As we age, our skin undergoes substantial changes on a microscopic level, including decreased collagen production and diminished beneficial fat reservoirs. These alterations are responsible for the development of fine wrinkles, deep furrows, sagging, and reduced prominence of aesthetically pleasing features. Traditionally, correction of these unwanted signs of aging required invasive surgery to physically cut and reposition the skin. Fortunately, advances in technology have led to the invention of non-surgical, FDA-approved skin tightening procedures which can help tackle these issues and restore youthful contouring of your face and neck.
Subdermal skin tightening is a new exciting technology in which radio frequency is used to heat the dermis with an internal probe stimulating collagen production and subsequent steady skin tightening.
Thread lifts are another innovative technique where absorbable sutures are inserted in the subdermal plane and as they are absorbed by the body they stimulate collagen production and tightening of the skin.
Armed with an arsenal of non-invasive face and neck lifting procedures, Dr. Hooman Khorasani can help you counteract the effects of gravity and age to elevate the brow, restore cheek contour, soften smile lines and nasolabial folds, improve jowl lift, and reduce neck crepiness. Regardless of your particular aesthetic objective, we will work with you as a team to transform your goals into reality.
To find out if a non-surgical face and neck lift can give you a renewed and refreshed look, visit Dr. Khorasani at our New York City practice. To request a consultation, text message us securely, or contact our Manhattan office by phone at 212-230-3378.
FaceTite is a new procedure that is comparable to a surgical facelift. The difference is it is far less invasive, which means no hospital time, less recovery time, and minimal scarring. Using radio-frequency energy, sometimes combined with gentle liposuction, FaceTite provides dramatic improvement in skin laxity on the face and neck, which was previously only attainable through a surgical procedure such as a facelift.
FaceTite is performed under local anesthesia and light sedation. Following the treatment, patients can go home and resume regular activities shortly after. For best results, adhere to your post-treatment care instructions, which includes wearing a compression garment for at least a week.
Any areas on the face and neck with saggy skin can be treated. This includes the double chin, jowls and other areas with deep lines and loose skin.Any areas on the face and neck with saggy skin can be treated, including a double chin, and the jowls.
By avoiding an excisional facelift procedure, patients will be scar free and will benefit from reduced post-procedural swelling and discomfort. This is a less traumatic process with a natural looking final result.By avoiding an excisional facelift procedure, patients have minimal scarring and will benefit from a reduced recovery period, and less post-procedural swelling and discomfort.
Patients can expect to see the best results after 6 months, with improvement continuing up to 12 months. Since FaceTite can cause swelling, it is important to wear any prescribed compression garments and to follow your post-care instructions.
FaceTite is a new procedure that is comparable to a surgical facelift. The difference is it is far less invasive, which means no hospital time, less recovery time, and minimal scarring. Using radio-frequency energy, sometimes combined with gentle liposuction, FaceTite provides dramatic improvement in skin laxity on the face and neck, which was previously only attainable through a surgical procedure such as a facelift.
AccuTite is a minimally-invasive procedure performed under local anesthesia and sometimes light sedation. Post procedure, patients will be able to go home and resume regular activities with minimal downtime.
AccuTite is designed for the delicate areas of the face, such as under the eyes and nasolabial folds.
By avoiding an excision procedure, patients will have minimal scarring. They will also be able to return to their daily lives much more quickly and without the same swelling and discomfort.
The best results will be noticeable within 6 months, with gradual improvements up to 12 months. By following your post-care instructions, it will ensure that you see results as quickly as possible.
Contrary to traditional surgical lifts of the face and neck, thread lifts utilize specialized sutures to non-invasively elevate the skin to restore youthful smoothness and contouring. Thread lifts are composed of a biodegradable substance with excellent tensile strength. This particular formulation allows for an immediate lift of the targeted areas without the risk and complications associated with more invasive surgeries or first-generation thread lifts. As the threads are naturally absorbed by the body over the course of several months, they stimulate the production of new, healthy collagen to sustain the initial lifting effects.
An area of constant study and research, modern thread lifts have undergone novel structural changes to maximize their safety and cosmetic efficacy. Each thread possesses surgical-grade strength, which allows for instantaneous lift of the targeted area. New generation sutures are composed of an absorbable material to mitigate the complications associated with the first iteration of thread lifts. In addition to ensuring maximal safety, the biodegradable structure of contemporary threads also stimulates the production of new, healthy collagen to restore the skin’s natural elasticity.
These versatile threads can be used to counteract an array of age-related changes on the face and neck. Introduction of these specialized threads in the forehead serves to elevate the brows and diminish the appearance of heavy furrows in the area. The benefits of threads inserted near the temple are three-fold: improved contouring of the cheek, a softened smile, reduced marionette lines, and elevated jowls. Finally, threads placed in the neck restore its youthful profile and reduce deep wrinkles.
Please note that this lifting procedure does not address the fine lines, discoloration, or texture irregularities associated with the passage of time. Patients seeking to comprehensively improve the wide array of age-induced skin changes may want to consider adding laser skin resurfacing to their non-surgical thread lift. Please visit our Laser Skin Resurfacing page to determine if our modern, non-invasive laser therapies can help maximally rejuvenate and refresh your skin.
Committed to providing the least invasive and most effective procedures to his patients, Dr. Khorasani is pleased to offer Silhouette InstaLift and EuroThreads to lift your face and neck without the risks of more invasive surgery. Depending on the desired aesthetic results, one or both of these specialized threads will be used during your non-surgical face or neck lift. Rest assured that the recommended thread combination capitalizes on Dr. Khorasani’s extensive experience rejuvenating the skin and is individually selected to optimize your cosmetic outcome.
These proprietary threads are composed of poly-L-lactic acid and glycolide polymer, two biodegradable substances that stimulate the production of collagen. These compounds are woven together to form a single suture that is enhanced by the placement of small cones and knots. This unique structure maximally lifts the targeted area while simultaneously provoking a wide-scale increase in collagen production to prolong the results of the procedure.
EuroThread sutures contain a different absorbable compound called polydioxanone. The malleability of this polymer allows it to be packaged in a variety of formulations, including: smooth, barbed, and twisted. Smooth threads are best suited for the correction of decreased skin elasticity, barbed threads are excellent for softening wrinkles, and twisted threads are optimized to restore lost volume.
The multitude of benefits in this non-invasive treatment are substantial. Non-invasive thread lifts visibly lift and contour the skin within a single safe, convenient, and cost-effective procedure. Implementing structural changes to the thread lift sutures has greatly improved it’s safety profile, such that the risks and complications associated with this procedure are minimal. Formulary modifications aside, thread lifts avoid risks associated with general anesthesia, as this procedure is performed in-office with local injections of numbing medication. Additionally, this non-invasive procedure requires less than two hours to complete and incurs little to no downtime. As such, this non-surgical thread lift is optimally suited to rejuvenate the face and neck of patients with busy professional and personal lives. Finally, thread-based face and neck lifts cost a small fraction of the price of traditional surgical lifts.
Please note, however, that the results of a face and neck thread lift are much more subtle and less durable than those achieved with surgery. In most cases patients need to repeat this procedure every two years to keep up with the aging process.
Prior to treatment, Dr. Khorasani will meticulously mark the thread insertion points and the proposed trajectory with a specialized surgical pen. Small entry sites (ports) are then created in an inconspicuous location to allow the threads to be inserted under the skin. Each port site will be thoroughly numbed with an injectable medication to ensure maximum comfort. Following anesthetization, the thread is introduced into the port using a thin cannula (a hollow, blunt tube) and slowly advanced until it reaches the predetermined end point. Dr. Khorasani will then manipulate the skin overlying the thread to elevate and contour the treatment area in a manner that complements your natural silhouette. After ensuring optimal placement of the threads and skin, the visible tails are snipped and the procedure is complete.
This minimally-invasive procedure is ideal for patients with inflexible schedules, as the lifting benefits are enjoyed with little downtime. Additionally, the ability of this treatment to be performed in-office renders this therapy as a safe alternative for patients unable to undergo more invasive surgical procedures.
Patient selection is a critical factor when it comes to the success rate of thread lifting. The ideal candidate for this procedure is a female patient between the ages of 35-60, with a relatively thin face and mild to moderate sagging of the jowel. In Dr. Khorasani's experience, patients with fuller faces, and male patients whose skin is traditionally thicker, do not have the same success rate. Similarly, patients who are older than 60 may be better candidates for a traditional, surgical facelift.
Patients desiring more dramatic elevation and contouring of the face and neck may be candidates for conventional surgical lifts; however, these individuals must also be able to tolerate general anesthesia and a prolonged recovery period. Please visit our Surgical Face and Neck Lift page to determine if this traditional procedure is more aligned with your particular aesthetic objectives and is amenable to your scheduling constraints and medical profile.
Other than safety, your comfort is our number one priority. Following the injection of numbing medication (which may sting for five to ten seconds), you should not experience any pain; however, you may continue to feel sensations of pressure as the thread is advanced or the skin is manipulated. Additionally, you may hear a clicking sound as the specialized cones, knots, or barbs lift the targeted area.
If at any time during the procedure you are experiencing discomfort, please inform Dr. Khorasani and he will provide you with additional measures to ensure your comfort. These include our in-office Pro-Nox system which employs nitrous oxide (“laughing gas”) to reduce anxiety and the experience of pain. Pro-Nox can be self administered by the patient as needed to address any discomfort.
Aside from its immediate efficacy, patients love thread lift treatments because they are associated with little downtime. Mild swelling and bruising of the insertion sites or skin overlying the thread trajectory may occur. Bunching of the skin is also a universal phenomenon. Fortunately, these effects typically resolve within two to three weeks following treatment. Occasionally, patients may experience an inflammatory reaction and develop nodules under the skin. These nodules usually resolve spontaneously within two months, as the sutures are absorbed. In the event they are not resolved by three months, Dr. Khorasani may suggest an injection with a solution which will help dissolve the nodules.
As dictated by your personal comfort, you may resume your normal activities one week after this treatment. We do, however, recommend that you abstain from using saunas, engaging in high intensity exercise, and rubbing your face or neck for a minimum of two weeks following treatment. During this time, we also advise that you sleep in a position that avoids placing pressure on the treated areas. Body massages requiring you to be face down should be avoided for a minimum of one month.
Although the downtime associated with thread lifts is minimal, we do recommend scheduling this procedure at least three weeks prior to any important events. Furthermore, the swelling and bruising associated with facial thread lifts are usually hidden within the hair line; however, neck thread lifts will often result in visible side effects. Consequently, we strongly encourage you to purchase a turtleneck, high-necked sweater, or thin scarf to cover the swelling and bruising during the brief recovery period.
Additionally, if permitted by the prescribing physician, be sure to avoid any blood thinners (ibuprofen, aspirin, etc.) for at least seven days prior to your treatment. Smoking should also be avoided as it will slow down your healing process and may compromise your outcome.
Performing successful thread lifts has a very steep learning curve. In fact, many providers tend to give up on offering this procedure, as the outcomes can be inconsistent when a surgeon is new at performing them. Dr. Hooman Khorasani was part of a small group of U.S. physicians that were trained in thread lifts close to a decade ago. Since then, he fine-tuned and has now mastered his technique in order to improve the efficacy of this procedure. Physicians from all around the world visit Dr. Khorasani's annual cosmetic workshop in New York City to learn and understand his specialized technique. Dr. Khorasani has also published books (Elsiver’s Advanced Lifting) and research articles on this specific topic.
Dr. Khorasani is quadruple board-certified in Dermatology, Cosmetic Surgery, Facial Cosmetic Surgery and Mohs micrographic surgery. Additionally he led lead the Division of Dermatologic and Cosmetic Surgery at Mount Sinai for over 10+ years. His dedication to clinical excellence and constant innovation has led to numerous accolades, publications in premier medical journals, and authorship of a widely-used thread lift manual. He is considered an international expert in minimally-invasive rejuvenation and has spent a majority of his career training the next generation of dermatologists and cosmetic surgeons.
Armed with this advanced clinical and academic competency, Dr. Khorasani carefully crafts a therapy plan for each patient that adheres to the highest standards of medical care and is optimized to produce the greatest results possible. Personalization is infused into every aspect of our practice, from the treatment itself to our highly-skilled office personnel that are available 24/7 to answer any questions or concerns. Together as a team, we can help erase the signs of aging and restore your natural contours so that your face and neck accurately reflect your youthful spirit!
Dr. Khorasani and his highly-specialized team look forward to working with you to transform your medical or aesthetic goals into reality. To expedite a request for a consultation, message us securely, or contact Dr. Khorasani’s Manhattan office by phone at 212-230-3378. For more information about how to get in touch:
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