Plastic Surgery 101

Injectables can give you a Liquid Face Lift

Q. Lately I have been hearing a lot about a Liquid Face Lift. Can you tell me what people are talking about and should I consider doing this? I am 42 and feel like I’m starting to droop.

Without seeing you it is difficult for me to tell you if you need such a thing.

The Liquid Face Lift is a concept that has developed over the last several years to include all minimally invasive modalities that give the impression of a facelift. Technically, you are not getting a facelift, but creating a facial volume replacement and upper facelifting. Your results may last from months up to a year or more.

The volume replacement is done with a variety of facial injectables, either alone or in combination with each other. These include Restylane, Juvederm, Perlane and Boletero. They are all in the hyaluronic acid family.

Each has its own advantage and disadvantage. Other injectables that are used include Radiesse (a calcium- based material) and Sculptra (a bio-active material). I am sure that there will be other materials soon to come. While they may be used alone or in combination to improve your appearance, they don’t always have to be combined.

The upper facelifting can be accomplished with the neurotoxins such as Botox or Dysport. These may be used in different parts of the face to enhance your features. While the FDA does not approve these products to be used in combination with each other, they are frequently used “off label’’ routinely and safely.

If all this sounds complicated, imagine how complex it is for a doctor who has no experience in aesthetic medicine. That is why I frequently urge you to pick your physician with care. Choose one who is board-certified and trained in an aesthetic specialty such as facial plastic surgery, plastic surgery, dermatology or oculo-plastic surgery.

Dr. Carlos Wolf is a partner at Miami Plastic Surgery. Email your questions to him at

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