What is a Liquid Facelift?
A Liquid Facelift is a non-surgical means of rejuvenating a face that appears aged secondary to volume loss. As we age, we lose fat from our face, especially under the eyes, in the cheeks, and in the pre-jowl regions. As these areas deflate, it makes the face look hollowed, creating shadows where there were none in youth. In addition to the shadows, the volume loss can cause wrinkles to form, especially in the area where dimples usually occur. A Liquid Facelift uses injectable fillers (Restylane, Juvederm Ultra, Perlane, Juvederm Ultra Plus, Radiesse) or Bio-Stimulators (Sculptra) to replace the volume lost during the aging process.
Who are ideal candidates for a Liquid Facelift?
Young women in their 40s who are just starting to see the signs of aging, but who are not yet candidates for a surgical facelift are generally ideal patients for a liquid facelift. People who are in really good shape with very little body fat tend to look older because of the lack of fullness in their face.
People who have had a facelift in the past sometimes do not look as youthful as they could because the facelift did not address the age-related volume loss. (Remember a facelift does two things: 1. It makes the skin container smaller and 2. It reverses the effects of gravity by repositioning the soft tissue of the face to a more youthful position. A facelift does not correct volume loss, nor does it correct the loss of skin elasticity.)
Men are excellent candidates for liquid facelifts. Men in particular do not want obvious changes overnight. Men tend to like improvements that are gradual over time and subtle, but still make them look refreshed and more youthful. What we’re trying to avoid is the situation where you appear in your 50’s on Friday and you look like you are in your 40’s on Monday.
Who are not ideal candidates for a Liquid Facelift?
People who have full or round faces usually are not good candidates for a Liquid Facelift. Liquid Facelifts also do not correct neck issues, such as wrinkles, excess skin, or fat just below the chin.
Any injectable filler can be used for a Liquid Facelift such as Restylane, Perlane, Juvederm Ultra, Juvederm Ultra Plus, or Radiesse. However, the most cost-effective and longest lasting product for global facial volume replacement is Sculptra (a Bio-Stimulator).
What is the downtime for a Liquid Facelift?
Downtime is defined as the time after the treatment where you have to avoid being seen if you don’t want anyone to know you had something done. Having said that, the downtown after the Liquid Facelift depends on how much bruising you have. If you have no bruising you will be able to go out that evening without anyone noticing. If you have a bruise at the injection site, it depends on how big the bruise is and if you can cover it with makeup.
There is no way to predict if you will have a bruise, how big the bruise will be, or how long the bruise will be there. If people have a bruise, it may last up to a week. Therefore, the downtime for a Liquid Facelift is considerably less than a traditional surgical facelift, which has a downtime of two weeks.
What are my instructions following a Liquid Facelift?
The instructions vary depending on the product used to achieve the Liquid Facelift. Please refer to the pages for Sculptra, Perlane, Juvederm Ultra Plus, or Radiesse.
The universal instructions for all of the products used are as follows:
- Ice the areas injected for 24 hours.
- Keep your head of bed elevated for 24 hours.
- No bending, lifting, or straining for 24 hours.
How long does a Liquid Facelift last?
This depends on several factors:
- It depends on what injectable filler is being used (please refer to the pages specific for each product).
- It depends on the areas of the face being volumized (the closer to the mouth the faster the product breaks down because of the greater motion).
- It depends on the patient; some people breakdown products faster and some people hold on to products longer. There is no way to predict how long a specific product may last in a specific person. During the consultation, Dr. Stanislaw will provide general ranges for a specific product, for a specific location, but there are no guarantees of duration.
How much filler will I need for a Liquid Facelift?
During the consultation, Dr. Stanislaw will give you an estimate on the amount of filler you will need for a Liquid Facelift. The two factors that determine how much filler you will need are: 1. your degree of lost facial volume and 2. your level of expectation. One person may desire just a subtle softening of their folds and wrinkles, while another person may desire as much of correction as possible. The greater your expectations, the more filler you will need.
Will I have a bruise after a Liquid Facelift?
The incidence of bruising depends on the location of the injection, the depth of the injection and the individual patient. Therefore, the chance of bruising after a Liquid Facelift is best discussed during the consultation prior to the injection.
If a bruise does occur, it can be covered with makeup.
In case you do have a bruise, Dr. Stanislaw advises patients not to schedule a Liquid Facelift 14 days prior to any engagement where a bruise maybe unacceptable (i.e. a party or a wedding).
How much discomfort is associated with a Liquid Facelift?
There is very little discomfort during a Liquid Facelift. A topical numbing medication can be applied to the area before the injection if desired; however, this is not required. In addition, there is a numbing medication in the injectable fillers called lidocaine that makes you temporarily numb during the injection process.
A small percentage of patients complain of a mild ache for a day or two after the Liquid Facelift. This is easily controlled with Motrin or Tylenol.
Procedures / Treatments often performed in conjunction with a Liquid Facelift?
Patients that have volume loss combined with a loss of skin elasticity and excess stretched out skin, sagging facial features, and neck issues (extra fat under the chin, neck wrinkles, and vertical bands of the neck), a Liquid Facelift is often combined with a traditional facelift and necklift.
Liquid Facelifts are often combined with eyelid surgery (blepharoplasty) to rejuvenate the eyes, thereby complimenting the improvements made in the rest of the face.
Liquid Facelifts are often combined with topical Retin-A, topical Vitamin C, topical Vitamin E, Microdermabrasions, and Facial Peels / Chemical Peels.