Nothing takes the place of the surgery for the best result, but good skin care and fillers may be some help to you. Without photos, I could not recommend other options for you. These other options that my colleagues below have mentioned are worth looking into, but in the end you will probably spend more money than you would have had you had the surgery. Also, the surgery is permanent. The gold standard in facial skin tightening is the facelift.
There are many non-surgical options available for facial rejuvenation. However, they do not replace the need for surgery. Laser skin tightening, facial vein removal, Botox for frown lines, fillers to enhance thinning lips and Voluma for fuller cheeks are all procedures that can work wonders and can make a person look significantly better and younger. These treatments may be ideal for a person who is not yet a candidate for surgery. Non invasive procedures can also be a great adjunct to surgery. Your best bet is to be evaluated in the office of a plastic surgeon who provides both surgical and non-surgical options so you can see what is best for you. You don't waste your time or money on procedures that will not provide the desires result.
While a non-surgical facelift is a temporary solution, there are various ways to tighten the skin and give shape to the face. I use facial fillers to sculpt the face and the Protege Elite to tighten the skin. The results are great and, for patients who are not interested in surgery, this is a great option!
Is there some non-surgical procedure, or combination of procedures that can give results similar to facelift surgery without the knife? I hear this question often. There is a wide spectrum of treatments that help rejuvenate the face. From most simple to most invasive:
- Medical-grade anti-aging skincare
- Skin tightening procedures such as SkinTyte and Exilis
- Chemical and Laser Peels
- Botox and Fillers (aka the "liquid facelift")
- ProFractional laser resurfacing
- Facelift and necklift surgery
Facelift surgery without a doubt produces the most dramatic, and long-lasting facial rejuvenation, but there are many other, non-surgical, treatments that can help you look younger as well. In my practice, a plan for facial rejuvenation is tailored very specifically for each patient, and without seeing you in consultation, it's impossible for me to give you an accurate assessment. That being said, I've had great success with the following combination in patients who are "not ready for a facelift":
- Skincare (ongoing)
- ProFractional laser resurfacing
- Liquid Facelift with Botox and Fillers
If you are a good candidate for
facelift surgery, it is likely that nothing is going to give you as good of
results as you would get with surgery. However, depending on exactly what your
problem areas are, there are a number of non-invasive cosmetic procedures that
may enhance your appearance and leave you looking years younger.Most of the common age related symptoms I
hear about include: volume loss, sagging skin and the formation of wrinkles and
lines.Sculptra Aesthetic (which is also
known as a liquid facelift) increases lost volume in the face and lasts about two
years.Most patients benefit from having
one vial of Sculptra Aesthetic approximately 6 weeks apart.Ultherapy is used to tighten and tone sagging
skin.Ultherapy treatment is performed
in the office and takes approximately 1-2 hours depending on the area of
coverage.Ultherapy also lasts around 2
years.The Cortex Co2 Erbium/Yag Laser
is a resurfacing laser that encourages the growth of new healthy skin and
reduces wrinkles, lines and sun damage.The results of the cortex laser lasts for a few years, as long as you
maintain an appropriate skin care regime, stay out of the sun, use SPF and
refrain from smoking.Botox
Cosmetic/Dysport and Fillers (such as Restylane, Perlane and Juvederm) also
help to temporarily reduce the appearance of lines and wrinkles.For many patients, when these non-surgical
treatments are combined, they offer some of the best and most dramatic
results.I hope this information helps!
Thank you for your question about your face lift.
If you don't want a facelift - and could benefit from one, your best options are -
- a liquid face lift - this injects lots of filler and Botox into your face. The results can be amazing in the right person although the filler gradually absorbs.
- fat injections to the face - a surgical procedure but can often be done in the office with local anesthesia, and tiny incisions. It has a longer recovery than the liquid face lift.
- Therapeutic skin care + TCA peels are less invasive and correct sun-damaged skin.
- But the others are unproven and results generally disappointing or, with the CO2 resurfacing laser, involve as much recover as a face lift, if not more.
Always see a Board Certified Plastic Surgeon.
Hope you find this information helpful. Best wishes.
A liquid facelift which is a combination of fillers and or Botox can you excellent results in the properly selected patient.
are many things you can do prior to having surgical facial rejuvenation including
Fillers and neuromodulators like Botox. These
procedures do have limitations when you have true sagging of the skin from significant
facial fat loss. You then need to transition
from the use of Neuromodulators and Fillers
to a surgical facial rejuvenation technique such as a “Lift and Fill” Facelift
to give you a natural looking result. One requires
someone who understands the science of aging, is an
expert in facial rejuvenation, and is also a Board Certified Plastic Surgeon.
Dr. Michael Epstein answers a question from a RealSelf user regarding non-invasive treatments for the face.
This is a very common question that we get in our
practice. For various reasons, many
patients are reluctant to undergo surgery.
All the facial rejuvenation strategies will have differing results for
each patient. In a young patient, simple
strategies such as botox or injectable fillers (sometimes called a liquid
facelift) may be all that a patient needs.
Botox and fillers do not have any downtime. The other procedures that you have mentioned
may be considered “going under the knife” by some. The different procedures all treat different
conditions: CO2 laser treatments are best for skin resurfacing, pulsed dye
laser is best for vascular cutaneous disorders, fat transfer is best for volume
loss, microneedling is for skin resurfacing, and Ulthera is for skin
tightening. Depending on your areas of
concern, some of these techniques may be helpful. Ultimately, the gold standard treatment for
sagging skin and soft tissue of the cheeks, jawline, and neck is the facelift. There are many different types of facelifts
as well (minilift, weekend lift, MACS lift, SMAS lift, deep plane facelift,
etc.). I recommend that you see a
board-certified facial plastic surgeon for a complete evaluation. During your visit, you will have the
opportunity to discuss your facial concerns and develop a personalized
treatment plan that is best for you.
Please discuss your reservations about “going under the knife” with your
surgeon so that your concerns can be addressed.
I wish you the best, and please continue to post questions as they