Non-surgical combinations for a youthful face

Resurface, reposition, refill, and relax, are the four goals for the most effective “Turn back the clock” goals for facial rejuvenation.

For treatment and maintenance, these four treatments are the most effective approach in most people who do not want surgery as well as the post-facelift patients who need additional treatments.

These four modalities should be performed in specific order although some treatments can be done at the same time. However, one must keep in mind that every patient has different needs and goals. The treatments that are available for rejuvenating skin and the shape of the face to turn back the clock aesthetically are first, Laser, then PDO lifting threads, facial fillers, and then Botox type injections.

Lasers: these treatments can do wonders toward one’s age reduction goals with youthful looking skin with less wrinkles, age spots, and tighter skin. Several lasers can be beneficial. However, I have tried many and finally settled on the UltraClear laser, which can be used on the face and neck, as well as areas of body. The advantages are less discomfort, shorter recovery, and improved results. The energy settings on most lasers vary from a “lunchtime” laser to much more aggressive energy settings. When higher energy is delivered, the result is better, there are fewer treatments needed, and the results greatly improved. The UltraClear laser uniquely has a laser coring mode, which can be combined with other modes simultaneously.

PDO threads: These are smooth or lifting threads, which are dissolvable. The lifting threads have tiny burrs to tighten the skin. These threads lift the face and neck creating a mini-facelift appearance. The number and type of threads used is based on the individual’s needs. They, like lasers, stimulate production of collagen and elastin resulting in improvement and increased volume for 3-6 months. While the threads dissolve in about 6 months, the produced collagen and elastin may last 1.5-2 years. Discomfort is minimal.

Fillers: Juvederm or Restylane products are hyaluronic acid products lasting from 6 months to 1.5-2 years, according to the ones used and based on the price and what is needed to reach their goals. The fillers Sculptra and Radiesse are fillers that both fill and stimulate collagen and elastin production. They both can last up to 2 years and reduce the aging appearance of the skin as well. Often a combination of different fillers is best. An example would be injecting the hollows under the lower eyelids while injecting in the cheeks or lips.

The specific timing of the treatment combinations is used because: the laser will lift the face and neck thus requiring less threads. The PDO threads are then used to lift face and neck plus increases volume, so less or no filler may be needed.

The treatment combination is entirely based on the patient’s facial aging and desires, and must be explained in all details with exactly what each treatment does.

Dr. Ronald Finger, MD, FACS is a board-certified plastic surgeon with offices in Savannah and Bluffton. fingerandassociates.com