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Put your best face forward

Neck Lift


Put your best face forward

Neck Lift

Non-Surgical Facial Rejuvenation in Atlanta

A facelift without the scars?  Yes please!  With busy lifestyles and the continued development of cutting edge technology, we are seeing a greater-than-ever awareness of minimally invasive treatments for facial rejuvenation.  Many patients visiting our Atlanta office find that non-surgical facelifting delivers impressive results with a fraction of the traditional post-surgery recovery and scars.

At Aviva Plastic Surgery, our Facial Plastic Surgeon, Dr. Inessa Fishman combines her eye for aesthetics with an in-depth knowledge of facial anatomy and the latest treatments to help patients smooth away wrinkles and fill areas with volume loss. Call 678-974-8435 to learn more about how our non-invasive treatment options can help you achieve a more youthful look.

How do you address facial aging without surgery?

When forehead wrinkles deepen and sagging jowls start to appear, people often first consider face or brow lifts to reverse these signs of aging. While these and other procedures are highly effective, they have some limitations – patients don’t always need such invasive treatment or may not be good candidates for surgery.  Luckily, continual improvements in dermal filler and neuromodulator formulations have made carefully placed injections a reasonable alternative to surgery.

I went into the practice knowing that I did not want a surgical procedure for my face. Dr. Fishman was amazing and respected my choices by offering the choice of non-surgical facelifts. Through the use of fillers and botox, I came out of the office looking like myself, but better. Surgery may be in my future, but not quite yet.  I cannot thank Dr. Fishman enough for her work!

– Debbie, Non-Surgical Facelift Patient; Atlanta, GA

What is a Non-Surgical Facelift?

Non-surgical facelifts vary significantly between patients and are customized to each individual’s needs and wants. Today, we offer a variety of different dermal fillers, each designed to  address a different area on the face or issue. For instance, where Dr. Fishman turns to Voluma, Radiesse, and Restylane Lyft to contour and lift cheeks, she prefers Restylane to smooth undereye hollows and Juvederm to smooth tiny, superficial lines.   Because the culprit behind forehead and “frown” wrinkles are the frequently flexing muscles that lie underneath the skin, she uses Botox and Dysport to relax these muscles and smooth the overlying skin.

Some of the most common non-surgical procedures included in non-surgical facelifts include:

Injectable dermal fillers are gel-like substances injected into areas where diminished collagen production and increased skin laxity have caused skin to lose important elasticity. When injected, the formula helps add important volume to these areas while smoothing the overlying skin. This allows patients to achieve a more youthful and rejuvenated, smoother facial appearance.

Many dermal filler treatments contain hyaluronic acid (HA), a naturally occurring sugar substance that attracts water molecules, giving skin a full, glowy appearance.  Normally produced by our bodies as part of our skin and the fluid that lubricates our joints, hyaluronic acid does a great deal to make skin firm and smooth. As we age, however, our production of hyaluronic acid diminishes, contributing to skin laxity and loss of volume. Hyaluronic-acid-based injectables like Restylane and Juvederm add back volume to key spots on the face so that men and women can look younger. Dermal fillers’ results appear immediately to some extent, but because hyaluronic acid puts collagen production in motion, it takes several weeks for final results to appear.  The initial treatment improvements only get better with time.

The type of dermal filler that can be used as part of a larger non-surgical facelift depends on where the filler is being used. For instance, fillers made for the cheeks are thicker and firmer – allowing the formula to stay in place longer. Dermal fillers used to add volume to lips are typically thinner and softer, so as to simulate the look and feel of natural lip tissue. Not all dermal fillers are made the same – resulting in different treatment longevity and results.

When building your treatment strategy, Dr. Fishman will guide you through available dermal filler options to ensure your treatment helps you achieve your best results.

Botox and Dysport are popular additions to non-surgical facelifts due to their ability to address one of the main causes of wrinkles – facial muscles. Over the years, muscles tighten and tense, creating characteristic fine lines across the face; just as a piece of paper forms a deeper crease with repeated folding, the skin becomes more creased with repeated muscle contraction and flexing. As collagen production decreases and the external damage increases, these lines deepen and become more noticeable.

Botox and Dysport use highly refined and purified forms of the botulinum neuromodulator to relax treated muscles.  Treating certain facial muscles with muscle-relaxing medications helps smooth skin, improve its texture, and erase lines.  When used as part of a non-surgical facelift, Botox or Dysport are typically used to address wrinkles that appear along the forehead, around the eyes, at the bridge of the nose and/or around the mouth, and smooth overly large chewing muscles leading to a too-square jaw.

Skin laxity is arguably one of the most noticeable signs of aging that traditionally has required surgery in order to treat. Luckily, innovations in cosmetic technologies have made radiofrequency (RF) skin tightening a viable option. At Aviva Plastic Surgery & Aesthetics, RF skin tightening is a popular addition to non-surgical facelifts.

During this procedure, radiofrequency energy is applied to skin and the underlying connective tissue using a special device that allows the energy to treat the tissues thoroughly without damaging them.  The radiofrequency energy helps stimulate the body’s natural collagen and elastin production– improving skin texture from the inside out and outside in.  Beyond the initial improvement, the body’s tissues continue to regenerate and tighte, leaving patients with more taut, healthier looking skin.

With minimal downtime associated with radiofrequency skin tightening, most patients experience some mild swelling and redness after their visit.  These treatment side effects subside within several days of treatment.

Who is a Candidate for a Non-Surgical Facelift?

A key advantage of the non-surgical facelift is that the procedure can be tailored to almost any healthy patient. At Aviva, Dr. Fishman has recommended this no-surgery facial treatment to patients who want to rejuvenate a tired, aged appearance without taking the plunge of surgery. Often, these are individuals with moderate to deep creases and wrinkles, diminished facial volume across the face, and mild to moderate skin laxity.

Not convinced non-surgical facelift is right for you? During your consultation with Dr. Fishman, our expert surgeon will evaluate your current health, physical exam, and aesthetic concerns and then walk you through all available options. Together, patients work with our Atlanta plastic surgeon to craft the best non-surgical facelift that fits their aesthetic goals.

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Contact us today to start your journey to your best self.