[Eton TV] The Golden Time for Lifting and the Appropriate Procedures and Surgeries for It

Have you ever looked in the mirror one day and

thought, “Huh? Why has my face changed so much?”

and been surprised?

As we age, there are natural changes

that appear on the face,

but some changes

make us look a little older.

It is really important to notice and manage

these changes in advance.

When the moment comes that you feel like

you need care,

I’ll now tell you the important information

you should not miss.

There are broadly two areas where aging begins.

The first is

nasolabial folds and marionette lines.

When the area below the mouth, often called the jowl area,

sags and wrinkles form, it really makes you look older.

The second is

changes in facial volume.

The area under the eyes becomes hollow,

and the central midface above the nasolabial folds becomes puffy and protrudes.

Then, as the cheeks hollow out,

the area below the cheekbones sinks in,

and the jowls become puffy again.

Overall, you can think of aging as progressing

in the order of the upper volume, which was firm,

sagging downward.

When aging progresses like this,

there is something called the “golden time,” right?

In my view, aging generally starts first

in the central midface.

When the area under the eyes becomes bulgy,

and the tear trough becomes longer,

making the central midface look longer,

this is when

you can consider surgery such as lower eyelid fat repositioning.

It is important to address it before it gets worse,

and keeping the central midface shorter

is also one of the most important factors in looking younger.

If you miss the central midface and more time passes,

it extends to the lower face as well.

If marionette lines have already begun to appear,

more active treatment may be needed at this point.

Whether the jawline is collapsing

is something you yourself can tell best.

If it still looks fine depending on your condition,

it is not yet at a level that requires surgical correction.

But when a line starts to form along the jawline

and an inflection point begins to appear,

this is when you should consider more active surgery.

Usually, improvements in the central midface

can often be corrected even with a simple procedure.

However, for the lower face,

especially those who want improvement in the jawline,

you are probably expecting dramatic results.

At this point, a surgical method is definitely necessary.

For example,

if, when you pull up the jawline, the skin left behind at the back

is 1 to 1.5 cm or more,

that area of soft tissue needs to be removed.

This is the standard used to judge how much skin remains behind

when pulled as much as the patient wants,

and while doctors all know this,

patients usually do not.

In actual cases, it can be pulled up a lot,

and people think, “Ah, I want it to look like this,”

but there are patients whose back side is wrinkled.

For these people, surgery produces really good results.

If the skin is too firm

and does not pull well,

or if it is pulled so much that even when you reach behind it will not smooth out,

then you have already missed the golden time.

That is why,

if the jawline starts to break down,

more active surgery may be needed at that point.

Before it breaks down,

procedural treatments can help.

But here,

there are also procedures I would like to avoid.

These include fat-dissolving injections

or drug injections whose effectiveness has not been proven.

Such procedures can interfere later

when you need more active surgery, such as lifting surgery.

If Ulthera is done appropriately,

it is excellent for tightening tissue that has become lax.

But the problem is that if it is done over too wide an area,

with too many shots, too much energy,

or too frequently,

it can instead cause tissue damage and create problems.

How can you tell whether that is excessive or not?

It is difficult for ordinary people to judge.

Speaking from the standards of our hospital, Eton Plastic Surgery,

for people who want improvement,

eight hundred shots total, twice at six-month intervals,

is what we usually explain is enough.

For people who want maintenance,

once a year is sufficient.

But sometimes there are people who get too many shots

or do it too frequently.

When Ulthera is done safely and at an appropriate level,

you will feel the skin firmly adhere

and become tighter the next day.

As collagen forms over three months,

it often keeps improving.

But if there is a lot of swelling immediately after the procedure

or the next day,

there may be a problem because the number of shots was too high

or because of the practitioner.

Some people may

have used overly concentrated

and deep tips,

and others may have done everything,

including unnecessary areas,

resulting in many meaningless shots.

If Ulthera is done properly at an appropriate level,

there are many cases where it does not cause major problems

even if you later undergo a facelift surgery.

In my case,

even for people receiving Ulthera,

I place only the necessary shots in areas that will not interfere with surgery,

because I keep in mind that they may eventually have a facelift,

so there may be differences.

Above all, the most important thing

is that you know your own face best when you look in the mirror.

As you carefully observe the face changing day by day,

identify the locations of wrinkles and the changes in volume I explained.

If you receive the proper and safe procedure or surgery

without waiting too long,

you will be able to live with a much younger and more attractive face.

If you have any additional questions,

leave them in the comments,

and I will answer carefully.

If you want to check quickly,

first meet YouTube <Eton TV>.

Thank you. 😃