Surgical versus nonsurgical cosmetic options for the face

Surgical versus nonsurgical cosmetic options for the face
Some put surgical cosmetic options on hold while they try nonsurgical improvements.

Both surgical and nonsurgical options will refresh the appearance of your face, but, as you may expect, the level of improvement will not be the same and the surgical options will yield more significant and longer lasting results. From your hairline to the base of the neck, here are some of the surgical and nonsurgical approaches to common facial problems that occur with aging:

Drooping Forehead. A surgical forehead or brow lift involves incisions in the hair-bearing scalp to rejuvenate the upper third of the face. Alternately, Botox (or Xeomin or Dysport) can be injected in the forehead to soften frown lines. Botox and fillers can also be injected around brows to lift and add fullness.

Dark Circles, Eye Bags, Hooding of the Upper Eyelid. Surgical blepharoplasty removes fat deposits and excess tissue or muscle from the eyelids to rejuvenate the eyes. But, frown lines can be softened and "Crow's Feet" minimized nonsurgically with Botox injections (recently FDA-approved to minimize Crow's Feet). When injected above the eyebrows, Botox, Dysport or Xeomin, in an off-label use, can also give a ten-degree lift to the arch and a slight lift to the tail. To get rid of under eye bags, your plastic surgeon can inject your own fat, with results lasting 2 years or more, or hyaluronic acid, with results lasting up to a year.

Sagging Cheeks. With aging, the distance between the eyes and cheeks increases. In a surgical midface lift, the malar fat pad overlying the upper cheek is lifted to its youthful position with either sutures or an absorbable implant, restoring a youthful, heart-shaped face. Alternatively, your plastic surgeon can restore high, full youthful cheeks using injectables such as Restylane, Radiesse and Juvederm. Injected over the cheekbones or in depressions, fillers can add fullness to sunken or sagging cheeks for more than 18 months.

Sagging Jawline, Neck, Prominent Neck Cords. Many facelift approaches smooth the face and neck skin, tighten underlying tissues and muscle and remove excess skin. But you can camouflage a sagging jawline nonsurgically with Juvederm or Restylane injections, lasting up to 18 months. Botox or Dysport, fillers and laser treatments can be used to reduce the appearance of neck cords. Fillers may be injected to smooth a pebbly chin. Botox or Dysport injections can make neck cords recede. Neckline appearance can be softened with mini doses of hyaluronic acid fillers combined with Botox or Dysport.

A plastic surgeon interviewed by Fox News reminds us that, "Opting for a nonsurgical treatment does not mean you that cannot undergo a similar surgical procedure down the road." A board-certified plastic surgeon will be able to tell you how much mileage you can get out of any nonsurgical cosmetic procedure.