Had narrow tight face before. Was overfilled with cheek fillers. Hyaluronidase injected all over cheeks including where no filler present. After 2 weeks developed sagging skin and heaviness around mouth. Skin no longer tight and elastic. Am I a candidate for some type of face lifting despite my young age? Completely devastated at how fillers and hyaluronidase ruined my face.
Answer: A Mini Facelift can usually be an option on most realistic patients anytime after the age of 35-40 A Mini Facelift can usually be an option on most realistic patients anytime after the age of 35-40. It really depends on your anatomy and genetics. It is best to talk to your surgeon because everybody has different techniques and recovery time is usually based on a number of factors. If we are just talking about a short scar facelift, this can typically be done in the office under local anesthesia. Usually there are no drains, no outside stitches, and patients can go out in public the same day, although I usually recommend they low for the first couple days. Most of the initial swelling is from the numbing medicine and your body absorbs it within the first 4-6 hours. Obviously the body heals with swelling and inflammation and usually that maxes out at two days and then starts getting better. Most of these patients take no pain medicine and usually feel very comfortable going out in public within a few days. I usually call my patients the night of surgery and check on them the next day. If everything is fine the next day, I then let them shower and they do not need a dressing over their incisions. They can usually start using make up after a few days. At the two week check up, I usually have people start working out and then after six weeks they can do whatever they want. I routinely tell people to take a few days to a week off work and to hide out but some people are very nervous especially celebrities and I usually tell them to hide out for two weeks. As with any scar on the human body, initially scars are red, hard and raised and it typically takes six months to a year for them to become a soft thin white line. Additionally with recovery, there're many things we do to expedite healing such as nerve blocks during surgery, oral supplements, skin care and scar therapy recommendations, lymphatic massage sessions that are included in our pricing. I strongly feel that it's very important to have an honest conversation with your surgeon about your particular situation, lifestyle, work environment and specifically which procedures you're having done so that you both have the most honest answer about your recovery and are realistic with expectations and results. Surgery is not for everyone. In today's day and age, there are many nonsurgical options to consider although surgery usually gets the most improvement specifically of the jowls. I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of facelifts but also offers all the nonsurgical options such as injectables and laser treatments. Go over your concerns with them and make sure above all, you walk out of there with several options and an idea of the pros and cons to each of them as well as realistic expectations. I hope this helps and wish you all the best in your surgery and event. If it does, please take a moment to up vote this answer on the “respond” button on the top right.
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Answer: A Mini Facelift can usually be an option on most realistic patients anytime after the age of 35-40 A Mini Facelift can usually be an option on most realistic patients anytime after the age of 35-40. It really depends on your anatomy and genetics. It is best to talk to your surgeon because everybody has different techniques and recovery time is usually based on a number of factors. If we are just talking about a short scar facelift, this can typically be done in the office under local anesthesia. Usually there are no drains, no outside stitches, and patients can go out in public the same day, although I usually recommend they low for the first couple days. Most of the initial swelling is from the numbing medicine and your body absorbs it within the first 4-6 hours. Obviously the body heals with swelling and inflammation and usually that maxes out at two days and then starts getting better. Most of these patients take no pain medicine and usually feel very comfortable going out in public within a few days. I usually call my patients the night of surgery and check on them the next day. If everything is fine the next day, I then let them shower and they do not need a dressing over their incisions. They can usually start using make up after a few days. At the two week check up, I usually have people start working out and then after six weeks they can do whatever they want. I routinely tell people to take a few days to a week off work and to hide out but some people are very nervous especially celebrities and I usually tell them to hide out for two weeks. As with any scar on the human body, initially scars are red, hard and raised and it typically takes six months to a year for them to become a soft thin white line. Additionally with recovery, there're many things we do to expedite healing such as nerve blocks during surgery, oral supplements, skin care and scar therapy recommendations, lymphatic massage sessions that are included in our pricing. I strongly feel that it's very important to have an honest conversation with your surgeon about your particular situation, lifestyle, work environment and specifically which procedures you're having done so that you both have the most honest answer about your recovery and are realistic with expectations and results. Surgery is not for everyone. In today's day and age, there are many nonsurgical options to consider although surgery usually gets the most improvement specifically of the jowls. I would recommend that you see a board-certified plastic surgeon in your area that is a member of both ASPS & ASAPS and performs a lot of facelifts but also offers all the nonsurgical options such as injectables and laser treatments. Go over your concerns with them and make sure above all, you walk out of there with several options and an idea of the pros and cons to each of them as well as realistic expectations. I hope this helps and wish you all the best in your surgery and event. If it does, please take a moment to up vote this answer on the “respond” button on the top right.
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October 31, 2018
Answer: Candidate for facelift There are so many new minimally invasive procedures and devices that can help tighten skin in the face without undergoing surgery. I would recommend looking into non-surgical options.
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October 31, 2018
Answer: Candidate for facelift There are so many new minimally invasive procedures and devices that can help tighten skin in the face without undergoing surgery. I would recommend looking into non-surgical options.
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October 29, 2018
Answer: Candidate for a facelift? Peels, skincare, mini-lifts Concentrate on preventing sun damage by protecting your skin with sunscreen, hats and clothing. Have your dermatologist recommend a medical-grade skin care regimen with retinol and hyaluronic acid. Get regular chemical peels. If you do start to see some jowling, a mini lift, with or without a neck lift would give improvement. I hope this helps.
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October 29, 2018
Answer: Candidate for a facelift? Peels, skincare, mini-lifts Concentrate on preventing sun damage by protecting your skin with sunscreen, hats and clothing. Have your dermatologist recommend a medical-grade skin care regimen with retinol and hyaluronic acid. Get regular chemical peels. If you do start to see some jowling, a mini lift, with or without a neck lift would give improvement. I hope this helps.
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October 29, 2018
Answer: Have you considered other options? I have done facelifts on people this young. However, FaceTite, Ulthera, and other skin tightening options should be evaluated. These often work best in younger people.
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October 29, 2018
Answer: Have you considered other options? I have done facelifts on people this young. However, FaceTite, Ulthera, and other skin tightening options should be evaluated. These often work best in younger people.
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October 28, 2018
Answer: Facelift in your 30's Hello Randy, It is not typical for someone to have a facelift in their 30's. Fillers are often used but do not provide the lasting results a surgical procedure can provide. To this end, Dr. Kulick had to "re-do" a facelift in a woman in her 30's due similar questions that you have raised, undesirable fullness next to the corner of the mouth. If you go his website and look at patient case # 0036, you will see her initial results and the improvement provided by a laser vertical facelift, with a 2 year follow up. Dr. Kulick is very experienced when it comes to performing various facelift techniques and not all facelifts are the same. The usual procedure is a SMAS facelift. He has published a book describing his technique. He performs this procedure in a Hospital, outpatient setting vs. a surgery center as he feels your safety is of the highest priority! If you have not done so yet, you can read about these procedures by going to his website, techniques section. If you are interested in learning more about the different types of procedures performed by doctors called “facelifts,” you can go to “photo gallery” heading then go to the Video section. You can see multiple videos about the laser vertical facelift. Often other procedures are performed with such a procedure. Please call our office if you have any other questions. Hopefully, this has been helpful. Sincerely, Michael Kulick MD San Francisco, Ca. Board Certified Plastic Surgeon Member of ASPS, ASAPS Clinical Editor of the Aesthetic Surgery Journal Recipient of the Klingbeil Award from ASAPS – Teaching Safe Techniques and Advanced Technologies
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October 28, 2018
Answer: Facelift in your 30's Hello Randy, It is not typical for someone to have a facelift in their 30's. Fillers are often used but do not provide the lasting results a surgical procedure can provide. To this end, Dr. Kulick had to "re-do" a facelift in a woman in her 30's due similar questions that you have raised, undesirable fullness next to the corner of the mouth. If you go his website and look at patient case # 0036, you will see her initial results and the improvement provided by a laser vertical facelift, with a 2 year follow up. Dr. Kulick is very experienced when it comes to performing various facelift techniques and not all facelifts are the same. The usual procedure is a SMAS facelift. He has published a book describing his technique. He performs this procedure in a Hospital, outpatient setting vs. a surgery center as he feels your safety is of the highest priority! If you have not done so yet, you can read about these procedures by going to his website, techniques section. If you are interested in learning more about the different types of procedures performed by doctors called “facelifts,” you can go to “photo gallery” heading then go to the Video section. You can see multiple videos about the laser vertical facelift. Often other procedures are performed with such a procedure. Please call our office if you have any other questions. Hopefully, this has been helpful. Sincerely, Michael Kulick MD San Francisco, Ca. Board Certified Plastic Surgeon Member of ASPS, ASAPS Clinical Editor of the Aesthetic Surgery Journal Recipient of the Klingbeil Award from ASAPS – Teaching Safe Techniques and Advanced Technologies
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