Do you feel doing skin tightening has slowed down/prevented sagging of your face or has not made any difference?

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I do have friends who have done thermage and other procedures, and it seems very costly for not much return. JMO

I alo wanted to say that a face lift is not the only surgical option for this issue. A less invasive procedure like a fat graft to smooth out or eliminate loss of structure or a cannula inserted for a bit of wet lipo under the chin/jaw to eliminate excess jowliness (okay that’s probably not a word lol) is very effective in creating a younger look. The results can also be very natural. Just another option. I do recommend going to an experienced specialist (mine is double certified in opthalmological and plastic surgery, and is regarded as one of the best in his field.
 
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yes agree about what you're saying about the costs of certain procedures like thermage – sometimes it's a bit of a gamble for the results you end up with. And I agree, it's just my personal opinion too.

You bring up a great point about the alternatives to a full face lift. Like, seriously, there are so many options out there that can give you awesome results without going all in on major surgery. Stuff like a fat graft or a little bit of wet lipo with a cannula under the chin can totally work wonders. And yeah, "jowliness" might not be in the dictionary, but totally get what you mean :)
I do have friends who have done thermage and other procedures, and it seems very costly for not much return. JMO

I alo wanted to say that a face lift is not the only surgical option for this issue. A less invasive procedure like a fat graft to smooth out or eliminate loss of structure or a cannula inserted for a bit of wet lipo under the chin/jaw to eliminate excess jowliness (okay that’s probably not a word lol) is very effective in creating a younger look. The results can also be very natural. Just another option. I do recommend going to an experienced specialist (mine is double certified in opthalmological and plastic surgery, and is regarded as one of the best in his field.
 
I think it's important to weigh the pros and cons when considering procedures like thermage. The cost can be a bit of a gamble, and the results may not always match up to expectations. It's all about personal opinion, though.

And yes, there are so many alternatives to a full face lift that can give you great results without going under the knife.
 
Some folks swear by Ultherapy and Thermage, claiming they've seen a noticeable difference in their skin's firmness over time. They're all about that prevention game.

On the other hand, there are others who remain skeptical, echoing your concern about the lack of scientific studies supporting their anti-aging benefits.

I'd say it really depends on your individual skin type and how your body responds to these treatments. If you're curious, maybe consult with a reputable practitioner and see if they can give you some personalized insights based on your skin's specific needs.
 
Those energy devices can be a bit pricey, right? Also agree that some folks claim they've noticed some gradual improvement in skin sagging, while others seem to think it didn't make much of a difference.
 
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I had full face Ulthera twice in my mid / late thirties to tighten. It’s a total waste of money in my opinion. I wasted a bunch of money and ended up going for a full face and neck lift with a top facelift doctor in CA (Dr Timothy Marten) a few years later. Wish I would’ve just saved my money on fillers and Ulthera and went directly to surgery.

He actually told me those devices can cause a lot of damage under the skin and make future surgical procedures much more difficult. He said it creates a ton of inflammation under the skin and scarring which makes dissection challenging for a facelift if you’ve had too many of those procedures. Thermage and Ulthera were the ones he was most against if any surgery is an option in the future.

The actual Ulthera “results” are tiny and mostly due to inflammation after the procedure. Given the insane cost, much better to save money for an actual facelift if you want to truly tighten skin.

In my thirties I thought no way would I ever do surgery. I hit forty and decided early maintenance with actual results was much better investment instead of the hefty cosmetic dermatology bills I was paying. Now I don’t pay for fillers, botox, or any tightening procedures. I just take care of skin with great routine and peels from time to time.
It's interesting to hear your doctor's perspective on the potential downsides of devices like Ulthera and Thermage. Sounds like he has a wealth of knowledge in the field!

And yes! investing in a solid skincare routine can be a game-changer as we age
 
I did Ultherapy twice, once on my lower face and once around eyes. I did see improvements with sagging in lower face and my doc actually fixed some unevenness on one side, but I could not see any changes around my eyes. My expectations were really realistic and I started out having decent skin
 
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Oh, but I found out that Ulthera is meaningful when you have the right amount of weight on your face. I'm also trying to get Ulthera in Korea to prevent aging, but when I looked at the hospital, the effect was a little random for each person. I hope it works for me, too
 
those devices can cause a lot of damage under the skin and make future surgical procedures much more difficult. He said it creates a ton of inflammation under the skin and scarring which makes dissection challenging for a facelift if you’ve had too many of those procedures. Thermage and Ulthera were the ones he was most against if any surgery is an option in the future.
I’ve heard and read this too, and am also a proponent of judicious and expert plastic surgery. I no longer do filler, but still do a bit of Botox twice a year.
 
I had full face Ulthera twice in my mid / late thirties to tighten. It’s a total waste of money in my opinion. I wasted a bunch of money and ended up going for a full face and neck lift with a top facelift doctor in CA (Dr Timothy Marten) a few years later. Wish I would’ve just saved my money on fillers and Ulthera and went directly to surgery.

He actually told me those devices can cause a lot of damage under the skin and make future surgical procedures much more difficult. He said it creates a ton of inflammation under the skin and scarring which makes dissection challenging for a facelift if you’ve had too many of those procedures. Thermage and Ulthera were the ones he was most against if any surgery is an option in the future.

The actual Ulthera “results” are tiny and mostly due to inflammation after the procedure. Given the insane cost, much better to save money for an actual facelift if you want to truly tighten skin.

In my thirties I thought no way would I ever do surgery. I hit forty and decided early maintenance with actual results was much better investment instead of the hefty cosmetic dermatology bills I was paying. Now I don’t pay for fillers, botox, or any tightening procedures. I just take care of skin with great routine and peels from time to time.
So did you get a facelift at 40? My question is how many do you think you can get in general? and How long does one last.. I would like one at 40 but I am worried if thats too early.
 
So did you get a facelift at 40? My question is how many do you think you can get in general? and How long does one last.. I would like one at 40 but I am worried if thats too early.
I can answer some of this for you. Most surgeons will say a deep plane FL will last 15 years before aging/gravity brings your face back to being less youthful. Not everyone will continue to do lifts, there are other options, threads, fillers, CO2 lasers, etc. I have heard having 2 face lifts is not uncommon.
If your surgeon does not do deep-plane (full muscle realignment) then your face lift will maybe last 5 years. If your surgeon says he can do it in-office it is not a deep-plane facelift and you are better served looking elsewhere, just my .02.

Great skincare and diet, water, all the good things really do help minimize the effects of aging, but genetics will also play a large part in how each of us "ages".

I would be surprised if any surgeon would perform a facelift on you if you are just 40. Also, there is full (eyes/brow/low face/neck), then there is just upper face, just lower face, and low face with neck. Which our necks often give our age away. Not everyone needs every area tweaked...a board certified surgeon can best advise on what is best for you.
 
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