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Aesthetics Practice Today

Skin Quality Improvement

Published January 19, 2016 8:18 AM by Mina Grasso
Skin quality improvement can be accomplished in a variety of methods. Skin is the first line of beauty. It is one of the first clues to our age and general health. Skin hydration, reflection of light, tone, texture, pigmentation, fine lines and wrinkles can be addressed with specific therapeutic, cosmeceutical and prescription skin care ingredients to enhance the health of the skin. Combined with laser and light technologies and/or chemical peels, skin quality can be further restored. As we continue to age and our skin is subject to environmental factors such as sun exposure, changes in humidity, free radicals and hormonal shifts, maintenance is required. Prevention and protection such as minimizing exposure and routine use sun protection and antioxidants in skin care are key to giving us the best chance to maintain the beneficial results.

Skin tightening for laxity can be addressed with non-surgical skin tightening procedure using radiofrequency technology (Thermage, Viora) or ultrasound technology. ThermiTight Injectable RF a minimally invasive procedure involving controlled, but higher energy radiofrequency delivered under the skin can address skin laxity for the jowls and neck. Those with more severe laxity seek surgical options out.

Volume loss replacement can be addressed using a global approach. The entire shape of the face changes due to fat loss or redistribution, bone changes and skin factors as mentioned above. Tissue fillers and collagen stimulators help to address and restore facial shape and fullness that are associated with a more youthful face. 

Tissue fillers commonly used include, but not limited to hyaluronic acids in the Restylane and Juvederm family. Radiesse, calcium hydroxyapatite, is both a soft tissue filler and collagen stimulator.

Sculptra, poly L-lactic acid, is a very safe product that is often used in implants and dissolvable sutures. Sculptra promotes production of natural collagen in the treated areas. Sculptra gradually corrects the recession of the skin or adds volume to areas of bone loss such as around the cheeks, temples chin and along the jawline. Sculptra is used to volumize and provide structural support. Sculptra creates a scaffolding of collagen with long-lasting results.

Natural proportions of a beautiful face can be refined and restored with volume replacement. Facial volume can help maintain the triangle of youth while the aging face normally would descend to a more square shape with aging redistribution of facial structures.

Fat Reduction in the Neck

In aesthetic surveys, 67% of consumers are bothered by submental fat. Patients look and feel older with greater fullness in their neck. Kybella is the first and only FDA-approved nonsurgical treatment that contours and improves the appearance of submental fullness. Kybella (deoxycholic acid) is a solution used to treat moderate to severe fat submental fat. When Kybella is injected into the neck fat, it physically destroys fat cells. Multiple injections are used in a single treatment session. Kybella is a simple in-office procedure that typically takes as little as 15 to 20 minutes may be required for desired results

CoolSculpt CoolMini - Cryolipolysis has been an effective non-invasive method that has been used for several years to sculpt the body by destroying fat cells by freezing the fat under a carefully controlled condition. The neck skin and fat is sucked into a small chamber for an hour while the fat is treated with controlled freezing. Apoptosis is focused directly at selective fat cells while preserving the surrounding skin. "Prolonged, controlled local tissue cooling can induce selective fat cell reduction and subsequent loss of subcutaneous fat, without damaging the overlying skin".

Develop a Maintenance Plan for Facial Rejuvenation

Many of these procedures work synergistically. Multiple sessions may be required for the desired results. Continued treatment can develop cumulative effects. As a result patients can look more youthful today than they did 5-10 years ago. With increasing sophistication in clinical photography we are becoming more aware of the secrets that are refining, restoring and reversing the signs of aging.

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    Occupation: Physician Assistant/Nurse Practitioner
    Setting: Miami & Upland, Calif.
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