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Category: Ultherapy

The 6 Types of Facelifts

Before and After FaceliftIf your face is noticeably aging, it may be time to consider getting a facelift. As individuals age in different ways and at different rates, Dr. Pearlman offers six types of facelift procedures, including surgical and non-surgical options. Depending on your needs for facial rejuvenation, one of the below facelift procedures could help you achieve a more youthful and rested appearance.

1. The Mini-Facelift

The mini-facelift targets aging in the lower face, including minimal skin sagging, early jowls, and excess skin. This procedure is not designed to address heavy jowls or severe signs of facial aging, but it can create a more uplifted, smoother facial contour. The best candidates for this procedure are younger patients with the aforementioned characteristics of aging who desire a more youthful and well-defined lower face and neck.

2. The Mid-Facelift

The mid-facelift targets cheek sagging to rejuvenate the midface region. This procedure elevates the tissues of the cheeks to eliminate sagging and reduce deep creases. Best for patients who do not have jowls or excess skin sagging in the neck, the mid-facelift can enhance facial definition, create more attractive cheek contours, eliminate nasolabial folds, and even improve the lower eyelids. It can also be incorporated with other facial procedures if needed.

3. The Deep Plane Facelift

The deep plane facelift targets severe cheek and neck aging. This procedure lifts the muscle tissue and skin to correct heavy cheeks, neck sagging, and skin laxity. Long recognized for its ability to produce the most natural-looking and longest-lasting facelift results, the deep plane facelift can yield a refined and rejuvenated appearance. Research has shown that patients look at least five years younger after a deep plane facelift and still look better five and a half years after their surgery than they did before. This gives the best and longest-lasting result in facelift surgery.

4. The Silhouette InstaLift

The Silhouette InstaLift uses dissolvable sutures and cones to anchor the cheeks and re-suspend sagging facial structures such as jowls, cheeks, nasolabial folds, and excess neck skin. The Silhouette InstaLift procedure mitigates many signs of aging with very little downtime, ultimately encouraging the body’s natural process of producing collagen around the threads. The procedure is typically used around the cheeks, brows, jawline, and neck in order to restore structure and youthful orientation to the face. Patients often wish to correct sagging facial tissue, such as jowls along the jawline, mild drooping skin under the chin (“turkey neck”), descending cheeks, and deep creases from the outer nostrils to the corners of the mouth (nasolabial folds). The best candidates for this procedure are younger patients who aren’t quite ready for a full surgical facelift.

5. Neck Liposuction

Neck liposuction targets excess fat in the neck and even the jowls.This procedure is often combined with facelift surgery to eliminate surplus fat that accumulates beneath the chin. This procedure may be appropriate for individuals who would like to eliminate a double chin and flatten prominent jowls. The best candidates have minimal laxity of the neck skin.

6. Ultherapy®

Ultherapy® is a non-surgical treatment that can lift and tone sagging, loose skin along the jawline and under the chin, and it can even raise your brows. Using ultrasound energy, Ultherapy® stimulates the foundational tissues and support layers of the skin to help tighten early jowls and early skin laxity. This procedure is best for younger patients, those who would like to preempt the need for surgery, patients who may not be ready for surgery, or patients who wish to prolong the effects of a previous facelift procedure.

Steven J. Pearlman, M.D., F.A.C.S. is dual board certified in facial plastic surgery and would be pleased to help you achieve your aesthetic goals with facial rejuvenation. To schedule your confidential, in-depth personal consultation with Dr. Pearlman, please call 212-223-8300 or fill out our online contact form today.

4 Reasons For Ultherapy

ultherapy4

Ultherapy is the only non-invasive FDA approved treatment that can specifically target the deep foundation below the skin that is addressed in cosmetic surgery without cutting or disrupting the surface of the skin. It is also the only procedure to use ultrasound imaging, which allows us to actually see the layers of tissue we target during treatment and ensure the energy is deposited precisely to where it will be most effective.

It’s Safe

Ultherapy is FDA approved after multiple clinical trials to prove its safety, and over 200,000 procedures have been performed effectively all around the world. Patients can feel even better knowing ultrasound energy has been used in medicine for over half a century.

It Can Compliment Surgery

What if you already had a facelift? Celebrities have access to the top plastic surgeons, and they still choose this procedure to prolong the effects of cosmetic surgery and keep them looking fresh. While it’s not a replacement for the surgery itself, many patients find it works alongside it.

 It’s Easy

A session generally takes about 60 to 90 minutes, and the side effects are amazingly minimal. While it may involve slight discomfort and redness for about an hour afterwards, it is remarkably free of the risks and has no downtime. If you’re not prepared for surgery but have begun to see the signs of aging, Ultherapy may be a fantastic solution for you. This groundbreaking use of ultrasound energy may keep patients looking young and feeling their best for years to come.

 It Lasts

While results generally take up to three months to reach their full potential, the jump start that the procedure gives to collagen production keeps going. Patients will have fresh, young collagen over a year later. Though results vary from patient to patient due to biology and laxity of skin are factors, many people only need one treatment.

What is a Non-Surgical Facelift?

03Your face often is the first to tell your story. It shows if your life has been one of happiness or sadness, stress or relaxation. It tells how old you are, if you’ve spent your time outdoors or indoors and a slew of other stories about your life. While we all agree that telling our stories can be enjoyable, not all of us want it written all over our faces.

As you age, you may notice these changes to your face that you’d rather not have:

  • Fat loss in the face

Body fat is the substance that gives your face a youthful appearance. Adults that have lost facial volume will have a hollow appearance under the eyes, on the cheeks and through the lips. This will make you look much older than you are — or want to — look.

  • Facial sun damage

Repeated exposure to sun over the years causes less elasticity in the skin fibers. Fine wrinkles often appear as you age, and your skin is often referred to as leathery. If you’ve spent a lot of time in the sun, went tanning a lot when you were younger, or just forgot to wear your sunscreen, you may begin noticing this unsightly change to your skin’s appearance.

  • Extra hanging skin

The loss of elasticity due to less collagen production in the aging body often affects your eyebrows and neck. It can also cause the phenomenon commonly referred to as jowls along the jawline.

Although you may wish to ease these effects of aging, you may also be reluctant to go through surgery. Fortunately, there are newer technologies available which provide a facelift while eliminating the need for surgery.

Fat Injections and Fillers
Though you may have joked about it, a fat transplant really is possible! Plastic surgeons are able to inject fat from your abodomen below the facial skin and plump up the areas that have become hollowed out. However, with all the fabulous new facial fillers we now have, Dr. Pearlman is finding less and less of a need for fat transfer. Why not take something off the shelf that lasts close to a year instead of an invasive fat transfer that requires time off and healing?

A liquid facelift product called Sculptra is also used as an injection to fill in sagging areas. It helps the body create its own collagen with no scarring or negative lasting effects.

Although not technically a filler, Botox relaxes facial muscles. It is best if you have fine wrinkle lines such as those caused by sun damage.

Facial Rejuvenation
The popular product available to stimulate your own body’s collagen production is Thermage. This is a helpful procedure if you have lost elasticity in the face. It applies heat therapy, and the procedure typically only takes an hour. The results are very minor. 

Laser Skin Tightening
The use of lasers has proven successful in everything from correcting vision to removing offending gallbladders. It can also be used for general skin tightening. This is the alternative to the traditional facelift which required cutting and anesthesia and often produced scarring. Again, this is skin tightening and can work great for your skin but won’t lift jowls or saggy neck skin.

Ulthera

Ultherapy is the only non-invasive FDA approved treatment that can specifically target the deep foundation below the skin that is addressed in cosmetic surgery without cutting or disrupting the surface of the skin. It is also the only procedure to use ultrasound imaging, which allows us to actually see the layers of tissue we target during treatment and ensure the energy is deposited precisely to where it will be most effective. Generally patients see about  30% to 50% of the result of a surgical facelift for a quarter of the price.

 Improving your appearance as you age has never been easier.  Remember, in truth there is no such thing as a “non-surgical facelift.” However, marked improvements can be made in skin color, texture, wrinkles and volume loss. Plastic surgery may be just the option for you, except there might not be a need for a scalpel, should you choose to avoid that route.

 

Copyright 2013. As licensed to Pearlman Aesthetic Surgery. All rights reserved

Cosmetic Treatments and Surgery Increasing in Men and the Alternative to Facelifts.

 Cosmetic facial treatments and surgery increasing in men according to the official AAFPRS stats. I have found the same in my practice. More men are looking to look refreshed.

The face ages in five ways, there are skin changes, dynamic lines,loss of facial volume, loss of elasticity, and the effects of gravity. So when treating these signs you needed to address the specific issue. Improving dynamic lines by using Botox. We treat the skin with lasers and skincare products. We restore facial volume with a procedure we call “Wow cheeks”. However the procedure isn’t fully effective because the real issue is loss of facial volume as well as cheek volume. So fillers will help with cheek volume but it’s not going to lift the tissue. What you really need to do is restore and re-suspend the tissue.

So what do we have that can do this? A Facelift, which re-suspends the tissue by tightening the muscle and lay the skin down gently. Until recently we’ve had no other alternative for this procedure. That is until Ultherapy, the first FDA approved non-surgical face and neck tightening procedure that uses high frequency ultrasonic technology that penetrates all 4 1/2 MM of facial tissue. This restores the jaw lines, the neck, the jowls, and even the brow line.

These are the exact layers I would treat while doing a facelift, without having to preform surgery. Patients will get anywhere from 30% to 50% of the effect you would when getting a facelift. But there are no incisions  it’s a quater of the cost, minimal bruising if any, little down time, and patients can return to work the next day.

Ultherapy is an amazing alternative for either men or women who are considering plastic surgery but either cannot afford the full price or cannot afford being away from work for more than a day.

I talk more about Ultherapy in this Youtube video which you can watch by clicking here or the image above.

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