I finally found you again. I was in new York many years ago I was 26 I'm 42 and now I am ready for the procedures to lift sagging and definition in my jaw.
Hi Carina Paul, It is likely you won't need a lifting procedure yet at your age, but may improve jawline definition with volume enhancement or maybe non-surgical tightening at the jaw.Our offices are located in Manhattan, New York City which you can call at (212) 265-8877, and Garden City, Long Island at (516) 742-4636. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.pufffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
Hi Doctor I'm a young 63, and as soon as I turned 60 ageing jowls started I like your work on here and I love the way you explain it all. I live in Far Rockaway N.Y I'm definitely going to book a appointment to see you.
Thank you, stunning silver! Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.puffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
Thank you so much for the trust, Judith O'Connor! Please let us know if you'd like us to help you with any facial procedures, if traveling is an option for you.
@@AmiyaPrasadMD I’m not sure about traveling but you are a great doctor, that’s for sure. I can’t remember where you are located. I think you said New York.
This was such an amazing explanation! As a physician myself I can appreciate how you presented and explained this. I am 52, live in colorado, and have been evaluating different options. I basically have good skin with a bit of laxity but not much. I agree that volume loss is the biggest problem in our early 50s. I do come to New York at least once a year (well, before all the recent virus up issues). How far in advance does an appt need to be made, how many visits are required for volume replacement? Thanks so much for putting these types of videos out. If I am unable to visit NY do you know of anyone in colorado who you trust and does similar work to yours?
Hi Pap Pyone, Thank you for the appreciation! Facial filler placement usually requires an appointment consultation and placement, and then a follow up after two weeks to see how the filler has settled, and if additional enhancement may be needed. You can look up the Y Lift network of doctors who do bone level placement of facial fillers, but we all have our different aesthetic styles, so I suggest you look at before and after pictures, and find a style that resonates with you. I hope this helps you.
Hi@@pappyone6062, Yes, I use thicker hyaluronic acid fillers in the chin, jawline, and cheeks, such as Juvederm Ultra Plus, and Juvederm Voluma, which are dissolvable with the injectable enzyme hyaluronidase. I hope this clarifies things for you.
What are some negative effects of getting a facelift in your late 20s-30s? I've watched your videos on non surgical procedures and I understand the concept that there are other options at those ages, but those options aren't permanent. I am not grasping the concrete reason - are there negative side effects to having facelifts that young? Do they age poorly by the time you get to 60? What is the reason other than there being other less invasive non permanent options?
Hi Patricia Arnedo, Sagging skin, soft tissue, and muscle are not issues in the 20s to 30s, so there isn't anything to surgically lift. Fillers are used in people in their later 30s into their 40s, and even 50s because facial volume loss occurs before skin and soft tissue sagging. Also, you can't expect a facelift to be "permanent" since facelifts treat the appearance of facial aging, and last 5-10 years, but facelifts cannot stop facial aging entirely. I hope this clarifies things for you.
I'd like a mini facelift. I've tried a host of other things, they haven't worked. I've got early jowls, marionette lines, my mouth is drooping.. Eyelids are too.. Generally it looks as though my face is melting if I relax it (which I never do in public as it makes me look old, haggard, tired and angry!). My husband is not on board with it and doesn't support me. He insists its for vanity.. But I disagree completely. I just want to feel better, perhaps look like I used to in my early 30s, just fresher, less old. A mini facelift will hardly turn me into an Instagram model, but it would lift my self esteem, I'd enjoy my clothes, my hair.. My face wouldn't let me down and affect the way I present myself as a whole.I want to enjoy my life feeling good, not depressed. I wish I had some support, ppl don't realise how important that is.
Hi Nic, I understand your perspective, and you're certainly not alone as the majority of my patients have the same motivation of just feeling better about themselves. As for your desired procedure, you can look into the video more closely as marionette lines, jowls, and lines around the mouth can be treated non-surgically with volume enhancement. While an examination is needed to determine what the best approach is for you, there is a strong possibility that most of your issues can be treated without the need for surgical facelift just yet. I hope this helps you.
Hi DR Amira, great video! Would the volume loss still be issue even after a facelift surgery and needed to be treated with fillers? Or, does a successful facelift surgery resolve volume loss problem (around cheeks) for a long time too?
Hi Faygn, Facelifts are for lifting sagging skin, and tightening and repositioning muscle and soft tissue. Volume loss is a separate issue, but it can be treated at the same time as a facelift with facial implants or fillers, or even after with fillers. You can refer to this video about it - ua-cam.com/video/sR3_FoNC87I/v-deo.html
Hi Emma Chase, I do try to feature the side views as much as possible on my videos, but they may be left out due to time or context. You can see the side views of my patients in this video, or in my other videos, or on www.prasadcosmeticsurgery.com. I hope this helps you.
Watching this again. Dr Prasad, in your twenty years of experience, have you ever met any patients who had such severe bone loss that face lift cannot be done? Do you think Calcium supplements be good for preventing bone loss? Thanks.
Hi, There are instances where the skin is too thin for facelift to be effective, but bone loss is a separate issue. Volumetric bone loss is part of normal facial aging, and calcium supplements won't stop it from occurring. I hope this clarifies things for you.
@@AmiyaPrasadMDbonjour docteur est-ce que l'on peut faire un lifting cervical plus Lipo menton plus point de suspension pommettes sous anesthésie locale ? Merci bonne journée
Bonjour@@edithlayani7539, la plupart des interventions chirurgicales peuvent être pratiquées sous anesthésie locale, mais cela dépend de l'expérience du médecin qui effectue l'intervention.
Please I need a question answering I was heading for the derma filler route but as you are touching on the subjects here what I want to know is I have made my mind up I AM SAVING MONEY for the smas facelift and fat transplant 1000% would you reccomend that I DO NOT have filler in the mean time at all and just focus on the one treatment goal outcome as I'll save for lift somewhat significantly sooner but that's not the point or concerns will I get better result if I stay away from filler and just be patient in meantime??
Hello Dr ... i live in Canada. I had a deep plane fl booked earlier this year. When i had the pre-testing done however i was refused by the attending anaesthetist. He advised the surgeon from my reports my blood pressure was dangerously low. It has always been this way. Anyway, thd surgeon followed his advise. I was devastated. My friend advises i see my GP to find out how my blood pressure can be brought to a safe level. I was so happy to see you do local freezing. I would like the deep plane fl and accompanying neck lift. I would also like a nose job but this may be too much at one time.
Hi Denise Paulsen, I have performed facelift surgery under local anesthesia and LITE sedation for many patients with very low blood pressure, so it is still an option for you. I hope this clarifies things for you.
I am praising your anesthesiologist, as he probably saved your life. I have chronic low blood pressure, not dangerously low except for the odd spell, and yet I nearly died from general anesthesia. My blood pressure plummeted to the point that the nurses were visibly worried. It was an elective, albeit not cosmetic, surgery (sterlization). After that experience, I am only having surgery if it's the only option to save my life. I had to give up on the idea of getting a much desired lower abdominoplasty.
Is it true that it is better to get a facelift earlier than later in life to maintain a younger look cause as u get older you would not be able to “reverse” the look all that much ? So better to get a facelift soon as u see even a little sagging / aging ? I keep hearing different things
Hi zibtihaj, I don't recommend surgical facelifts at a younger age because skin and tissue are not yet sagging, so there is nothing to lift. As explained in the video, volume loss occurs before skin and tissue laxity, so that's what I would recommend to relatively younger patients over surgical lifting. I hope this clarifies things for you.
Hello doctor. Is there anything in R/D to enhance or restore facial bone density? I lost some lower molars, and this is contributing to the sagging I have at 54. I have had Radiesse to the cheekbones and temples, but the sagging is getting out of hand. Thank you.
Hi Julia Dixon, Extracellular matrix has replicated bone lost due to injury, but in a small scale with limited applications, and it can't be used to replace bone volume lost due to aging. Radiesse is calcium hydroxyapatite in a gel suspension, which is similar to bone, but even if some of the material remains in the body, it still has a listed longevity of about 1 year. I do prefer hyaluronic acid fillers like Juvederm Ultra Plus and Voluma to Radiesse these days due to full reversibility and metabolization. A physical examination is needed to assess your skin and tissue to see if you can benefit from non-surgical tightening or toning, or surgical lifting. I hope this clarifies things for you.
Hi Sue Qwerty, Sorry, I only practice in the East Coast of the US, but I can help you with a procedure if you come in like our many international patients. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.puffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
Hi Claire Tremblay, We don’t have set costs for surgery as each patient has different needs, and some surgeries are more extensive than others. You can contact our offices or our websites for a price range. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.puffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
You're welcome, @@clairetremblay3023! I hope it's OK with you to share our price range with you over email, or over the phone, so please contact us at your convenience. I hope to hear from you soon.
Hi mininninja565, In most cases, 40 is too young for a facelift, although I have performed facelifts for people around this age because genetics caused their skin and tissue to sag prematurely. For most patients at 40, facial volume loss happens before skin, soft tissue, and facial muscle sagging, so a volume enhancement treatment is usually more appropriate at this age. I hope this clarifies things for you.
i have no cheeks left and im 35 once i hit 30 years old my whole face sagged out, from abuse, stress diet, alcohol, smoking, and then bells palsy at 27 years old libra here and i went bald its depressing
I get the feeling that if you talk to your patients through their procedure you probably don't need to use that much anesthetic as you're a soothing, calm and chill doctor. I just wish you could do a root canal at the same time as a lift to get all that stuff out of the way with a chill doctor.
Hi@@marciadurrant4420, We do have patients from around the world, and around the country coming to see us (but more so when it's not a pandemic), so feel free to come see us if you like. We are in New York City; Long Island; and Vienna, Virginia.
I am worried about injectables because I have seen some women who developed big nodules from where they were injected. Is this still a problem? Thanks!
Hi Glamma V, Bumps at the injection sites are not due to injectable fillers themselves, but rather the experience and expertise of the doctor performing the procedure. These lumps can be avoided by an experienced doctor, as shown in this video - ua-cam.com/video/cKotB7rhPEk/v-deo.html
Amiya Prasad, M.D. Thank you very much! I shall call on you when I am ready😍. You have the best outcome as far as my research on you tube is concerned. You're the best😍
Hi Pam K, We don’t have set costs for surgery as each patient has different needs, and some surgeries are more extensive than others. You can contact our offices or our websites for a price range. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.puffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
one side of my face is totally different than the other I think 🤔 Due to aging and an injury internal fx to my meniscus of TMJ jaw 20 years ago My upper lip needs a true lift not filler I had awesome lips but I do not want the scars under the nose I heard there is a lift from inside the mouth I am a beautiful lol 70 year old.. do you ever come across problems like these Doctor?
Hi MRitz S, The procedure you mention isn't possible as it would just pull your lip inward. I would have to examine your face before making specific treatment recommendations. I hope this helps you.
Hi Filthy Khajiit, Sorry to hear about your problem, but you are far too young for a facelift, even a mini lift. You can look into this video about the possible surgical and non-surgical treatments for jowls - ua-cam.com/video/bMBm37wFwNE/v-deo.html
Thank you for the vote of confidence, susan kelly! Procedures like facelifts are an investment, and often compromising with a lower priced procedure can end up costing even more with revision procedures to correct them. If budget is an issue, prioritize what you want treated, and an examination can determine if certain procedures can help and still fit your budget. I hope this clarifies things for you.
Hi Sara Rada, Sorry, my practice is based on the East Coast. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.puffyeyes.com, or www.eyelifts.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
Can i have one stitch treatmnt if i have pitted scars on my cheecks and nothing works my age is 33 and have harmones issue my face starts to sagg specially cheecks
Hi A Naz, I think you may be asking about acne scars, which you can refer to in this video - ua-cam.com/video/1AIRQbIuPrM/v-deo.html A physical exam is needed for your skin and face before I can recommend any specific treatments for you. I hope this helps you.
Hi! Great video! I just turned 40 and am losing a considerable amount of weight. I’m worried about my face sagging and wrinkles. What would you suggest being you don’t recommend face lift till 60?
Hi Erika Harper, Facial volume loss due to aging will affect you before skin, muscle, and soft tissue laxity. If you look at the lady at the right of the thumbnail, she is over 40, and was not treated with a facelift, but with volume enhancement. You can watch the video closely about how I treat this issue with deeper volume placement than most doctors for it to look natural and defined, and without surgery. As for wrinkles, you can refer to these videos about how they can be treated non-surgically: ua-cam.com/video/yHN81czEY0A/v-deo.html ua-cam.com/video/AAH37kjfyK8/v-deo.html ua-cam.com/video/PXMhY90TReM/v-deo.html
Hi luvharmonies, A mini lift isn't an infection, so it doesn't require antibiotics unless you suffer from a complication like an infection, but it is a surgical procedure that does require anesthetic. I perform my facelifts with local anesthesia. I hope this clarifies things for you.
@@AmiyaPrasadMD Thank you for responding. I know that some doctors require prophylactic antibiotics with surgeries, which would be prohibitive for me as I have a C. diff. history, so that's good to hear. :-)
Hi sara c, We don't have set cost for facelifts as each patient's needs are different, so the extent of surgery does vary. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877, and Garden City, Long Island at (516) 742-4636. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.pufffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
Also, I don't understand why an aggressive nip/tuck that removes the excess skin followed by equally aggressive, multi-approach preventive skin care is not effective when done by the right doctor. Pls inform.
Hi Julia Dixon, Surgical face lifting is not just the skin, but tightening soft tissue and muscle underlying the skin for results to be sustained as long as possible. Skincare will only benefit the skin, and it still can't stop the skin from aging. I hope this clarifies things for you.
I have had my buccal fat removed 3 years ago, since then my skin SAGGED, i look so much older, so much laxity and volume loss. I don't want to fill my face with fillers or botox. I guess for me, it is a face lifting what i need. I am 34 years old
Hi @Discoverajijic, I don't recommend or perform buccal fat removal as the loss of youthful volume can make someone look older, and it also removes support for the overlying skin. I only perform buccal fat removal if the fat has descended, making it appear like jowls. 34 is generally too young for a facelift. You can refer to this recent video about how facial volume loss can appear like sagging - ua-cam.com/video/o5WRIwrVeVI/v-deo.html
Hi dam mar, Actually the opposite is true as significant volume loss, including bone loss, starts in the mid to late 30s; while significant skin sagging usually occurs in the 50s. However, the skin can start losing its luster and glow by the mid to late 30s, but this is something that can be treated with minimally invasive injection treatments like PRP. You can refer to these videos about treatments for relatively younger people: ua-cam.com/video/YCwf5d9y1X0/v-deo.html ua-cam.com/video/bBhQ4kVjCEE/v-deo.html
@@AmiyaPrasadMD Interesting! Thanks, Dr Prasad. (I am a former patient of yours, you also replied to another inquiry I made, as I am considering coming back for structural volumizing, maybe next year.) Maria
Hi sangeeta arora, Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.puffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
I’m in my 40’s & doing all I can to prolong a facelift which my doctor says I don’t need. We do fillers, skin tightening & procedures with growth factors to stimulate collagen. My mom is in her late 70’s and has little wrinkles and very little sagging. She has never suntanned and always avoided being in the sun. My mom looks way younger than her age so I hope I have her good genes! When I’m ready I’ll get a facelift. Everyone is different. Some women my age look 10 years older so I think lifestyle & genetics really play a factor.
Hi LACalifornia RockerGal, I'm glad you are happy with your genetics and your doctor! I do explain in the video that I generally do not recommend facelifts for women in their 40s, and focus treatments at this age range in improving quality skin and volume enhancement. I generally find facelifts should are more for women in their 60s and older. Best of luck to you!
Amiya Prasad, M.D. Same thing my doctor says. However I know women in their 40’s & 50’s that believe me didn’t need facelifts & now they look weird! They didn’t use my doctor because he didn’t think they needed facelifts. 🙀 If I lived in your neck of the woods you’re the doctor I’d choose! You are very much like my doctor with your recommendations and similar thoughts! 👍🏼
Hi LACalifornia RockerGal, Thank you, you sound like you would be a great patient! It's really great that you are following your doctor's advice, and that you trust him. I've served many of patients for years as their personal "beauty doctor" and it sounds like you have the same relationship :)
Hi Iam Yeng, There is no such thing as an instant facelift from a bottle or cream, so even though I don't know what this product is, it does not do what it claims. At 29 your are still very young, so keep your skin moisturized, follow a healthy lifestyle, and try to avoid sun exposure. I hope this helps you.
I am 48 I tried all kinds of no cosmetic surgeries in my face lasers fillers rf hifu but I think none of this is working anymore my jowls are dropping and have have big nasonelbia folds is it too early for a facelift ?
Hi Carmen Veit, I would need to examine your face first before giving you a definite recommendation, but placement of filler differently at the deeper bone level may help your nasolabial folds, and jowls. You can refer to these videos about possibly treating jowls and nasolabial folds with filler or surgery: ua-cam.com/video/bMBm37wFwNE/v-deo.html ua-cam.com/video/B1IBbQH3HAQ/v-deo.html ua-cam.com/video/rCjuUAofEFU/v-deo.html
I don't know why every one suggest facelift at 50 or 60.what is the use. At 40 if go for facelift surgery then we can prevent more sagginess and can have a chance to look 30.
Hi Sujitha M, Sorry, it doesn't work that way. There isn't enough sagging and laxity of skin and soft tissue to have a facelift at a younger age. Also, young faces aren't tight, but have volume and definition. You can refer to this video about more appropriate procedures for people in their 40s - ua-cam.com/video/bBhQ4kVjCEE/v-deo.html
@@AmiyaPrasadMD i just saw a korean SMAS lift on a woman between 30-40 and the result is incredible!! she looks 25 and nonody could tell she had a facelift.
Hi@@bblack8268, That doesn't sound right as laxity of the SMAS occurs in the 50s and older, not in someone who is between 30-40. Between ages 30-40, facial aging is more about volume loss than skin and tissue laxity. You can refer to this video about it - ua-cam.com/video/bBhQ4kVjCEE/v-deo.html
@@AmiyaPrasadMD Thank you, i love the way you always answer everyone :) i already watched before and i would like to ask that if the answer is fillers for that age..if i keep doing it for years the end will be always a puffy face because you have to repeat it every 6 month or even less. unfortunately this is what i see on women over 40 already (but on the youngers too) and doesnt matter if the injector is the great actually. So i always wonder what is the best if i dont use at all and stay filler free or should i go because the sagging will be worse..I am 33, i have jowls, my midface completely gone, starting to have turkey neck =/
Hi@@bblack8268, You can refer to these videos on how we avoid a puffy appearance from facial filler treatment, and why fillers don't stretch the skin: ua-cam.com/video/Brb4uTzzG88/v-deo.html ua-cam.com/video/hx540qDFbrs/v-deo.html You are still very young, and usually I don't recommend aggressive treatments at your age. You can refer to these video about treating jowls, and the jawline: ua-cam.com/video/bMBm37wFwNE/v-deo.html ua-cam.com/video/To3YPHS6mXw/v-deo.html
Hi Harish Chandra, Facelifts are performed similarly for men, and some examples in this video are actually male patients, but I don't have their permission to show their full faces. You can watch the video for more information as the surgery is performed about the same. I hope this helps you.
Hi Chandni Agarwal, There is no reason why someone is 23 should have a facelift because they won't have any sagging skin, soft tissue, or muscle. At 23, almost all people don't have aging issues, unless they have irregular genetic issues. I hope this clarifies things for you.
Hi Edith Carter, Sorry to hear that. You can' refer to these videos for some guidance in treating sagging in the neck specifically: ua-cam.com/video/HKM7MGh80RM/v-deo.html ua-cam.com/video/S210_81tHlE/v-deo.html
Hi suzy Hall, My hair is shorter and more styled in some videos, but I have trouble keeping it that way because it grows so quickly. However, I am aware it can look out of control sometimes, even on camera, but thick hair that grows quickly at my age are quite nice problems to have. Hope you're well!
@@AmiyaPrasadMD Great video. I have bee researching all the different types of facelifts and this video has taught me that I am not at that stage yet. I have used filler for a liquid facelift and because of that, my skin doesn't have any laxity. I have a great doctor but I would go to you if you were in my area. Your expertise is obvious by your photos.
I could listen to him talk all day
Thank you for your kind words, Kristen Alix! I'm flattered! :)
I finally found you again. I was in new York many years ago I was 26 I'm 42 and now I am ready for the procedures to lift sagging and definition in my jaw.
Hi Carina Paul,
It is likely you won't need a lifting procedure yet at your age, but may improve jawline definition with volume enhancement or maybe non-surgical tightening at the jaw.Our offices are located in Manhattan, New York City which you can call at (212) 265-8877, and Garden City, Long Island at (516) 742-4636. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.pufffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
Hi Doctor
I'm a young 63, and as soon as I turned 60 ageing jowls started
I like your work on here and I love the way you explain it all.
I live in Far Rockaway N.Y
I'm definitely going to book a appointment to see you.
Thank you, stunning silver! Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.puffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
I wish you were in Reno, Nevada where I live.
I would trust you to work on my face.
Thank you so much for the trust, Judith O'Connor! Please let us know if you'd like us to help you with any facial procedures, if traveling is an option for you.
@@AmiyaPrasadMD I’m not sure about traveling but you are a great doctor, that’s for sure. I can’t remember where you are located. I think you said New York.
Hi@@judithoconnor6442,
Thanks again for another compliment! Yes, mostly in Manhattan; and Garden City, Long Island.
This was such an amazing explanation! As a physician myself I can appreciate how you presented and explained this. I am 52, live in colorado, and have been evaluating different options. I basically have good skin with a bit of laxity but not much. I agree that volume loss is the biggest problem in our early 50s. I do come to New York at least once a year (well, before all the recent virus up issues). How far in advance does an appt need to be made, how many visits are required for volume replacement? Thanks so much for putting these types of videos out. If I am unable to visit NY do you know of anyone in colorado who you trust and does similar work to yours?
Hi Pap Pyone,
Thank you for the appreciation! Facial filler placement usually requires an appointment consultation and placement, and then a follow up after two weeks to see how the filler has settled, and if additional enhancement may be needed.
You can look up the Y Lift network of doctors who do bone level placement of facial fillers, but we all have our different aesthetic styles, so I suggest you look at before and after pictures, and find a style that resonates with you. I hope this helps you.
@@AmiyaPrasadMD it does. I wish I was in NY. I think your work is amazing! Who knows, maybe I fly out twice.
Thanks again,@@pappyone6062!
@@AmiyaPrasadMD one more question. Are the fillers that are placed so deep on the bone dissolvable?
Hi@@pappyone6062,
Yes, I use thicker hyaluronic acid fillers in the chin, jawline, and cheeks, such as Juvederm Ultra Plus, and Juvederm Voluma, which are dissolvable with the injectable enzyme hyaluronidase. I hope this clarifies things for you.
What are some negative effects of getting a facelift in your late 20s-30s? I've watched your videos on non surgical procedures and I understand the concept that there are other options at those ages, but those options aren't permanent. I am not grasping the concrete reason - are there negative side effects to having facelifts that young? Do they age poorly by the time you get to 60? What is the reason other than there being other less invasive non permanent options?
Hi Patricia Arnedo,
Sagging skin, soft tissue, and muscle are not issues in the 20s to 30s, so there isn't anything to surgically lift. Fillers are used in people in their later 30s into their 40s, and even 50s because facial volume loss occurs before skin and soft tissue sagging. Also, you can't expect a facelift to be "permanent" since facelifts treat the appearance of facial aging, and last 5-10 years, but facelifts cannot stop facial aging entirely. I hope this clarifies things for you.
@@AmiyaPrasadMD yes it does thank you for replying!
You're welcome, @@diddlybop !
I'd like a mini facelift. I've tried a host of other things, they haven't worked. I've got early jowls, marionette lines, my mouth is drooping.. Eyelids are too.. Generally it looks as though my face is melting if I relax it (which I never do in public as it makes me look old, haggard, tired and angry!).
My husband is not on board with it and doesn't support me. He insists its for vanity.. But I disagree completely. I just want to feel better, perhaps look like I used to in my early 30s, just fresher, less old. A mini facelift will hardly turn me into an Instagram model, but it would lift my self esteem, I'd enjoy my clothes, my hair.. My face wouldn't let me down and affect the way I present myself as a whole.I want to enjoy my life feeling good, not depressed. I wish I had some support, ppl don't realise how important that is.
Hi Nic,
I understand your perspective, and you're certainly not alone as the majority of my patients have the same motivation of just feeling better about themselves.
As for your desired procedure, you can look into the video more closely as marionette lines, jowls, and lines around the mouth can be treated non-surgically with volume enhancement. While an examination is needed to determine what the best approach is for you, there is a strong possibility that most of your issues can be treated without the need for surgical facelift just yet. I hope this helps you.
Hi DR Amira, great video! Would the volume loss still be issue even after a facelift surgery and needed to be treated with fillers? Or, does a successful facelift surgery resolve volume loss problem (around cheeks) for a long time too?
Hi Faygn,
Facelifts are for lifting sagging skin, and tightening and repositioning muscle and soft tissue. Volume loss is a separate issue, but it can be treated at the same time as a facelift with facial implants or fillers, or even after with fillers. You can refer to this video about it - ua-cam.com/video/sR3_FoNC87I/v-deo.html
I find the 'side view with chin-to-chest' is particularly revealing for those of us with some jawline/neck issues.
Hi Emma Chase,
I do try to feature the side views as much as possible on my videos, but they may be left out due to time or context. You can see the side views of my patients in this video, or in my other videos, or on www.prasadcosmeticsurgery.com. I hope this helps you.
Watching this again. Dr Prasad, in your twenty years of experience, have you ever met any patients who had such severe bone loss that face lift cannot be done? Do you think Calcium supplements be good for preventing bone loss? Thanks.
Hi,
There are instances where the skin is too thin for facelift to be effective, but bone loss is a separate issue. Volumetric bone loss is part of normal facial aging, and calcium supplements won't stop it from occurring. I hope this clarifies things for you.
@@AmiyaPrasadMDbonjour docteur est-ce que l'on peut faire un lifting cervical plus Lipo menton plus point de suspension pommettes sous anesthésie locale ? Merci bonne journée
Bonjour@@edithlayani7539,
la plupart des interventions chirurgicales peuvent être pratiquées sous anesthésie locale, mais cela dépend de l'expérience du médecin qui effectue l'intervention.
Please I need a question answering I was heading for the derma filler route but as you are touching on the subjects here what I want to know is I have made my mind up I AM SAVING MONEY for the smas facelift and fat transplant 1000% would you reccomend that I DO NOT have filler in the mean time at all and just focus on the one treatment goal outcome as I'll save for lift somewhat significantly sooner but that's not the point or concerns will I get better result if I stay away from filler and just be patient in meantime??
Thank you so much for explanations. I am 45years and an aesthetic proposes jaw contouring by surgery and profilho for nasolabial folds.i qas scared
You're welcome, mariama boumia! I'm glad you found the video helpful!
This sounds great, add fillers at bone level. Thanks
You're welcome, Seek Wisdom! I'm glad you found the video informative!
Hello Dr ... i live in Canada. I had a deep plane fl booked earlier this year. When i had the pre-testing done however i was refused by the attending anaesthetist. He advised the surgeon from my reports my blood pressure was dangerously low. It has always been this way. Anyway, thd surgeon followed his advise. I was devastated. My friend advises i see my GP to find out how my blood pressure can be brought to a safe level. I was so happy to see you do local freezing. I would like the deep plane fl and accompanying neck lift. I would also like a nose job but this may be too much at one time.
Hi Denise Paulsen,
I have performed facelift surgery under local anesthesia and LITE sedation for many patients with very low blood pressure, so it is still an option for you. I hope this clarifies things for you.
I am praising your anesthesiologist, as he probably saved your life. I have chronic low blood pressure, not dangerously low except for the odd spell, and yet I nearly died from general anesthesia. My blood pressure plummeted to the point that the nurses were visibly worried. It was an elective, albeit not cosmetic, surgery (sterlization). After that experience, I am only having surgery if it's the only option to save my life. I had to give up on the idea of getting a much desired lower abdominoplasty.
I have lines above my lips deep ones from smoking. What do you recommend?
Thank you for kind words, L.A. Hensley! I made this video that's specifically about your problem - ua-cam.com/video/B1IBbQH3HAQ/v-deo.html
Is it true that it is better to get a facelift earlier than later in life to maintain a younger look cause as u get older you would not be able to “reverse” the look all that much ?
So better to get a facelift soon as u see even a little sagging / aging ?
I keep hearing different things
Hi zibtihaj,
I don't recommend surgical facelifts at a younger age because skin and tissue are not yet sagging, so there is nothing to lift. As explained in the video, volume loss occurs before skin and tissue laxity, so that's what I would recommend to relatively younger patients over surgical lifting. I hope this clarifies things for you.
Hello doctor. Is there anything in R/D to enhance or restore facial bone density? I lost some lower molars, and this is contributing to the sagging I have at 54. I have had Radiesse to the cheekbones and temples, but the sagging is getting out of hand. Thank you.
Hi Julia Dixon,
Extracellular matrix has replicated bone lost due to injury, but in a small scale with limited applications, and it can't be used to replace bone volume lost due to aging. Radiesse is calcium hydroxyapatite in a gel suspension, which is similar to bone, but even if some of the material remains in the body, it still has a listed longevity of about 1 year. I do prefer hyaluronic acid fillers like Juvederm Ultra Plus and Voluma to Radiesse these days due to full reversibility and metabolization. A physical examination is needed to assess your skin and tissue to see if you can benefit from non-surgical tightening or toning, or surgical lifting. I hope this clarifies things for you.
Can I have this procedure done please I’m in the uk?
Hi Sue Qwerty,
Sorry, I only practice in the East Coast of the US, but I can help you with a procedure if you come in like our many international patients. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.puffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
Hi Dr. Can you do a video for cheek fillers please.
Hi Shan Cruz,
Already done :) ua-cam.com/video/GlF2ePf1AGw/v-deo.html Hope this helps you!
I am thinking about a mini-facelift. What is the price for this kind of surgerie aprx. Tks
Hi Claire Tremblay,
We don’t have set costs for surgery as each patient has different needs, and some surgeries are more extensive than others. You can contact our offices or our websites for a price range. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.puffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
@@AmiyaPrasadMD Thank you. I understand each person is different.
You're welcome, @@clairetremblay3023! I hope it's OK with you to share our price range with you over email, or over the phone, so please contact us at your convenience. I hope to hear from you soon.
Is 40 OK for facelift surgery
Hi mininninja565,
In most cases, 40 is too young for a facelift, although I have performed facelifts for people around this age because genetics caused their skin and tissue to sag prematurely. For most patients at 40, facial volume loss happens before skin, soft tissue, and facial muscle sagging, so a volume enhancement treatment is usually more appropriate at this age. I hope this clarifies things for you.
i have no cheeks left and im 35 once i hit 30 years old my whole face sagged out, from abuse, stress diet, alcohol, smoking, and then bells palsy at 27 years old libra here and i went bald its depressing
I get the feeling that if you talk to your patients through their procedure you probably don't need to use that much anesthetic as you're a soothing, calm and chill doctor. I just wish you could do a root canal at the same time as a lift to get all that stuff out of the way with a chill doctor.
Thank you for your kind comments, Alison B! Much appreciated :)
Ty you answered all my queations.
You're welcome, Garry Keever! I'm glad the video helped you.
Wow you've done some great jobs
Thank you, Marcia Durrant! I've been in practice for over 25 years now.
Wish I was in your city to get my face done
Hi@@marciadurrant4420,
We do have patients from around the world, and around the country coming to see us (but more so when it's not a pandemic), so feel free to come see us if you like. We are in New York City; Long Island; and Vienna, Virginia.
After the pandemic I'll contact you
I hope to see you soon, @@marciadurrant4420! Our offices are currently open as New York has been able to keep cases down.
I am worried about injectables because I have seen some women who developed big nodules from where they were injected. Is this still a
problem? Thanks!
Hi Glamma V,
Bumps at the injection sites are not due to injectable fillers themselves, but rather the experience and expertise of the doctor performing the procedure. These lumps can be avoided by an experienced doctor, as shown in this video - ua-cam.com/video/cKotB7rhPEk/v-deo.html
Amiya Prasad, M.D. Thank you very much! I shall call on you when I am ready😍. You have the best outcome as far as my research on you tube is concerned. You're the best😍
Thank you for your kind words, and you're welcome, @@glammav14344! Just let us know when you are ready.
How much cost for complete face lift
Hi Pam K,
We don’t have set costs for surgery as each patient has different needs, and some surgeries are more extensive than others. You can contact our offices or our websites for a price range. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.puffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
one side of my face is totally different than the other I think 🤔 Due to aging and an injury internal fx to my meniscus of TMJ jaw 20 years ago My upper lip needs a true lift not filler I had awesome lips but I do not want the scars under the nose I heard there is a lift from inside the mouth I am a beautiful lol 70 year old.. do you ever come across problems like these Doctor?
Hi MRitz S,
The procedure you mention isn't possible as it would just pull your lip inward. I would have to examine your face before making specific treatment recommendations. I hope this helps you.
@@AmiyaPrasadMD it is so kind of you to even respond! It would be so great to have a chance to feel normal again thank you
You're welcome,@@mritzs5142
Im 26 and super insecure about my jowls. Im debating on a minilift soon.
Hi Filthy Khajiit,
Sorry to hear about your problem, but you are far too young for a facelift, even a mini lift. You can look into this video about the possible surgical and non-surgical treatments for jowls - ua-cam.com/video/bMBm37wFwNE/v-deo.html
Wish I could afford one 😢😢😢 I would definitely come to you 👌👌
Thank you for the vote of confidence, susan kelly! Procedures like facelifts are an investment, and often compromising with a lower priced procedure can end up costing even more with revision procedures to correct them. If budget is an issue, prioritize what you want treated, and an examination can determine if certain procedures can help and still fit your budget. I hope this clarifies things for you.
You're great!
Where in Los Angeles may I find you?
Hi Sara Rada,
Sorry, my practice is based on the East Coast. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.puffyeyes.com, or www.eyelifts.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
@@AmiyaPrasadMD Thank you for your reply. I will book a fly to see you.
You're welcome, @@hisetenespanolbysara6556. I hope to meet you soon.
Can i have one stitch treatmnt if i have pitted scars on my cheecks and nothing works my age is 33 and have harmones issue my face starts to sagg specially cheecks
Hi A Naz,
I think you may be asking about acne scars, which you can refer to in this video - ua-cam.com/video/1AIRQbIuPrM/v-deo.html A physical exam is needed for your skin and face before I can recommend any specific treatments for you. I hope this helps you.
Hi! Great video! I just turned 40 and am losing a considerable amount of weight. I’m worried about my face sagging and wrinkles. What would you suggest being you don’t recommend face lift till 60?
Hi Erika Harper,
Facial volume loss due to aging will affect you before skin, muscle, and soft tissue laxity. If you look at the lady at the right of the thumbnail, she is over 40, and was not treated with a facelift, but with volume enhancement. You can watch the video closely about how I treat this issue with deeper volume placement than most doctors for it to look natural and defined, and without surgery. As for wrinkles, you can refer to these videos about how they can be treated non-surgically:
ua-cam.com/video/yHN81czEY0A/v-deo.html
ua-cam.com/video/AAH37kjfyK8/v-deo.html
ua-cam.com/video/PXMhY90TReM/v-deo.html
Does a mini-lift require taking an antibiotic?
Hi luvharmonies,
A mini lift isn't an infection, so it doesn't require antibiotics unless you suffer from a complication like an infection, but it is a surgical procedure that does require anesthetic. I perform my facelifts with local anesthesia. I hope this clarifies things for you.
@@AmiyaPrasadMD Thank you for responding. I know that some doctors require prophylactic antibiotics with surgeries, which would be prohibitive for me as I have a C. diff. history, so that's good to hear. :-)
You're welcome,@@dmrd222!
Thank u for this info
You're welcome, Ellie Squires! I'm glad you found the video helpful!
Can we have your location address please dr, and how much is a mini face lift or full face lift thx
Hi sara c,
We don't have set cost for facelifts as each patient's needs are different, so the extent of surgery does vary. Our offices are located in Manhattan, New York City which you can call at (212) 265-8877, and Garden City, Long Island at (516) 742-4636. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.pufffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
Also, I don't understand why an aggressive nip/tuck that removes the excess skin followed by equally aggressive, multi-approach preventive skin care is not effective when done by the right doctor. Pls inform.
Hi Julia Dixon,
Surgical face lifting is not just the skin, but tightening soft tissue and muscle underlying the skin for results to be sustained as long as possible. Skincare will only benefit the skin, and it still can't stop the skin from aging. I hope this clarifies things for you.
I have had my buccal fat removed 3 years ago, since then my skin SAGGED, i look so much older, so much laxity and volume loss. I don't want to fill my face with fillers or botox. I guess for me, it is a face lifting what i need. I am 34 years old
Hi @Discoverajijic,
I don't recommend or perform buccal fat removal as the loss of youthful volume can make someone look older, and it also removes support for the overlying skin. I only perform buccal fat removal if the fat has descended, making it appear like jowls. 34 is generally too young for a facelift. You can refer to this recent video about how facial volume loss can appear like sagging - ua-cam.com/video/o5WRIwrVeVI/v-deo.html
But wouldn't volume loss, especially bone loss, be more a diagnosis made in older patients, whereas skin laxity can occur at younger age?
Hi dam mar,
Actually the opposite is true as significant volume loss, including bone loss, starts in the mid to late 30s; while significant skin sagging usually occurs in the 50s. However, the skin can start losing its luster and glow by the mid to late 30s, but this is something that can be treated with minimally invasive injection treatments like PRP. You can refer to these videos about treatments for relatively younger people:
ua-cam.com/video/YCwf5d9y1X0/v-deo.html
ua-cam.com/video/bBhQ4kVjCEE/v-deo.html
@@AmiyaPrasadMD Interesting! Thanks, Dr Prasad. (I am a former patient of yours, you also replied to another inquiry I made, as I am considering coming back for structural volumizing, maybe next year.)
Maria
You're welcome, @@dammar117/Maria! Come see us again anytime!
Where are you from?
Hi sangeeta arora,
Our offices are located in Manhattan, New York City which you can call at (212) 265-8877; Garden City, Long Island at (516) 742-4636; or Vienna, Virginia at (703) 356-1336. You can also reach us through www.prasadcosmeticsurgery.com, www.eyelifts.com, or www.puffyeyes.com by filling out a contact form, and we will get back to you. I hope to hear from you soon.
I’m in my 40’s & doing all I can to prolong a facelift which my doctor says I don’t need. We do fillers, skin tightening & procedures with growth factors to stimulate collagen. My mom is in her late 70’s and has little wrinkles and very little sagging. She has never suntanned and always avoided being in the sun. My mom looks way younger than her age so I hope I have her good genes! When I’m ready I’ll get a facelift. Everyone is different. Some women my age look 10 years older so I think lifestyle & genetics really play a factor.
Hi LACalifornia RockerGal,
I'm glad you are happy with your genetics and your doctor! I do explain in the video that I generally do not recommend facelifts for women in their 40s, and focus treatments at this age range in improving quality skin and volume enhancement. I generally find facelifts should are more for women in their 60s and older. Best of luck to you!
Amiya Prasad, M.D. Same thing my doctor says. However I know women in their 40’s & 50’s that believe me didn’t need facelifts & now they look weird! They didn’t use my doctor because he didn’t think they needed facelifts. 🙀 If I lived in your neck of the woods you’re the doctor I’d choose! You are very much like my doctor with your recommendations and similar thoughts! 👍🏼
Hi LACalifornia RockerGal,
Thank you, you sound like you would be a great patient! It's really great that you are following your doctor's advice, and that you trust him. I've served many of patients for years as their personal "beauty doctor" and it sounds like you have the same relationship :)
Hello Doc, I’m 29 year old. Is it ok to use facelift product like “Skin Doctors instant facelift” ? My purpose is to have firm skin. Thanks 🙏
Hi Iam Yeng,
There is no such thing as an instant facelift from a bottle or cream, so even though I don't know what this product is, it does not do what it claims. At 29 your are still very young, so keep your skin moisturized, follow a healthy lifestyle, and try to avoid sun exposure. I hope this helps you.
Amiya Prasad, M.D. thank you 🙏 Doc
You're welcome,@@iamyeng4009!
I would trust you - thank you
You're welcome, Mabel Heinzle! It's nice to know you trust me!
I am 48 I tried all kinds of no cosmetic surgeries in my face lasers fillers rf hifu but I think none of this is working anymore my jowls are dropping and have have big nasonelbia folds is it too early for a facelift ?
Hi Carmen Veit,
I would need to examine your face first before giving you a definite recommendation, but placement of filler differently at the deeper bone level may help your nasolabial folds, and jowls. You can refer to these videos about possibly treating jowls and nasolabial folds with filler or surgery:
ua-cam.com/video/bMBm37wFwNE/v-deo.html
ua-cam.com/video/B1IBbQH3HAQ/v-deo.html
ua-cam.com/video/rCjuUAofEFU/v-deo.html
and then here i am needing a facelift at 20 lmao
Hi Haidy Abulhassan,
It is very highly unlikely that you need a facelift while your face is still growing and maturing into your early 20s.
I don't know why every one suggest facelift at 50 or 60.what is the use. At 40 if go for facelift surgery then we can prevent more sagginess and can have a chance to look 30.
Hi Sujitha M,
Sorry, it doesn't work that way. There isn't enough sagging and laxity of skin and soft tissue to have a facelift at a younger age. Also, young faces aren't tight, but have volume and definition. You can refer to this video about more appropriate procedures for people in their 40s - ua-cam.com/video/bBhQ4kVjCEE/v-deo.html
@@AmiyaPrasadMD i just saw a korean SMAS lift on a woman between 30-40 and the result is incredible!! she looks 25 and nonody could tell she had a facelift.
Hi@@bblack8268,
That doesn't sound right as laxity of the SMAS occurs in the 50s and older, not in someone who is between 30-40. Between ages 30-40, facial aging is more about volume loss than skin and tissue laxity. You can refer to this video about it - ua-cam.com/video/bBhQ4kVjCEE/v-deo.html
@@AmiyaPrasadMD Thank you, i love the way you always answer everyone :) i already watched before and i would like to ask that if the answer is fillers for that age..if i keep doing it for years the end will be always a puffy face because you have to repeat it every 6 month or even less. unfortunately this is what i see on women over 40 already (but on the youngers too) and doesnt matter if the injector is the great actually. So i always wonder what is the best if i dont use at all and stay filler free or should i go because the sagging will be worse..I am 33, i have jowls, my midface completely gone, starting to have turkey neck =/
Hi@@bblack8268,
You can refer to these videos on how we avoid a puffy appearance from facial filler treatment, and why fillers don't stretch the skin:
ua-cam.com/video/Brb4uTzzG88/v-deo.html
ua-cam.com/video/hx540qDFbrs/v-deo.html
You are still very young, and usually I don't recommend aggressive treatments at your age. You can refer to these video about treating jowls, and the jawline:
ua-cam.com/video/bMBm37wFwNE/v-deo.html
ua-cam.com/video/To3YPHS6mXw/v-deo.html
Mostly women are take interest for face lift and costomology, what have you for men after 60's safely .
Hi Harish Chandra,
Facelifts are performed similarly for men, and some examples in this video are actually male patients, but I don't have their permission to show their full faces. You can watch the video for more information as the surgery is performed about the same. I hope this helps you.
8
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Thanks for watching, The enthusiast Islander !
doctor my I'm just 23 can I do facelift
Hi Chandni Agarwal,
There is no reason why someone is 23 should have a facelift because they won't have any sagging skin, soft tissue, or muscle. At 23, almost all people don't have aging issues, unless they have irregular genetic issues. I hope this clarifies things for you.
I just don’t like the turkey neck I’m getting.
Hi Edith Carter,
Sorry to hear that. You can' refer to these videos for some guidance in treating sagging in the neck specifically:
ua-cam.com/video/HKM7MGh80RM/v-deo.html
ua-cam.com/video/S210_81tHlE/v-deo.html
I ll do it when 60 lol
That's good, Me ! Oey, because for most patients, I don't recommend facelifts until 60 or older.
U need a hairdresser Dr.
Hi suzy Hall,
My hair is shorter and more styled in some videos, but I have trouble keeping it that way because it grows so quickly. However, I am aware it can look out of control sometimes, even on camera, but thick hair that grows quickly at my age are quite nice problems to have. Hope you're well!
@@AmiyaPrasadMD You have a beautiful, happy smile, Dr. Prasad.... and great, thick hair. :)
Thank you for the very kind words,@@tube_trance!
@@AmiyaPrasadMD
Great video. I have bee researching all the different types of facelifts and this video has taught me that I am not at that stage yet. I have used filler for a liquid facelift and because of that, my skin doesn't have any laxity.
I have a great doctor but I would go to you if you were in my area. Your expertise is obvious by your photos.
I'm glad the video helped you decide,@@carrie9657! And thank you for your kind words!