Aging produces 3 conditions that alter facial structure and the skin. With the aging facial structure, there is wrinkling, sagging, and hollowing. With aging skin, the skin turns red, hyperpigmented, and appears rough with the lack of tone.
Anti-aging procedures usually start when the patient’s age is 30. The 5R’s is an easy way to remember what can be done to minimize the aging process: relax, refill, retighten, reposition, and resurface.
- Relax. The use of Botox injected into the muscle to give relaxation to the muscle is a popular occurrence in patients who started young and will not develop any lines around their eyes, between their eyebrows, or the forehead. After rejecting Botox, within 3 days. The muscle begins to relax and stretches out giving us smoother contour the lines above. Botox will last initially about 4 months, but after 2 years of regular use, the interval between injections can stretch to 6 months.
- Refill. The use of short-term and long-term hyaluronic acid fillers are very popular to create fuller cheeks, improve the lip cheek groove, and even enlarge the lips to their natural size. With aging and with weight loss done the various clinics, patients often see the volume of their cheeks, decrease sometimes dramatically. Elderly patients will often see a vertical groove down through their cheek often called grandmother’s groove. The use of fillers such as Juvederm Voluma, Volbella used to restore more full youthful cheeks.
- Retighten. For years now, the skin physiologists know that heating the skin up to about 45 degrees Celsius causes the skin to shrink and increase its elasticity. 40-year-olds are the ideal candidate to have this done as the residual collagen is still sufficient enough to create a good result. Dr. Ellis uses a two-dimensional technique combined of laser Genesis and Titan. Both these techniques are non-invasive causing virtually no downtime except for a red face for a couple of hours after treatment. Multiple treatments are necessary to achieve a satisfactory result.
- Reposition. This is a surgical technique whereby the sagging skin is repositioned posteriorly and upwardly removing the jowls and tightening the skin of the neck. Depending on the age and the problems under the skin, this can be described as S-lift, neck lift, or full facelift.
- Resurface. Resurfacing the skin helps to treat the skin roughness and tone, as well as the redness as and Rosacea, and pigmentation problems. These are non-invasive techniques in which take multiple treatments as well as at home medical topicals to improve the appearance of the skin. There are also more aggressive resurfacing techniques called ablative resurfacing using a CO2 or YSGG laser that removes microscopic columns of skin to induce the patient to lay down their own collagen making the skin less wrinkled and smoother.
Depending on one’s age and one’s concern, a treat regime can be designed to minimize the effects of aging. Some of these schedules are simple and required minimum downtime while others are more extensive requiring some downtime but the results can be very dramatic.