Non-Surgical Facial Rejuvenation

Noninvasive Facial Rejuvenation - My "Midlife Beauty" Procedure

I figured that that headline would get your attention. While it is hard to call being poked and prodded by dozens of needles and chemicals and sound rays “noninvasive”, the term distinguishes a generation of new procedures from the old standbys that require incisions, cause bleeding and usually require some sort of intravenous sedation or general anesthesia. Truly noninvasive procedures don’t really exist. But hold onto your seats, because we really are entering a generation of much less invasive facial rejuvenative procedures - what many people now call a non-surgical facelift.

I spend virtually every day restoring beauty to women between the ages of 30 to 75.

Here’s what I do. First, I inject Botox (or Xeomin, Jeuveau or Dysport - they're similar) to lessen the vertical wrinkles between the brows, the horizontal wrinkles of the forehead, and the crow’s feet. Sometimes I treat the bunny lines of the nose and rumpled chins and neck bands. Sometimes I'll even use Botox to even out an asymmetric smile or lower the upper lip in gummy smiles. Botox is so simple and so effective - there's a reason why over 8 million people have it each year.

Fillers

Then, I numb up the midface (like a dentist does) and inject usually a hyaluronic acid filler. I use the Restylane Defyne or Lyft to fill the depths of the nasolabial fold, the marionette lines, and the depression between the chin and the jowl. Then I use Restylane Refyne to fill in those fine wrinkles around the lips and chin. Then, I outline the borders of the lips to restore the “white roll” that disappeared a few years ago. Then I inject some material to build up those philtral columns between the lips and the nose. Sometimes I use Restylane to fill in the lower eyelid grooves. I might use Juvederm Voluma or Radiesse to build up your chin or cheekbones,. And then I use filler to fill in the horizontal neck lines or even the upper chest wrinkles. While most of what we do in plastic surgery is subtle or takes a while to see the full effect, that's not the case with filler. By the time you leave my office, you'll have a dramatic reduction in your wrinkles and the area around your mouth will be rejuvenated. But let's not forget the hands - Radiesse works wonders in hiding unsightly veins or tendons.

Peels, Lasers and Ultherapy

For some of you, that's enough. But if you have splotchy pigmentation, we can do a light peel with trichloroacetic acid (TCA). This can also help some very early wrinkles. If you have many fine wrinkles, I'll perform a fractionated CO2 peel of your face. Or we can subtly lift your brows, tighten your cheeks, and lift your jowls with Ulthera. This new sound energy machine is really the only thing we have to tighten crepey skin of the neck.

And if your nasolabial fold is really deep, we might do the incisionless wire release. With no visible scars, this really cool procedure that aggressively rejuvenates by actually lifting your fold off of the underlying tissue and filling the space with something like Radiesse or Restylane.

Many of these procedures cause bruising. But that's why they invented makeup. Sephora and Ulta have many coverup products like Tarte concealer to help you get out of the house even with bruising. Lasers and peels do have some real downtime, however.

What Ultherapy Can Do

Ulthera (Ultherapy) uses high frequency ultrasound to zap the skin, fat, and underlying tissues. This focused energy can be directed with precision. Ulthera can lift brows, cheeks, jowls, and necks. It can smooth the skin of the neck, cheeks and around the eyes. It can even reduce the fat of the neck. And all this without an incision or losing a drop of blood. Sound too good to be true? Those of you who know me or read my books know that I am a skeptic. But this technology showed so much promise that I was an early adopter.

Ulthera can also tighten loose upper arm skin and is the only thing that can rejuvenate the décolletage ( that's the area of the upper middle chest that is visible with an open shirt). Ulthera really may help you wear more revealing clothing without being embarrassed by crepey skin.

Many women are unsure just what they need to look as good as possible. I prefer that you vocalize your concerns, because what I see may not be what bothers you. But if you are not sure, I can evaluate you and give my suggestion. I am not here to "sell" - my goal is to have you look as good as possible with the least expense and the lowest risk.

I offer these non-surgical treatments at my Park Avenue office in Manhattan and at my office in Franklin Park, New Jersey.