A large number of people often contact their dermatologist for advice on any injectable facial treatment.. The expectation of most is the total repair of various imperfections, such as wrinkles on the forehead and middle eyebrow, correction of nasopharyngeal wrinkles between nose and mouth, rectification of the fall, increase in the volume of the lips, correction of discoloration-stains. Sometimes they get frustrated when they realize they can't have everything with just one application like using botulinum toxin.. It requires a combination of different treatments which must be done in the right order!
THE scientific approach of the issue is the repair of defects of the face starting from the depths: That is use of botulinum toxin, hyaluronic acid and yarn.
The "liquid facelift» describes a combination facial treatment named after the liquid-liquid composition of the materials used. Botulinum toxin (botox/dysport) offers reduction (baby botox) or elimination of intense muscle contraction in the area of the forehead-mid-eyebrow-and its sides eye ("Goose foot") resulting in a noticeable reduction as the disappearance of these wrinkles. THE treatment with Botox he's got double benefit because on the one hand works therapeutically by reducing deep wrinkles and eliminating wrinkles of medium depth, but also precautionary when done at younger ages (near 30 years) because it does not allow the face to form rest wrinkles, thus greatly slowing down the aging process.
The Botox achieves a very "natural" aesthetic result ,as the face appears to be fresh and "relaxed". So for the senior person, the botulinum toxin is the first choice treatment.
To restore the lost volume of the face, Hyaluronic acid is the treatment of choice. Here we must emphasize that depending on the area we want to repair, we use another type of hyaluronic acid:
- For restoration of the cheekbones ("Apples") we will need a special hyaluronic acid that can be deposited deep and gives us volume in the area we are looking for. In addition to the triangularity on the face, this application offers correction of nasopharyngeal wrinkles as well as correction in the contour of the lower jaw, that is, on the substance, face lift.
- For increase in the volume of the lips and to correct the contour of the face we will need a special hyaluronic acid with a very soft texture.
- For the correction of nasopharyngeal grooves-wrinkles we will need a reinforced hyaluronic acid that can withstand the strong forces developing in the area.
- End for correction of very thin lines created on the upper lip ("Smoker's wrinkles") or around the eye, correspondingly requires particularly thin material.
In threads used for creating a support grid (very useful for support on the face and neck) while we highly recommend it combination of treatment with application of autologous mesotherapy –PRP (Platelet Rich Plasma). This treatment isolates growth factors of the patient himself which are placed in this case at the point of application of the threads, enhancing the production of collagen around the threads.. Autologous mesotherapy is another powerful component of the "liquid facelift".
The other category of yarn includes threads Roosters which are threads of direct facial erection. The use of both categories of yarn is often recommended, with the mesh yarns preceding.
The second phase of treatment follows when we complete the "depth treatments" to perfect the result by repairing the surface problems..
As mesotherapy we recommend the autologous mesotherapy which is a key component of the "liquid facelift". By autologous we mean material from the organism itself. The final product of PRP is creature of the patient himself enriched with their own growth factors which we use as a mesotherapy material. The placement of PRP growth factors on the facial skin causes stimulation of fibroblasts of the skin to create new collagen and elastin. This has the effect of improving the texture of the skin, tightening as well as improving the appearance of fine wrinkles. also, improves skin nutrition and oxygenation as well as PRP treatment improves perspiration on the skin through the creation of new vessels (angiogenesis). The PRP method stimulates fibroblasts to produce hyaluronic acid, causing an increase in humidity and deep hydration of the skin. It gives radiance to the skin. PRP can be done as a purely injectable application with a syringe or in combination with Micro-Needling, ie micro-needles of the skin with the help of a special device in the form of an electric pen.
In case we have to repair more serious imperfections on the surface of the skin such as "acne scars" , we will prefer a more invasive one fractional technique in combination with PRP such as fractional dioxide laser CO2
For shine of the face we suggest the FRAX–PEEL which is the evolution of peelings. On this combined protocol we use a fractional technique (which may be a dioxide laser or radio frequency or microacupuncture) which helps to penetrate the chemical peeling that is applied immediately after deeper into the skin. That is the fractional technology "paves the way" to penetrate the peeling easier and deeper into the skin. This allows us to use very light peelings such as citrate (comes from lemon) and the mandelic (comes from bitter almond) which have low penetration into intact skin. These light peels will give us all the beneficial results like shine, skin firmness, elimination of discolorations, causing at the same time minimal irritation.
The above techniques can be combined - depending on the needs- and with other techniques and technologies such as cryolipolysis in combination with acoustic waves and lipolysis mesotherapy to correct the jaw (“double chin”), microcrystalline or diamond dermabrasion for deep cleansing of the face. All these, depending on the problems the patient and doctor are focusing on.
in conclusion, the modern proposals of aesthetic medicine, allow us to postpone or even avoid surgical solutions to restore our face.