What is the Best Alternative to a Face Lift?

Easy things you can do:
1. Don't smoke. Smokers appear years older than their non-smoking piers.
2. Avoid sun. Sunscreen applied once to twice daily reduces sun exposure, but probably only 80%. Golfers, horse riders, swimmers, tennis players especially beware: cover up as much as possible with hats and long sleeves in addition to using sunscreen.
3. Use a good and regular skin care regimen daily to exfoliate
4. Exfoliate monthly with a facial or microdermabrasion
5. Ask your doctor if you are a candidate for Retin-A or a related topical compound, tailored for your skin type
6. Watch your weight and exercise regularly. Yo-yo diets and weight gain/loss stretches the skin
7. Eat foods high in antioxidants and fresh vegetables and fruits. Avoid procedded foods, fast foods, high sodium foods
8. Avoid excessive drinking and drugs. In addition to the obvious effects, these vices can cause great fluid shifts within the body-- every heard of the bloated drunk?
Now for some of the more involved treatments:
1. Botox and filler at a young age when wrinkles start to appear. Try to stick to hyaluronic acid products; much less tendency to lumpiness that can be permanent (in my humble opinion)
2. Small surgeries when problem start to arise that aren't correctable with filler and Botox, i.e. eyelids, lateral browlifts, LiveFill, subtle minimal incision cheeklifts
3. PhotoFacial treatments. Some patients like Thermage/ReFirme, fractional lasers as less invasive methods which give more subtle results.
4. Beware of gimickry such as lasers that do everything, no incision weekend techniques. Almost every treatment looks better for a few months, then the swelling goes away (and so does your money). Threadlifts also in this category, in my opinion. We routinely remove threadlift materials when patients come in for their minilifts or facelifts.

A Liquid Facelift is a nonsurgical alternative to rejuvenate and lift the sagging skin of the face. It combines fillers and neurotoxins. This combination helps in enhancing the effects of each other and the longevity of the fillers. It will plump, smooth, and recontour the face, giving it the appearance of a face lift procedure.

FaceTite can internally tighten the skin in the lower face and neck. After all the skin has been heated and contracted, we shape the neck with liposuction to give definition and remove stubborn pockets of fat. In one quick treatment, we can tighten skin, remove fat, and contour the lower face, jawline, and jowls with only a weekend of downtime. Keep in mind that combination approaches will give you a more significant improvement as opposed to a single procedure. I recommend getting a consultation with a board-certified cosmetic dermatologist and facial sculpting expert. Best, Dr. Emer

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.