When a patient comes to an appointment with a specialist in aesthetic medicine, the first thing he wants – it looks better, younger, fresher.
To give a person joy from their appearance, the doctor needs to choose the most optimal tactics that will provide a comprehensive correction of the entire face. It is necessary to take care of large, small, static, dynamic wrinkles and creases, restore lost volume to the lips, work on skin quality, achieve lifting, etc.
An experienced cosmetologist is like a magician, with which, step by step, he fills a “tired face” with energy and radiance. On estet-portal.com, a practical case of full-face correction from plastic surgeon, candidate of medical sciences Lyudmila Bezpalko is presented to your attention.
Face correction: what to work with
The patient complained of a deterioration in the condition of the skin (the skin is indeed quite thin). In addition, she is worried about purse-string wrinkles, which are both dynamic and static.
Thin lips with a smooth contour further emphasize age-related changes in the perioral region.
The patient also has a few creases in her forehead that need to be removed to achieve a harmonious result.
Crow's feet, which often betray age, can only be partially corrected in this patient, since the creases in the corner of her eyes are caused by overhanging of the tissues of the upper eyelid, in connection with which she is indicated for upper blepharoplasty.
Beauty in harmony: natural facial correction
Aesthetic Facial Plan
To achieve a successful complex correction, it is important to clearly plan the procedure. This will allow us to act quickly and efficiently.
1. Lip contour correction (Teosyal RHA1);
2. Correction of static and dynamic purse-string wrinkles (Teosyal RHA1);
3. Elimination of creases in the forehead area (Teosyal RHA1);
4. Partial correction of "crow's feet" (Teosyal RHA1);
5. Correction of nasolabial folds (Teosyal RHA1);
6. Skin stimulation with Teoxane –Teosyal Redensity I;
7. Microneedling with a mesoscooter;
8. Applying RHA®Topical skin booster to the skin.
As a result of exposure to all problem areas of the face, as well as due to work with the quality of the skin, the result of the correction is natural and long-lasting.
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Correction of the contour of the lips, wrinkles and creases
Beginning to work on purse-string wrinkles, I correct the lip contour with Teosyal RHA1 using the 30 G needle that comes with the kit.
The contour of the lips is the basis for purse-string wrinkles, therefore it also needs to be corrected. I inject a small amount of Teosyal RHA1, despite its lightness it can contour very well. The preparation contains lidocaine, so the correction is painless. Of course, topical anesthesia was performed before the procedure.
Teosyal RHA1 contains reticulated and non-reticulated hyaluronic acid, due to which it not only fills wrinkles, but also has a biorevitalizing effect.
I correct purse-string wrinkles using the PPS technique (papular-papillary stretching technique):
• to eliminate dynamic purse-string wrinkles, I inject the drug with microboluses subdermally;
• When working with static purse-string wrinkles, it is better to inject the filler intradermally.
Pronounced pouches can be corrected linearly retrograde, starting from the edge of the red border and the skin part of the lip.
Creases in the forehead area are corrected using Teosyal RHA1 using the PPS technique.
As for crow's feet:
• if the skin is thin, I spread Teosyal RHA1 subdermally linear retrograde;
• If the skin is thick, I can inject Teosyal RHA1 intradermally.
If there is still a drug left, the nasolabial folds can be corrected. To do this, we introduce the filler intradermally into the area of the creases. Often the drug comes out through the pores, which means that you are at the right depth.
Working with leather quality
After wrinkle removal, we can stimulate the skin with Teosyal Redensity I. We work in a multi-bolus technique over the entire face.
Because the preparation contains lidocaine, this will allow you to pre-anesthetize the face before the microneedling procedure.
Teosyal Redensity I can be worked with peace of mind in the periorbital area, and often for younger patients this procedure alone is enough to achieve an excellent aesthetic result.
We complete the full-face correction with microneedling using a mesoscooter. After that, we apply a new unique preparation Teoxane – RHA®Topical skin booster.
If you do not use the whole bottle, the second part can be given to the patient at home, with a recommendation to apply it in the evening.
The result of the procedure is visible instantly, the skin has regained its tone, the patient looks several years younger. Moreover, the effect of the procedure will increase in the next 2 weeks.
A unique 4D approach: facial contouring in dynamics
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