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While HI FU is not going to address many issues that surgery would, it can be a viable, non-invasive treatment for helping to tighten certain areas of the face, namely neck and jowls (depending on the case). With results that can last up to a year or longer and a treatment that takes around one hour, I believe it is a treatment worth considering as I have had patients who are very happy with the results .
For unique cases where a variety of modalities could be used to treat the condition, I would suggest an in-person or virtual consultation to develop a custom and effective treatment plan. It is difficult to precisely define the best option without collecting the same information. I suggest reaching out to an expert for a consultation with surgical and non-surgical methods to get a comprehensive option. Best, Dr. Emer.
High Intensity Focused Ultrasound (HIFU) is a non surgical technology to firm the skin. As a Plastic Surgeon who is an expert on the face it is important to answer its benefits truthfully and as an expert should. HIFU like other modalities that claim to lift the face and neck are simply not true. What these devices can do is firm the skin and that is all non surgical devices do they firm skin, despite claims they lift deeper tissue. As a Plastic Surgeon if you are considering a Facelift then I would recommend not getting a HIFU treatment as it can cause unnecessary scarring to deeper tissue that interferes with surgery. Other non surgical devices like Needling, Radiofrequency, Laser and Peels can help the skin before and after a facelift.
My main concern with non-surgical options for jowls is that they do not address the true anatomical reason for the ageing effects to have occurred in the first place which is a descent of the soft tissues and fat compartments in the face along with a weakening of the muscles. The use of a non-surgical energy based treatment will not relocate the tissues back to their youthful position and will only provide a shortlived temporary minor improvement. The best procedure is a lower face and necklift which will relocate the tissues to their normal position and provide a longlasting effect. Of course facelift and necklift procedures is not one all-encompassing procedure since every face is different and the specific type of surgery and adjustment to the deep tissues ( the SMAS layer and platysma) will be different. You may also need surgery to address the eyebags such as a blepharoplasty. It is best to seek out a surgeon who is experienced in all types of facelift surgery and who is able to individualise your surgery to the specific ageing features in your face. Beware of surgeons promoting one type of branded facelift or enticements into a local anaesthetic procedure. The ageing face needs an overall assessment and may require multiple techniques during the facelift to provide the best longlasting natural result. lift with blepharoplasties and fat transfer all under local anaesthetic !
Non-surgicalskin tightening techniques such as high intensity focused ultrasound (HIFU)treatments may help improve the appearance of aging skin, specifically forthose with mild to moderate skin laxity. There can be disadvantages as well assome devised may also dissolve natural fat that lies under this skin. A HIFUtreatment will not fill under eye bags or address severely sagging skin, and itis not a substitute for a surgical facelift. Ultratherapy, the most known HIFUtreatment, may be used as a complementary treatment or as way to maintain yourskin. It would be worthwhile to see a facial specialist who completesnon-surgical and surgical treatments to talk through the options that are mostlikely to help you.
Procedures that help to tighten skin and soft tissues of the face can make a difference. The results will be modest. Some patients are happy though as it is all about expectations. If you only have mild aged skin and soft tissues and are looking for modest results with a low downtime it may be the right thing for you. In my experience most people that undergo these treatments end up with either the lower lid surgery or the face lift to accomplish the goal they are looking for. Hope this helps.Best of luck,DrC
HIFU means High Intensity Focused Ultrasound and it is a very specific technology that is not the same as other forms of ultrasound. The only device that is FDA approved for noninvasive skin lifting is Ultherapy, which is a prescriptive product meaning it has to be done by a physician or under a doctor's supervision. Ulthera can produce measurable lifting but not filling, and the results are not the same as a surgical facelift.
There is no substitute for a standard anatomic surgical facelift. All of the non surgical treatments may or may not produce temporary tightening. They all fall in time. The most efficient and effective way to treat the cheek and neck- is with a complete surgical facelift. And if you have excess skin on your upper lids/ or fat pockets on your lower lids-- it can be permanently treated with a blepharoplasty.
Youwill find that generally, HIFU is useful if you require mild tightening andlifting. However, it is no substitute to a surgical face and neck lift. Ifyou’ve experienced severe facial ageing, it is best to be treated with surgery.This is usually combined with facial fat grafting to give a more youthfulappearance.
Thank you for your question.I would not devote any time or resources to HiFu to fill between eye bags and any significant lifting. If you need volume, lifting, and tightening then you will most likely benefit from surgical approaches. HiFu "might" tighten some of the superficial tissue but it will not fill to any significant amount.HiFu should certainly not be thought of as a substitute for facelifting. Make sure to see a board certified plastic surgeon for a thorough evaluation. In face see several.Best Dr. L