Post facelift maintenance - what procedures are best?

Question

What procedures are best for posting facelift maintenance? My results are still great after three years but I would like to start doing something to keep my lower face and neck as tight as possible. I'm 51 and my skin is on the thinner side so I definitely don't want to lose any facial fat

Vaishali B. Doolabh, MD, FACS · Answer

Hi DNL222, maintaining your skin tightness is a challenge for everyone. If you consider that our skin is like our hair & nails and needs consistent, regular stimulation of collagen/elastin/hyaluronic production, you will use some retinol (too much can exacerbate already thin skin), microneedling or texturizing lasers for physical stimulation of new fresher skin growth.  Sun exposure can accelerate aging skin appearance by creating laxity/looseness, hyperpigmentation, fine wrinkles, etc. Apply broad-spectrum sunscreen daily with SPF 30 or higher, and wear a wide-brimmed hat when outdoors.
A balanced diet high in antioxidants, vitamins/minerals, protein and less sugar, fats and processed foods with adequate hydration, and avoiding smoking and excessive alcohol all contribute. Wrinkles from facial expression should be minimized with Botox injections-less movement means less tendency towards looseness of skin and soft tissue. Keeping volume in your face with fat or filler helps support soft tissue so that you don't look deflated/saggy as well. Have a consultation with a board certified plastic surgeon who can offer you a rotation in products and services, some technology driven like RF microneedling & lasers, and some aesthetician level (facials, peels) when you can't have a lot of downtime. Good luck!

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy 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. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best,
Dr. Karamanoukian
Realself100 Surgeon

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Jacob Tower, MD · Answer

Hello, hope you are well. A great option with very little downside is radiofrequency microneedling. The most popular platform (device) for this is called Morpheus8. This is a quick office procedure that involves topically numbing the skin, and very little post-procedure downtime. (E.g. you can return to work the next day without any overt signs of a cosmetic procedure). It works by stimulating collagen and elastin production in the skin, and it will not cause loss of facial fat. 
Best,Dr. Tower

Camille Cash, MD · Answer

There are several things that can be considered to keep your facelift results looking great.  We always recommend using medical grade skin care products like Transform MD and wearing sunscreen every day.  Morpheus8 treatments combine RF technology with microneedling to address overall skin tone and texture.  Visit a skin care specialist at a medical spa, or a board certified plastic surgeon near you to learn more.

Anna Avaliani, MD · Answer

Thank you for an excellent question. Your concern with losing fat loss is valid so it;'s important to seek treatments performed by physicians.Here are your options:No downtime:TempSure RFUltherapyMinimal Downtime:RF Microneedling with exosomes is ideal as it's the only form of restorative anti aging available when done appropriately.Fractional non ablative resurfacing
You must also use: Vit C serums, Retinoids, SPF, moisturizers for face and neck and chest and hands to look balanced.Hope this helps.Best, Dr.Anna Avaliani, NYC

Post facelift maintenance - what procedures are best?

Answers (5)

More Skin Tightening Questions

WE SEND PRETTY
EMAILS

Answers (5)

More Skin Tightening Questions

What can be done for saggy knees? (photos)

Will Facia blasting help target cellulite and crepey skin?

Would you suggest microneedling or HIFU? Does HIFU work?

Which procedure would minimize fat and create a more defined jaw? 23 y/o (photos)

What are my options for tightening loose jaw and chin skin after Invisalign? 31 y/o (photos)

What can I do to improve the look of my under eyes, specifically my left eye? (Photos)

WE SEND PRETTY EMAILS

WE SEND PRETTY
EMAILS