NEW YORK PLASTIC SURGEON | 30 CENTRAL PARK SOUTH, NY, NY 10019

Non Invasive Facial Rejuvenation / Fillers

NON INVASIVE FACIAL REJUVENATION
Facial rejuvenation is any cosmetic or medical procedure used to increase or restore the appearance of a younger age to human face. The specific term, however, refers to a set of surgical procedures which try to restore facial geometry and skin appearance which are typical of youth, by using a combination of brow lift, elimination of eye bags, eyelids lift, elimination of senile spots, skin aging, facial sagging and wrinkles by face lift and rhytidectomy and physical or chemical peeling, chin lift (reduction of double chin), restoration of facial hairline, etc. These procedures are usually successful and in some cases achieve striking results. Examples of facial rejuvenation treatments are Fractional Radiofrequency and Ultherapy, both non-invasive procedures stimulating the body’s own regenerative process of building new skin and tighten the skin. Face, Chin and Jowls: The earliest signs of aging in the male face are associated with a descent of the mid face from the eyelids, front of cheeks to the jaw line.  This creates a depression at the lower aspects of the eyelids in front of the cheek bones, deepening of the smile lines from the nose to the corners of the mouth and enlargement of the jowls. Advances in fat injection and semi-permanent fillers enable us to correct these deformities without major surgery.  Injection of fat through small needles harvested from your waistline offers  the best option.  The fat exhibits a large percentage of long lasting take (some affords permanent results).  One third of patients are disappointed due to fat resorption. This procedure typically performed under local and topical anesthesia takes under two hours. Results are seen immediately with swelling and bruising subsiding in 10 to 12 days.  You can return to most activities and work the next day. Good alternatives are Restylane and Juvederm, hyaluronic acid fillers lasting up to 12 months.  Radiesse a Hydroxyapetite based gel is my preferred filler for the laugh lines and creases between the brows, lasting 12 to 18 months. Artefil composed of Methylmethacrylate crystals surrounded by collagen does not resorb. These fillers permit correction of the hollows below the lids, between the lids and nose,  the cheekbones and in the smile lines from the nose to the corners of the mouth and jawline.   This procedure typically performed under local and topical anesthesia takes under an hour. Results are seen immediately with swelling and bruising subsiding in a day or two.  You can return to most activities and work the next day. Fullness below the chin and jawline is typically noted as patients age or are somewhat overweight. Liposculpture of the jowls, below the jawline and chin afford long lasting improvement of the jawline and neck definition with the added bonus of skin tightening.  This liposculpture is performed through small inconspicuous incisions below the chin and behind the ears as needed.  Minimal to no pain after the procedure allows you to return to your usual activities the next day.  Bruising subsides in 10-12 days.  Results are noted by this time.  Significant improvement in the contour and definition of the jawline and neck are accomplished.  In most cases this procedure postpones a facelift for many years. Precision FX and internal laser by the Smart Lipo company and Radio frequency devices (Thermage, Polaris etc.) can further tighten the neck skin to avoid major surgery. Forehead creases and lines between the brows are most often treated with Botox.  More permanent correction can be achieved with a forehead or brow lift.  Small incisions placed in the scalp behind the hairline allow dividing the forehead and brow muscles thereby smoothing these lines. This can also be approached through the upper eyelid crease incision.The results, noticeable immediately which last for years may out weight the quarterly trips and expenses of Botox injections.

EYES: BEFORE AND AFTER LOWER BLEPHAROPLASTY FAT AND BOTOX INJECTIONS

EYES: BEFORE AND AFTER LOWER BLEPHAROPLASTY FAT AND BOTOX INJECTIONS

Copyright © 2011, Luis A. Cenedese, M.D. F.A.C.S., Beaute des Arts Institute. All rights reserved.
30 Central Park South, Suite 1 C-D, New York, NY 10019 (212)371-0468