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A liquid facelift procedure is a non surgical facelift, which combines dermal fillers with neurotoxins such as Botox and Dysport to rejuvenate all areas of the face, restore lost volume, and provide a more youthful appearance. Dr. Michele Green is a board-certified, cosmetic dermatologist in NYC, and is an internationally renown expert in liquid facelifts for over 25 years. A graduate of Yale University, and chief resident at the Mount School of Medicine, she is consistently voted as one of the best doctors in New York by Castle Connolly, the New York Times, Super Doctors, and New York Magazine.

Dr. Green was one of the first dermatologists in New York to utilize Botox, Juvederm, Restylane, Sculptra, and Radiesse, in her private, boutique, Upper East Side office, for facial rejuvenation. Most patents want immediate results and do not want the recovery time from a traditional surgical facelift. A liquid facelift procedure can be performed in under one hour, with lasting results, for up to a year or more, with almost no down time involved. When you consult with Dr. Green, she will assess the areas of the face which need to be enhanced and develop a customized treatment plan designed specifically for you. Your plan will include the best skincare, cosmetic injectables, non-invasive skin tightening, chemical peels, and laser treatments.

As we age, most patients lose collagen and elastin, develop fine lines, and have volume loss and sun damage. This is why the entire face needs to be analyzed, both in terms of sagging skin, the quality and texture of the skin, and the volume loss. There is no single cosmetic procedure which can address all of these factors. Dr. Michele Green will determine the best type of filler for you, depending on the area of the face which needs treatment and your skin laxity. She will combine these injectables, whether it be Botox, Belotero, Juvederm, Restylane, or Sculptra, with the best non-invasive lasers, such as Thermage FLX and Fraxel, to give you the best natural looking, rejuvenated skin with the desired results.

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Botox & Juvederm before and after

How does a liquid facelift work?

A consultation with Dr. Michele Green begins in her private NYC office with medical photography being performed for the areas of the face which are of concern, and a full review of your medical and surgical history. A complete review of all past cosmetic procedures and skin care is also completed during your initial visit. Dr. Green will examine your specific facial anatomy and and focus, whether it be volume loss in your mid face, jowls, marionette lines, a weak jawline, deep nasolabial folds, a tear trough deformity, or other cosmetic areas. Dr. Green will determine if you are a good candidate for a liquid facelift, or whether a traditional facelift surgery would be a better option for you. The majority of patients prefer a liquid facelift over traditional facial plastic surgery, to avoid the recovery time and associated risks and side effects of plastic surgery.

Once Dr. Green determines that you are a good candidate for a liquid facelift, the specific areas of the face which require an array of dermal fillers such as Juvederm, Restylane, Belotero, or Sculptra, are reviewed. In addition, areas of dynamic wrinkles, such as the glabella, forehead, and eyes can be treated during your time with a neurotoxin, such as Botox, Xeomin, or Dysport. The key to an excellent result with a liquid facelift procedure is a complete examination of your facial features and areas of volume loss, and utilizing a “less is more” philosophy. Dr. Green does not overfill your face with dermal fillers, and creates a natural looking and rejuvenated appearance. In addition, Dr. Green may combine other non-surgical procedures, such as Thermage for non-invasive skin tightening or Fraxel laser for removing sun damage and pigmentation, with a new skin care regimen, to obtain the best cosmetic results.

Once your consultation is complete, a topical anesthetic is applied to the areas of injection before your treatment with dermal fillers, Botox, of laser treatment. Patients are advised to refrain from aspirin, Motrin, Aleve, vitamins, herbal supplements, or any blood thinner for two weeks before any cosmetic injectables. This will avoid any unnecessary bruising or recovery time. Immediately after your treatment, ice packs will be applied to the treated areas and Arnica Forte is recommended to minimize any bruising from the dermal fillers. Dr. Green typically recommends a follow up appointment two weeks after your initial liquid facelift, to ascertain if any touch-up is needed.

Why do patients prefer a liquid facelift to a surgical facelift?

Most patients prefer a non-surgical liquid facelift to the risk and recovery of a surgical facelift. As we approach our 30’s, 40′, and 50’s, collagen and elastin are diminished and areas of volume loss and skin laxity become more prominent. For some patients, this aging reflects in deep marionette, smile lines, and nasolabial lines. In others, it is an increase in wrinkles and fine lines in the skin and neck. For others, it is volume loss in the midface or cheek area. Through a combination of dermal fillers, such as Juvederm® Voluma, VolbellaSculptra®, and Restylane® Contour, Dr. Green will incorporate the best dermal fillers to treat your fine lines, deeper wrinkles, and restore volume loss with immediate results. It is no wonder that Botox and dermal fillers are the number one most popular cosmetic procedure in Dr. Green’s private NYC dermatology office.

How to avoid plastic surgery?

The key to avoiding plastic surgery is by first avoiding the damaging effects of the sun and protecting yourself from UV (ultraviolet) light. Both UVA and UVB cause an increase in damage to the skin, can thin the skin, accelerate collagen and elastin loss, and cause an increase in age spots, sun spots, deep wrinkles, and fine lines. Using the proper sunscreen with an SPF 50 or higher, combined with the best skin care products, will both help protect and treat sun damaged skin. Daily sunblock combined with Retinol creams and antioxidant serums, such as Vitamin C serum, can help reverse sun damage and lighten both pigmentation (brown spots) and erythema (red spots). Dr. Green’s MGSKINLABS products are replete with the best anti-aging ingredients and will help restore sun damaged skin.

Sun avoidance, good skin care, and products, can be augmented by the right skin treatments and dermal fillers. Yearly Fraxel laser treatments to remove sun damage and annual Thermage treatments for non-invasive skin tightening, both help produce new collagen and restore healthier, younger looking skin. In addition, Botox injections have been showed to have preventative effects, as they stop deep frown, forehead, and Crow’s feet lines (around the eyes) from forming or becoming deeper. Similarly, dermal filler injections replenish lost collagen and can have a positive long term preventative effect.

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Botox & Voluma before and after

Who is a good candidate for a liquid facelift?

A good candidate for a liquid facelift is someone who wants a multi-layered, custom approach to rejuvenate their face, and understands that this process needs to be maintained on a yearly basis to have the best cosmetic results. A patient who is in good health, and has no autoimmune disorders is the right candidate for a liquid facelift. Realistic expectations are needed, since a liquid facelift will improve fine lines, deep lines, and volume loss. However, it cannot treat or remove excess skin. Only a surgical facelift, with a board certified plastic surgeon, can remove extra skin on the jowls, face, and neck.

Types of Injectable Fillers for a Liquid Facelift

From Juvederm and Restylane, to Sculptra, Radiesse, Botox, Dysport, and Xeomin, there are a myriad of dermal fillers. Some dermal fillers consist primarily of hyaluronic acid. The goal of all dermal fillers is to rejuvenated the face and restore lost collagen. Neurotoxins all work in a similar manner, to “freeze” dynamic wrinkles of the face and improve the appearance of fine lines. In concert, neurotoxins and dermal fillers provide a non-surgical facelift or liquid facelift in a manner of minutes.

Juvederm Family of Dermal F​​​​illers

Juvederm is a very popular brand of cosmetic dermal fillers, used to restore lost facial volume, treat fine lines and deeper winkles, and improve the visible signs of aging. Juvederm injectable dermal fillers are all composed of hyaluronic acid, of varying degrees of thickness. The different types of Juvederm injectables are designed to treat different areas of the face, including but not limited to the nasolabial folds, oral commissures, lips, cheeks, chin, jowls, and the under eye (tear trough) area. These injections of dermal fillers are the basis for a liquid facelift. Juvederm® was first approved in 2006 by the FDA for facial injectable treatment of the nasolabial folds. Dr. Michele Green was one of the first cosmetic dermatologists in NYC to incorporate Juvederm into cosmetic treatments for the removal of fine lines and deeper lines and hollows in the face.

Juvederm XC

Juvederm XC is one of the most desired dermal fillers to treat the lips, to improve lip volume and enhance the texture of the lips. The Kardashians and other celebrities popularized Juvederm XC injections for lip enhancement and it has maintained its allure with both men and women of every age. Juvederm XC lasts approximately 9 to 12 months when injected into the lips.

Juvederm Ultra Plus

Juvederm Ultra Plus has classically been used to restore the nasolabial folds, smile lines, and lines around the nose and mouth. Juvederm Ultra Plus can also be used in other areas of the face, including the chin and jowls. Juvederm Ultra Plus lasts up to one year after injection.

Juvederm Vollure

Juvederm Vollure is ideally designed for moderate to deep nasolabial folds or smile lines. Results may last up to 18 months with this newer hyaluronic acid filler.

Juvederm Voluma

Juvederm Voluma ® is FDA-approved for volume loss, and is used most commonly in the midface. It is formulated with a unique Vycross technology, which produces a tightly cross-linked gel and contributes to its “lift” capacity. Voluma was created to re-define the cheek area, which tends to lose structure and volume as we age. Juvederm Voluma is one of the longest lasting hyaluronic acid dermal fillers on the market today. Reports have stated that Juvederm Voluma can last up to two times longer than other facial fillers, lasting up to two years in some patients.

Juvederm Volbella

Juvederm Volbella® is an injectable filler composed of hyaluronic acid (HA), which is also based on Vycross technology. Volbella improves and enhances the lip contour, boosts volume, smooths vertical creases and achieves symmetry all in a single treatment. This product is especially good for treating smoker’s lines, perioral wrinkles from sun damage, and the oral commisures as well. Juvederm Volbella is formulated with an innovative combination of low and high molecular weight technology, which improves the cross-linking efficiency of HA chains. Volbella’s effective cross-linking technology allows for a lower concentration of HA to be used, which results in less swelling. The Vycross technology delivers an ultra-smooth gel, which results in a natural look and feel, as well as lasting up to one full year after injection.

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Sculptra – 3 months before and after

Sculptra Aesthetics

Sculptra® is an amazing “liquid filler” composed of injectable poly-L-lactic acid. Sculptra® stimulates your body’s own natural collagen production to help restore facial volume loss due to the effects of aging. Because Sculptra is a liquid, it can be used in almost any area of the face including the temples, jowls, nasolabial folds, cheeks, chin, décolletage, arms, and neck area. A series of three or more sessions of Sculptra is indicated to slowly build your own natural collagen, with each session spaced approximately one month apart. After full correction with this injectable filler, the results of Sculptra generally last up to two years.

Restylane Dermal Fillers

Restylane® is a family of dermal fillers composed of hyaluronic acid, which was FDA approved in 2003, and helps to plump up and replace lost volume in different areas of the face. Hyaluronic acid occurs naturally in our skin, and utilizing this type of dermal filler, can restore collagen to your cheeks, lips, smile lines, under eye (tear trough), chin, and jowls.

Restylane and Restylane-L

Restylane and Restylane-L are designed to treat mid-to-deep facial wrinkles and folds, such as the smile lines, nasolabial fold, and oral commissures. Restylane-L is also a popular dermal filler for tear trough (under eye filler) and lip enhancement, with natural looking results. Restylane lasts six to nine months after injection of this dermal filler.

Restylane Silk

Restylane Silk is designed for lip augmentation and the correction of fine lines around the mouth, and fine lines on the face.

Restylane Lyft

Restylane Lyft is used primarily to treat moderate to deep facial wrinkles and folds, to replace lost facial volume in the mid face, and jowls, and to treat volume loss in the hands. Restylane Lyft lasts about one year in duration.

Restylane Contour

Restylane Contour is the latest injectable, FDA approved in 2021, from the Restylane family of products. It is designed specifically for cheek augmentation in the mid face and the replacement of volume loss in various areas of the face. Restylane Contour is designed with the newly created XpresHAn Technology™  which helps to maintain your natural expression.

Restylane Refyne and Restylane Defyne

Restylane Refyne and Restylane Defyne are used for the correction of mid to deep facial wrinkles in the nasolabial folds and marionette lines. Restylane Defyne was also FDA approved for chin augmentation and to treat patients with a receding chin. Both products are designed with XpresHAn Technology, which allows you to maintain natural expression and movement of the injected area.

Restylane Kysse

Restylane Kysse is one of the latest injectables for lip enhancement. Known as the Russian lip technique, Restylane Kysse has been at the forefront of this popular lip trend. Restylane Kysse is also designed with XpresHAn technology to allow flexible and natural looking movement while enhancing the volume of your lips, texture, and color.

Radiesse Injections for a liquid facelift

Radiesse is a unique dermal filler which is a collagen stimulator, similar to the effects of Sculptra. Radiesse is composed of calcium hydroxyapatite. Radiesse is typically used to treat moderate to severe facial wrinkles and folds, such as the smile lines and jowls. Radiesse is FDA approved for skin rejuvenation of the face and the hands. Due to its mechanism of producing new collagen in the skin, the results can last up to one year.

Kybella injections and dermal fillers for jawline definition

Chin fat and signs of aging on the neck are among the most commonly treated concerns in the private dermatology office of Dr. Green. Using a combination of Kybella injections and dermal fillers, Dr. Green is able to reduce visible signs of aging, eliminate excess submental fat, and provide patients with an elegant and defined jawline. Kybella is a unique injectable which is able to provide permanent fat reduction in the area it is injected, most commonly in the jawline and the area under the neck. Dermal fillers are able to contour and lift the jawline and provide more definition to the chin area as well, providing a non-surgical liquid facelift with no downtime.

Kybella is the first and only cosmetic injectable that has been approved by the FDA for the purpose of dissolving submental fat and eliminating the double chin, leading to the appearance of a more defined jawline. The active ingredient in Kybella is deoxycholic acid, a naturally occurring substance in the body that aids in the absorption and breakdown of dietary fat. Injections of Kybella permanently destroy fat cells in the treatment area. Four to six weeks after Kybella is initially injected, the destroyed fat cells are cleared from the body through your own body’s natural metabolic processes, resulting in an elimination of fat and a defined jawline.

Dermal filler injections can be used to provide further definition to the jawline, improve the appearance of sagging jowls, and give the face a more contoured appearance. Dr. Green often takes advantage of hyaluronic acid fillers such as Restylane Lyft or Juvederm Voluma to create a more defined, sharpened jawline for her patients. These fillers provide a lifting effect by supporting the skin in the treatment area and also stimulating new collagen production near the sites of injection. Jawline fillers are a non-invasive cosmetic treatment with results lasting for up to a year. During your consultation with Dr. Green you will be able to discuss which combination of dermal fillers and Kybella are best-suited to your treatment for a more defined jawline.

Botox Injections with a liquid facelift

Botox® injections are commonly used cosmetically in conjunction with dermal fillers. Botox® is derived from a neurotoxin produced by the bacterium Clostridium botulinum called botulinum toxin. It is used medically to treat certain muscular conditions and cosmetically to remove wrinkles by temporarily freezing facial muscles. Botox injection are one of the most popular procedures and a natural part of a liquid face lift.

Botox is used to to treat the dynamic wrinkles of the forehead lines and the lines around the eyes, in areas of the face where dermal fillers are “too thick” and cannot be utilized. Dr. Green uses a combination of Botox® and dermal fillers to complement each other in a natural looking liquid facelift.  Botox® is perfect for the wrinkles in the glabella area, forehead, lines around the eyes (crow’s feet), lip lines, lip flip, DAO’s, to relax the muscles that pull down the corners of the mouth down, and even for the neck’s platysmal bands and folds.

Before & After: Sculptra – 2 treatments

Which areas of the face can be treated with a liquid facelift?

  • Temple hollows
  • Sagging cheeks
  • Jowls
  • Tear Troughs (under eye area)
  • Smile Lines, nasolabial folds, marionette lines
  • Chin
  • Jowls
  • Neck

What are the side effects of a liquid facelift?

A liquid facelift has relatively few side effects. The main side effect is localized bruising or swelling at the site of injection. We advise patients to refrain from aspirin, Advil, Motrin, vitamins, herbal supplements, fish oil, or any blood thinners, as these medications can cause bleeding and excessive bruising at the injection sites.

Are non-surgical liquid facelifts safe?

Yes! Liquid facelifts are an entirely safe procedure. It is very important to consult a board certified dermatologist, expert injector, like Dr. Michele Green, to have the best cosmetic results. When dermal fillers are injected by an experienced dermatologist or plastic surgeon, you can be assured of less side effects or adverse outcomes.

Is a liquid facelift painful?

All dermal fillers are composed with lidocaine, which is a numbing component to make the procedure comfortable for the patient. In addition, Dr. Green prescribes a topical numbing cream that you may apply at home one hour before the treatment to relieve any discomfort.

How long does a liquid facelift take?

After the treated area is numbed with a topical lidocaine gel, the entire procedure with neurotoxin and dermal fillers can take approximately 30 minutes, with minimal down time.

What is the downtime needed after a liquid facelift?

Most patients can resume their normal activities immediately after their cosmetic injections. However, swelling and bruising can be the result of any facial injection, and can last for several days to a week. It is always best to plan your visit accordingly.

How long does a liquid facelift last?

A liquid facelift lasts approximately six months to two years, depending on the amount and type of dermal filler used in the various areas of the face. Restylane typically lasts between 6 and 9 months after injection. Juvederm Voluma lasts one to two years, depending on the volume loss and the number of syringes injected into the treated area. Sculptra is known to last the longest of any cosmetic injectable filler, with results lasting more than two years. Typically, a touch up is scheduled in six months to a year, depending on the desired cosmetic results, longevity of the product used, and the amount of dermal filler injected into the area.

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Before & After, Voluma & Lyft

How much does a liquid facelift cost?

The price for a liquid facelift varies depending on the amount of dermal filler used, specifically the number of syringes used, and the qualifications or expertise of the cosmetic injector. A board certified cosmetic dermatologist will be more expensive than a nurse injector at a medspa. Dr. Green’s “less is more” approach to facial injections will provide you the best facial rejuvenation with the least amount of recovery time. During the consultation, Dr. Green will assess your facial features, and discuss which facial areas would benefit the most from the immediate results of dermal fillers and new collagen production.

How much does a jowl lift cost?

A traditional neck lift or jowl lift can cost between $10,000 to $25,000 depending on the area of the country and the experience of the plastic surgeon. You should set aside at least two weeks of recovery time for this type of plastic surgery. In most cases, general anesthesia will be used which also has serious side effects to consider.

What is a 5-point facelift?

A 5-point facelift is a nonsurgical cosmetic procedure that entails utilizing hyaluronic acid dermal fillers for injection into 5 specific sites on the face, primarily where aging and laxity is most apparent. These cosmetic injections rejuvenate the face by stimulating new collagen production in the skin as well as supplying essential hydration necessary for a more youthful appearance. The filler is placed superficially at the injection points including the cheekbone, jawline, chin, the nasolabial folds, and the pre-auricular area.

What is the 8-point facelift?

The 8-point facelift is synonymous with a liquid facelift. It will lift and rejuvenate eight strategic points on the face. By combining Botox and dermal fillers, the structure of the face is lifted including the lower and midface, cheekbones, and areas of volume loss are enhanced including the midface, nasolabial folds, jowls, and jawline.

When to choose a surgical facelift instead of a liquid facelift?

A surgical facelift is recommended over a liquid facelift when there is an excess of skin laxity that dermal fillers cannot help ameliorate. In these cases, a surgical facelift is needed to “pull” the skin and remove excess skin, since Botox and injectables cannot treat excessive neck tissue or jowls.

Can I get a facelift at 30, 40, 50, 60, 70? What age do I get a facelift?

Most people associate having a facelift with older age, reserving that treatment option for their 50s, 60s, or 70s. Rather than focus on the best age for having a facelift, patients should be attentive to the signs of aging that would make them a good candidate for the procedure. If you are bothered by skin laxity, loose jowls, deep nasolabial folds, a hollow-looking midface, and would not benefit from having a non-surgical cosmetic treatment, then you may be a good candidate for a facelift, no matter what your age is. Some of the benefits of having a facelift at a younger age include a faster recovery time and natural-looking, subtle rejuvenation rather than a dramatic change. Consulting with a board-certified plastic surgeon or dermatologist, like Dr. Green in NYC, is the best way to learn as to whether or not you are a good candidate for a facelift.

What is the best age for a liquid facelift?

A liquid facelift is the ideal procedure for a busy NYC man or woman, who cannot afford the down time and side effects of traditional plastic surgery. The best age for a liquid facelift is any age from your 30’s to your 70’s. The goal is similar, regardless of age, to replace lost facial volume, maintain a youthful cosmetic appearance, and provide a natural looking result with Dr. Michele Green.

What is the best age for a surgical facelift?

There is no “best” age for a surgical facelift. The “best” age really depends on a combination of aging, sun damage, and genetics. For some patients in their 40’s, they may have premature signs of aging. In general, patients in their 50’s and 60’s most commonly have a facelift, when nonsurgical treatments such as Thermage skin tightening or a liquid facelift cannot yield the desired facial rejuvenation.

Is 60 years old too old for a facelift?

No! 60 years old is definitely not too old for a facelift. The right candidate and “best” age for a surgical facelift are dependent on the amount of sagging and skin laxity present. As long as you are healthy without any serious underlying medical problems, can tolerate general anesthesia, and the recovery time, you can be a candidate for a surgical facelift.

What is the best treatment for saggy jowls?

When considering non-surgical treatments for saggy jowls, the gold standard in skin tightening lasers is Thermage. Thermage is an FDA cosmetic treatment that helps tighten and contour sagging skin, especially for the neck and jowls, in a single 90 minute treatment. There is no recovery time, injections needed, or surgical side effects associated with Thermage®. Thermage provides a nonsurgical “lift” and tightens the skin, produces new collagen, and can be used not only on the face and neck, but on the arms, legs, buttocks, and abdomen. Through radiofrequency (RF) technology, the deep layers of your skin are heated and while new collagen is stimulated, the skin becomes tighter and both tone and texture are improved. Dr. Michele Green prefers Thermage over Ultherapy in her NYC office since Thermage is painless and has exceptional cosmetic results.

The new Thermage FLX laser provides even additional skin tightening with faster results than the traditional Thermage CPT laser. One of the reasons that Thermage is so popular is its accessibility. There is no recovery time and no discomfort or preparation for Thermage skin tightening and can be performed on any body part in just one hour. However, there are times when non-invasive methods may not yield enough results. When there is an excess amount of skin, either in the jowls of neck, then non-invasive skin tightening or dermal fillers may not be enough to remedy the skin sagging and a traditional surgical neck lift may be needed. In these cases, Dr. Green will refer you to a board certified plastic surgeon for a surgical facelift or neck lift.

How do I get started with a liquid facelift today?

If you would like to avoid cosmetic surgery, treat facial hollows, volume loss, tired looking eyes, fine lines and deeper wrinkles on various areas of the face, then a liquid facelift may be the best treatment for you. In just a thirty minute visit, Dr. Green can restore lost collagen and through a combination of Botox and dermal fillers, restore and rejuvenate your face. With over two decades of experience in cosmetic dermatology, Dr. Green is considered one of the best cosmetic injectors in New York City. Whether it be Fraxel® laser, Thermage, Vivace, PRP with microneedling, or other cosmetic procedures, Dr. Green will only recommend the best treatment for you. To schedule a consultation with Dr. Green’s NYC office, to see if a liquid facelift is the best treatment for you, please contact us at 212 535 3088 or contact Dr. Michele Green online.

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