Program for facial rejuvenation

Program for facial rejuvenation
Program for facial rejuvenation

There is an anti-aging change happening in healthcare today and that you are the primary beneficiary. Nowhere in anti-aging medicine are the breakthroughs and technological advances that are more exciting, more relevant, and immediately available for immediate application and benefit to you than in facial rejuvenation. Better, the most exciting, exciting discoveries are non-surgical methods for facial rejuvenation. Yes, I said non-surgical, and I said productive. How do we change from that radiant 16-year-old with smooth glowing fresh skin to the 40 something that sees her mother looking back at her in the mirror to the 65-year-old with hooded eyes, puffy lower eyelids, jowls, and loose skin fold hanging under the chin? Let’s review and understand what these changes are that we must look for, recognize, and correct. First, skin texture changes and surface irregularities. The aged facial skin looks dry when compared to a child’s skin. Over half of the crucial natural skin moisturizing agent hyaluronic acid is lost by the time we turn 50, and you cannot replace HA by taking a pill or applying it to your skin. Loss of hormonal support during menopause speeds up this change. Dry-aged skin loses its glow, looks dull, almost gray.  The old skin is furrowed and rough, and it enlarges pore size by uneven pigmentation, brown spots, and red spots, pigmentation, and blood vessels. 

Uneven pigmentation and overgrowth of blood vessels are exclusive of age facial skin. These blemishes are a protective and inflammatory response of the skin after two years of publicity to ultraviolet light from the sun and injury from free radicals released by harmful agents in our environment and diet. Second, fine lines and wrinkles. Fine lines and wrinkles are traditional signs of facial aging. Static wrinkles are those that are present in the skin when the face is at rest. These wrinkles are caused by the loss of collagen in the deeper layers of the skin. It destroys collagen by UV light from the sun and free radicals from other sources. As the collagen disappears, they lose the volume beneath the surface and the skin wrinkles. This resembles the way a grape wrinkles after drying to produce a raisin. Dynamic wrinkles are those that you see when the face moves frown lines, laugh lines, worry lines, and crow’s feet. These lines are caused by the pull of the facial muscles beneath the facial skin. Dynamic wrinkles can become static wrinkles after years of repeated pulling by the facial muscles. Third, deep facial lines. Deep facial lines are those lines around the mouth called the nasal-labial fold line and the marionette lines. These lines are distinct from wrinkles. They are caused by a combination of the pull of the facial muscles and loose sagging skin. As the face ages, the skin becomes loose and falls over the line created by the facial muscle pull. Next, loose skin. The skin of the aged face has lost its elasticity and has become loose. The cheek has fallen and created loose skin on the jaw called jowls. The skin beneath the muzzle on the neck is hanging down, and a phenomenon called the turkey wattle. 

Now let pause this question, what is facial rejuvenation. Rejuvenating is to give young again or restore to an original or new state. True facial rejuvenation requires correction of all the above facial aging changes in the face to be made youthful or replaced to an initial state. The 6-step program addresses all aging changes without surgery. The 6-step facial rejuvenation program comprises the following six steps: exfoliation, stimulation of new collagen formation, removal of abnormal pigment and blood vessels, relaxation of lines of facial expression, fill deep facial lines, skin tightening. The 6-step program in action, how it’s done. The first step, the exfoliation. I begin all my patients on an exfoliation routine comprising topical exfoliating creams, Microdermabrasion, or superficial chemical peels with glycolic or salicylic acid. The latter skins are no downtime procedures, and you leave the office somewhat pink but with a refreshed glow. The exfoliating creams I use are Retin A® or Tazarotine®, although I use Vitamin C topically for patients with sensitive skin. For patients with more severe aging changes, I use a deeper form of exfoliation called MicroLasaerPeel®. This procedure goes more profound than a Microdermabrasion® and is more effective, but you leave the office red and need 4 to 6 days for your skin to look normal. This is a remarkable improvement over laser resurfacing, which goes much more profound and needs many weeks of recovery. MicroLaserePeel® does not lighten the skin or leave demarcation lines, as does laser resurfacing. Many physicians use deeper chemical peels with TCA, but I prefer the MicroLaserPeel® because of its accuracy and reliability. 

Step number two is to incite new collagen formation. After deep exfoliation, this is the most crucial step in removing static facial wrinkles and fine lines. This step is the most time draining and tedious and requires patience on your part. There is no quick, non-surgical way to remove visible facial wrinkles. Laser resurfacing can quickly and remove facial wrinkles, but I consider laser resurfacing surgery and the prolonged recovery and downtime make laser resurfacing unacceptable for most people. While the topical creams mentioned above and deep exfoliation stimulate recent collagen production, it requires more stimulation. Several new laser techniques, IPL, and radiofrequency machines can stimulate the skin to form new collagen in the deeper layers without producing damage to the skin surface. We call these techniques non-ablative, meaning that they do not remove the surface skin cells as is done in laser resurfacing, an ablative technology. So these non- ablative techniques are no downtime procedures, meaning that after a treatment, you are pink but recover quickly within hours. There are many brands of machines that can perform non-ablative stimulation of collagen formation, often called photorejuvenation. I prefer one called Lasergenesis® because it is easy, painless, and useful. IPL is active and is very valuable in patients with a lot of pigment and abnormal blood vessels. Still, IPL is more reliable, involves contact of the machine to the skin, and must be used with caution by an experienced person in its use. Collagen stimulation is a lengthy process. Useful results that you can see in the mirror, fewer wrinkles, need at least 5 to 7 treatments and 5 to 7 months for the benefit to be visible. It took 30 to 40 years to form those wrinkles, so removal in 7 months without surgery and downtime is outstanding. 

The third step, removal of abnormal pigment and blood vessels. Although creams and exfoliation can remove many light brown spots and the lasers and IPL used in step 2 delete smaller ships, we need more aggressive therapy to remove darker pigment and brown spots and larger vessels. There are many non-ablative lasers available for transporting pigment and blood vessels. While these lasers are non-ablative, they leave a reddish mark visible for a day or two and covered with makeup. I have used a laser called the Versapulse® for many years, which works very well, but new Versapulse® lasers are so expensive that they are rarely being manufactured today. A more modern laser called the Coolglide® is helpful for larger blood vessels. Today, the IPL is the choice for mixed pigment and smaller blood vessels that appear as a flush like Rosacea. The above therapies are active, and results are visible in about six weeks. Usually, 2 or 3 treatments are required. Step number four is the relaxation of muscles of facial expression. Botox® is a revolutionary new drug that effectively removes dynamic lines and wrinkles created by the muscles of facial expression. The frown lines, worry lines, crow’s feet, and bunny lines may be lessened or removed from the injection of Botox®. Lipstick lines, the fine wrinkles around the lips may be diminished with Botox®, but slight amounts can be used. Otherwise, the lips will be weakened. There are several new peptides, one of which is acetyl three hexapeptide, which is reported to have a Botox®-like effect in reducing fine lines when applied topically as a cream. Eventually, these agents will be perfected, be more productive, and maybe make Botox® injections unnecessary. 

Step five is to fill long facial lines and contour deformities. Soft tissue fillers such as Radiesse®, Restylane®, your fat, and other fillers can be injected into the skin beneath a deep facial line to plump the line and camouflage it. They may plump the aging lip and full contour deformities caused by facial aging. These fillers are temporary and must be repeated every six months to a year. Fat injections can last longer, and if done, may not need to be renewed. Remember but, the filler techniques are a camouflage, not a correction. The last step is skin tightening. Skin tightening is a crucial component of any facial rejuvenation process. Before the past year or two, a face-lift was the option for tightening facial skin. But new technologies using infrared, radiofrequency, and combined 1319/1064 wavelength laser energy are showing likely results as non-surgical skin tightening methods. Two of these methods, Thermage®, which uses radiofrequency energy, and Titan®, an infrared device, have been used for two years, and results are increasing. These methods are not a non-surgical face-lift as so often advertised, so do not be misled. They can but tighten skin by as much as 30% in appropriately selected patients. There have been complications with Thermage® comprising depressions in specific areas of the facial skin, so knowledge and experience with these machines are crucial. As with other non-surgical facial rejuvenation techniques, skin tightening needs many treatments and takes time to see the result, often five months. As with the other laser and photo technologies above, skin tightening is achieved by stimulating the skin’s deeper layers to remodel and form new collagen, which takes time, usually 5 to 6 months, to see your result. Non-surgical skin tightening is most useful for younger patients with loose skin in the neck, along the jaw-line, and in the cheek. Older patients with severe facial sagging can be improved, but results will be less impressive. The 6-step facial rejuvenation program is a structured method for applying revolutionary new techniques to get effective non-surgical rejuvenation. This program takes time, but the results are visible and real after about seven months, the same time frame most people spend using creams and diets to end up seeing no difference in their faces. Remember, it took a lifetime for your face to age. Does it make sense that this damage can be reversed overnight? The non-surgical facial rejuvenation program is expensive. These unknown technologies are costly, and you need to be treated by a qualified physician. With the six-step program, you get what you pay for, facial rejuvenation without the risk, discomfort, and expense of surgery. If you total the cost of your skin creams, facials, fad diets, and spa visits and save this money for the 6-step program, many of you will be very close to covering the cost. For those of you who already have facial rejuvenation treatments in a doctor’s office, the 6-step program will provide better, more effective results and save you money.

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nwldg: Program for facial rejuvenation
Program for facial rejuvenation
There is an anti-aging change happening in healthcare today and that you are the primary beneficiary. Nowhere in anti-aging medicine are the breakthroughs and technological advances that are more exciting, more relevant, and immediately available for immediate application and benefit to you than in facial rejuvenation. Better, the most exciting, exciting discoveries are non-surgical methods for facial rejuvenation. Yes, I said non-surgical, and I said productive. How do we change from that radiant 16-year-old with smooth glowing fresh skin to the 40 something that sees her mother looking back at her in the mirror to the 65-year-old with hooded eyes, puffy lower eyelids, jowls, and loose skin fold hanging under the chin? Let’s review and understand what these changes are that we must look for, recognize, and correct. First, skin texture changes and surface irregularities. The aged facial skin looks dry when compared to a child’s skin. Over half of the crucial natural skin moisturizing agent hyaluronic acid is lost by the time we turn 50, and you cannot replace HA by taking a pill or applying it to your skin. Loss of hormonal support during menopause speeds up this change. Dry-aged skin loses its glow, looks dull, almost gray. The old skin is furrowed and rough, and it enlarges pore size by uneven pigmentation, brown spots, and red spots, pigmentation, and blood vessels.
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