Probably, every patient after 50 years old who seeks help from a doctor of aesthetic medicine wants to "grow up" beautiful and to have a young face, natural for her age. One of the key markers of age during this period is not only a decrease in the volume of the upper and lower lips, but also the state of the entire perioral region, which is characterized by a change in the quality and structure of the skin, the formation of purse-string wrinkles around the mouth, the loss and acquisition of new volumes with deformation in the form nasolabial folds, "bryl", wrinkles "puppets" and labio-chin furrow.
In an exclusive interview for estet-portal.com, the scientific director of the company "EMET" , dermatologist, cosmetologist of the medical center “ADASSA” Epifantseva Tatyana Alexandrovna spoke about the features of the correction of the perioral region in patients over 50 years old.
What age-related changes in the perioral region most often bother your patients?
We all know perfectly well that lips play a very large and important role in a woman's life. But over time, it is a little lost, as pronounced changes in the entire lower third of the face begin to grow. The process of age-related changes in the lower third of the face by this age is already a complex picture and is figuratively similar to a “layer cake”, where each layer has its own characteristics, both in structure and involution, and needs a specific anti-aging remedy.
These are changes in the skin, both in quality and quantity: it changes in its structural conditions and increases in area. These are changes in subcutaneous fat with migration, atrophy and hypertrophy of superficial and deep fat packages. These are changes in the muscle layer with an increase in the tone of the depressor muscles, which deform the oval and contours of the face, and with a loss of strength in the levator muscles, which lift the lower third of the face and make it more attractive and smiling. Involutional changes in the bones of the skull are more manifested in the form of loss of bone tissue, which is manifested by lengthening of the oblique diameter of the orbit, narrowing of the arch of the upper jaw, expansion and flattening of the lower.
What age-related changes are observed in patients after 50 years in the perioral region?
Purse-string wrinkles, a small palisade surrounding the upper lip, then the lower lip, nasolabial folds that create the appearance of a mournful, tired face, marionette wrinkles, labio-chin furrow – all this is a marker of age, indicating that you are already a little over…
And we really want to be young and beautiful, and for 10-15 years to remain somewhere between 33-35 years old.
What techniques do you use to correct these changes?
When such a patient comes, of course, it is assessed what prevails in her, what comes to the fore. Most often, the rejuvenation process is not limited to only one cosmetic technique. Initially, the procedures begin with the restoration of the quality of the skin. And what does “perfect” look like today? procedure for quick and high-quality restoration of skin quality in my understanding? This procedure should solve two problems: firstly, to qualitatively "remove" with the help of laser procedures or peelings, all old and damaged cells that interfere with the normal existence of nearby young cells; secondly, pathogenetically competently "treat" damaged cells (epigenetic therapy with intradermal microinjections of MesoXanthin F 199), as well as to stimulate the "birth" new young cells of the epidermis and dermis with new potential to "build" skin. This is possible only by stimulating the skin's own stem cells and only by a certain signal obtained as a result of injection procedures using the drug MesoWharton P 199.
I am constantly comparing the clinical effects of my patients from various methods, their combinations and various injectables and, despite the fact that I am the scientific director of the EMET company, I rightfully consider Meso-Wharton P199 to be the best in this segment, especially after the age of 50, because in a completely different way, it allows us to restore quality and recreate a structure similar to young skin.
After the quality and structure of the skin is restored, work begins with the subcutaneous fat. A combination of two so-called “minus-” techniques also works well here. and "plus-tissue": allowing to reduce the increased volumes and restoring the lost volumes. So, in first of all, it is MesoSculpt С71 injection preparation, which promotes safe, especially in the middle and lower third of the face, and effective reduction of adipose tissue, which forms additional volumes, and secondly, contouring with fillers based on hyaluronic acid or calcium hydroxyapatite, which allows to restore lost volumes. These techniques are complemented by further work with the muscle layer of the lower third: relaxation with the help of botulinum toxin of those muscles that are in good shape, and activation, with the help of both hardware and injection techniques, of those muscles that are in atony. And then, be sure to restore the lost volume of bone tissue, again, with fillers based on various fillers. As can be seen, procedures to improve the lower third of the face, especially in patients over 50 years old, are an individual complex program that is difficult to complete in a short time. After all, the patient did not acquire the appearance that she has in one day, and we cannot return her ten years ago in one day.
procedures to improve the lower third of the face, especially in patients over 50 years old, are an individual complex program that is difficult to complete in a short time. After all, the patient did not acquire the appearance that she has in one day, and we cannot return her ten years ago in one day.procedures to improve the lower third of the face, especially in patients over 50 years old, are an individual complex program that is difficult to complete in a short time. After all, the patient did not acquire the appearance that she has in one day, and we cannot return her ten years ago in one day.
What are the difficulties of correcting the perioral region in patients over 50?
The difficulty of working with such patients lies in the fact that it is not possible to get a good 100% result here if we do not correct the internal factors that affect both the quality of the skin and the condition of the subcutaneous fat, muscles and bone tissue. The state of the hormonal function of the ovaries, the thyroid gland, the state of the gastrointestinal tract, as well as concomitant diseases already formed by this age, lifestyle and bad habits are taken into account.
Is it always necessary to carry out complex anti-aging facial procedures, or, in some cases, is it enough to correct individual zones?
Our body is a whole, and it is impossible to restore the quality of the skin in a separate, small area. Leather – it is a single organ, the state of the microcirculatory system – it is a single body. Therefore, in the face of some economic problems, we can start by restoring a certain part of the face (periorbital or perioral region, for example) of our patient, just so that she can see what we can do. But we never stop there.What parts of the body and face give us age?
Age is determined by the quantity and quality of experience, knowledge gained and emotions received from them. Therefore, the eyes still how can "give out" age! From a medical point of view, these are various changes in all layers of the face of the upper, middle and lower thirds, the submandibular region, separately the periorbital, perioral and periauricular regions, the state of the entire neck region, and not just the surface that is visible, the state of the decollete zone, hands. Also, age is given out by the appearance of local fat deposits on the body or simply by an increase in body weight. The actual problem of modern aesthetic medicine is the correction of excess volumes of the face and body. On February 22, a unique event –
II International Congress on Correction of Face and Body Volumes, Gender Approach, where leading experts from various fields of medicine will present their reports, and Tatyana Epifantseva will act as a moderator. Estet-portal.com invites you to visit the congress and gain new useful knowledge!Share:
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