What is it? The Los Angeles Non Surgical Facelift Explained
At Westside Aesthetics, our goal has always been to provide safe, non-invasive options to traditional surgical procedures. The surgical facelift or rhytidectomy, is one of the most popular cosmetic procedures being performed today. According to the most recent statistics from the American Society for Aesthetic Plastic Surgery, facelifts were the seventh most popular aesthetic surgery performed after liposuction, breast augmentation, abdominoplasty (tummy tuck), blepharoplasty (eyelid surgery), rhinoplasty (nose job) and breast lift. Facelifts are not as popular as they once were, due in part to the explosion in popularity of non surgical techniques such as this one.
Most often, a facelift involves the removal of excess facial skin, tightening of the underlying tissues and remodeling of the skin on the patient’s face and neck. Facelift surgery is likely to be combined with a brow lift and eyelid surgery (blepharoplasty), and performed under general anesthesia. The surgery requires several weeks of downtime.
In his Los Angeles clinic, Dr. Rivkin has created a non-invasive alternative to facelift surgery, which is safe, relatively pain-free, and requires only a short recovery time. Dr. Rivkin’s technique involves a combination of precisely placed Botox injections and injectable fillers to restore youthful contours and fullness, reduce lines and folds and make facial skin more smooth. Unlike a traditional facelift, eyelift, or brow lift, the Non Surgical Facelift is practically painless. There is no need for anesthesia. Dr. Rivkin uses tiny needles, most of the fillers contain lidocaine in the syringe and we use distraction techniques to take your mind away from the procedure. Combined with Dr. Rivkin’s famously gentle touch, we rarely even need numbing cream. You are entirely awake and alert during the injections, allowing you to see the results at intervals during the procedure and give feedback. You control the outcome.
The Non Surgical Facelift Procedure
Botox Cosmetic injections smooth out lines and wrinkles caused by muscle contractions, and the injectable fillers replace lost facial volume and fill in folds.
Botox is used to relax the muscles of the forehead, between the brows and the sides of the eyes. It can also be used to decrease the appearance of vertical lip lines, to raise the corners of the mouth so these are not turned down, and to smooth out a dimpled or “orange peel” chin. We also use Botox to lift the eyebrows, making our patients look less tired. We also use it to decrease the size of the masseter muscles, softening the shape of the face – bringing it from a square, angular shape to a youthful soft oval.
Dr. Rivkin uses a combination of fillers for the Non Surgical Facelift procedure. His precise understanding of the strengths and weaknesses of each particular filler permit him to tailor his selection to the individual needs of each patient. He uses Voluma and Radiesse to replace lost volume in the cheek and cheekbone area, restoring vital structure lost with time. As we age, we feel that our face “drops.” We lose fat, muscle and bone everywhere, but most noticeably, in the cheek area. When this happens, our face loses support. Lines and folds form and the focus of the face drifts down away from the eyes. Re-volumizing the cheeks and cheekbones has the effect of re-establishing the structure of the face and lifting the focus back up to the eyes. Augmenting the cheeks also changes the shape of the face to be more of a youthful oval.
Age related volume loss of the face is not only limited to the cheeks, unfortunately. The two other major areas of volume loss that make people appear older and more tired are the temples and around the mouth. Hollowing of the temples makes the face look gaunt and older than necessary. Dr. Rivkin uses Voluma or Sculptra to refill the temples, softening the contour of the face and bringing back youthful fullness. Filling the hollows around the mouth corrects the impression of fatigue or sadness. Dr. Rivkin usually uses Voluma or Radiesse for this area. Radiesse or Voluma can also be used to fill in the space between the “jowl” and the chin, re-establishing a smooth jawline and camouflaging the jowl.
The next component of a Non Surgical Facelift procedure involves filling the sunken tear trough region. Age related fat and soft tissue shrinkage under the eyes causes the appearance of a semicircular indentation called the “tear trough deformity.” Shadow falls into this indentation, creating the appearance of dark circles under the eyes. Dr. Rivkin uses Restylane or Belotero to fill in the tear trough deformity, eliminating dark circles.
The last major component of the Non Surgical Facelift involves filling folds and wrinkles such as the nasolabial (smile lines) and marionette (frown lines) lines. Interestingly, these lines are usually already much improved after filling the cheeks and cheekbones. Re-establishing the cheek structure lifts the lower face and makes these lines less noticeable. Dr. Rivkin fills the leftover lines with Juvederm, Radiesse or Voluma, depending on their depth and appearance.
Am I a Good Candidate for Non Surgical Facelift in Los Angeles?
Performed here in Los Angeles, the Non-Surgical Facelift at Westside Aesthetics is perfect for individuals that feel like they look older than they feel. We often have patients request the procedure to correct their complaint of “my face is falling!” It’s a great procedure for those that are noticing that they look tired or gaunt or sad. It is also a fantastic option for those that are considering a surgical facelift, but not ready to commit to the risk, expense and recovery time associated with traditional, invasive surgery.
During your free initial consultation, Dr. Rivkin will evaluate your unique needs, desired end results, and explain the procedure. He will also help you determine which type of filler will work best with your body and skin type. You will have the opportunity to view before and after photos, so that you will know exactly what to expect from the treatment.
Dr. Rivkin’s patients know that they can get in touch with him at any time. He’s always in the office at Westside Aesthetics, and is personally involved in every treatment.
Pros and Cons of the Non Surgical Facelift
The Non-Surgical Facelift procedure is virtually painless and usually takes less than an hour to perform. Recovery time is normally a few days. Patients may experience minor bruising, mild swelling, redness and tenderness, all of which should resolve within a week or two at the most. The results of the Botox injections lasts about three to four months and the injectable fillers last six months to two years depending on which type of filler is used. We use mostly reversible fillers, which are easily dissolved at any time if the outcome of the procedure is unsatisfactory for any reason.
This procedure is not for everyone and should not be seen as a replacement for a surgical facelift. Dr. Rivkin knows several excellent surgeons to whom he refers patients that are not appropriate candidates for the Non Surgical Facelift. Most commonly these are people who have too much skin laxity for injections to be effective.
The Non-Surgical Facelift has great synergy with other procedures such as Fraxel and Ultherapy. We also recommend a medical grade skincare routine along with daily sunscreen use.
At Westside Aesthetics, we believe in a comprehensive approach to beauty and defying age gracefully. Dr. Rivkin and our expert practitioners will work with you in order to create a completely unique and customized plan based on your needs and budget.
To learn more about Dr. Rivkin’s Non-Surgical Facelift, Brow Lift, or Eyelift procedure, or to schedule a free consultation, contact our Los Angeles office today by phone or email.