Most patients who visit aesthetic clinics complain about the appearance of signs of facial aging, such as wrinkles, sagging and dullness of the skin. Loss of "shine of youth" due to age-related thinning of the dermis, morphological changes, as well as the influence of genetic factors and lifestyle characteristics.
As you know, facial aging – multifactorial process, which involves not only the skin, but also bone, fat, muscle tissue.
Accordingly, for high-quality facial rejuvenation, it is necessary to use an approach that ensures the elimination of signs of aging associated with changes in all its tissues. It is this effect that provides the author's protocol Rejuvalift, presented by Dr. Pradnya Apte (Pradnya Apte).
Rejuvalift protocol for complex facial rejuvenation
The Rejuvalift protocol consists of minimally invasive injection procedures; its purpose – harmonious rejuvenation of the entire face with:
- Fillers that stimulate collagen production
Such preparations are aimed at stimulating neocollagenesis and, accordingly, increasing the thickness of the dermis to obtain the most optimal aesthetic correction results.
- Threads
For soft tissue reposition, the author prefers to use Silhouette Soft threads, which are placed in the subcutaneous layer.
Possible complications when working with Silhouette soft threads and ways to prevent them
- Hyaluronic acid fillers
Traditionally, hyaluronic acid is used for lip augmentation and beautification of the patient profile.
- Botulinum toxin
The purpose of botulinum toxin preparations – reduce muscle activity and therefore the expression of dynamic wrinkles in the upper part of the face, as well as wrinkles in the corners of the mouth (by acting on the mental muscle and the muscle that depresses the corner of the mouth).
First stage: collagen stimulating fillers
To obtain good esthetic results, it is important to provide support weakened by bone resorption in the temporal, maxillary and mandibular areas. This will help fillers that stimulate the production of collagen, which are injected deep, to the bone, with a needle into the temporal zone, pogonion, and also into the angle of the lower jaw.
The choice of instrument is due to the fact that injection of collagen-stimulating fillers into the bone provides the necessary support and lifting. Based on his own experience, the author notes that after the introduction into the temporal zone, the filler visually "opens" eyes. Work with the prezygomatic furrow is carried out in the plane of the bone tissues, since at this point the resorption of bone tissues is more pronounced.
In order to provide support for the lower lip as well as to correct the labio-chin crease, the product is injected into the soft tissue under the lower lip and into marionette wrinkles.
At this stage, the nasolabial folds are also corrected (due to the high risk of complications of the – cannula technique).
It takes about 12 weeks for the production of type I collagen after the injection of the filler. Only after the expiration of this period, the author proceeds to the stage of thread facelift.
What role do collagen types play in skin aging
Second stage: thread facelift
For the procedure, threads with bidirectional notches are used, which provide soft volumization and stimulation of the production of type 1 collagen. Threads allow you to correct nasolabial folds and jowls, tighten the skin under the lower jaw.
The manufacturer recommends placing five threads on each side of the face, with the last thread placed under the lower jaw and extending beyond it.
It is important to assess the thickness of the patient's skin before performing a thread lift to ensure that it allows correction without a significant risk of unsatisfactory results.
Third stage: hyaluronic acid fillers
The next step in the Rejuvalift facial rejuvenation protocol is the introduction of a HA filler. There is evidence of bone resorption in the region of the upper jaw, especially in the pear-shaped zone. Taking into account such changes, the author believes that lip augmentation – an excellent method to not only achieve an attractive and natural profile, but also to restore the overall balance of the face.
It is important to pay attention to the thickness of the patient's skin, which plays an important role in thread correction.
There are various ways of administering hyaluronic fillers, however the author prefers to inject the product into the lips over the muscle using a 25 gauge cannula – so the increase in volume will be more noticeable. The approximate amount of the drug needed for lip augmentation – 1 ml.
Fourth stage: administration of botulinum toxin preparations
Injection of botulinum toxin – the final step of the Rejuvalift protocol. The drug is injected into the upper part of the face to smooth out dynamic wrinkles, as well as into the mental muscle (to reduce the severity of the labiomental fold) and into the muscle that depresses the corner of the mouth to correct marionette lines and wrinkles in the corners of the mouth.
Fig. 1: female patient (60 years old) before (left) and 20 weeks after (right) the facial rejuvenation procedure performed according to the protocol Rejuvalift
Correct selection of patients – one of the main conditions for the successful correction of age-related changes using injection techniques. It is important to pay attention to the thickness of the patient's skin, which plays an important role in thread correction. So, due to the installation of threads in patients with an excessively thinned dermis, folds may appear on the skin. If the skin thickness is rather large, the effect of thread lifting may not be sufficiently pronounced.
Rejuvalift Facial Rejuvenation is ideal for non-smokers with good skin texture without visible signs of photodamage who complain of mild blemishes.
Adapted from Aesthetics
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