By Dr. Olga Zilberstein

Do you wish there were a nonsurgical way to look 5, 10, or 15 years younger? What do you think ages our appearance the most? Is it lines and wrinkles? Discoloration? Sagging skin? Truthfully, it is a combination of all of these factors, but there is one major underlying cause that contributes to the sagging, lines, and wrinkles–a loss of fullness.

It is a cruel irony of aging that as we grow older, we seem to accumulate fat around our middles, but lose it from our faces. Think of a youthful face and you’ll most likely picture a face with full, rounded cheeks. That’s because fat plays a large part in filling out the skin and keeps our faces looking smooth and supple.

Loss of fat is not the only factor in the equation. There is also loss of collagen, which our bodies decrease producing around age 25. Gravity and loss of muscle add up to an overall decline in facial fullness.

More doctors and patients are seeking to improve the appearance of the aging face not through stretching the skin tighter, by surgical facelift, but filling it from the inside. Enter the age of the liquid facelift.

A liquid facelift is a technique for injecting advanced dermal fillers, such as Juvederm, Radiesse, and Restylane to lift and contour facial features. A nonsurgical liquid facelift can be undertaken to accomplish any of the following:

1. Gentle lift of individual (or overall) facial features

2. Reduced wrinkles, creases, lines, or folds

3. Restoration of natural, curved facial contours

4. A more rested, energetic look

5. A friendlier smile

In some patients, the goal of a nonsurgical liquid facelift procedure is to lift the entire face. In others, the goal is to lift or contour specific facial features. For example, under-eye bags and dark circles can be masked by using liquid facelift techniques; eyes can be opened up and lids lifted; jowls can be lifted and diminished; natural shape can be restored to flattened cheeks or temple areas; corners of the mouth can be lifted; and bumps on the nose can be hidden.

A liquid facelift involves the use of advanced dermal fillers, sometimes in combination with Botox or Dysport. The dermal fillers used are among a group of second-generation injectables that provide more enduring results than earlier products. These advanced dermal fillers include Juvederm Ultra, Juvederm Ultra Plus, Radiesse, Restylane, Perlane, and Sculptra Aesthetic.

Each of these dermal fillers has unique attributes that work in their own special way to rejuvenate specific areas of the face. Dermal fillers replace lost volume in the face or help the body regenerate its own collagen. Most of the fillers, such as Juvederm, Radiesse, Restylane, and Perlane are composed of natural substances produced by the body. Precisely placed, the dermal fillers can be used to lift or contour any number of facial features.

Botox and Dysport may also used in conjunction with the dermal fillers to provide added lift and to help the endurance of the dermal fillers.

A liquid facelift will typically last from one to two years, depending on the products used and the facial area treated. Juvederm, Radiesse, Restylane, and Perlane will typically last up to a year or more. Sculptra Aesthetic lasts up to two years, but does not show immediate results. If Botox or Dysport is utilized with the dermal filler, then the results may last even longer.

Results from liquid facelift procedures can range from subtle to astonishing. It is common for patients who have had liquid facelift procedures to say that they receive compliments on their appearance without others knowing that they have done anything. In some instances, the results can be so uplifting that they change an individual’s life. As with any cosmetic medical procedure, results vary from patient to patient. For more information, see the ad on page 69. v

Dr. Zilberstein has been specializing in cosmetic dermatology for six years. Her practice is located at 794 Caldwell Avenue in North Woodmere and she can be reached at 516-426-4488 for consultations and appointments.


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