What is the Best Alternative to a Face Lift?

Hello,A very good question being that there are numerous options that are being marketed that absorbing and trusting the information is challenging.  You mentioned "sagging jowls and loose neck skin."  Significant sagging or laxity in the neck and face is always better served with a surgical approach.  Although there are claims that ultrasound, freezing, laser energy, radio frequency, etc. will assist with sagging skin, we do not believe there is enough value with these options for investment vs outcome.  If a surgical approach is not an option for a patient, using dermal filler is always an alternative.  Besides adding volume, dermal injections are also able to provide support, contouring, and shaping...when done correctly.  Sculptra is an excellent product in producing an overall volumizing/lifting of the face.  However, it's often beneficial to combine other filler products to compliment the Sculptra.  For example, tightening the jowling is best done with Radiesse, whereas restoring volume and lifting to the cheeks is where Sculptra is supreme.  Finally, approach the pretty canvas of the face as a whole.  Using dermal fillers and Botox or Dysport to lift eye lids/brows, is an excellent non-surgical treatment plan.  Make certain your practitioner offers realistic expectations and understands your goals in reviewing benefits vs limitations of injection procedures.

Depending on your physical exam, you may be a candidate for nonsurgical rejuvenation.  I think people that are in their thirties, forties, and fifties benefit tremendously from a combination of volumizing and tightening.  We can add volume with fillers and sculptra.  We can tighten/lift the skin with energy-based procedures such as ultherapy.  Depending on your goals, noninvasive treatments alone may not be able to get you to where you want to go.  It is very important to go to an office that offers expertise in surgical and nonsurgical treatments.  This way, the office will be able to provide you with a recommendation that is best for your goals.

This term liquid facelift can mean a lot of different things to a lot of people. There ARE patients who can well-attend to their desires by using fillers and Botox; but there are a number of factors that come into play.Volume loss levels - If your volume loss is significant, it may not be financially viable to try to "fill" the loss. Fillers by nature are not permanent so repeat filler injections will eventually be needed.Age - The older you are, the less collagen and support tissue you have, and that includes fat, muscle and bone.Skin function - The use of Sculptra changed the filler scene for many. Sculptra relies upon your own collagen production. Skin that has low collagen producing capability requires more product than skin that easily and quickly forms new collagen.Type of product used. Voluma is a great cheek builder. Sculptra can be used all over. Juvederm and Restylane fill small hollows, smooth wrinkles and can rebuild the lip area.There are radio frequency and ultrasound systems that can tighten and lift deeper structural tissue and are often a consideration. Again, with these treatment types, your individual response to the catalyst used will provide additional levels of improvement that will be unique to you.Your reference to lower face / neck concerns may be readily addressed with filler, Botox and tightening technology such as Ultherapy. Necks are not easily treated with filler, but if the issue is platysmal banding, then Botox is a useful option (though temporary).In the end, if there is substantial redundant skin, the main starting point required could be surgery. I would advise you to see both a facial plastic surgeon and a highly qualified dermatologist who has a lot of experience with the various fillers.