Facelift2:19 video

How Do You Make a Facelift Last Longer?

Start with your skin. Dr. Naderi says patients who wait years for one big surgery, with no Botox, fillers or skincare, usually have less elastic skin and are disappointed with how long their results last. No facelift holds at exactly the same level for 10 to 15 years, so he keeps the skin healthy with biostimulators, treatments from the outside and a little Botox for the neck bands.

In This Video

Key Points from Dr. Naderi

  1. Skin quality decides how long a facelift lasts. Nothing is permanent.
  2. Patients who did nothing for years often have less elastic skin, and their results fade sooner.
  3. Avoiding filler, Sculptra or Morpheus8 out of fear for a future facelift is a double-edged sword: without them, skin quality suffers.
  4. Even after the best facelift, some platysmal banding returns in the middle of the neck. A little Botox maintains it.
  5. Biostimulators (exosomes, PRF and Sculptra) work differently from filler and fat, which add volume. Nanofat acts a little like PRF and PRP.
  6. The skin also needs care from the outside: microneedling, lasers, chemical peels and at-home skincare.

Chapters

  • 0:00Why skin quality decides how long a facelift lasts
  • 0:18Waiting for one big surgery
  • 0:40Fillers, Sculptra and Morpheus8 before a facelift
  • 1:02No facelift lasts 10 to 15 years unchanged
  • 1:17Platysmal bands and Botox
  • 1:44Biostimulators, fat and skin treatments
Word for Word

Full Transcript

How do you fix your skin? How do you maintain your skin? How do you make sure that later on, eventually, if you do an aging face surgery, a facelift, deep plane or SMAS, whatever, a brow lift, whatever you do, how do you make sure that the results last as long as possible? Because as we know, nothing is permanent. I will tell you, as somebody who's been doing this for over 25 years, when somebody comes in to see me who's done nothing, no Botox, no fillers, no skincare, nothing, and has waited and waited and waited for that one big surgery, their quality of skin is not that good. It's not elastic. And afterwards, they're disappointed with the longevity of results. So if you're somebody who's in the skincare game, and I know everybody's freaking people out, all these plastic surgeons are saying don't do this filler, don't do that Sculptra, don't do this treatment, don't do Morpheus, because it affects your facelift. Well, guess what?

It's a double-edged sword. If you're not doing that stuff, you're not going to have good skin quality, and later on, it's not going to last as long. We know for a fact, I don't care if you go to somebody for a deep plane facelift, and you know the names, I will promise you the results are not going to last 10 to 15 years. Yes, you will look great, you will be taken back the hand of time, but it's not going to stay at the same exact level for 10 or 15 years. What are some of the places that fail? Platysmal bands. I don't care who you go to. You know the names, the big names, the famous guys, the celebrity guys. If you go to them, you're still going to get some platysmal banding in the middle. It's normal.

They're amazing surgeons, but you're going to get it. So how do you maintain it? A little bit of Botox. What about your skin quality? I don't care if you go and get a deep plane facelift with a CO2 laser. If you're not doing skincare, it's not going to last. So let's talk about things that make the skincare game last and make it better before a facelift, after a facelift, during a facelift. Three things. Biostimulators, right?

These days we're talking about exosomes, PRF and Sculptra. They work differently. Fillers fill. Fat fills. Now, microfat will fill. Nanofat acts a little bit like PRF and PRP. We'll talk about that. You have to stimulate the skin from the outside. You have to do things like microneedling, some lasers, some chemical peels, at-home skincare, all important stuff. But let's talk about exosomes.

Related ProcedureDeep Plane FaceliftLearn more