In aesthetic medicine, the Full Face technique for correcting age-related changes has been known for a long time. It consists in a comprehensive individual approach to the correction of age-related changes and their prevention, and includes all possible methods aimed at improving the appearance of our patients with subsequent maintenance of the result. It can be a complex injection procedures and hardware techniques, a complex of injection procedures, chemical peels and properly selected cosmeceutical home care.
Author of this article estet-portal.com – Larisa Grevtsova, practicing dermatocosmetologist with over 10 years of experience, author of comprehensive regenerative Anti Age medicine programs, expert in injection techniques, TOTIS trainer.
Factors Influencing the Choice of Full Face Anti-Aging Treatments
Comprehensive treatments should be andtailor-made depending on the patient's age, skin condition, aging type and financial capacity. At the beginning of work, it is extremely important to collect an anamnesis in order to exclude possible contraindications, to determine the type of aging as accurately as possible, because. the complex of drugs used in the deformation type of aging will differ from the drugs used in the fine-wrinkled type of aging. It is important to clarify whether physical activity is present and how intense it is, since metabolic processes in the body are accelerated in athletes, so HA-based fillers biodegrade within a shorter time, and muscles after botulinum toxin injections quickly restore mimic activity.
Working with patients who show signs of photoaging (premature) brings faster results and helps prevent the manifestation of age-related processes.
Modern aesthetic medicine offers correction of age-related changes according to the first signs, which enables the cosmetologist to correct age-related changes in young patients in time and thereby prevent the appearance of wrinkles, folds, reduce the manifestation of gravitational ptosis and deformation of the face oval. Therefore, if we classify aging in three areas: photoaging, chronoaging and hormonal aging, then, of course, working with patients who have signs of photoaging (premature) brings a faster result and helps prevent the manifestation of age-related processes.
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When we have a patient with signs of chronological or hormonal (biological) aging, then the cosmetologist is faced with the task of reducing the already existing signs:
- reduce the appearance of wrinkles and folds;
- replace lost soft tissue volumes;
- correct lipoatrophic processes of subcutaneous adipose tissue,
- repair bone resorption (volume the chin, angle of the mandible, zygomatic area);
- relax the hypertonicity of the muscles of the face and neck.
In this case, we cannot always guarantee the patient a quick result, because after 40 years the amount of estrogen in the body decreases, the level of progesterone in women decreases, hormonal imbalance occurs, which leads to a change in the function of the female endocrine, reproductive system and, accordingly, age-related changes are clearly manifested depending on the type of aging.
New Advanced Hyaluronic Acid Fillers
These changes in most cases lead to deterioration of the microcirculatory bed, and we observe the appearance of pastosity, swelling, which complicates the work of a cosmetologist. Therefore, it is especially necessary to carefully choose a drug for correction: if it is a HA-based filler, then inject it supraperiosteally or into deep fat pads, respectively, choosing a drug with a high G-prime, which is less hydrophilic.
The Saypha line of drugs from the Austrian concern Croma helps me a lot with this. Or for patients prone to edema, choose direct neocollagenesis stimulants based on Cahydroxyapatite (I use Facetem, officially introduced on the Ukrainian market by TOTIS). I also use botulinum toxin for pasty patients only after applying lymphatic drainage complexes in the face and venotonics – in the paravertebral zone, which reduces tissue swelling and improves the general condition of patients aged 40+.
After 40 years, the amount of estrogen in the body decreases, the level of progesterone in women decreases, hormonal imbalance occurs, which leads to a change in the function of the female endocrine, reproductive system and, accordingly, age-related changes are clearly manifested depending on the type of aging.
Correction of age-related changes in the face depending on the type of aging: practical cases
L.G.: Back in 1974, a classification of aging types was adopted, formulated by II Kalgunenko, based on which it is possible to prescribe a rejuvenating or preventive course of procedures as comprehensively and individually as possible. This classification is used today by European, American, post-Soviet schools of aesthetic medicine. I will give examples of practical cases that I use in my work, depending on the type of aging, the age of the patient, the condition of his skin and subcutaneous structures.
Modern trends in anti-age medicine – polynucleotides for skin rejuvenation
Full Face correction for tired type of aging
L.G.: It often manifests itself at a fairly young age of 25-35 years and requires timely prevention of age-related manifestations.
Visually, we observe a nasolacrimal sulcus in a young girl, sometimes turning into a mid-cheek one, which separates the superficial fat packs along the zygomatic ligament. A nasolabial wrinkle is visualized, the skin is quite thin, but pasty, especially in the evening. As a result, deformation of the oval of the face.
Pasty – This is the property of subcutaneous adipose tissue to retain fluid. In this case, I carefully collect an anamnesis and, depending on the category of patients, prescribe a course of mesotherapy 4-6 procedures aimed at stimulating the outflow of fluid from the pancreas.
If I observe a grayish tint (smoker's skin), I prescribe antioxidant mesotherapy complexes to reduce swelling, improve skin color and quality. Ideal is the combination of mesotherapeutic preparations with peels prescribed according to the problem (hyperpigmentation, or post-acne scars, acne and enlarged pores).
At the same time, I apply contour correction of the area of the nasolacrimal sulcus, and the mid-buccal sulcus with HA fillers with a density of 23 mg / ml Saypha Volum or Saipha filer) because this density is ideally physiological for the body and does not fibrosis the tissue with the correct insertion technique.
Possibilities of acid peeling for the face in correcting persistent pigmentation
In case of muscle hypertonicity in the upper third of the face (forehead, between the eyebrows, orbital zone), I start a therapeutic course botulinum therapy to prevent the manifestation of mimic wrinkles in this area and smooth out existing ones.
It is important to understand the need for proper timely cosmeceutical home care. In recent years, in pursuit of a quick result, a cosmetologist often forgets about the importance of maintaining skin homeostasis, restoring the hydrolipid mantle on the surface of the epidermis to prevent premature evaporation of liquid, and disruption of epidermal-dermal functions, which entails damage to the functions of deeper subcutaneous layers. Timely appointment of professional home care for young patients is the prevention of premature age-related manifestations (wrinkles, folds, hyperpigmentation).
Correction of age-related changes in fine wrinkled type of aging
L.G.: The finely wrinkled type of aging is characterized by the predominance of dermal wrinkles in zones of mimic activity.
Therapy or prevention of age-related changes will begin with botulinum toxin therapy in Full Face techniques. It is necessary to relax hyperactive muscle groups in the upper, middle and lower thirds, including the platysma (neck). Then proceed to the course of biorevitalization (3-5 procedures depending on the age and condition of the patient's skin). The choice of a drug for biorevitalization also depends on the age and condition of the skin. At the age of 25-35 years, it is enough to prescribe low-molecular-weight HA with a complex of peptides or polynucleotides. In patients with severe dermal creases, a course of high molecular weight HA with polynucleotides is preferable (I use Newest from the Italian brand Mastelli or Saypha Rich from the Austrian concern Croma).
If necessary, the biorevitalization procedure can be combined with volumetric modeling with HA preparations.Botulinum therapy procedure can be combined with biorevitalization. At the same time, a peeling course is effective to improve the quality of the skin (my favorite for this type of aging is MCA-35 of the Spanish brand Innoaesthetics from the company
Procedures and preparations for deformation type of aging
L.G.: Deformation type of aging is the most difficult to correct. Outwardly, it manifests itself in the form of a change in the configuration of the face and neck, deformation of soft tissues. Often there is excess tissue in the eyelid area. Patients are overweight and prone to edema. After collecting an anamnesis, it may be necessary to appoint a consultation with an endocrinologist, gynecologist and cardiologist and work with related specialists. This is a common type of aging for the Slavic face.
At the beginning of work, I prescribe a course ofvenotonic and lymphatic drainage drugs in the face and paravertebral zone, it is possible to alternate with microcurrents (the goal – to lighten fat packs, reduce tissue swelling, get a lifting result ).
Next, I carry out the botulinum therapy procedure, taking into account the possibility of getting lymphostasis, I use techniques that exclude the possibility of edema after the procedure.I use preparations with polynucleotides as biorevitalizants. they are less hydrophilic and do not attract liquid to the pancreas.
Restoration and rejuvenation of the skin after 45 years: a personal experience of a specialist
I use fillers based on HA carefully, zonally, so as not to visually increase the volume of the face (it is possible to correct the skeletonization of the bone edge of the orbit or the perioral region).As a final step, I inject Ca hydroxyapatite preparations in sufficient volume or use mesothreads in large quantities in the middle and lower third, including the submental zone, to improve lymphatic drainage functions and obtain a lifting effect.
Features of correction of a muscular aging face
L.G.: Its representatives have well-defined facial and neck muscles and poorly expressed subcutaneous fatty tissue. As a rule, these patients are not often prone to edema, so I start the course with a botulinum toxin procedure using the Full Face technique (I treat the face and neck), then I prescribe 3-5 biorevitalization procedures with HA preparations and polynucleotides, in parallel I replenish the lost volumes and the subcutaneous fat layer with HA fillers.
Hyaluronidase Enzyme – first assistant cosmetologist
If necessary, it is possible to combine 2 & ndash;3 stages in one procedure, but if there are no time limits, I prefer to work in stages to analyze the effect of drugs and exclude the appearance of edema in the post-infection period.
Full Face correction approach for combined type of aging
L.G.: Combined type of aging manifests itself in the form of a decrease in elasticity, various types of deformation and wrinkling. It is important for its representatives to find out exactly which signs of age-related changes are most uncomfortable. And, based on the state of health, age and prevailing age-related changes, prescribe a comprehensive therapeutic course in order to improve the appearance, skin quality, obtain lifting, etc.
Important!!! After achieving the desired result, prescribe supportive care procedures: cosmeceutical, injectable or hardware and choose the right home care to maintain a good result. A good result of complex rejuvenation or prevention of age-related changes is always a well-groomed and healthy appearance, a lively unconventional face that has retained its individuality and joy in the eyes of our customers from the ongoing changes. Be healthy! And we will help you "grow up" beautiful!
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