Articulos de Estiramiento Facial

¿Me podría explicar en qué consiste un lifting facial de células madre? ¿Es un procedimiento quirúrgico? ¿Cuán efectivo es?

Answer:

Un lifting facial de células madre se refiere a una inyección de plaquetas ricas en plasma en varias zonas de la cara. Yo no realizo este procedimiento porque no está probado que funcione.

I am 61 with severe what my doctor calls «marionette lines.» What is the procedure for correcting these?

Answer:

The marionette lines are the lines that run from the corner of the mouth to the chin and are actually the extension of the jowls. The marionette lines can be treated with either a non-invasive treatment or a surgical procedure.

The non-invasive treatment of marionette lines involves the use of facial fillers. I particularly like the hyaluronic fillers, such as Perlane, for this area. The skin is numbed with a topical anesthetic cream for about 10 minutes. Perlane now comes pre-mixed with a local anesthetic for a pain-free injection. The procedure takes about 10 minutes and the patient can return to work the same day. The majority of patients that undergo correction of marionette lines with fillers are very satisfied.

The surgical correction of marionette lines involves a facelift procedure. The facelift procedure can be done with local anesthesia with oral sedation, IV sedation, or general anesthesia. The procedure takes about 3 hours and the recovery is about 2 weeks. The procedure involves a tightening of the facial muscles and their repositioning to achieve a fresher look. The procedure works well to improve the sagging neck, jowls, marionette lines, and the midface.  Most patients that undergo the facelift procedure are very happy with the results.

Posted by Dr. Bustillo

Tengo 35 años y estoy interesada en un lifting del párpado inferior. Leí en alguna parte que se puede usar algunos tipos de inyectables como una suerte de lifting del párpado inferior no quirúrgico. ¿Es cierto? Creo que lo que vi que usaban era Restylane. ¿Qué tan efectivo es esto?

Answer:

Usted leyó perfectamente bien. Cuando los pacientes comienzan a mostrar señales de envejecimiento en los párpados inferiores, a veces se pueden tratar con rellenos faciales. El ojo está ubicado en una cuenca, que lo contiene. Existe una grasa orbital que rodea al ojo y lo protege del contacto con las partes óseas. Con el tiempo, la grasa comienza a abultarse por debajo del ojo. Esto se ve como «bolsas» debajo del ojo. Al principio, cuando las «bolsas» comienzan a desarrollarse, se puede usar rellenos para «camuflar» las bolsas. El relleno se coloca a través de la piel sobre el hueso orbital. El procedimiento lleva unos 10 minutos y la mayoría de los pacientes están muy contestos con el resultado. Yo prefiero usar Restylane en esta zona. El resultado dura aproximadamente 7 meses.

 

Publicado por Dr. Bustillo.

Me hice un lifting facial hace dos semanas. Aparentemente todo fue bien, salvo por el hecho de que he tenido terribles dolores de cabeza desde entonces. ¿Debo preocuparme o se irán pasando? ¿Y cuánto tiempo tendré que vivir con ellos?

Answer:

Bien, lamento que esté pasando por esto. Es algo sumamente inusual y no asociado al lifting facial. La única excepción sería que usted se haya realizado un levantamiento de cejas, que a veces puede estar asociado a dolores de cabeza. Sin embargo, usted no especifica en su pregunta si se ha hecho un levantamiento de cejas con el lifting facial. Por lo tanto, le recomiendo que haga una consulta con su médico general. Es posible que sus dolores de cabeza no tengan nada que ver con la cirugía.

Publicado por Dr. Bustillo

I have begun reading blogs about facelifts. Can you tell me what the Serdev Suture Midface Lift is? Is it safe and/or effective?

Answer:

The Serdev Suture midface lift is a type of midface lift that is performed by using sutures to elevate the malar fat pad. This is done in a minimally invasive technique, by passing the sutures through the skin and using them to elevate the tissues.  My opinion regarding the use of sutures alone to elevate the facial tissues is that they do not work. Too often, I have seen patients that underwent these «lunch-time» lifts, which worked only for several days. Studies have been done and published which prove that these procedures do not work.

Posted by Dr. Bustillo

At age 28, my skin has very little volume, and I am looking at getting a filler or facelift. Which would you recommend, and would I be at risk for any complications later on in life?

Answer:

I think the answer is fillers, as you are too young for a facelift and facelifts do not add volume to the face. There are several fillers on the market that can be used to add volume. I look at several factors when choosing filler. The first is the location where the volume needs to be added and the second is the skin thickness. In general, I choose hyaluronic acid fillers, such as Restylane for mild to moderate nasolabial folds and the tear troughs. For thin skin and moderate nasolabial folds, I prefer the filler Perlane, which also a hyaluronic filler. For thick skin or cheek augmentation, I prefer Radiesse. This is a calcium-based filler, which works great in patients that need cheek augmentation.

What exactly is the difference between a lower facelift and a midface lift? Where is the line drawn between the two?

Answer:

This is a question that I am frequently asked by patients. The lower facelift procedure is performed when the patient wants an improvement in the neck and lower face. This procedure improved the jowls and the excessive neck laxity. Usually, this is a SMAS-type procedure, where the SMAS is used to elevate the neck and lower face. The midface lift is performed when the patient wishes to improve the midface, or cheeks. As the face ages, the area known as the midface begins to descend. This can be seen with the deepening of the nasolabial folds. The procedure is performed via an incision in the temporal area. The procedure can be combined with lower facelift to achieve a rejuvenation of the entire face. Posted by Dr. Bustillo

I am 43 and looking into a facelift. I read an article that said that facelifts thin the skin and accelerate aging; is this true? Is there any way to prevent this?

Answer:

Over the past several months I have seen several patients, in their early forties that have asked me about undergoing a facelift procedure. While, I do not believe that age is the determining factor for a facelift, I do think that for most patients, this is a little early. My criteria for performing a facelift are really how the aging process has affected the particular individual. In any case, there are some, albeit very few, females in their early forties that need a facelift. In fact, most of these patients can be treated adequately with a necklift. To answer the question about the thinning of skin and facelifting, I believe that having one facelift will not thin the skin. The thinning of the skin can occur when the patient has multiple facelifts. Again, another reason to wait having a facelift until you really need it. Posted by Dr. Bustillo