Fillers vs. Facelift – What’s the Best for Facial Aging?

There’s no debating that injectables are incredibly popular for facial rejuvenation. Last year there were millions of non-surgical injectable procedures performed in the United States alone. While these treatments can help to eliminate deep wrinkles and frown lines, there may be an age where a facelift is a better alternative. Board certified plastic surgeon Dr. Brian Brzowski discusses the best approach to deciding when to switch from filler to facelift.
SKIN DEEP – THE ROLE OF INJECTABLES
Injectables are quickly becoming the workhorse of cosmetic surgery. There’s a stable of products for patients to pick from that have been proven to be effective. Experts advise that Botox and Dysport are best used to relax facial muscles, while Restylane and Juvederm can be used to fill in areas that have lost volume, like the laugh lines. Patients have seen the difference these products can make, but may have unrealistic expectations. “There’s a lot of marketing and a lot of hype that patients are seeing in the media that would make them think they can come in and have a filler put in their face and essentially replace what a facelift would correct,” says Dr. Brzowski.



Brzowski says fillers can help a patient push off surgery, or even improve the results of a procedure, but they won’t eliminate the need for a facelift, once a person reaches a certain age. “When we see a patient come in and they are asking for fillers often times we can supplement what we need to do with fillers, but it doesn’t replace what only surgery can do.” Experts say that fillers may be most effective in patients who are younger than fifty.

TOO MUCH OF A GOOD THING
We’ve all seen the images of overdone lips or overfilled cheeks. Experts agree that there can be too much of a good thing, even with fillers. Brzowski says there are plenty of examples of celebrities who have been overdone. “We have many examples in the media of patients who have been overdone, with cheeks and lips and everywhere else you can think of.”

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