Although many fillers last well over 1 year, most patients consider their filler treatments to be an annual affair! At one year, most patients are still happy with their improvements, but feeling the need to be freshened up and rejuvenated.

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Botox is used mostly in the upper face, relaxing harsh facial expressions, softening lines between and around the eyes and providing a more rested and refreshed countenance. Conversely, facial fillers like Juvederm or Radiesse are used to replace lost volume and provided structure along the cheek and jawline, as well as soften lines and folds.

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Insurance will sometimes cover upper eyelid surgery if the degree of excess skin is deemed to be obstructing the patient’s field of vision. If you believe you fall into this category you can request a visual field test from your eye doctor. For those paying out of pocket, however, blepharoplasty (eyelid surgery) is a very reasonably priced cosmetic procedure with minimal downtime in most cases.

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A surgical arm lift procedure is called a brachioplasty. Many women choose to hide their arms later in life, unable to wear the shirts and dresses they used to love because they are embarrassed of crepey excessive arm skin. This condition can be effective, leaving only a faint vertical scar on the interior of the arm. 

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A surgical facelift is the most effective way to deal with advanced skin laxity, however many are just not ready for or looking for a surgical facelift. Non-surgical options like facial fillers, PDO threads and radiofrequency can be used alone or in combination to achieve substantial improvements.

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Although patients in their 40s, 50s, and 60s are all great candidates, facelift patients in their 40s will be able to achieve the best and longest lasting results. Maintaining healthy skin until ready for your facelift will help you achieve better outcomes, as well.

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A lower face lift or ‘mini’ facelift will effectively excise excess neck skin without producing major changes to the face itself. Collagen inducing skin treatments like microneedling and radiofrequency can be used for further improvements to the quality of the neck skin or used alone when surgery is not desired.

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Treating an aging mouth typically incorporates small amounts of filler around the mouth, in the lip (to maintain balance between the red and white lip, avoiding a ‘ducky’ appearance), and directly into deeper lines. Collagen inducing treatments like microneedling can be used subsequently to achieve further improvement.

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There are many options to improve the appearance of sagging jowls. A surgical facelift is often the most effective choice. For those seeking non-surgical options, a multi-modality treatment plan can include filler, PDO threads, Kybella and energy-based skin tightening are also available.

Patience is a virtue when it comes to recovering from cosmetic surgery!  While every patient and procedure are different, the recovery process can take from 2-3 weeks up to a month or more.  In general, recovery from a facelift traditionally takes 2-3 weeks.  A tummy tuck, however, is a longer recovery process.