PEER-REVIEW | COMBINATIONAL AESTHETIC APPROACHES | RE FACIAL ABSTRACT
In recent years, a plethora of novel therapeutic approaches to fight signs of facial ageing have become available in aesthetic dermatology. Extensive research in this field has led to advanced
F 42 ❚
understanding of the anatomy and physiology of the ageing face.
To adequately
address the complex facial age-related alterations, anti- ageing treatment now call for multi-faceted options.
ACIAL AGEING IS CHARACTERISED BY A variety of features, including dyschromia, wrinkles, brow ptosis, upper eyelid dermatochalasis, protruding eyelid fat, and volume changes among others1 represents a relentless, unavoidable
. It
process starting in the thirties and culminating at the end-of-life. Its impact on individual self-perception varies widely2
. However, a youthful appearance and constant
pressures to avoid and mask signs of ageing have increasingly dominated the media in recent years. Not surprisingly, aesthetic procedures have become very popular over the last few decades. Extensive research in this field has led to advanced understanding of the anatomy and physiology of the ageing face and is responsible for a more comprehensive approach, shifting the focus from individual wrinkle treatment to a rather holistic paradigm that considers the entire face and its structural framework3
. In order to successfully address the complex age-
related alterations in facial skin and subcutaneous tissues, including fat compartments, musculature, and bones, anti-ageing treatment now calls for a multi-faceted approach, such as filling substances combined with neurotoxins to resolve superficial wrinkles and restore facial volume. The trend towards a global, 3-dimensional
March 2015 |
prime-journal.com
KEYWORDS Botulinum toxin; fillers; microneedling; chemical peeling; dermabrasion; thread facelift; radiofrequency; laser; phosphatidylcholine/ deoxycholate
GERD GAUGLITZ, MMS, is Senior Physician, Head Dept. of Aesthetic Dermatology and Laser medicine Department of Dermatology and Allergology, Ludwig- Maximilian University Munich, Frauenlobstrasse 9-11, Munich Germany
email:
gerd.gauglitz@med.uni-
muenchen.de
Most frequently utilised aesthetic procedures include the use of botulinum toxin, a variety of filling substances, microneedling (percutaneous collagen induction therapy), chemical peeling, lasers,
radiofrequency, thread facelift, and injectional lipolysis among others. However, although benefits of a rather comprehensive approach are obvious, an in- depth understanding of facial
anatomy, management of realistic expectations, and the ability to guide the patient through an
appropriate
rejuvenation strategy tailored to the individual patient is mandatory.
approach for facial rejuvenation has been prompted by advances in techniques and available products4
. To date,
these modalities are being frequently combined with laser resurfacing or chemical peels to address epidermal and superficial dermal problems and provide skin tightening where needed. Radiofrequency, thread facelift or injection lipolysis represent other means to battle laxity of soft tissues and amelioration of localised fat deposits. A combination of different approaches can certainly maximise aesthetic outcomes and patient satisfaction. However, although benefits of a rather comprehensive approach are obvious, an in-depth understanding of facial ageing, management of realistic expectations, and the ability to guide the patient through an appropriate rejuvenation strategy tailored to their individual needs is mandatory2
.
Current treatment strategies Botulinum toxin type A (BoNTA) for muscle control BoNTA represents a well-established approach (off- and on label) for the improvement of forehead wrinkles, glabellar lines, crow’s feet, chemical brow lift, downturned angle of mouth, masseter reduction, pebble chin, and platysma bands, among others. Over recent years, the way BoNTA is used in clinical practice has been
COMBINATIONAL APPROACHES FOR
Gerd G. Gauglitz reviews the minimally invasive approaches to treat the ageing face, including hyaluronic acid, radiofrequency, and chemical peels
JUVENATION
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