Perlane filler before Facelift. Any suggestions?
Doctor Answers 5
Filler before face lift
Restylane Lyft before Facelift
If I have a filler like perlane prior to facelift could the filler move during the facelift / with swelling or will it make no d
Hi, I have performed facelifts for over 30 years and have performed many minimally, invasive type facelifts. I frequently use a dermal filler (Restylane Lyft previously called Perlane) to shape the cheeks during a facelift procedure. Dermal fillers like Perlane are meant to be injected into the fatty layer of the face however, the area of dissection for all but the most invasive type of facelifts will not go over the entire cheek area so any filler placed there will remain undisturbed.
Following the beauty principles outlined in my book on face and body beauty, women look the most feminine, youthful and attractive with heart shaped faces. Heart shaped faces have cheeks that are full and round in the front. Cheek augmentation with a dermal filler or using cheek implants for a permanent enhancement will create full, round cheeks that will feminize the entire face.
If the chin is weak, this creates an imbalance making the nose appear larger, the mid face top heavy and the lower face look short that de-emphasizes the lips and allows early formation of a double chin. Chin augmentation using a chin implant will add projection to the chin creating harmony and balance to the lower face. I have found that placement of a silastic chin implant, through a small curved incision under the chin (also allows excess skin removal) to be very safe, quick and highly effective.
If you have "jowls” these are sagging facial tissues and an indication for some form of a SMAS facelift. The underlying SMAS layer, of the face, must be dissected, lifted, trimmed and re-sutured (not merely folded or suspended with threads or sutures that will not last). The excess skin is then removed and the facelift incisions closed.
My most popular facelift is the minimally invasive, short incision facelift that has all the benefits of more invasive facelifts (traditional, mid-face, deep plane, cheek lift and subperiosteal facelifts) but with these added benefits:
- very small incisions and no incisions extend or are placed within the hair.
- minimal tissue dissection = less bruising and swelling = rapid recovery ( several days instead of weeks or months with the more invasive type facelifts mentioned)
- can be performed in 90 minutes or less, with or without general anesthesia
- no incisions within the hair = no hair loss
- excess fat can be removed
- excess skin removed
- cheeks, chin and jaw line can be augmented with dermal fillers (I prefer Restylane Lyft) or facial implants
- most patients fly back home to parts all over the world in as little as 3 days post-op
I combine facial shaping with every facelift procedure. When jowls are present, these should be done in concert and not alone or separately in order to create a naturally, more attractive face.
Hope this helps.
You might also like...
Sometimes It Is More Advantageous To Postpone Filler Injections Until After A Facelift
For example, if the filler is injected into the nasolabial folds, we ordinarily would not dissect that far medially, so the filler would be left intact, although its position might shift somewhat due to the upward pull on the SMAS. On the other hand, a filler injected along the lower jawline may be disrupted, depending, again, on the variables cited above.
In general, if a patient is contemplating a facelift within the next six months, we encourage them to postpone injecting fillers into their face until after their surgery. This prevents the fillers from dissolving prematurely, or being shifted out of position, and allows for greater precision in targeting the filler after the soft tissues of the face have settled into their final position.
Face lift and fillers
I hope that’s helpful.