. This is why modern facelifts are done with fat grafting at the same time. Both facelift and fat grafting address things that the other cannot. The amount of volume you need for facial rejuvenation could not safely or sanely be accomplished with fillers alone, and just fillers will not tighten any of the structures that have become lax with aging. Comprehensive facial rejuvenation requires both.
Helpful 1 person found this helpful
August 30, 2022
Answer: Facelift with fat grafting A discussion of your concerns is important here, as well as a physical evaluation, but they are both "right" in a sense. A facelift alone will not give you the volume you need for facial rejuvenation. This is why modern facelifts are done with fat grafting at the same time. Both facelift and fat grafting address things that the other cannot. The amount of volume you need for facial rejuvenation could not safely or sanely be accomplished with fillers alone, and just fillers will not tighten any of the structures that have become lax with aging. Comprehensive facial rejuvenation requires both.
Helpful 1 person found this helpful
August 25, 2022
Answer: Facelift versus filler Thank you for question in sharing your photographs. It is a dilemma for many people that are looking to maintain their facial aesthetics and the turning point is not necessarily clear. It is also fair to say that there is no direct conflict between having surgery and having fillers. They offer different types of solutions and to some degree they are complementary. I would suggest that the easiest way for you to decide whether surgery is right for you is to simulate the impact of facelift as the injectable fillers would never be able to do the same. To this effect, if you lie down completely flat and hold a mirror in front of you, you will be able to see changes of the facial shape that reflect relatively well the impact that you can expect from a well executed facelift and probably more likely from the deep plane facelift. Unfortunately, fillers cannot produce the reduction in volume in the lower face, and as a result, building the volume in the mid-face is tailored against a contour of the jawline that is heavier than what you had in your 20s. This can mean that the end result would be of facial features are too full. This can create the perception that the lower face has become dominant compared to the appearance of the eyes. Redistribution of the volume such as created by facelift surgery, reduces the overall surface of the face by reducing the size of the lower face and enhances the visibility of the eyes. This is most likely mechanism of comparison that we apply subconsciously.
Helpful 1 person found this helpful
August 25, 2022
Answer: Facelift versus filler Thank you for question in sharing your photographs. It is a dilemma for many people that are looking to maintain their facial aesthetics and the turning point is not necessarily clear. It is also fair to say that there is no direct conflict between having surgery and having fillers. They offer different types of solutions and to some degree they are complementary. I would suggest that the easiest way for you to decide whether surgery is right for you is to simulate the impact of facelift as the injectable fillers would never be able to do the same. To this effect, if you lie down completely flat and hold a mirror in front of you, you will be able to see changes of the facial shape that reflect relatively well the impact that you can expect from a well executed facelift and probably more likely from the deep plane facelift. Unfortunately, fillers cannot produce the reduction in volume in the lower face, and as a result, building the volume in the mid-face is tailored against a contour of the jawline that is heavier than what you had in your 20s. This can mean that the end result would be of facial features are too full. This can create the perception that the lower face has become dominant compared to the appearance of the eyes. Redistribution of the volume such as created by facelift surgery, reduces the overall surface of the face by reducing the size of the lower face and enhances the visibility of the eyes. This is most likely mechanism of comparison that we apply subconsciously.
Helpful 1 person found this helpful