As a Santa Barbara cosmetic surgeon, I have watched aesthetic procedures (like Botox and dermal fillers) rapidly evolve in the last decade that offer men and women anti-aging options that can be done in an office visit with little to no downtime. These procedures can complement or supplement cosmetic surgery procedures (such as Facelifts and Neck Lifts) but knowing what procedure may be right for a person, and when to have it done, can be confusing.
With the understanding that everyone ages differently, I will present a loose guideline of when a person may want to consider anti-aging treatments and/or cosmetic surgery to keep a youthful appearance and/or to rejuvenate their look.
Wrinkles on your forehead and/or around the eyes (crow’s feet) may suddenly be more prominent when a person hits their 30’s although facial volume has probably not diminished (at least visibly). The one aesthetic treatment to consider in the 30’s is Botox or Dysport. This treatment temporarily relaxes the frown lines and wrinkles to give you a more rejuvenated appearance. Cumulative use of Botox or Dysport may actually minimize muscle activity in the area, thereby slowing the onset of wrinkles and fine lines in future decades.
The 40’s and 50’s
Visible signs of aging in the face, such as thinning and/or sagging skin, a hollowness under the eyes, and overall loss of plumpness really shows up in the 40’s. This happens because the rate of breakdown for collagen and elastin significantly increases after the age of 40. Dermal fillers, such as Juvederm, Restylane, and Radiesse, can effectively replace natural volume and fullness as well as correct skin imperfections like wrinkles, fine lines, and acne scares. A dermal filler treatment is an injectable treatment that shows immediate results and can last 6 to 12 months (depending upon the type of filler used).
Another issue that people notice in their late 40s is that the eyelids may start drooping, making the eyes look hooded which can make a person appear tired or angry. Bags and hollowness may become a permanent part of the under eye area. This is a good time to consider Eyelid Lift Surgery, which can be done on both the upper and lower lids (if need be), to remove excess skin and “re-open” the eyes to the world.
Sometimes, however, it is not the upper eyelids that are causing a heaviness. The forehead tissue may have relaxed so much that it is impacting the upper eyelids (and, hence, impacting the eyes). Forehead Lift surgery may be taken into consideration. This surgery repositions the forehead and brow upward to open up the eyes and smooth the brow area. Furthermore, frown lines can be minimized with the use of Botox or Dysport.
The 50s is when most people usually consider Facelift surgery. The surgery addresses the skin laxity in the cheek and neck area. If the skin laxity does not warrant surgery (or the person is not interested in surgery at the time) there are non-invasive treatments such as Skin Tightening that use the latest technologies to tone, lift, and tighten the skin. The protocol for Total Tightening – a skin tightening treatment – is exclusive to my Santa Barbara medical spa.
The late 50’s and Beyond
By the late 50’s and beyond, many people are interested in addressing their neck contour. Sagging skin and fat accumulation can become very prominent and “age” a person dramatically. Neck Lift surgery will re-create long-lasting support for the neck area and give the person’s profile and appearance a boost. The results will look natural and not “done”.
If a person has had a facelift or other facial rejuvenation surgeries, I recommend maintenance treatments such as Botox or Dysport, dermal fillers, and laser treatments to prolong the results.
If you are interested in any cosmetic surgery or aesthetic treatment, please call my Santa Barbara cosmetic surgery office to schedule a consultation (805) 563-0000.