Filler or facelift? Podcast Episode 002

The second podcast episode is about filler or facelift? We all know faces that look like inflated balloons. More and more volume through fillers makes wrinkles disappear, but not necessarily younger and more attractive.

I chose plastic surgeon Dr. Florian Sandweg for the second podcast. In his practice, he offers both minimally invasive treatments with hyaluronic acid fillers and Botox, but also regularly performs facelifts in the clinic. What are his answers to the question: filler or facelift?

Unfortunately, neither a healthy diet nor exercise alone can stop the aging process in the face. The skin becomes thinner, the subcutaneous fatty tissue shrinks, and as a result wrinkles form on the face and neck. Those who want to help with an aesthetic treatment are faced with the decision: Filler or facelift? Is it a question of age?

There are also young patients who are already suffering from their first wrinkles. “Then a facelift would be too far-reaching an intervention,” explains Dr. Sandweg. “Minimally invasive procedures with hyaluronic acid fillers or Botox are often sufficient.” With such procedures, the doctor says, a surgical facelift can be delayed for some time in any case.And when would he recommend a facelift?

Filler or facelift – a question of age?

“Volume alone fills out the cheeks, but it does not tighten the skin, and it cannot improve the chin line and neck in a lasting way. A facelift can correct these age changes – simply because, among other things, the sagging skin is tightened and removed,” says the plastic surgeon.

However, a complete lift not only tightens the skin, but also relocates connective and fatty tissue. The most common and effective method is the so-called SMAS (Superficial Muscular Aponeurotic System). During the facelift, the skin is loosened and the sagging connective tissue as well as the muscles of the facial expression and sunken fat pads are corrected, and the excess skin is removed.

The surgery takes three to four hours and is usually performed under general anesthesia. After a “major facelift,” one can expect to stay in the hospital for one to two days; a head bandage is worn only the first day and night. Bruising and swelling can be expected for one to two weeks. Stitches are removed after ten days. The result makes the face look ten to 15 years younger and lasts for several years.