In order to understand why there has become so many facial skin enhancements, it is best to understand how the face ages and what components require your attention to rejuvenate.
Facial wrinkles and skin laxity are similar to the folds and creases of your bed. If we consider that the:
Mattress is bone
Fitted sheet is the tight (periosteal) tissue layer over bone
Top sheet is the muscle, and
Bedspread is the skin and fat,
Then, with aging, the layers separate and fall toward the foot of the bed. They also soil, crease and fold.
Making your bed or rejuvenating your facial layers then is analogous too.
Cleansing the bedspread and ironing it is akin to reducing facial lines and pigmentation
Lifting the bedspread is like a mini facelift or S-Lift.
Pulling on the top sheet is similar to the use of botox or a threadlift.
Lifting both the bedspread and the top sheet is the essence of a more traditional facelift.
Facial wrinkles and skin laxity are created from 4 different layers of the skin, fat and muscle.
The top layer or stratum corneum is the rough, pigmented layer of the skin; creating most of the depth of a wrinkle. Exfolliation is best for this using: microdermabrasion, Retin-A (Emerge’ Skin Perfecting System), some lasers and chemical peels.
The second region is the epidermis and dermis which thin 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 Retin-A (Emerge’ Skin Perfecting System). They may be tightened with Emerge’, various skin peels (VI Peel, TCA peels) and lasers such as Pixel ® (fractionated erbium).
The next layer or fat also thins or droops with age. It separates into the characteristic hills (festoon, cheek, jowl and neck gobbler, and valleys (tear-trough, naso-labial, and marionette folds). The valleys maybe filled (Restylane and Juvederm) or redraped (thread, 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.
If redraping and removal of excess skin laxity is required, then we must consider a “lift”. (see Face Lift options blog).
Everyone needs one or more of these options in a personalized combination to achieve their optimal result. Remember, you’ve been aging since you were born, even the most reluctant “die-hard” naturalists among you will desire to look as young as you feel!
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