Complexities and techniques of contour correction in aged patients

Young girls have smooth and elastic skin — largely due to adipose tissue, evenly covering the facial skeleton.

With age, we gradually lose adipose tissue, it can migrate, accumulating mainly in the lower part of the cheeks and in the submandibular zone.

In some cases, age-related changes can cause an almost total disappearance of volume, especially in the superficial subcutaneous layer.

Read on estet-portal.com about all the features of contour correction in aged patients from candidate of medical sciences, plastic surgeon Lyudmila Bezpalko.

• Peculiarities of requests for contour correction by older patients
• Contour correction techniques in the age group of patients
• Choice of products for contour correction in older patientsin

Peculiarities of requests of age patients for contour correction

L.B.: Actually, this is my favorite category of patients for contouring, because they never set clear requirements: what should be the proportions, the size of the middle third, etc.

But they all complain that with age the face has become less expressive, the contours have become more blurred, there is a loss of volume and the face takes on a sad, sometimes sharp, and sometimes even strict look.

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All these patients come in order to come out beautiful, fresh, joyful and friendly to others. They always appreciate the emotions that we give them.

If we talk about contouring techniques that I use in my practice when working with older patients, in this regard it is not easy, because for each of them we need to create an individual program which will enable step by step to rejuvenate, improve, restore, restore and do everything in order tos provide the patient with a harmonious end result.

Correction of the perioral region: anatomical and physiological aspects

Contour correction techniques in the age group of patients

L.B.: In this case we will use combination of techniques.

When depressor muscles predominate over levators, we usually use botulinum toxin.

Today, my topic at the event of the company TEOXANE is the correction of age-related changes in the lower third of the face, and, of course, we know that working in this area is off label.

But we need to help our patients and give them a good result, so we work carefully, with a clear understanding and knowledge of anatomy, we work with small doses of botulinum toxins in order to get a predictable result.

The next technique I use when working with such patients, especially when the changes in the lower third are quite pronounced, when the jets sag, when there is stretching of the mandibular and pre-massette ligaments, stretching of the mandibular septum, which should keep the mandibular fat pack within the line of the mandible , is thread lifting.

This technique is relevant in order to adequately move and fix the superficial fat pads in a more favorable and correct position.

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Of course, the most multifunctional is contour technique.

Thanks to this technique, we can restore the volume at the level of both deep and superficial fat pads, and, especially, which is very important, work pointwise in those areas where it is lost, that is, carry out restoration of fat compartments.

Thanks to contouring we can also correct some imperfections such as sagging jowls. We can change the play of light and shadow on the face, because the actual areas of the eclipse give our face a severeth, sharp and sad appearance.

Choice of products for contour correction in aged patients

LB: Very important − to choose the right preparation for contour correction in this group of patients. Because understanding the rheology of the drug and where we need to work with it will give you a predictable, predictable and, most importantly, natural result.

Skin mesotherapy: fast, simple, effective

Since all aging patients are afraid of unnatural appearance, afraid of overcorrection, afraid that someone from the outside will notice that something has been done, they all challenge us: I want to look good but natural.

Actually, we can get such predictable and natural results with the help of fillers of the company TEOXANE.

My favorites are the RHA line because they are dynamic fillers.

These are fillers that have high elasticity parameters, thanks to which we can absolutely comfortably restore superficial fat pads, because these are very mobile anatomical structures.

Fillers RHA, due to their elasticity, will look very natural not only in static, but also during facial expressions, providing the patient with the opportunity to calmly express their emotions.

We always hope that these are positive emotions that will look beautiful from any angle and from any angle.

If we are talking about deep fat pads, then in this case, it is necessary to achieve projection and lifting. And, usually, when working with these structures, I prefer Teosyal® Ultra Deep.

This is a highly cohesive preparation that allows us to project volume and provide lift to the overlying tissues.

Very often we use a combination of drugs, in the so-called «sandwich» technique, when we introduce Teosyal® into deep fat packs; Ultra Deep, and with superficial fat pads we work with dynamic fillers.

Which fillers do we choose for superficial fat pads:

• For volume restoration, the favorite would be RHA 4, a dynamic volumizer that behaves very well and comfortably in superficial fat pads, providing a natural and good result;
• if we need less volume, we can use RHA 3 or RHA 2.

Everything depends on the source material, the severity of age-related changes, the morphotype of aging, the thickness of the skin, sprains and many other factors that will determine the individual program of work with the patient.

Thanks to company TEOXANE we have Expert Toolbox, this essential set of fillers will provide a solution to any aesthetic problem for your patients.

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