When it comes to looking younger and rejuvenating the appearance of the face, many people have started to turn to skin creams and fillers that reduce the look of wrinkles and fine lines. Is facial plastic surgery still as popular as it was 10-20 years ago or has it been replaced by Botox, dermal fillers and other nonsurgical methods?
Facial plastic surgery has continued to grow in popularity thanks to the improvements in the technology and techniques used to achieve natural looking results. Plus, having surgery to rejuvenate the appearance of a person is no longer considered a secret to be kept by many people who undergo the surgery to look younger.
Boris Ackerman, MD a plastic surgeon in Newport Beach, CA, says “the ideal age for most patients to have facial plastic surgery is in their 50s. However, it is not always as simple as that number. Everyone ages at a different rate and their appearance depends on their lifestyle, genetics and general health. There are certain guidelines to follow when determining if a patient is ready for a facelift. The ideal time for a facelift is whenever a doctor sees some specific signs in their face that represent certain underlying anatomic changes. For most patients that happens at some point in their 50's. In these patients, the first facelift can result in a natural and beautiful result that can last for many years. Patients should seek out an experienced and talented facelift expert for an in-person evaluation to determine if they are ready for a facelift.”
One of the most popular nonsurgical cosmetic procedures is Botox that is injected to treat wrinkles located in the forehead and upper face. The results last 3-6 months before the treatment will need to be repeated to maintain the results. In addition, dermal fillers are popular because they add volume to the face that has been lost due to the aging process and help eliminate wrinkles and lines on the face.
While Botox and fillers rejuvenate the appearance of a person, there are some risks patients should be aware of before having these treatments. According to Jed Horowitz, MD, FACS of Newport Beach Plastic Surgery, “There are many categories of facial fillers and each one has potential problems. Generally, overfilling and under-filling can occur. Many of these issues depend upon the experience of the injector. Pain and bruising at the site of injection can occur. Infection and allergic reactions are rare problems.”
Dr. Horowitz went on to add that “nerve blockers such as Botox can create asymmetries or abnormal appearances such as “Diabolic” appearing eyebrows. Hyaluronic acid fillers such as Juvederm or Restylane can be dissolved with hyaluronidase if there is overfilling, asymmetries, lumps or bumps. Products such as Bellafill can leave small bumps when used poorly or in the wrong location. Fillers can be expensive and require many syringes to have an adequate cosmetic result and they need to be repeated at ongoing intervals. Fillers can also be used for the wrong candidate that is at a point that requires surgery or other skin tightening or resurfacing procedure beyond fillers. Fillers are often a useful adjunct to procedures that tighten and smooth the treated area by adding the volume required to replace volume loss in areas such as the cheeks, submalar and temple region. They are also useful in treating fine lines remaining after these other procedures.”
During the last decade, rhinoplasty techniques moved towards the use of structural techniques that use cartilage to reconstruct the shape of the nose as well as expand the airway for easier breathing and to give a more refined aesthetic to the appearance of the nose. There have been several technological devices that have been developed in recent years to aid in the performance of rhinoplasty surgery. For example, the ultrasonic bone aspirator performs precise osteotomies (the surgical cutting or removal of a piece of bone) and better contouring of the nasal bones. Digital imaging has also become an important element of rhinoplasty surgery planning so the surgeon and the patient can have a better idea of what the final results will look like before the surgery is performed.
Advancements in facelift procedures have largely been driven by the desire of patients to achieve results that are more natural in appearance with less scarring and downtime. Recent scientific studies have shown younger patients with more elastic skin enjoy better and longer results after a facelift. A major trend in recent years is combing a facelift with autologous fat transfer to address volume loss that occurs with aging.
While the reasons patients have facial plastic surgery vary per person, here are some of the most common reasons:
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