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I want to take 10 years off my face. What procedures would you recommend to help me get a result close to that?

Dr. Dean Kane Q & A Q. I want to take 10 years off my face. What procedures would you recommend to help me get a result close to that? A. ​ ​We all age differently and the environment, illness, your genes / heredity and many other factors may hasten the skin aging process. Various options for facial rejuvenation including: minimally and non-invasive and surgical facial enhancements and skin texture improvements are available according to the skin laxity and areas of lift or tightening you wish or need. Both surgical and minimally invasive / non-surgical options are listed below. ​ ​Facial wrinkles are created from 4 different layers of the skin, fat and muscle. The top layer or stratum corneum of the epidermis is the rough, pigmented layer of the skin; creating most of the depth of the wrinkle.
  • Exfoliation is best for this using
  • microdermabrasion,
  • Retin-A (ZO Obagi Skin Health System), which also renews and regulates improved function of the deeper epidermis,
  • some lasers and chemical peels.
  • The second layer is the dermis which thins with aging. The natural collagen, elastin and hyaluronic acid (which hydrate and toughen the skin) are thickened by the use of:
  • fillers (Restylane and Juvederm), or
  • Retinoids (ZO Obagi Skin Health System), which also renews and regulates improved function of the deeper dermal skin cells.
  • Sculptra properly managed is the latest sensation in stimulating firming and thickening of the dermis
  • The next layer or fat also thins or droops with age and maybe:
  • filled (Restylane and Juvederm), fat grafting or
  • redraped (threadlift, short-scar, traditional, endoscopic face / neck / brow lifts)
  • Finally, the muscle which creases the skin into wrinkles and folds is weakened and rebalanced with:
  • ​Botox or similar injectable muscle relaxers like Dysport or Xeomin.
Everyone needs one or more layered improvement and in personalized combinations to achieve their optimal result. ​ Face lift and / or neck lift or any of the other procedures and their combinations should be discussed following a proper examination with a Board Certified and well versed Plastic Surgeon who performs all of these options so you will not receive a biased approach because that physician may be limited in his or her skills. ​ ​Based on your photos and the apparent desire to remain thin, ​start with a Certified ZO Obagi Skin Health team to improve the color and texture of your skin. ​Consider Sculptra or Fillers ​Consider a facelift. ​ ​I hope this has been helpful. I wish you all the best!
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