Plastic Surgeon Dr. Dean Kane of Baltimore Answers Question Regarding Early Aging Folds, Wrinkles and Fine Lines; Sculptra or Filler?

Q. Is Sculptra okay for smile, loss of volume, and lips? Can scultpra be used for all areas where I’ve lost volume or have fine lines? If not, what the risk of getting it in my smile line or lips? I’m concerned about using juvaderm in my cheeks again because I smile so much- it looked unnatural last time.Last of all, how would I find a facial sculpting expert in my area?

A. Your features are beautiful and should be maintained by tightening the skin and lifting the facial waves associated with aging. You may wish to use hyaluronic acid fillers for fine lines.

Since I do not have the advantage to examine you, I hope you will be helped by the information below. My immediate recommendations are to obtain consultation with a talented, Board Certified Plastic Surgeon with extensive skills in:

  1. Sculptra injectables to stimulate firming and thickening resistance of the skin to fine wrinkles and folds
  2. Yes, in my hands, Sculptra has been sensational with chemical peels and retinoids for peri-oral fine lines and resistance to nasolabial, lateral commissure and marionette folds.
  3. A minute amount of Botox or Dysport to reduce the dynamic wrinkling of the orbicularis oris lip muscle
  4. non-surgical skin tightening using Obagi ZO Skin Health Retinoid regimen and chemical peels
  5. minimally invasive injectables including fillers and / or fat for cheek volume
  6. Silhouette InstaLift for repositioning facial soft tissues

The beginnings of facial skin laxity start when skin repair diminishes and passive skin aging relaxes downward.

The web of fibrous compartments under the skin loses fat, stretches and elongates developing 5 growing “waves” of skin at points of attachment such as the:

  1. hooding along the eyes,
  2. lower eyelid / cheek junction or tear trough / nasojugal fold
  3. nasolabial fold,
  4. lateral mouth commissure and marionette folds,
  5. jowls and neck.

The skin itself is not dissimilar to crepe paper held together by collagen, elastin and other structural molecules which also passively diminish with aging.

Facial Aging are created from the 5 different layers of the skin, fat, muscle and bone. During the first 20 years or so of life, the body genetically determines how to develop and repair a constantly changing “face” including all these layers (as it does elsewhere in the body). Thereafter it remains robust in repairing itself from injury but the accumulation of environmental, health and nutritional exposure will add to the passive inability for the body to care for itself after 30. This is when physical changes such as skin laxity, irregular pigmentation, lines and wrinkles and skin diseases occur. We now have many options to rejuvenate the layer or layers of the face which need care or stimulation to reverse the aging trend.

Don’t forget to protect your skin from the elements! UV blockers, anti-oxidants, pigmentation control and acne / oil reduction will maintain your skin rejuvenation efforts. Consult with a Certified ZO Skin Health Specialist!

Everyone needs one or more layered improvement and in personalized combinations to achieve their optimal result. All surgical, minimally invasive and non-invasive procedures and their combinations should be discussed following a proper examination with a well versed, Board Certified Plastic Surgeon who performs all of these options so you will not receive a biased approach because he limited in his skills. Sculptra and Silhouette InstaLift are very advanced procedures. Find the best qualified surgeon for these procedures!

Read more about similar topics:

Face Options for a Long Lasting, Natural and Youthful Appearance

This information is not meant as medical advice. It is provided solely for education. Our practice would be pleased to discuss your unique circumstances and needs as they relate to these topics.

Give us a call at  410.602.3322  or email Lauri@DrDeanKane.com and make an appointment soon. We’re located on Reservoir Circle just a block off the Baltimore beltway, convenient to greater Baltimore, Annapolis, the Eastern Shore, Southern Pennsylvania, Delaware and Carroll County.

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