PEER-REVIEW | COMBINATION THERAPIES |
IMPACT CONCEPT: FULL-FACIAL CORRECTION OF POST-MENOPAUSAL PATIENTS
Alexander Turkevych, Vladliena Avierina, Irina Kapshuchenko, and Sergey Khaustov present an innovative concept with regard to the treatment of the post-menopausal patient, taking both anti-ageing and aesthetic medicine into consideration
ABSTRACT Full title IMPACT© Concept for the full-facial correction of post-menopausal female patients: new horizons, new possibilities, a new scoring scale
Many patients who have undergone cosmetic procedures over the last 20 years will now have entered the menopause and post-menopause periods, and it is often the case that many aesthetic practitioners will not know the best ways in which to treat this patient cohort. With regard to this patient group, the authors wish to propose an algorithm for treatment, especially as some areas of the face become much more sensitive to hormonal ageing during this period of life.
ALEXANDER TURKEVYCH, MD, PHD, certified specialist in dermatovenereology, oncology, aesthetic medicine FEADV, FČADV, ISD Fellow, UADVC EC Board member, Chairman of the European Guidelines Committee for Dermatology and Venereology WHA - World Health Academy; VLADLIENA AVIERINA, MD, Certified specialist in dermatovenereology, aesthetic medicine, UADVC Fellow; IRINA KAPSHUCHENKO, MD, Certified specialist in dermatovenereology, aesthetic medicine, UADVC Fellow; SERGEY KHAUSTOV, MD, PHD, Certified specialist in plastic surgery, EAFPS, IPRAS, RSPRAS, UAPRAS Fellow
email:
aturkevych@gmail.com I
KEYWORDS menopause, oestrogen, facial rejuvenation, ptosis, atrophy, hyaluronic acid
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N ORDER TO ACHIEVE THE MOST NATURAL and harmonious rejuvenation of the face, all changes that occur as a result of the ageing process should be corrected. Traditionally, soft tissue lifting and reshaping have constituted the cornerstone of the majority of facial rejuvenation
procedures. However, in the authorsÕ experience, changes to the facial skeleton that occur with ageing, and their impact on facial appearance, have not been well appreciated. Accordingly, the failure to address changes to the skeletal foundations of the face may limit the potential benefit of any rejuvenation procedure. These areas resorb in a specific and predictable
manner with ageing. In patients with a congenitally weak skeletal structure, the skeleton may be the primary cause for the manifestations of premature ageing. These areas should be specifically examined in patients undergoing facial rejuvenation and addressed to obtain superior aesthetic results. Every woman experiences three stages of hormonal reorganisation, which are known as pre-menopause, menopause, and post-menopause. The levels of oestrogen play an important role in the correct functioning of the female organism in general, and in
March 2013 |
prime-journal.com It is essential to
consider how low levels of oestrogen can influence facial contours, and particularly the perioral skin and lips during menopause and post-menopause.
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