The well-known postulate that for a woman real life at the age of 40 just begins, experts in aesthetic medicine are rather skeptical. Of course, from the point of view of social activity, the age of 40-45 years for a modern lady is the most active and emotionally filled period of her life.
But this age also has its own "pitfalls" that can greatly spoil the joys of life of a "woman over 40". Age-related changes, which become more pronounced during the period of premenopause, affect the quality of a woman's life.
Especially for readers of estet-portal.com, dermatovenereologist of the highest category,
Candidate of Medical Sciences, current member of the Ukrainian Association of Dermatovenereologists and Cosmetologists, speaker of international congresses, author of 2 copyright certificates for inventions in the field of diagnosis and treatment of skin diseases, the author of more than 35 publications Anna Ogurtsova talks about how to prevent changes in facial contours in the premenopausal period.
Perimenopause: the pros and cons of this stage in a woman's life
The period of premenopause in women falls on the age of approximately 45-47 years. At this age stage, a woman, as a rule, is already quite self-sufficient and well aware of the strengths and weaknesses of her own appearance, has certain personal achievements and has achieved financial stability, has established family relationships and has taken a worthy social position in society.
It's no secret that during premenopause, a woman's appearance – firm figure, impeccable skin, gloss of hair, overall well-groomedness and confidence in one's irresistibility – to a certain extent, it becomes an attribute of her status, a confirmation of life success. However, it is at this age that aging processes are reflected in the state of & nbsp; skin of the face and body of a woman, causing her a lot of trouble.
Perimenopause:
- clinical manifestations of premenopause make you see a doctor;
- estrogens and premenopausal skin conditions;
- premenopausal body type face correction;
- correction of age-related skin changes in premenopause;
- phytoextracts for the prevention of premenopausal skin aging;
- thread methods of rejuvenation in the correction of age-related ptosis of the skin and soft tissues of the face;
- personal experience of correction of age-related skin changes in premenopause;
- a method of an integrated approach to facial correction in premenopausal women.
Clinical manifestations of premenopause make you see a doctor
However, the social flourishing of a "woman over 40", unfortunately, coincides with the beginning of physiological changes in her body, leading to the extinction of some key female functions – the menopause is approaching. Around the age of 45-47, a woman enters a kind of transitional period, characterized by a steady decline in estrogen production in the ovaries.
This period of premenopause is characterized by a number of unpleasant symptoms that greatly reduce the quality of a woman's life.
The first clinical manifestations of premenopause, which most persistently attract the attention of a woman and make her think about visiting a doctor, are vegetative-vascular disorders (the so-called hot flashes, excessive sweating, palpitations) and psycho-emotional instability (increased irritability, nervousness, sleep disturbances) .
Monthly cycles become irregular and – more scarce. But the saddest thing for a woman during this period – this is a distinct fading of the skin, which progresses just before our eyes.
Estrogens and premenopausal skin
Deficiency of estrogen and somatotropic hormone against the background of the relative predominance of testosterone in the premenopausal period gradually leads to the development of unpleasant somatic and metabolic changes in the body and skin, which form the main clinical signs of aging.
Experts call the skin one of the most important target organs affected by sex hormones. The fact is that most of the components of the skin – cells of the vascular endothelium and hair follicles, fibroblasts and sebocytes, keratinocytes and melanocytes, Langerhans cells – possess receptors sensitive to sex steroids.
That is why it is so important that the sex hormones, which significantly affect the structural integrity and functionality of the skin, are produced by the body in adequate amounts. If the production of hormones is disturbed, the thickness and elasticity of the skin immediately changes, its hygroscopic properties decrease.
It is precisely because of the violation of estrogen production during the onset of premenopause that women notice increased dryness of the skin, the manifestation of its flabbiness, a decrease in elasticity and a loss of a clear contour of the face oval.
If we consider age-related skin problems at the pathophysiological level, then it can be noted that under the influence of impaired estrogen production, neurovegetative and microcirculatory dystonia develops in it, which causes the activation of free radicals, the development of hypoxia, and increased glycation processes in the skin.
These unpleasant processes lead to damage to collagen and elastin fibers, disruption of the production and absorption of hyaluronic acid, depletion of the lipid mantle of the skin – and therefore, to damage to skin cells, its flabbiness and exhaustion.
External aging of the facial skin due to lack of hormonal balance is due to the stratification of fat packs, stretching of the connective septa between them, gravitational ptosis of the soft tissues of the face, due to which the oval of the face "floats".
Depending on the severity and nature of the severity of involutional changes in the skin of women after 40 years, the main signs of aging are formed. This is a decrease in skin elasticity, its pastosity, dyschromia, dryness, wrinkling, weakness and depletion of the muscular frame, as well as a change in the proportions of the face with a predominance of the transverse size of the lower third of the face and gravitational ptosis of the tissues of the cheek-zygomatic and mental zones.
Specialists note that there is a certain pattern in the predominance of certain signs of facial aging, which depends on the constitutional body type of a woman. This observation is very important, since the physique determines the structure of the tissues of a woman's face, which means – and a strategy for its aesthetic correction.
Facial correction according to body type in premenopause
The owners of normal and hyposthenic physique usually appear first age-related skin changes, which can be combined into a aging morphotype according to the "tired" type:
- slight ptosis of the lower third of the face and neck skin;
- slight flattening of the cheek-zygomatic area;
- deepening of the nasolacrimal trough;
- increase in the severity of nasolabial folds and "puppet wrinkles";
- decrease in skin tone and turgor;
- some pastosity of soft tissues against the background of skin dermatoporosis.
Women hypersthenic physique due to overweight, they have rather heavy fat packs on their faces, and therefore age-related changes in the face are due to their stratification and a decrease in their connection with fascia.
Externally, such changes during the period of premenopause are manifested as follows:
- predominance on the face of gravity phenomena over signs of skin depletion;
- the oval line of the face is wavy, and its shape approaches "square";
- moderately pronounced ptosis of the skin and soft tissues of the buccal-zygomatic and mental areas of the face;
- deepening of nasolabial folds and marionette lines;
- tendency to downward displacement of infraorbital fat;
- decrease in skin quality and slight dermatoporosis.
Correction of age-related skin changes in premenopause
Aesthetic correction of early age manifestations involves the realization that the external manifestations of skin aging – it is the result of a whole cascade of involutional changes in the body. Therefore, the approach to rejuvenation and correction of facial contours in the premenopausal period should be comprehensive.
You may be interested in: "The ABC of skin for a beautician"
First of all, a dermatologist-cosmetologist should minimize the effect of external aging factors on a woman's skin, for which he recommends to the patient:
- adjust sleep and physical activity;
- to minimize psycho-emotional overload (during stress, the level of testosterone – estrogen antagonist increases);
- balance the regimen and nature of nutrition, increase the amount of polyunsaturated fatty acids and products containing phytoestrogens in food;
- drink clean water in the amount of at least 30 ml/kg of body weight per day;
- Move actively and think positively.
Phytoestrogens for the prevention of premenopausal skin aging
Naturopathic methods to improve skin quality in premenopausal women may be used. Of particular interest are phytoestrogens – a class of plant bioflavonoids exhibiting hormone-like activity. It is believed that phytoestrogens normalize the functions of skin cells without interfering with hormonal metabolism and without reacting to estrogen receptors.
Phytoestrogens can also be found in food, but they are contained there in amounts negligible for the prevention of aging, so they can be recommended in the form of pharmacy phytoextracts, which have the status of dietary supplements and do not require a prescription.
In my clinical practice, in the complex aesthetic correction of early age-related skin changes, I use a naturopathic phytoextract (Klimapin, Ukraine) with specific phytoestrogenic activity. It contains the most famous and active flavonoid glycosides and phytoestrins: hawthorn fruits, hop inflorescences, nettle leaves.
They are complemented by herbs containing vitamins, organic acids, trace elements, triterpene alkaloids and saponins. All these substances improve microcirculation, reduce the stagnation of fluids in the skin, have membrane-stabilizing, immunostimulating, anti-inflammatory effects, and help balance the psycho-emotional state of a woman.
After 3 weeks of using the phytoextract (1/2 teaspoon 3 times a day), there are noticeable improvements in skin color and quality, a decrease in pastosity and the disappearance of edema in the eye area, the quality of sleep and general mood improved in patients. This course must be repeated 2 times a year, along with taking Omega-3 preparations, vitamins of group B, C, folic acid.
Since naturopathic phytoestrogens extracts slow down and soften the signs of aging in the skin, in my opinion – they certainly should take their rightful place in the practice of dermatocosmetology in the implementation of a comprehensive strategy for skin rejuvenation.
Thread techniques of rejuvenation in the correction of age-related ptosis of the skin and soft tissues of the face
Aesthetic correction of gravitational ptosis in women with "tired" and "gravitational" aging morphotypes is most effectively performed using mesotherapy, contouring and hardware cosmetology.
Unfortunately, each of these methods of correction individually has rather limited capabilities in terms of tightening sagging tissues and cannot reliably fix premenopausal ptotic skin.
To eliminate involutional ptosis of the skin and soft tissues of the face in patients over 40 years old, I use thread rejuvenation methods with zonal implantation of self-absorbable threads based on polylactic and caprolactonic acids with microprotrusions along the entire length.
Read also: "Peculiarities of threadlifting with 3D mesothreads"
A special safe and low-traumatic system for their introduction into soft tissues, as well as various modifications of the threads, allow differentially, depending on the severity of ptosis and the facial area, not only tighten and fix sagging tissues, but also reinforce skin depleted in premenopause.
For reinforcement with the effect of light lifting of the "floating" face oval in women of normal and asthenic physique, I use Aptos Light lift Excellence visage threads in low-traumatic cannulas, using them from one or two reference access points for hypodermal injection.
Multilevel Aptos techniques allow for reinforcement and revitalization in the area of superficial "sorrow" wrinkles and nasolabial creases with Aptos Light lift Nano vitis and Nano spring threads in the dermo-hypodermal layer.
In the correction of early involutional gravity of the oval faces in women with hypersthenic physique should take into account the greater severity of tissues of the mental and cheek-zygomatic zones, compared with faces of the "tired" aging morphotype. In this case, it is necessary to create conditions for stronger retraction and reliable fixation of the tightened zones.
Here, the most rational method would be to use Aptos Light Lift Thread 2G threads on the mental or submental zone in combination with reinforcing retraction of the buccal zone with Light lift Excellence visage threads and stitching superficial dermal creases Light lift Nano vitis and Nano spring.
A feature of the Thread 2G modification provides fixation of the loop of these threads in the tissues like a "saddle", more reliable retraction and prevention of subsidence of tightened tissues.
Personal experience of correcting age-related skin changes in premenopause
I supervised 47 patients with involutive age-related facial skin changes in premenopause, and I had the opportunity to compare the results of correction of soft tissue ptosis using thread lifting in combination with systemic methods for improving skin quality and the results of monomethods of facial correction. Based on these observations, a method of an integrated approach to facial correction in women in the premenopausal period was developed.
Methodology of an integrated approach to facial correction in premenopausal women
The method includes three steps:
Step #1.
- Normalization of neurovegetative processes in the body, elimination of estrogen-associated microcirculatory disorders, increased antioxidant protection of the skin, membrane protection and creation of favorable conditions for the activation of fibroblasts and the synthesis of structural proteins:
- phytoestrogens and bioflavonoids (Klimapin, Ukraine) ½ teaspoon 2 times a day for 2 weeks,
- Omega-3.6 1 capsule once a day for 2 weeks,
- vitamin C 500mg per day for 10 days (3 days before threadlift cancel),
- biotin preparations (Wolvit) 1 tab per day for 2 weeks.
Stage №2. Thread lift, and reinforcement of the skin and soft tissues of the face.
Stage #3. Rehabilitation period. Elimination of pain, aseptic inflammation, edema and normalization of hemodynamics, microcirculation, creation of optimal conditions around the threads for antioxidant protection and fibroblast proliferation, collagen synthesis:
- phytoestrogen to continue for 2 more weeks,
- Omega 3.6 continue for 2 more weeks,
- Nimesil 1 sachet 2 times a day for 5 days,
- biotin preparations to continue for another 2 weeks,
- phytoextract with a pronounced anti-edematous, angioprotective, anti-inflammatory and immunostimulating effect (Venoton, Ukraine) 1 teaspoon 3 times a day for 3 weeks.
Due to its complexity, this approach to the treatment of age-related changes in facial skin improves the effectiveness of thread lifting and shortens the rehabilitation period. Systematic improvement of the quality of the skin and its improvement of the skin facilitates the process of thread implantation and accelerates the restoration of the skin relief in the area of the lift after lifting. The proposed complex technique can be recommended for use in the practice of a dermatocosmetologist.
Patient M., 45 years old, APTOS Light lift Thread 2G, Excellence visage, Nano spring. Before and 1 month after
Patient Yu., 41 years old, APTOS Light lift Thread 2G (cheek-zygomatic, mental zone), Nano spring
Prevention of premature skin involution is an important aspect in maintaining a high quality of a woman's social life.
Modern ladies refuse to grow old, they want to look young and feel young for as long as possible. Modern dermatocosmetology opens up great opportunities for them in skin rejuvenation and aging prevention at different age stages, including – during the period of premenopause.
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