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"Medical Lift" Explained: What Non-Surgical Face Lifting Really Means

"Medical lift" covers surgery, energy devices and injections. What each family does, what none of them does, and where radiofrequency fits.

Woman in her fifties, head tilted up, hand resting under her jawline, plain brown backdrop, in Sainte-Rose, Laval

You typed "medical lift" and landed on surgeons, devices and syringes. That's normal: the term doesn't name one specific treatment. It covers three families that don't do the same thing, and only one of them actually lifts tissue.

This article takes the term apart, family by family, so you know what to ask for, and what not to expect.

The word "lift" has three meanings

In advertising, "lift" means three different things:

  • repositioning: moving tissue that has descended back up, which is what surgery does;
  • tightening: making the skin firmer where it is, which is what a device's heat does;
  • filling or relaxing: restoring volume, or relaxing a muscle that deepens a line, which is what injections do.

The same face often needs more than one of these. The word "lift" doesn't tell you which one you're being offered.

What repositions: surgery and threads

A surgical facelift lifts the skin and supporting tissue, moves them up, then removes the excess skin. It is the only procedure that removes skin. It requires anesthesia and recovery time, and it is done by a plastic surgeon.

Thread lifts hook tissue under the skin to pull it upward. Health Canada reminds that only absorbable threads authorized for cosmetic use should be used, and that they should be implanted by a physician or under a physician's supervision.

We do neither. We tell you so you know where to look if that is what you need.

What tightens: energy devices

Radiofrequency and focused ultrasound heat the deep layers of the skin. The heat contracts existing collagen and restarts its production: the skin becomes firmer, in place, with no incision. Nothing moves up, nothing is removed.

Here, that means XERF radiofrequency. We don't offer focused ultrasound. The article radiofrequency or surgical facelift compares heat and the scalpel in detail.

Woman in her fifties in profile, neck and jawline in the light

What fills or relaxes: injections

A dermal filler restores volume where it's missing: a cheekbone, a jawline, a hollow. A neuromodulator relaxes the muscle that deepens an expression line. Neither one tightens the skin.

Here, a physician decides at the mandatory medical consultation whether the injection suits you, and a nurse gives it.

The three families side by side

FamilyWhat it doesWhat it doesn't doAt Clinique DC
SurgeryLifts tissue, removes excess skinHappen without incision or recoveryNot offered
Thread liftHooks and pulls tissueRemove skinNot offered
Energy (radiofrequency)Tightens skin in placeLift tissue, remove skinXERF radiofrequency
Injection (filler, neuromodulator)Fills volume, relaxes a muscleTighten skinGiven by a nurse
A non-surgical lift lifts nothing: it tightens, fills or relaxes. That is already a lot, as long as you know which one.

Where XERF fits, and when the answer is surgery

XERF suits skin that has lost firmness without being in excess: a jawline that's softening, a less defined neck, skin that looks less taut. It is done in at least two sessions, 4 to 6 weeks apart, then a yearly upkeep. A session lasts 90 min, for the full face and neck, and costs $1,500, taxes extra.

No downtime: back to your usual activities the same day. Temporary redness is possible. According to the clinic, results can last 12 to 18 months after a full series, and they vary from person to person.

When skin hangs in folds, or when you want a change people would notice from across the room, the answer is surgery. We'll tell you at the assessment rather than sell you two sessions. The article on tightening the face without injections covers the needle-free options.

Woman in her forties, hand under her chin, brown blazer

What "medical" means here

"Medical" doesn't mean a physician performs every procedure. Here, it means:

  • a medical director, Dr. Narine Nyan, who oversees the care;
  • a mandatory medical consultation before an injection, where the physician decides;
  • injections given by nurses;
  • devices operated by medical estheticians, after an assessment.

The 3D analysis is offered at no charge if you'd like it. The devices are presented on the XERF technology page.

Questions we are asked

Does a non-surgical facelift really exist?

Not in the sense of a surgical facelift. Without surgery, we can tighten skin, fill volume or relax a muscle. Lifting tissue and removing skin require a surgeon.

How is it different from a surgical facelift?

Surgery lifts and removes. Radiofrequency tightens in place, with no incision, and its effect is more subtle. The two don't target the same degree of laxity.

How long does it last?

For XERF, according to the clinic, 12 to 18 months after a full series, with a yearly upkeep. It varies from person to person.

Does it hurt?

Radiofrequency feels like warmth, which the esthetician adjusts to your comfort. There are no needles and no anesthesia.

At what age?

There's no set age. What matters is the state of the skin: firmness loss without excess skin responds better than advanced laxity.

Sources

  • Health Canada. Only absorbable threads authorized for cosmetic use should be used in thread lift procedures (public advisory). recalls-rappels.canada.ca
  • Cleveland Clinic. Radiofrequency (RF) Skin Tightening. my.clevelandclinic.org
  • Austin GK, Struble SL, Quatela VC. Evaluating the effectiveness and safety of radiofrequency for face and neck rejuvenation: a systematic review. Lasers in Surgery and Medicine, 2022. PubMed
  • Cynosure Lutronic (manufacturer). XERF. cynosure.com/xerf

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