This article originally appeared in the April 2015 issue of Harper's BAZAAR.
If you start noninvasive treatments early, you may not need a face-lift. My approach is three-dimensional. First, it's about targeting muscles—the foundation of the face—with an Ultherapy ultrasound treatment [$4,500], which tightens both muscles and skin by stimulating the production of collagen. For extreme sagging on the neck or jowls, I'd reach for ThermiRF, a radio-frequency device [$6,500]. A tiny needle goes inside the skin to melt fat and tighten. Next, it's about adding volume. I like to inject Restylane, a filler, under the muscle instead of directly in folds, for a nice plump lift—along the jawline, the front of the ears, and the apples of the cheeks. Finally, I'll resurface with a Fraxel Dual laser [$2,000]. It makes microscopic tunnels in the skin to create new collagen. If you have it done enough times, all of your old skin is replaced.
If you start noninvasive treatments early, you may not need a face-lift. My approach is three-dimensional. First, it's about targeting muscles—the foundation of the face—with an Ultherapy ultrasound treatment [$4,500], which tightens both muscles and skin by stimulating the production of collagen. For extreme sagging on the neck or jowls, I'd reach for ThermiRF, a radio-frequency device [$6,500]. A tiny needle goes inside the skin to melt fat and tighten. Next, it's about adding volume. I like to inject Restylane, a filler, under the muscle instead of directly in folds, for a nice plump lift—along the jawline, the front of the ears, and the apples of the cheeks. Finally, I'll resurface with a Fraxel Dual laser [$2,000]. It makes microscopic tunnels in the skin to create new collagen. If you have it done enough times, all of your old skin is replaced.
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