Facelift or filler?
"A healthy diet, sports, low levels of alcohol and sun as well as abstinence from nicotine can only delay, not stop, the aging process and therefore also the wrinkles on the face", emphasizes Dr. med. Walther Jungwirth, President of the Austrian Society for Plastic, Aesthetic and Reconstructive Surgery (ÖGPÄRC). "The skin becomes thinner, the subcutaneous fatty tissue disappears, and wrinkles develop on the face and neck," says the plastic surgeon. He is delighted that botulinum toxin and hyaluronic acid infill and autologous fat treatment offer a wide range of products, with which one can meet the skin aging early.
"In particular, young patients often already suffer from their first wrinkles, in these cases, a facelift would be too far-reaching surgery," emphasizes Dr. med. Jungwirth. With modern minimally invasive procedures, wrinkling can be specifically counteracted in these cases, the Plastic and Aesthetic Surgeon continues to explain. "The relining of wrinkles with hyaluronic acid or even autologous fat is often complementary to the use of botulinum toxin. Thus, further deepening of the wrinkle of the wrinkle can be prevented, for example with regular botulinum toxin injection, and underfeed already formed wrinkles with hyaluronic acid, which also stimulates a regeneration of the skin and leads to a mitigation, which is preserved when the active ingredients have already degraded," reports Dr. Jungwirth from daily practice. With such interventions, Dr. Jungwirth, an operative facelift in any case to delay some time.
"Volume alone fills the cheeks, but does not tighten the skin. Only a facelift can permanently correct age changes on the face - simply because the sagging facial skin is tightened and removed. Studies on twins showed that the operated twin looks lifelong better than the untreated one. We thus see a lasting effect, "the Plastic and Aesthetic Surgeon clarifies, adding that the surgical techniques are highly individual and require extensive experience. "Everybody ages differently, here it is up to the Plastic and Aesthetic Surgeon to analyze the face exactly and to choose the optimal treatment in dialogue with the patient", explains Dr. med. Jungwirth and points out that nowadays you also always remove the subcutaneous fatty tissue with and thus avoid a maskenhaftes appearance. "Available are methods that merely tighten the midface or the neck, or the 'facelift developed with', in which I have combined a variety of methods to achieve ideal results," says dr. Jungwirth and emphasizes that even with a facelift, it is beneficial not to wait until the wrinkles dig deep: "In general, a facelift achieves the best effect when it is done before deep wrinkles have buried in the skin relief."