Facelift | Threads vs fillers vs surgery | 线雕+超声刀

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Disclaimer: Do note, this article is purely for educational purposes. It does not replace a formal consultation with your doctor.

For a non surgical facelift what are common concerns?

Patients come with the following top 3 concerns…

1. Efficacy and longevity of result

2. Pain and downtime to be at a minimum

3. Cost effectiveness

How do i treat facial sagging?

I use my T.I.E approach.

In my clinical experience, this is effective for patients with mild to moderate facial sagging and realistic expectations. For ageing skin and severe facial sagging, surgical options may be more appropriate.

T: Threadlift – mini collagen threads which promote Neocollagenesis as they dissolve and improve your skin quality

I: injectibles – Profhilo, Dermal fillers, Sculptra etc. These help to not just replace volume loss but also to improve your skin health, hydration and firmness

E: Energy based devices – of these… My fav would be the Korean HIFU

We shall dive deeper in the following paragraphs.

FACELIFT OPTIONS: 热玛吉.玻尿酸。线雕. 超声刀

  1. Injectibles with botox and fillers
  2. Threadlifts (Duolift, UltraV, Y Ko)
  3. Energy based devices ( HIFU/ Ulthera / Thermage)

 

ULTIMATE KOREAN 3D DREAMLIFT – consists of fillers +/- dermalift +/- Threads/ HIFU

The key to youth is to reposition, revolumise and restore lost tissue. 
By firming, lifting and tightening skin, by adding volume where it has been lost, and by holding tissue together, we can achieve a DREAMLIFT. It all starts from the top, so we fill from top down. When we were younger, we had an inverted triangle face shape. As we age, our midface sags the most, resulting in the formation of jowls, and changing our face shape into a square. So the key here is to lift, while maintaining a natural, youthful you.
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dermal fillers
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D.C -Dream-lift | 热玛吉.玻尿酸。线雕. 超声刀

The DC-Dream-Lift is Dr Daniel Chang’s signature technique, combining 3 key modalities injectibles, threads, and machines.

These are as follows. A popular non surgical facelift treatment originating from Seoul, South Korea, termed the Dermalift, the 8 Point Lift from Brazil, and the Ultra V lift from Korea and the Energy based device, HIFU, which is the Korean version of the Ulthera from US.

Dermalift: It involves injecting botulinum protein into the superficial layers of the skin, which

1) Stimulates and re-orders the fibroblasts of your skin cells to bind more elastin and collagen, hence creating an instant tightening effect

2) It also has a collagen stimulating effect, hence a sustained result over time.

8 Point Lift + Thread Ultra V lift:

Followed by the careful use of fillers and threads at key positions to lift, anchor and support your saggy skin. Overall result is a lifted, tighter you.

How does threadlift work?

  • Initial Response – Tissue response begins within hours of contact with the mesh surface.
  • Inflammatory Response – Macrophages are released, autolysing necrotic tissues. Plus, growth factors and cytokines are released.
  • Angiogenesis – New granulation tissues which are composed of collagen and extracellular matrix develop

The end result is an instant tightening and face-lifting effect, which gets better over the next 7 to 14 days.

Of course, threads are not without side effects. Moving on, here are some info about threads.

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Korean surgery

THREADLIFT:

Saggy skin is a problem that affects us once we hit our 30s. Along with it, we see deepened lines, known as laugh lines that arise from the corner of the nose downwards.Our jawline becomes less sharp, and jowls start to appear. Hence, we start looking for facelift options, one of which is threadlifts.Threads are the rage these days, but before you jump on the bandwagon and literally attend a threadlift party, here are some important considerations.

I will classify threads into 3 main categories.

  1. Biostimulation
  2. Support threads
  3. Suspension threads
threads singapore
PDO threads

PDO threads

These are essentially threads for biostimulation, meaning collagen production with slight holding power due to its cogs, barbs, hooks etc… The threads are absorbable, and they induce an inflammatory reaction that drives collagen growth.PDOs with multi-directional barbs can be arranged to create a dermal SMAS meshwork to provide support.
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cog threads
Suspension and contour threadsSuch threads have an anchor point, and are considered suspension threads as they anchor onto the SMAS layer, hence providing a stronger hold. They can also produce a contour effect through skin traction and holding the tissue in place with barbs.
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threadlift
It is important to use FDA, HSA approved threads.

How do Suspension threads work?

  1. An immediate lift through repositioning soft tissue
  2. Regenerative action with collagen stimulation for progressive and natural results
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Non surgical facelift

What can I expect after threadlift? 

Local anaesthesia is carefully injected into the entry and exit sites.

The threads are gently passed under the skin to induce the lift.

Whole procedure takes 30mins.

One can expect mild bruising and swelling which will resolve on its own. Occasionally, one may notice dimpling of the skin and tethering of threads after 1 -2 weeks post treatment. These improve on its own.

Less commonly, the side effect of infection. So its always important to find a credible threadlift provider.

Which areas can be improved? 

  1. Midface
  2. Jawline
  3. Laugh lines and marionette lines
  4. Neck

How lasting are the results? 

One can expect up to 2 years, with maintainence treatment in the interim.

A surgical facelift involves dissection and the repositioning of the SMAS. This is the gold standard for facelift. FACELIFT 

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threadlift singapore education

Hence the take home message from this article is, combination therapy is the way to go. Combination therapy, with fillers, microbotox and energy based devices ARE EXCELLENT to produce a safe, efficient and effective non surgical facelift.

Dr Daniel Chang

Here’s to a firmer, tighter, lifted and more natural you!

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3 Comments

  1. HIFU works well with anyone with mild to moderate sagging or loosening skin. Treatments can be performed on the full face and neck or specific areas as needed. Younger, beauty-conscious patients who wish to get a head start on the collagen production game also benefit from ultrasound tightening.

    Reply

  2. Wow, what an amazing information. The difference you have explained in your blog is really amazing. I am also taking training in PDO Thread Lift and i am very much cleared about the face lift threads and filler surgery. Keep sharing like this.

    Reply

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