“When your cheeks start to fall, your chin droops, and the skin under your neck loosens, what is happening is that you are losing structural support. The fine connective tissue framework of your face is loosening and stretching due to gravity and years of facial expression,” says New York Facial Plastic Surgeon Sam Rizk, M.D., F.A.C.S. (http://www.faceliftsonline.com). "To maintain youthfulness, the face needs some fullness, which is where autologous fat grafting plays a major role, whether as an adjunct for a face or necklift, or as a stand alone treatment.”
Treatments aimed at restoring volume, such as fat grafts and bulky fillers including Perlane® (http://www.perlaneusa.com) and Radiesse® (http://www.radiesse.com), as well as tissue stimulators like Sculptra® Aesthetic (http://www.sculptraaesthetic.com) and ArteFill® (http://www.artefill.com) address what is missing in the deeper layers. Treatments that reverse wrinkles target the collagen and elastic fibers of the mid layers. Lines and creases from the forehead to the chin area can be drastically improved with wrinkle relaxing injections such as BOTOX® Cosmetic and Dysport®, as well as Selphyl® Platelet-rich Fibrin Matrix System (http://www.selphyl.com) which utilizes your own platelet-rich plasma and fibrin to stimulate cell migration for a younger looking appearance. Selphyl® is especially effective for around the eyes and fine lines around the mouth.
If the surface of your skin is looking older, the texture is rough and coarse, and you notice discolorations and blotchiness, resurfacing peels and energy-based systems are the answer. For the most dramatic results, fractionated CO2 laser can produce noticeably smoother skin and collagen remodeling. However, as Dr. Rizk said, there is some downtime with this procedure in terms of redness, swelling, and sun avoidance.
Another option is Sublative Rejuvenation (http://www.sublativeskin.com) using eMatrix, which offers fractionated bi-polar radio frequency to penetrate though the skin, sending the energy beneath the surface of the skin to produce new collagen and soften wrinkles, creases and scars. Because ematrix keeps the top layer of skin intact, you can get back to your routine more quickly than more invasive systems.
If fine lines and slack skin are your chief concerns, Pellevé Wrinkle Reduction System (http://www.pelleve.com) offers a comfortable treatment that yields immediate and lasting results with a series of three treatments. The heat energy stimulates the growth of new collagen over time, resulting in firmer, tighter, younger-looking skin. According to Chicago Dermatologist Brooke Jackson, M.D. (http://www.skinwellnesscenter.org), “I love Pelleve for our patients who are a little bit afraid of more invasive procedures. The nice thing about Pelleve is that it feels like a warm massage so it is really not threatening, and it’s an ideal entre into the cosmetic arena for many patients.”
For chronic sun damage, discoloration and skin in need of regeneration, peels performed by a dermatologist or plastic surgeon can take years off. One of the newest advanced peel systems is from ZO® Medical (http://www.zoskinhealth.com). The ZO CONTROLLED DEPTH PEEL™ can improve wrinkles, superficial lines, pigmentation problems, and retexturize an aging complexion. For best results, preconditioning the skin with ZO® Medical’s Retamax™ Active Vitamin A Micro Emulsion is recommended. This potent retinol, antioxidant and anti-inflammatory formulation available only through physicians, blocks free radicals and encourages restoration of healthy, vibrant skin.
From injections to devices to topical creams, the current arsenal of age-reversing non-surgical procedures can certainly keep you looking younger for longer with minimal discomfort, side effects, and time away from the office.
Wendy Lewis is President of Wendy Lewis & Co Ltd, Global Aesthetics Consultancy, author of 11 beauty books and the Founder and Editor in Chief of BeautyInTheBag
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