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Aesthetics Practice Today

Maintaining Facial Balance With Liquid Facelifts

Published July 24, 2012 8:13 AM by Mina Grasso

"Liquid facelifts" are performed every day in many aesthetic offices. The procedure is usually accomplished with one or a combination of products such as Botox Cosmetic, Dysport, Restylane, Perlane, Juvederm, Radiesse and/or Sculptra Aesthetic. A well-trained injector will make the appropriate decision about which combination will lead to the best results for the patient. If any of these product names sound foreign to you, let me try to clear up any confusion with this simplified chart.

Product Name

Brief Description

Botox Cosmetic, Dysport

Used to relax muscles that create wrinkles, which can refresh a tired or aged appearance

Restylane, Perlane, Juvederm, Radiesse

(Soft Tissue Fillers)


Provides immediate volume replacement and reduces the appearance of aging by replacing what was lost in soft tissue and bone over the years

Sculptra Aesthetic


Stimulates your own natural collagen production, which can lead to longer results than soft tissue fillers (Radiesse exhibits similar properties.)







 In addition to volume replacement, most of these products can produce collagen and improve the quality of the patient's skin.

The Consult

When offering liquid facelifts, I usually ask patients to bring in a personal photo from 10 to 30 years ago, so that we can compare and explain changes that have happened over the years. A copy of the photo will be placed in their chart. I like to point out all the areas of change, especially changes of volume loss in the forehead and the temples. In most cases, patients expect correction in the nasal labial folds and marionette lines. However, correcting only these areas can throw the face out of balance, because the corrected areas may not match the uncorrected areas. A patient may overhear comments like "Oh, she definitely just had something done." Something usually looks off because the patient does not look balanced. Sometimes the patient will look front-heavy or "monkey like." This is not the goal. We don't want our name on that face.

The Procedure

Full correction may be accomplished in progression over several visits, or it can be done in one sitting. When treating over several visits, I usually tell patients where I want to focus next in order to obtain that balance and to set their expectations on a realistic level. You can expect the effects of tissue fillers to last around 6 to 18 months. Also, Radiesse and Sculptra gradually produce collagen, which will replace lost volume and provide a long-lasting result.

The Result

Within half an hour, facial rejuvenation with a liquid facelift can restore 10 to 20 years of age-related effects on the face.


On Facebook last week, we shared the Aesthetics Practice Today blog, "Maintaining Facial Balance with

July 30, 2012 5:37 PM

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About this Blog

    Occupation: Physician Assistant/Nurse Practitioner
    Setting: Miami & Upland, Calif.
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