One of the most requested demands from patients is the nonsurgical facelift. There are a myriad of approaches to this and with time surgical results and medical evidence have shown some winners and losers in this demand.
Originally, nonsurgical facelifts consisted entirely of treating the face with either botox and fillers. (show timeline here). As technology evolved, nonsurgical facelifts incorporated top down approaches which began with Thermage and Pelleve and later evolved into Ultherapy. While these technologies helped get the nonsurgical ball rolling, the underwhelming results often left patients seeking better alternatives. These top down approaches relied on attempting to heat the underlying tissue while avoiding a a burn to the skin. Despite the modality, these treatments still play a role in conservative nonsurgical lifting and can play a role in maintaining appearance.
Later on radiofrequency technology companies began introducing a series of pins or needles which would penetrate the face (sparing the epidermis) and allowing for direct heating of the underlying dermis and subcutaneous tissues. This technique allowed for patients of all skin types to be treated and and more substantial changes were seen with these types of procedures. Examples of this technology include Fractora, Infini and other penetrating needle devices. These treatments can be placed more superficially and treat like a C02 result without the associated erythema.
The current and final evolution of the nonsurgical facelift involves the use of a bottom up approach. Here a probe is placed underneath the skin and used to contour and contract the skin. The benefit here is that controlled energy can be placed to cause realtime contracture of the skin. Here the epidermis is bypassed to avoid trauma here and more substantial results can be achieved. Examples of this technology include Facetite, Necktite, and Thermi RF. Facetite and Necktite use a controlled thermal field and so have the advantage of being able to be used near the medial portion of the face. While this approach offers the closest alternative to surgery, it is important to note that it is not a substitute for a surgical equivalent.
With all of these technologies being used, a combination of techniques can be utilized to create improvement in the face and neck. For example, Facetite can be combined with Fractora for multiple layer improvement and using
Does Dr. Shah perform a Botox Facelift or Nefertiti facelift?
A botox lift is used to selectively weaken a portion of the platysma muscle so that the muscle will create a subtle lift. If patients are okay with repeat injections, often 40 units or more of botox, to be repeated every 4 months for life, this technique can be enough of a lift for some patients. The current improvement in neck contouring including such treatment options as Fractora or Necktite makes this a better approach for most patients.
Which technique is best for my face?
Here is where detailed and expert analysis is best for understanding your treatment options. For some patients if their goals are for more dramatic results, a surgical approach may be better. For other patients, a combination of treatments can be discussed and utilized to depending on the patient’s goals.
Why have Dr. Shah perform my nonsurgical facelift?
Dr. Shah is an expert facial filler injector and utilizes several noninvasive treatments which have proven to be effective in the scientific literature. Furthermore, patients receiving a nonsurgical tightening procedure can apply this amount to a surgical procedure (see office for details) if used within 5 years. This allows patients who are perhaps a few years too young for a facelift to first embrace a nonsurgical tightening approach first and then as they mature progress to a surgical approach if desired.
What are the benefits of a nonsurgical facelift?
The main benefits of a nonsurgical facelift are less downtime, no incisions, and perhaps less risk (avoiding surgery and anesthesia).