What Is A “Liquid Facelift”?

liquid_faceliftAfter my last newsletter entitled “Lasers vs. Facelifts“,  an attentive patient asked me about a term she had heard, the “liquid facelift”.  This term refers to the use of a combination of Botox and fillers to provide effects visually similar to a facelift.

Starting off in explanation, it is probably best to say what a “liquid facelift” does not do.  This combination procedure does not remove excess skin, tighten skin, or treat damaged skin.

This procedure works best in those with basically good healthy skin, but who have lost volume in the face due to weight loss and/or aging.  The use of the Botox and fillers can vary by individual and their needs and facial structure.  I will discuss the range of possible measures that can be used but rarely do all have to be done on one person.

upper_face_botoxBotox is the primary treatment for the skin areas around the eyes, and the forehead.  Botox can smooth the areas around the eyes known as the periorbital area, removing “crow’s feet” but still allowing enough movement to show expression.

Forehead lines can also be treated with small amounts of Botox.  Scowl lines between the eyes are the most commonly treated area of the face with Botox and can make a person look more relaxed, less tired and frankly younger.

Relaxing the muscles between and around the eyes can also result in a subtle elevation of the eyebrows, resulting in opening up the eyes and slightly arching the eyebrows.  If someone already has arched eyebrows or doesn’t like that particular look, a small amount of Botox can be injected above the brows to suppress this.

Lower down in the face the problem is usually loss of volume.  The mid-face over the cheeks shows significant volume loss over the years as we lose the fat pads that have been present since childhood and give the young the “apple cheeks”.

juvederm-xcThis area had been a troublesome area to treat until recent filler developments.  There is no question in my mind that Juvederm Voluma is the best treatment for this area.

This product is injected deeply into the cheek to replace the effects of fat pad loss and is molded into the contours of the person’s cheeks.  Most patients look in the mirror after the Voluma is injected and say “I have my cheeks back!”.   My emphasis is to make the person look better but not overdone; naturally fuller.

Juvederm Ultra and UltraPlus, hyaluronic acid (HA) fillers that are not as thick as Voluma, can be used for other areas of the face that require direct treatment to those wrinkles around the mouth and chin.  Some people may require lip enhancement to restore the volume of younger lips.

Lips are tricky to enhance, although I have had a great deal of experience using Juvederm in this area.  My job is to maintain the normal proportions of the lips while trying to slightly increase lip volume.

Basically, the “liquid facelift” is a nonsurgical way to take 5-10 years off your appearance.  All this can be accomplished in my office here at Maine Laser Skin Care.  After consultation about the extent of treatment recommended,  all the treatments discussed above can be performed within a 40 minute appointment.

So now that you know what a liquid facelift is, I believe I also answered the question “Can you do a liquid facelift?”.  And in case you missed the implication, I would definitely say, “Yes, we can do that!”.  If you would like a free consultation on this or any other topics, call (207) 873-2158 for an appointment.

About Dr. John Burke

John Burke M.D. has practiced medicine for over 25 years, and is the founding partner of MidMaine Internal Medicine. He established Maine Laser Skin Care in 2004 after devoting years to learning the latest in laser and dermatologic technology. Dr. Burke has treated patients from all over the United States. He is one of Maine's busiest practitioners in laser treatments, and in the use of Botox for upper facial lines and excessive sweating.
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