I am being told a face lift will not correct wrinkles around eyes and that botox should be used. I am sorry but what did we do before botox?? I m finding this hard to believe! I have tried botox multiple times and to correct my deep line it messes up my smile and I look weird and I've been to excellent doctors. Seriously, you mean no surgical procedure will correct this? Why can I barely pull my skin back (see pics) and it makes them disappear????? Help!
Answer: Treatment of Wrinkling During Smiling The wrinkling you are describing are secondary to repetitive muscle movement and changes of the skin during the aging process. These lines are not secondary to sagging tissue or loss of volume in the face. Due to these reasons, lifting the skin during the facelift will not improve these lines.The only way to improve these areas are to limit movement in this area with treatment of Botox or improve the quality of skin. The skin can be improved by variety of skin treatments including lasers, chemical peels, or micro-needling treatments.I hope this helps
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Answer: Treatment of Wrinkling During Smiling The wrinkling you are describing are secondary to repetitive muscle movement and changes of the skin during the aging process. These lines are not secondary to sagging tissue or loss of volume in the face. Due to these reasons, lifting the skin during the facelift will not improve these lines.The only way to improve these areas are to limit movement in this area with treatment of Botox or improve the quality of skin. The skin can be improved by variety of skin treatments including lasers, chemical peels, or micro-needling treatments.I hope this helps
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Answer: Periorbital wrinkles The answer is NO. You are the type that needs to look at the individual anatomical features of your face and then determine which procedure is ideal for each. It is highly unlikely that surgical intervention of any sort will work around your eyes and satisfy your goals. Look at Botox, laser and fillers.
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Answer: Periorbital wrinkles The answer is NO. You are the type that needs to look at the individual anatomical features of your face and then determine which procedure is ideal for each. It is highly unlikely that surgical intervention of any sort will work around your eyes and satisfy your goals. Look at Botox, laser and fillers.
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May 12, 2016
Answer: A Facelift Is Not a Good Choice for You The wrinkles around your eyes when you smile are due activity of the underlying muscle that surrounds your eyes, as well as the loss of elasticity of your skin that occurs with age, so that when the skin is lifted with a smile the skin wrinkles rather than tightens. BOTOX reduces the activity of the muscle around your eyes, and is effective for crow's feet, but with a very wide smile, the muscles that pull your cheek up can still result in wrinkles. Pulling your skin back with your fingers will give the appearance of improvement, but there will be enough skin relaxation and stretching after a facelift that the improvement in those wrinkles would be very temporary. Separating the skin from the underlying muscle around the eye can help crow's feet, but I would not recommend surgery to achieve that one goal: it is too much for that isolated goal. I hope this information helps.
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May 12, 2016
Answer: A Facelift Is Not a Good Choice for You The wrinkles around your eyes when you smile are due activity of the underlying muscle that surrounds your eyes, as well as the loss of elasticity of your skin that occurs with age, so that when the skin is lifted with a smile the skin wrinkles rather than tightens. BOTOX reduces the activity of the muscle around your eyes, and is effective for crow's feet, but with a very wide smile, the muscles that pull your cheek up can still result in wrinkles. Pulling your skin back with your fingers will give the appearance of improvement, but there will be enough skin relaxation and stretching after a facelift that the improvement in those wrinkles would be very temporary. Separating the skin from the underlying muscle around the eye can help crow's feet, but I would not recommend surgery to achieve that one goal: it is too much for that isolated goal. I hope this information helps.
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February 11, 2016
Answer: Facelift Treats the Lower Face Thanks for your question, DZB. It's a fairly common misconception that facelift surgery treats the entire face. In reality, a traditional facelift lifts and tightens only the lower two-thirds of the face, which is where most people show their earliest and most significant facial aging. Your crow's feet can definitely be effectively treated by BOTOX — in fact, the treatment of crow's feet is one of its main cosmetic indications. Occasionally, it takes some trial-and-error to hit the right dose. Laser and energy treatments can also help with fine wrinkles. If you are in search of a surgical solution, you would achieve better results with eyelid surgery.
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February 11, 2016
Answer: Facelift Treats the Lower Face Thanks for your question, DZB. It's a fairly common misconception that facelift surgery treats the entire face. In reality, a traditional facelift lifts and tightens only the lower two-thirds of the face, which is where most people show their earliest and most significant facial aging. Your crow's feet can definitely be effectively treated by BOTOX — in fact, the treatment of crow's feet is one of its main cosmetic indications. Occasionally, it takes some trial-and-error to hit the right dose. Laser and energy treatments can also help with fine wrinkles. If you are in search of a surgical solution, you would achieve better results with eyelid surgery.
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February 10, 2016
Answer: Eyelid wrinkles It appears as though Botox will give you nice results. A facelift is nice, but I would have to see you in person in order to make this recommendation for you.
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February 10, 2016
Answer: Eyelid wrinkles It appears as though Botox will give you nice results. A facelift is nice, but I would have to see you in person in order to make this recommendation for you.
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February 9, 2016
Answer: Skin wrinkles when smiling The wrinkling you notice when smiling is caused by contraction of the underlying muscle, as most of the experts have commented here. However, this is exacerbated by any laxity in the overlying skin. I agree, tightening the skin does help alleviate the wrinkles caused by the muscle. You have demonstrated this clearly with a slight pull with your fingers. The question is, is it worth the scars and rather invasive intervention of a temporal lift. And, if a temporal lift does effect some modest alleviation of those wrinkles, we will they simply recur as the skin settles and stretches several months after the procedure. I think a more judicious approach to your case, given that you do not like the effect of Botox, is to try some form of laser skin tightening. There are several machines and lasers out there which can achieve this. This may give you some of that alleviation with out the invasiveness of a surgical procedure.Talk to a board certified plastic surgeon.Best of luck!Dr. SubbioBoard-Certified Plastic SurgeonNewtown Square/Philadelphia, PA
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February 9, 2016
Answer: Skin wrinkles when smiling The wrinkling you notice when smiling is caused by contraction of the underlying muscle, as most of the experts have commented here. However, this is exacerbated by any laxity in the overlying skin. I agree, tightening the skin does help alleviate the wrinkles caused by the muscle. You have demonstrated this clearly with a slight pull with your fingers. The question is, is it worth the scars and rather invasive intervention of a temporal lift. And, if a temporal lift does effect some modest alleviation of those wrinkles, we will they simply recur as the skin settles and stretches several months after the procedure. I think a more judicious approach to your case, given that you do not like the effect of Botox, is to try some form of laser skin tightening. There are several machines and lasers out there which can achieve this. This may give you some of that alleviation with out the invasiveness of a surgical procedure.Talk to a board certified plastic surgeon.Best of luck!Dr. SubbioBoard-Certified Plastic SurgeonNewtown Square/Philadelphia, PA
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