Facelift vs. Fillers

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“Can you avoid a rejuvenation surgery of face and eyes by undergoing repeatedly filler and/ or botulinumtoxin procedures?”

This topic is discussed quite controversially and the answer is not that simple.

Patients, who are looking for rejuvenation treatments of face and eye area, have the option to consult medical practitioners with different backgrounds, thus there can be more than one medical specialization engaged. According to their specializations, the practitioners will give their professional advice for a treatment, which can turn out very differently.

For instance, if a doctor does not perform surgeries at all, she or he will most probably advise to avoid surgeries and opt for non-invasive endermolift facial treatment for as long as possible. Does this work for a patient in his or her late 30’s? Yes, definitely, but maybe not that well for someone older than 45 years.

The crux is, that if you wait for too long before you opt for a surgery, the skin may have relaxed to an extend that an optimum result is difficult or not at all to achieve. Very often I need to tell patients, who are in their 60’s, and ask for my advice in my clinic, that it would have been better, if they had visited me a few years earlier. The majority of them tell me, that they have spent ten thousands of dollars over the past 2 decades for non-surgical treatments and that these procedures have not delivered the desired results after a certain age.

So what is the best solution? Every treatment has its rightful place for the right patient at the right time. A medical practitioner, who is able to offer both, non-surgical and surgical treatments of a broad spectrum, like a Plastic Surgeon, is the best person to seek advice regarding the right time/ age to opt for a surgery.

It has been shown over the last decades, that in order to achieve the best and longest lasting results with lifting procedures of face and eyes, the best average age bracket is between 45 and 55 years. In this age group you already see clear signs of ageing, but tissue quality and elasticity of the skin are still good enough to achieve an optimal lifting effect. On top of that, it plays an important role which surgical principals your surgeon follows and which technique is used, but that will be the topic of my next blog.


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