Facelifts Vs. Fillers: Which to Choose and Why
Fillers and facelifts are increasingly becoming a norm. Choosing between them to determine which is right for you depends on a number of considerations. Lots of people are choosing fillers for facial rejuvenation. However, they are not appropriate for every facial skin type, age and the profoundness of wrinkles and folds. Surgery, such as a facelift, may be a better consideration to go for.
Fillers Used for Facial Rejuvenation
Fillers come in two categories; Botox and Dysport, which are neurotoxins used for relaxing overactive facial muscles that are charged with producing crow’s feet and brow furrows. On the other side, Restylane, Juvederm, and Perlane are fillers that take care of surface depressions. Nasolabial folds and marionette lines are the folds deepening between the jawline up to the corner of the mouth, which these fillers can address.
Facial areas such as hollow temples or thin checks are filled and augmented with fillers. The problem is that fillers are not quite efficient for lines that are finely etched-in such as those on the upper lips of older women. In well-filled cases, these two types of fillers eliminate the necessity for facial surgery or facilitate the outcome of surgery.
Younger individuals below fifty that have cheeks and neck skin that is not significantly loosed will be great with a facelift. Nevertheless, those above fifty that have major jowl formation and neck skin that is quite loose alongside vertical bands, require a more appropriate and durable treatment with surgery such as a facelift.
Disadvantages of Fillers
Some people consider fillers as an alternative to avoid surgery. As a result, they overuse it and get a weird unnatural appearance. The idea of using a higher volume of injectables to fill up loose skin instead of just going straight for surgery is gaining a lot of ground among those who are not surgeons. Fillers result in bloated cheeks without a natural formation, impaired facial expression because of tissue stiffness, and unaesthetic and distorted facial proportions.
Fillers are more expensive than facelifts though, because they come with consistent maintenance and risks of bruises and infections. Even permanent fillers can’t entirely avoid these issues and may lead to permanent aesthetic issues.
Advantages of a Facelift Over Fillers
Surgery such as a facelift restores sagging tissue and makes the skin younger. It tightens lower cheeks and removes jowls. It is often superior to fillers. With a facelift, the elevated tissues can also fill-in cheek hollows. They tightens loose neck skin and eliminates vertical bands. These feats are impossible with filler-based injections. With surgery, those older individuals with less facial fat volume that comes with aging can have the volume restored with the used of fat grafts taken from another body part.
However, with a facelift, tightening lost tissues is not a solution. Having both a dermatologist and a plastic surgeon engaged in managing aging facial solutions is ideal, with each operating within their boundaries but in thoughtful and close collaboration.
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Welcome to The Dermatology and Laser Group; one of the best dermatologist clinics in NYC. We have a top team of Dermatologists led by our aesthetic and medical skin expert Dr. Arash Akhavan. We always put our patients’ need first. Please call us for any questions or to book an appointment at (212) 444-8204.
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Arash Akhavan, MD is founder and owner of The Dermatology and Laser Group, one of the top centers for cosmetic procedures in New York City for over a decade. Arash Akhavan, MD, FAAD is a Board Certified Dermatologist and an Associate Professor at The Mount Sinai School of Medicine. Dr. Akhavan is a Castle Connolly Top Doc, New York Magazine Best Doctor, and Super Doctor featured in The New York Times. Dr. Akhavan is a key opinion leader that has been featured on hundreds of media publications including The New York Times, Allure, Marie Claire, Women’s Health, Cosmopolitan, ABC News, Fox News, Fox 5, NY1, WPIX, and more. He has been featured on nationally syndicated television programs such as The Doctors.
Dr. Akhavan serves as an educator and lecturer for multiple aesthetic device and injectable companies. This allows his office access to newer technologies at an earlier date than other offices, as well as a higher level of expertise in the use of these devices. This, in turn, translates to more effective and safer treatments for our patients.
