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I am 55 and wanting to explore facelifts. Which procedure is the most effective?

Dr. Dean Kane Q & A Q. I am 55 and wanting to explore facelifts. Which procedure is the most effective? I wish to explore different facelifts and want to know which is most effective. I am considering a stem cell facelift , followed by ultheray to start with. Can the two be combined and if yes is there a time I should wait between treatments? Thereafter I would consider a thread facelift or surgical facelift. Is this a sensible treatment plan? Could I also be advised of the pros and cons of different types of facelifts and any other alternatives to those considered above? A. Various options for facelifting and skin texture improvements are available according to the skin laxity and areas of lift or tightening you wish or need. Both surgical and minimally invasive / non-surgical options are listed below. ​ ​Approximately 25 years ago a study was performed comparing facelift results on twins using various techniques. The result of this study was that the 4 different techniques were comparable and future results were the same. Today, there are many adjunctive or alternative techniques to facelifting; it is best to obtain a consultation by a board certified Plastic Surgeon or ENT Facial Surgeon to recommend what is best for YOU. Surgical lifts would be likened to pulling the bedspread and or top-sheet of your bed up to the head-board and removing the excess material. Minimally invasive procedures such as fillers provide volume such as adjusting a pillow under the bedspread. Botox and Dysport act by pulling the top-sheet which drags the bedspread upwardly. If the bedspread (or skin) continues to fall to the foot of the bed despite fillers, Botox or Dysport you will need to consider a facelift. Non-invasive options such as laser and light therapies, skin tightening products and technologies perform their tightening and smoothening of the skin similar to sending your bedspread to the dry cleaners. A more refreshed, even colored, glowing smoother and tighter spread covers the surface of the bed. You may consider: a traditional face and neck lift, short scar face and / or neck lift. The recent resurgence of the S-Lift (created in the early 1900’s), also called by other names as the Quick-Lift, Lifestyle-Lift, Swift-Lift, Soft-Lift, MACS-Lift and others; are a single modification of the S-lift targeted to elevate sagging lower cheeks jowls and lateral upper neck. The shorter scar, limited undermining and second layer lift achieve the “quicker” procedure but not necessarily the quicker recovery or the improvement you desire. Non-surgical facial contouring is possible with fillers a variety of fillers. Restylane and Perlane, a jelly-like clear skin filler to fill lines and wrinkles. Juvederm and its longer lasting “cousin” Juvederm Ultra Plus are similar skin fillers, used to soften and fill the nasolabial (“parentheses”) and marionette folds, the brow (“number 11”) lines and fill and lift the cheeks and lateral brow or chin. All the fillers come with numbing anesthetic! Silk, introduced into the US in January of 2015 has taken off explosively due to its smoothening character without plumping. It’s used extensively now for fine lines around the lips and eyes and smoothening skin folds like those of the cheek and forehead. Botox and Dysport too have been found to reshape the nose, rebalance excessive facial expression and provide a non-surgical brow lift and lip lift as well as reducing wrinkles! Dr. Obagi’s new, second generation Skin Health programs may be added to personalized chemical peels, light and laser resurfacing and tightening and will, smoothen and even the color of your skin. ​ ​While long winded, I hope this information is helpful. All the best!
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