Facial aging is a unique and particular process for each individual and is governed especially by their genetic makeup. Non-Surgical facial lifting with Hyaluronate Acid, Collagen and Elastin Threads and Calcium Hydroxyapatite, are interesting and innovative techniques developed in Aesthetic Medicine, for 15 years, to reverse the main signs of this process.
The secondary factors that influence facial aging are multiple and therefore these non-invasive techniques performed in the office have sought to correct the physiognomic changes of aging by entering, as described, in all the tissue planes involved.
Muscle suspensions have varied in their execution and the vectors of assembly and skin treatment are crucial in the aesthetic results of the cervico-facial procedure. Today these vectors have more vertical traction. The correction of sagging is accompanied by an interest in replenishing the volume of the surface of the face, especially the middle third. Non-surgical rejuvenation techniques, especially in-office facelifts, require planning and assessment for each patient. Techniques associated with facelifts, such as blepharoplasties, mentoplasty, neck redensification, facial implants and others, have also had a positive evolution towards risk reduction and better aesthetic success.
The aponeurotic and muscular suspension procedures had changed, and today, the more vertical vectors of skin extraction and tightening are crucial in the results of facial aesthetics. The correction of sagging tissues is also achieved with the aim of replenishing the surface of the face, especially in the volume of the middle third of the face.
Non-surgical rejuvenation techniques, especially facelifts, require planning for each patient.
Aesthetic Medicine has presented unprecedented development in recent years. The population rewards youth and vitality, generations strengthen ties with the offer of living longer and better, the media invades with explosive images that reflect youth and perfection that everyone can access.
As in other fields of Medicine, Aesthetic Medicine is required today not only in safe procedures for the patient, but at the same time, in increasingly precise and assertive results in terms of the excellence with which the Aesthetic Doctor achieves, with his expertise, meet patient expectations. These demands are greater compared to facial rejuvenation procedures, where the trend towards non-invasive procedures that allow easy recovery and immediate reintegration into daily and work activities must also be highlighted. The growing interest in reversing the alterations of facial and body aging accompanies the greater concern for well-being, self-esteem and the sense that this compromises the feelings we have regarding our self-image and the signals it transmits to our peers.
As we age, there is a gradual loss of support in the soft tissues of the face. These become more hypotonic and due to the action gravitational
, they fall following vertical and oblique vectors depending on the area. The tissues fall, remaining suspended at the points where the retention ligaments are, which gives a kind of “pattern” characteristic of aging.
Added to this is a progressive bone involution with fatty displacement and muscle flaccidity, blurring the parameters of youth and beauty.
Evaluation and Planning
The signs of facial aging that motivate the consultation to the Aesthetic Doctor, begin to manifest around the age of thirty, with the accentuation of lines and furrows to which is added a gradual loss of skin turgor, changes in fatty tissue and tone. muscular. It is these gradual changes in the physiognomy that we evaluate according to an order that allows us to then suggest and plan the facial rejuvenation procedures necessary to reverse the alterations consulted. In this way, we observe the skin conditions, aging and changes produced in each facial third simultaneously and perform facial rejuvenation procedures appropriate to each area, both non-surgical and non-invasive.
The provision of adequate information and evaluation will allow the patient to schedule a surgery tailored to their needs and achieve a result in line with real expectations.
- LIFT EYEBROWS AND EYELIDS: Upper Third
In this area, the muscular action exerted by the frontalis and corrugator as well as temporal depressions are important to decide the treatment plan, which may have various alternatives, such as: non-invasive procedures among which we can list the chemical denervation of the aforementioned muscles with toxin. botulinum, implants such as hyaluronic acid or injection of the area between the eyebrows.
Among the non-invasive procedures are: frontal lifting. These are more definitive treatments of the frontal muscles and corrugators while allowing us to elevate usually ptosed eyebrows.
– Eyebrows: Over the years there is a decrease in the tail of the eyebrow and a change in its axis. The evaluation must also record your motility and possible asymmetries; the Eyebrow Lift is performed.
– Eyelids: The aging of the eyelids leads to skin atrophy and excess skin with herniation of the orbital fat in the form of bags of varying intensity, produced by the weakness of the orbital septum.
Chemical Blepharoplasty with Proteolytic Enzymes, the most popular and popular procedure in the last 3 years, most frequent and requested in the treatment of facial aging. Its demand is increasing in the age group between 30 and 40 years.
The advances achieved in Chemical Blepharoplasties have allowed important changes; From being a basically skin and fat resection technique, today special care is taken of the function of the eyelid.
Eyelid incompetence and “dry eye” of varying degrees, due to over-resection of the skin, which in more severe cases shows abnormal exposure of the sclera due to eyelid retraction and eversion, this sequelae is called “ectropion”.
Excessive fat resection can cause secondary sunkening of the eye, giving the appearance of a senile eye.
There are two types of approach: transconjunctival and transcutaneous, the first allows treating the lower pockets, avoiding skin penetration and reducing trauma to the orbicularis muscle.
The problem that this implies is if there is a skin surplus, it is treated separately without sectioning the muscle. The transcutaneous approach consists of a skin incision below the eyelashes that can be cutaneous or cutaneous muscle, whether it has muscle or not. With this method, the lower bags are exposed very well and allows the excess skin to be treated.
An important concept that seeks to optimize results is that today, we have greater anatomical knowledge of neighboring tissues.
The lower or Soof fat (sub orbicularis oculi fat) can also, with its suspension, add better treatment to the sub area.
palpebral and middle facial third. The lateral or external canthus can be suspended to the orbital rim, improving the axis of the palpebral ogive.
- LIPOLIFT CHEEKS: Middle Third
The malar area is where we find the greatest challenge in reversing the alterations of aging, since this fat moves and atrophies, removing one of the most significant elements of youth from the face. Its replacement has to do with modern concepts, seeking to achieve “volumetric replacement.” This means repositioning each structure in its place of origin and recreating the aesthetic volume lost due to the downward displacement of the tissues. The correction through the Cheek Lift or Cheek Lipolift, the vertical suspension of the SMAS with Collagen and Elastin Tensor Threads and application of Hyaluronic Acid or Calcium Hydroxyapatite, has largely corrected the volumetric loss by raising the malar fat.
- LIPOLIFT CHEEKS: Lower Third
The most relevant aspects to correct in this third are:
The lips, jawline and chin.
In lip aging we observe accentuated vertical lines (especially in smokers), severe rhytidosis with elongation of the upper lip and overall volume loss.
The mandibular line is deformed by the fatty displacement that “hangs” on the mandibular suspensory ligament (Furnas) forming a bulge or “double chin” that is corrected during the pre-auricular suspension of the SMAS with Tension Threads or HIFU.
When the chin is poorly projected, we can improve its aesthetic appearance through in-office mentoplasty, with injectable devices such as Hyaluronic Acid, Calcium Hydroxyapatite, Polycaprolactone or Polylactic Acid.
It is very important to perform the Chemical Bichectomy to treat sagging cheeks and define the facial contour to restore the natural V of Beauty and youth.
The neck is one of the areas of greatest alteration in the aging process and without a doubt one of the most frequent causes of consultation.
A young and beautiful neck is defined as one that has the following parameters:
Well defined mandibular line.
Good chin projection.
Harmonious cervical-mental and mandibular-cervical angle.
Free of fatty deposits.
Aging and fat accumulation can lead to the total loss of the parameters we mentioned, hiding the jaw line, presenting different degrees of fatty deposits: in the anterior or submental region and lateral -double chin.
Hypertrophy or ptosis of the submandibular glands may be observed, among other alterations. The anterior platysmal bands should be especially evaluated if they are very evident, requiring medial or submental access to provide support by applying Botulinum Toxin to the anterior edge of the platysma.
In summary, today techniques in aesthetic medicine have increased by 300% compared to the last 10 years, and more and more patients are consulting for outpatient, non-invasive procedures in the office, yes.
performed 100% by Doctors with a Specialty in Aesthetic Medicine to leave beautiful, beautiful, natural and youthful faces.
Dr. María Fernanda Benavides