Fillers after a Facelift

December 29th, 2011

Are fillers necessary after a facelift? The answer is maybe, according to the patient’s problem and expectations. A facelift will restore some of the lost volume by rearranging the volumes in the face. The jowl, for instance, came from an area above the jowl. If this is moved in an upward direction, it will help [...]

How long does Sculptra last?

November 28th, 2011

I have been injecting Sculpta since 2004, and it is one of my favorite products for re-volumizing the face. However, I find that most people in their 60′s and older do not create collagen as well as younger people, and the collagen doesn’t last as long. Their studies are for 25 months and it apparently [...]

BOTOX® + fillers = Non-Surgical Liquid Facelift

November 23rd, 2011

 Your face changes as you age: collagen and elastin diminishes over time and skin becomes less toned, less elastic, thinner, and begins to show signs of aging like wrinkles, creases, age spots, and shows various shadows from loss of volume, which causes sagging. The once plump youthful cheeks lose their volume, and they drop to [...]

Facelift or Fillers?

October 31st, 2011

The question often arises as to whether one should have a facelift or injectable fillers, such as Restylane, Juvederm, Artefill, or Sculptra. The answer is another question: What is the primary problem? Let’s examine the physiology of looking older. Everyone knows that we lose some elasticity, but another primary cause of looking older is loss [...]

What should I do: get a facelift, fillers, or both?

October 30th, 2011

Patients ask me this question all the time. While there’s no pat answer, because each patient’s case is different, here’s some overall rules of thumb.   Facial volume loss: one of the reasons you look older   First, think about what happens when you age. Everyone knows that we lose elasticity as we get older [...]