What Would Be the Best Non-invasive Facelift for a 28 Year Old?

I would recommend a liquid facelift or fat grafting for a young individuals. Radiofrequency and laser treatments can help to tighten the skin as well.

FaceTite can internally tighten the skin in the lower face and neck. After all the skin has been heated and contracted, we shape the neck with liposuction to give definition and remove stubborn pockets of fat. In one quick treatment, we can tighten skin, remove fat, and contour the lower face, jawline, and jowls with only a weekend of downtime. Keep in mind that combination approaches will give you a more significant improvement as opposed to a single procedure. I recommend getting a consultation with a board-certified cosmetic dermatologist and facial sculpting expert. Best, Dr. Emer

Not all patients the same age, 28 in your case, age the same way. Knowing the causes of aging in your particular case will help answer your question. One approach does not substitute for another and often they can be done at the same time. The most important thing is to find the most skilled Plastic Surgeon available and he/she will determine what is needed and the timing especially since you did not provide photos. Fillers and resurfacing procedures at the same time or following a Face Lift procedure makes Sense for most. There is a higher risk in smokers however.This is because you age by three factors - sagging (through gravity and time), loss of volume (counteracted by fillers), and skin texture (determined by environmental and genetic factors). Your fillers should enhance your effect of the lifting if placed appropriately by addressing one of the causes of aging. Most often one of these factors is more out of balance than another and therefore your procedures should customize for what is most needed. Often fillers alone can "stall" the inevitable as they only correct one aspect of aging.Facelift and Skin resurfacing procedures (laser, Ulthera or Thermage ) and fillers are synergistic so as long as you wait until the Sculptra injection site is soft you should do fine. Not a problem and there is no problem with the timing for a facelift. Sculptra, Radiesse, Jeuvederm, Restylane, your own fat and other fillers address volume issues, resurfacing procedures corrects surface flaws associated with aging and face lifting addresses the sagging loose skin. Resurfacing procedures address skin texture, color variation (e.g. sun spots)- so all three are synergistic and complementary. It is very common in my practice to do all three approaches to rejuvenation at the same time

Ultherapy is an excellent modality for non surgical face lifting for the jowls, neck, and lower face. Raffy Karamanoukian MD FACS

A combination of therapies may allow you to achieve your desired look. Ulthera combined with fillers can produce a wonderful result. Fillers will add the volume you are looking for in the cheek area and Ulthera will help to tighten the skin while still producing a natural result.

Hard to really say in your particular case without photos or exam.  Having said that, you are most likely a candidate for filling modalities to give volume to the face.  Fillers add volume and can give pleasant contour.  Facelifts take anatomy and place it back into the proper place.  When done correctly, these modalities are appropriate and effective for that individual.  The other modalities that your describe may be helpful, depending on the individual.  See a few consultants before making your desicions.

Over the last decade our understanding of how our skin ages has undergone a revolution. Whereas once the visible signs of facial and neck aging were attributed exclusively to skin laxity or looseness, today, we know that the sagging, drooping, wrinkling, textural alterations, etc that characterize the passage of time are a result of a number of anatomical and physiological events. These include loss in the quality and quantity of collagen and elastic fibers, largely due to years of accumulated sun exposure and other environmental damage; an increase in facial expression muscle activity (hyperkinesis);  loss of facial volume (due to decreases in fat, bone, cartilage and muscle); weakening of the retaining ligaments that suspend and hold the skin and underlying tissues in place; and the fragmentation and downward displacement--due to the effects of gravity--of the fat compartments that are responsible for giving fullness, smoothness, and youthful contour to the face and neck. The result of this gravitational pull on compromised, devolumized facial tissue is that the face loses its youthful triangular shape and takes on a more boxy look as the jowls and neck sag.

To illustrate what happens to our skin as we age, just Imagine a fully expanded dining room table covered with a beautiful, smooth table cloth that hangs just so halfway down each of the sides of the table. Now consider what would happen if you were to remove both leaves from the middle of the table. Not surprisingly, the table cloth that draped so beautifully now droops down to the floor. To restore the table cloth to its proper position, you wouldn't conclude that it had gotten too loose and proceed to cutting it down all the way around the table to shorten it. You would simply reinsert the leaves of the table and voila. However, for decades, physicians perceived jowls and turkey necks and sagging cheeks to be simple laxity (skin hanging) and merely cut away the "excess" tissue" as part of surgical facelifts, necklifts and eyelifts--often creating artificial, cadaverous, skeleton-like, overly pulled tight faces--giving rise to the obvious and much dreaded, "They've been done" look..

Unfortunately, despite the marketing hype to the contrary, many of the energy based, nonsurgical treatment modalities, such as radiofrequency, ultrasound and laser and light devices have not proven particularly effective, yielding results that are often subtle or minimal at best.  As evidence of this, one only has to look at how quickly today's supposed God's gift to nonsurgical rejuvenation energy-based device is replaced almost every day by the next purportedly most advanced, latest and greatest gizmo. 

Today, fortunately, we do have several methods for nonsurgically addressing aging changes that have stood the test of time and that necessitate  little or no downtime. For muscle overactivity, we have neuromodulators, such as Botox, Dysport and Xeomin. For roughness, textural changes, skin dullness and mottled pigmentation, we have topical prescription medications, chemical peels, medical microneedling, etc. For fine wrinkles, we have fillers and for deeper furrows and volume loss, we have developed volumizing injectable fillers. And now, for sagging skin and apparent laxity, we have "The Nonsurgical 3D Vectoring Lift."

A vector describes a magnitude and direction of force. Aging skin is characterized by a negative downward and inward vector of sagging. To counter this, surgeons traditionally pulled skin upward and outward--i.e. using a positive vector. The key difference between the outcomes of traditional surgical correction and nonsurgical 3D vectoring, both of which lift upwards and outwards, is the Nonsurgical 3D Vectoring Lift's additional corrective dimension of ‘forward projection’. This 3D effect is the result of volumizing with the use of injectable agents designed for this purpose, such as Radiesse, Voluma, Restylane SQ, and Stylage XXL.

The Nonsurgical 3D Vectoring Lift is predicated upon the fact that the face and portions of the neck differ in their degree of mobility. The region directly in front and behind the ears is a fixed, denser, relatively immobile area, in contrast to the mid-cheek region (hence the greater tendency of this region to sag with the passage of time). These anatomical differences are exploited in the Nonsurgical 3D Vectoring Lift by making the fixed areas serve as anchoring points for the mobile tissues.  In determining the positive vectors for the mid to lower face, the tissues that require lifting are identified by pulling the skin directly in front of the ears in a direction perpendicular to the area that requires correction. If the pulling results in lifting of the desired tissue, then the vector has been correctly identified and is then marked in accordance with 3D vectoring protocol. A similar approach is used in the region of the angle of the jaw or in back of the ear when dealing with neck laxity.

Once the proper vectors are marked, the volumizing agents are injected in a series of radiating bands that serve as support struts to the skin and that impart the necessary 3D outward projection--the lift--that distinguishes and defines this nonsurgical approach. The high viscosity and elasticity of the volumizing fillers serves to hold and re-support the overlying tissue and restore more youthful contours.

Although volumizing fillers are reabsorbed over time, they do promote new, native collagen synthesis, which may continue to provide structure, firmness and improved skin quality while continuing to lift tissues. A typical Nonsurgical 3D Vectoring Lift of the face takes about fifteen minutes to perform. Bruising and swelling tend to be minimal, and most people can return to work or social activities immediately following treatment.

Younger patients do not require surgical facelifts. That can be said in almost all cases. But there are 2 reasons that can lead to a younger face looking "saggy" or tired. 1.) Loss of volume, especially in the cheeks, 2.) Poor anatomy ("weak" cheeks and/or chins) can lead to the skin appearing loose and saggy. The non-surgical ways to address volume loss are with fillers. Also, procedures that use Platelet-Rich Plasma (PRP, like that used in the VampireLift) can help restore volume using growth factors from your own body. Fillers or fat grafting can be useful when significant filling is needed. Skin or muscle-tightening procedures (like Ultherapy) can produce some subtle results, but in younger patients it is more of a method of preventing or slowing the rate of sagging. However, if there is an anatomical reason, cheek or chin implants should be part of the discussion as well. Those are questions that can be answered during a consult and exam with a knowledgeable Facial Plastic Surgeon.

Adding volume (i.e. fillers) the face can help maintain or create a more youthful look.  It tends to have very little downtime and can provide a great and immediate result with very little downtime.  If you have some specific concerns such as blunting of the jaw line or neck, then consider something like Ultherapy.  It can provide a gentle lift in the treated areas and can help create a tighter look.  It can also help maintain or hinder the aging process.  Regarding surgery, I would wait until you are older.

I perform a lot of midface lifts. You're too young. Don't have surgery. Anything from the outside, like lasers, radiofrequency, etc. won't work. Fillers, especially Perlane or Juvederm Ultra Plus are very safe and worth a try. Radiesse works well but not reversible if you don't like it. Check out an honest surgeon in your area for the best advise. Good luck.