| EDITORIAL H
Healing is a matter of
time, but it is sometimes also a
matter of opportunity. Affiliated partners:
IPPOCRATES (460-370BC), THE FATHER OF MODERN MEDICINE SAID: ‘The natural forces within us are the true healers of disease.’ We as doctors in the aesthetic and anti-ageing medicine field should keep this in mind while treating our patients. Whether we treat our patients with lasers or other energy based devices or inject our patients with a filler, through many of our daily clinical procedures we induce the body’s natural wound healing
mechanisms needed for healing and repair. In recent years, a lot of progress has been made in our understanding of these very
complicated wound healing mechanisms and, due to our greater understanding, many developments and changes have been made in the way we treat and approach our aesthetic patients. If 10 years ago we thought that we need to fully ablate the skin and induce a severe
inflammatory response (by a laser or a chemical peel) in order to improve wrinkles and induce tissue tightening, nowadays we know that we can treat the skin fractionally, induce a limited inflammatory response and still achieve remarkable skin rejuvenation without the risk and downtime of the fully ablative procedure. If 10 years ago we thought that non-ablative technologies are very safe but not so effective
for skin rejuvenation, nowadays we know that we can remarkably rejuvenate the skin and induce tissue tightening by using fractional non-ablative technologies such as the 1565 nm laser or by fractional minimally ablative radiofrequency technologies. These new non-ablative or minimally ablative technologies induce remarkable extracellular matrix (ECM) regeneration in the dermis while sparing the epidermis, thus leading to minimal or virtually no downtime after the procedure. If 10 years ago we thought that the benefits of temporary filler, such as hyaluronic acid, are
only due to its volume replacement in the tissue, nowadays we know that it is not only the volume replaced but also the induction of new collagen formation and deposition in the ECM. The structural support in the ECM induced by the filler leads to fibroblast elongation and proliferation and stimulates the production of new collagen. Over time and after several filler injection treatments this not only increases the longevity of the cosmetic result but also mildly improves skin texture. By better understanding the wound healing mechanisms in our skin we also learnt that there is an inverse correlation between the strength of inflammation and the ability of our skin to regenerate, and that inappropriate and severevere inflammation may lead to impaired tissue repair and scarring. With this in mind we should approach our patients more conservatively and lead them through a longer-term gradual process of rejuvenation.
on and n and As Hippocrates once said: ‘Healing is a matter of time, but it is it
sometimes also a matter of opportunity’. We should offer our patients both the time by offering a gradual rejuvenation process and also the opportunity to heal their tissue by offering our knowledge and advanced technologies.
n
Ines Verner Cosmetic Dermatologist Israel
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INTERNATIONAL JOURNAL OF AESTHETIC AND ANTI-AGEING MEDICINE October 2015
Volume 5 Issue 5
TREATMENT WITH FILLERS
MIDFACE
MICRONEEDLING FOR CROW’S FEET LINES
SKIN HYDRATION AND WHITENING WITH VITAMIN C AND
GLUTATHIONE
MICRONEEDLING in the medical and cosmetic field
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