Today I finished a long day in the clinic and despite the tiredness, I felt inspired to sit down and write down my thoughts. I had worked with a 69-year-old patient who wasn’t happy with the way her facial skin was sagging. She’s not unexperienced regarding aesthetics treatments and had quite a few therapies done in the past years. And whilst you could also have chosen a surgical facelift in such a case, I decided to work with dermal Fillers and Botox to create a Liquid Lift.
The mistakes we have all seen already
Dermal fillers can nowadays do so much, but no one wants to look “done”. Still, we’ve all seen it, or maybe it’s even happened to us: the brow too high, too low, too frozen; the balloonish lips or Angelina-Jolie-cheekbones that give the game away.
What is mostly asked by my patients is the non-surgical facelift. And most of them believe that the only way to achieve it is to pump up the skin with plenty of fillers. Apparently because this is what they have seen or experienced till now. When we see overfilled or disconcertingly immobile faces, there can be several factors to blame. It nearly always involves either an unskilled injector or an unscrupulous one who will give patients anything and will let them pay for it, which they do not need.
Even when there is no scalpel involved - it needs a good facial surgeon
As cosmetic surgeons have grown more sophisticated in their methods and the array of fillers and neurotoxins has become more diverse and specialized, patently obvious nonsurgical work is becoming the exception rather than the rule. A good aesthetic doctor now recognizes that the most natural-looking effects are achieved incrementally, with tiny, almost imperceptible adjustments.
When I talk to my patients, I’m actually analyzing their facial expressions, harmony and beauty. I draw out a master plan with each patient, using a face-analysis tool on a photo of the patient. We start with baby steps and give touch-ups until we’ve achieved a uniquely personalized map of what and where to inject.
A good facial surgeon does not need tons of material to achieve an impressive tightening of the skin, even at a 75-year-old patient. Why?
Because she or he knows exactly where to inject it. A good doctor injects between the right ligaments of the face, that will keep the fillers stable and not diffuse them. He or she respects the natural anatomy of the person and aims to enhance and not change the one’s features.