Facial Fillers or Liquid Facelift
Do I need a Facelift?
Many patients come to our office for a consultation thinking it might be time for them to get a facelift or other surgical procedure such as an eyelid lift. It is not uncommon for us to object against the patient's desire for surgery. Four components of the facial structure change as one ages: the skin, muscle, bone, and fat. Loss of elasticity in the skin and soft tissues, a loss of volume, reabsorbing of the bone, and gravity all contribute to the aging process. A facelift does not solve all of the problems of aging, such as age spots and surface texture changes, as well as fat and bone loss. A variety of techniques are available to help with the aging process.
Injectables can address:
- Lost fullness
- Expression lines
- Flattened or hollowed features
Recommended Treatment to Restore Volume:
Varying degrees of facial volume loss in different areas of the face can be addressed with the use of injectables in a liquid facelift procedure. Restoring facial volume and filling fine lines and wrinkles can be addressed by using dermal fillers. Expression-related creases are caused my muscle contractions; however, with the use of denervating agents such as Botox or Dysport these expression lines can be softened.
How Facial Fillers are Done:
After an examination, we will draw up a treatment plan designed specifically for your particular goals and needs. Fillers such as hyaluronic acid-based (Restylane and Juvéderm) or Radiesse. Botox or Dysport is often used in conjunction with fillers to relax facial muscles that contribute to wrinkles and furrows. Injecting fillers at varying depths to refill volume loss creates a more youthful contours and appearance. Depending on the number of injections sites and the injectables used treatment can take as little as few minutes.
What to expect from Facial Fillers:
Injectable Filler results are usually visible instantly; however, if Sculptra is used it can take up to three sessions to see improvement, as it works to slowly stimulate tissue growth over time. Sessions for Sculptra are spaced about a month apart. Swelling and bruising may be experienced the first few days after treatment. To minimize swelling, patients leave with a pack of ice and are advised not to exercise for the first few hours to prevent an increase in heart rate or blood pressure. Patients should avoid vitamin E, anti-inflammatories, herbal supplements and other medications that promote bruising for 5-7 days before treatment.
How Do Fillers Last?
Duration depends on which fillers were and which areas were addressed. Hyaluronic acid-based fillers can last sometimes for years in certain parts of the face. Botox or Dysport can last from three to six months and may help temporary fillers to last longer by decreasing muscle action.
Fat transfer or facial fat grafting is another option for facial volumization versus injectable fillers. Liposuction is used to harvest fat from the hips or thighs. The fat is put in small syringes and then strategically re-injected to replace lost volume or reshape the face. Today's injection techniques allow doctors to place fat where significant amounts will survive. Fat is commonly injected in places such as: the hollows around the eyes, the midface, the jawline and beyond.