March 4, 2010

Are there any face creams I can use instead of getting surgery?

We hate to bring bad news, but we want to be honest: if you are looking for a facial cream that rivals surgical results, you’re going to be disappointed.  This is not to say that creams or lotions are without some benefit.  It does mean, however, that if you are looking for a natural facelift, BOTOX results, or other dramatic improvements normally achieved through treatment by a cosmetic surgeon, a cream is not going to cut it.

A lot of businesses are profiting from misleading advertising by making claims about “natural alternatives” to cosmetic procedures that only a doctor can provide.  It’s hard not to be interested in a product that promises to give you the same results as surgery at a lower price and through “natural” methods without help from a doctor.  This is in part due to the unfair stigmatization that has been placed on cosmetic procedures, the misunderstanding of words like “natural,” and people who just want to make money.  Unfortunately, this means that a lot of customers end up buying really expensive moisturizers.  You may think you’re getting a deal if you spend “only” $300 on a “revolutionary” something-or-other cream, but you are likely getting no more than a regular, moisturizing lotion sold in a very expensive bottle.

What does this mean for your appearance?  If you aren’t already using a quality moisturizer on your face, your complexion may improve.  However, just because you look better after spending $300 on that jar of cream doesn’t mean that you are getting your money’s worth.  If you started with no moisturizer or a bad one, you will likely see results just as good with a cream you find under $20.  Moisturizers do hydrate the scaly outer most skin layers.   For a few hours this makes the complexion look better but that is all these over the counter products do.  When considering creams versus cosmetic procedures like BOTOX or face lift, ask yourself what kind of a change you need to see.  If you are suffering from flaky, dry skin, a cream may help you out.  If your skin is sagging, your cheeks are hollow, and your features creased with wrinkles, will a cream reverse these effects? Of course not!  It is not realistic to expect a cream to make these kinds of changes even a super expensive one from a fancy department store or boutique.

If you are looking for some kind of structural change, like eliminating wrinkles and hanging skin, filling in hollow areas, or making your eyes look bright and alert, a cream won’t get you far no matter how many buzz words the marketing uses.  This makes sense when you think about the reasons people need facial cosmetic procedures.  The effects of aging, stress, gravity, and sun exposure add up over the years and impair the actual structure of your face.  For example, BOTOX for wrinkles works great because it relaxes overactive muscles that are creating wrinkles.  If these muscles are causing your wrinkles, a cream that is merely absorbed into the outer most layers of your skin will not work.  Those seeking alternatives to facelift through creams would do well to consider how a facelift accomplishes the dramatic improvements we see.  A facelift tightens the deep plane structures of the face and removes extra skin.  Again creams only penetrate the last few cell layers in the outermost part of the skin.

The Cream We Always Recommend

It may not reverse the damages and signs of aging you’ve already incurred, but we know that there is a fantastic cream available that will help prevent the signs of aging: sunscreen!  Over time, our faces show the effects of sun damage through problems in complexion and texture.  Protect your looks and health by finding a sunscreen that smells good and is not greasy.  You will not wake up tomorrow with a new and revitalized face, but in ten years your face will thank you for protecting it.

Making an Informed Decision

We always encourage you to decide for yourself what you’ll do through research, private consultations, and finding a treatment plan that makes sense.  When you evaluate before and after photos, pay special attention the lighting and camera angles to see if the photos are misleading you by changing the photography methods from unflattering to flattering effects that are superficially created by a camera.  Also keep in mind that the images you see are examples of the very best results, rather than typical outcomes.

You can obtain great and natural results through surgeries like facelifts as well as nonsurgical, minimally-invasive treatments like BOTOX, Restylane, Fotofacial, and the chemical peel.  There are a lot of options out there for you to sort through, so be especially careful to look out for signs of a scam.  Effective treatment isn’t cheap, and it doesn’t come in the form of an overpriced magic lotion.  It doesn’t promise more than it can do, and it is honest in its portrayal of results.

Contact us today to schedule your individualized private consultation with Dr. Steinsapir, whom many esteem as one of the best cosmetic surgeons in Los Angeles specializing in facial treatments with natural results.  He can help you find the best solution based on your individual needs and answer your questions openly and honestly.

February 16, 2010

Which Type of Facelift Should I Get?

There are a lot of facelift methods you’ve probably heard about and it can be confusing to figure out the best one for your particular needs.  Our advice?  Don’t try to figure out which type of facelift you need because you’re asking the wrong question.  A great facelift is not characterized by type, but by customization.  The best way to get disappointing results is by looking for a cookie-cutter procedure.  A skilled surgeon can produce amazing results with almost any method if he or she customizes the procedure to your individual circumstances.

facelift before and after photo

facelift before and after photo

The right facelift surgery for you is not a matter of reading about incision methods, dissection planes, or vectors of lift, but about finding a reputable surgeon whose results (unretouched before and after photos) you like. You need to be comfortable in your surgeon’s ability both through your research and through an individual consultation.  If your potential surgeon says that every facelift procedure is the same or the focus is on how fast the surgery can be performed, it’s time to worry.  The best type of facelift is one tailored to meet your needs.  Whether it be the deep plane lift, the superficial musculoaponeurotic system (SMAS) facelift, an endoscopic facelift, S-lift, or a MACS lift, the short scar facelift, or another method, the procedure must be customized to your unique features and goals to obtain natural, satisfying results.

How does the Deep Plane Facelift compare to other methods?

As stated above, most any type of facelift can procure excellent results if customized by an experienced facial cosmetic surgeon.  The deep plane facelift can be as effective as other methods, but the problem is that this is a riskier procedure and the benefits usually aren’t worth the risk when there are other options available.  With the deep plane facelift, there is an increased chance of injury to a facial nerve that can even happen in the best of hands.  The chance of these facelift complications are small but if it happens to you, it was 100%.  If this happens to you, some of your facial muscles will cease to work properly.  Since properly functioning facial muscles are essential to your appearance, your results will not be good.  Since there is no clear advantage to the deep lane facelift, why take the risk, even if it’s small?  If you are set on receiving this method, you will probably find someone who will perform it for you if you knock on enough doors and have enough money, but may end up regretting your inflexibility.

Can I use a home remedy?

There are a lot of proclamations about so-called miracle cures, like a non-surgical facelifts at home.  A useful rule to follow is this: if it sounds too good to be true, it probably is.  If someone tells you they can give you a facelift in a bottle, be skeptical.  The truth is that moisturizers, so-called facelift creams, and other concoctions are generally a waste of money.  If you think about the hyped claims for these products, you’ll realize they don’t make logical sense.  There is certainly nothing stopping you from testing out these promises, but don’t expect much from them.

If what you really want is a facelift alternative, seek a personal consultation with an esteemed and qualified facial cosmetic surgeon.  A facelift is usually not indicated without the loose “turkey” neck skin, and in many cases a treatment like BOTOX or safe neck liposuction is a good option.

The Bottom Line

Of all cosmetic facial procedures, a facelift is the most powerful.  When it comes to something so important and complex, to obtain the best results it’s critical that you allow your physician the flexibility needed to customize your results.

Dr. Steinsapir is a cosmetic surgeon in Los Angeles who strives for the most natural, youthful results through minimally invasive procedures with the shortest possible recovery times.  He has been a leader in the move toward small-incision facelifts since 1990.  He is a Clinical Associate Professor of Oculofacial Surgery at UCLA.  Your surgery will be in the safety of the Surgery Center at the UCLA Medical Center.    Dr. Steinsapir is sought out by individuals both in California and across the nation and world for his expertise in designing individual facelifts and other facial cosmetic procedures.  Rather than directing you to a technician, nurse, or assistant, Dr. Steinsapir is personally available to answer your facelift questions, discuss options suitable to your aesthetic needs, and work with you to customize your facelift if your assessment indicates that one is needed. Contact us today for an individual assessment.

February 2, 2010

Is a Thread Lift a Good Alternative to the Facelift?

The thread lift or suture lift is often advertised as a cheap alternative to the facelift, and like so many things that sound too good to be true, it probably is.  The thread lift is a procedure in which a barbed suture is threaded through the face.  This is supposed to lift the face with minimal surgery.  It costs less than a facelift, yes, and sometimes recovery time is shorter, but this procedure doesn’t last and can have associated complications.  Many cosmetic surgeons do not perform thread lifts because they feel that they are ineffective.

The problem with relying on a barbed thread to improve facial features is that the threads can break or move, and you may be able to feel them.  You may not see any improvement, and if you do, it will likely last only a few weeks or months.  The thread lift is a superficial treatment that may temporarily improve problems like cheek ptosis, but it’s unlikely to give you lasting change.

Who Gets Thread Lifts?

Those targeted in ads for thread lifts are often those who worry about the cost of treatment and are looking for the best deal.  Unfortunately, when it comes to health care and cosmetic treatments, “the best deal” can sometimes mean the worst service.  The truth is that the best surgeons are expensive, and effective treatments cost time and money.  When you consider how costly medical school is and all the investment a doctor must put into his or her career on top of the high demand for the most skilled and experienced providers, it’s easy to see the great value in a procedure done right.  While a thread lift may cost less right now, if you think about how long it lasts and what you’ll have to pay for future corrective procedures, the thread lift is actually far more costly than it seems.

Another demographic commonly targeted for the thread lift are those who are young or appear young enough to not require dramatic change.  Thread lift providers may focus on people in their 30s who have faces that are just beginning to show signs of age.  The reason why the emphasis is on those seeking subtle improvements is because the thread lift is not considered a powerful procedure.  It simply isn’t capable of giving the results required by someone with more severe signs of aging.  People in this age group do much better with appropriate non-invasive treatments like Restylane and BOTOX.

Removing the Sutures Later

Not everyone has to have the sutures removed, but many people who are dissatisfied with their thread lift opt to have them taken out later on, especially if they are experiencing facial discomfort or seeking further treatment.  Removing the sutures can be a lengthy process, and one that should be done if you wish to receive a facelift later.  Having the sutures removed will add to your bill and increase your risks of complications.

Facelift: The Smart Solution

If you are concerned about your aging, sagging face, do yourself a favor and seek treatment that will last.  If your concerns are minimal, consider seeking a consultation to find out if nonsurgical treatments are more suitable.  For those who need surgery, a facelift is almost always a wiser choice than a thread lift, and for those with minor problems, there are minimally invasive cosmetic treatments available that you may not have considered.

The facelift is a dynamic procedure that gives real results and can be completely custom-designed for your needs.  There is a lot of flexibility with designing the best treatment program for you without resorting to thread lifts.

Complications

As with any treatment, there is a small risk of complications like numbness or suture migration.  What should most concern you is the significant risk that you will receive no improvement from this procedure.  If you do experience improvement, you still run the large risk of having this improvement last only a few weeks before the suture strips in the tissue.  For these reasons we recommend seeking alternative forms of treatment.

Seeking Advice

Find a doctor who specializes in multiple procedures that improve facial structure and aesthetics.  This way you will receive balanced advice.  A doctor with extensive experience in facial cosmetic procedures will best understand your options, rather than rely on thread lifts as a default.  As an incredibly complex and potentially beautiful part of the human body, the face must be treated on an individual basis with regard for its sensitivity and respect for its proven treatments.

Dr. Steinsapir is widely experienced in specialized facial treatments, including the facelift, BOTOX, Restylane, facial liposuction, reconstructive surgery, and more.  With resources available in his Beverly Hills practice and UCLA, Dr. Steinsapir uses proven facial treatments and insight gleaned from years of experience as a specialized physician.  Dr. Steinsapir always treats patients himself without relying on nurses, technicians, associates, or ghost surgeons.  Call us today to learn how to improve your facial structure through proven methods.

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