50 y/o Asian, SMAS lift in 2018 - Sculptra or Morpheus8 before revision facelift? (Photos)

Question

50 yr old Asian. Had a SMAS lift in 2018. I feel like my jowls, neck, nasolabial folds, and earlobe are an aesthetic problem now. I eventually want a revision deep plane lift, but was thinking about Sculptra or Morpheus8 to delay lift 2-3 yrs? But a plastic surgeon said the collagen-inducing treatments will make a revision lift much less effective. My derm doc says treatments are ok if done conservatively. Which is true? Should I just stick with Botox and HAs then do lift?

Raffy Karamanoukian, MD, FACS · Answer

Morpheus 8 is a non-invasive skin and soft tissue tightening treatment that is consistently amazing in our patients. We use the Morpheus to exact fractional induced RF into the skin or tissue in order to tighten collagen and stimulate contraction of the tissue. For acne scars, it is quite useful to build collagen in patients who have atrophic scars but is not very productive for ice-pick scars which require TCA Cross. For tissue tightening, Morpheus is ideal for the face and neck and we often combine it with CO2 laser or Ultherapy to further enhance results. Chemical peels and skin resurfacing should be done at least 5 to 7 days after, but can be performed earlier, depending on treatment severity. Avoid exfoliating skin treatments before Morpheus and expect a period of 2-4 weeks for skin contraction to set in.

Best, 
Dr. Karamanoukian 
Realself100 Surgeon

Laura A. Katz, MD · Answer

I would say that just getting a morpheus treatment alone would solve this issue.  Morpheus radiofrequency microneedling at a depth of 4mm will do some fat destruction as well as skin tightening, collagen plumping and muscle contraction.

Leonard Grossman, MD · Answer

If you really want to look like yourself when you are much younger, you should consider having fat grafting to the face. Fat grafting will restore your natural youthfulness without the complications associated with other surgical procedures. If some years down the line, you decide to have a revision to your facelift, the tissues after fat grafting become much more normal and the revision surgery will be considerably easier. I hope this helps and good luck from New York City Plastic Surgery.

50 y/o Asian, SMAS lift in 2018 - Sculptra or Morpheus8 before revision facelift? (Photos)

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50 y/o Asian, SMAS lift in 2018 - Sculptra or Morpheus8 before revision facelift? (Photos)

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Everything you need to know about Morpheus8

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