Northeast Wisconsin
  • Northeast Wisconsin
  • January 2014
Written by  Dr. Nolan Hetz

Alternatives to consider for sagging facial skin

Question: I have been interested in a facelift, including the Lifestyle Lift, for a few years now and am wondering about the cost. I am turning 50 this September and think it may be time for me to correct some years of neglect and aging. I also am wondering about the fatty or swollen bags under my eyes. Can something moderately simple help?

Answer: The Lifestyle Lift procedure and treatment is a fine option and runs around $6,800. However, the newer Silhouette Lift, which is the next generation mid-face lift, uses an ingenious four-suture system on each side of the face and became FDA-approved in 2010. It is possibly more adjustable, and is around $4,500 to $5,000. The Silhouette system can be used for a neck-lift and is around $2,600, since only two sutures are used on each side of the neck region. Because more torque force is applied in this area during healing, especially when the neck is turned too aggressively, and because there is more overall skin looseness here, neck-lifts tend to need frequent retightening modifications. They usually do better after first undergoing a laser skin tightening and rejuvenation procedure or two.

Bagginess under the eyes can be addressed with pro-fractional Erbium or fractionated CO2 laser treatments that provide significant skin-tightening and collagen regrowth stimulation that recreates skin layer supports. Loose skin and bagginess, as well as loss of volume or a sunken-in look under the eyes can be reversed to a large degree with a combination of either pharmaceutical grade anti-aging creams, skin fillers and/or a fat transfer.

Loose or baggy upper eye area skin could be reduced with a few radio-frequency (RF) treatments using the mono-polar electrical cautery skin-heating system called Pelleve. Whichever of these treatments is used for skin rejuvenation, pretreatment and post-treatment eye creams, like Neocutis Lumiere Eye Cream, can provide some awesome adjuvant skin change improvements if used twice a day. Lumiere cream also contains extracts that shrink and constrict, or close down, weepy capillary blood vessel beds that contribute to swollen tissues and under-eye darkness. Lumiere’s peptides and human growth factor serum also help stimulate the collagen regrowth that is responsible for skin-tightening changes seen within a couple of months of use.

A lower blepharoplasty, a surgical procedure to remove skin and at times underlying sub-dermal fat tissue, is a drastic solution that often isn’t necessary. Being evaluated in-person and up close is the best next step to help determine if anti-aging creams; a fat transfer or skin filler; or a laser skin rejuvenation procedure or facelift with laser skin combination approach is the best option to meet your desired level of youthful rejuvenation.


Dr. Nolan Hetz is a certified aesthetics consultant and board-certified gynecologic surgeon, and is the medical director of Youthful Endeavors, with offices in Green Bay and Manitowoc. If you wish to receive additional information on Neocutis Lumiere Eye Cream, Erbium Laser skin rejuvenation or the Silhouette Facelift or Neck-lift, or wish to submit a question for a future column, please call 920-683-1800, or email This email address is being protected from spambots. You need JavaScript enabled to view it..

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