Wirral Life January 2018 | Page 66

GROWING OLD IS A PRIVILEGE - LOOKING OLD IS OPTIONAL! BY SDS REJUVENATE Over time your face may start to display small signs of ageing that can leave you looking tired, or sad and less like the real you. As we lose volume and our skin loses elasticity and tone declines these signs of ageing become more obvious. Treatment with dermal fillers can revitalise and refresh your look. Ageing of the face is a complex process involving volume loss throughout the face, skeletal remodelling that changes the shape of the face and subcutaneous fat redistribution and loss. Facial volume conveys you th and as the volume that was once present declines, the cheeks become sunken and hollow. This loss of volume deepens the creases that run from the nose to the mouth (the nasolabial folds), and exaggerates the jowls along the lower jawline. This results in a tired, saggy look! How many times do we look in the mirror and “hitch up” the face by pulling upwards and backwards creating an apparent face lift? Dermal fillers are an important tool in the management of facial ageing, and by providing support for facial structures and volumising and recontouring this has resulted in major advances in the field of aesthetic medicine. Dermal fillers are now regarded as safe and are beneficial long term as repeat treatments stimulate fibroblasts which are responsible for producing new collagen and elastin for good skin texture and integrity. Previously a number of different types of dermal fillers have been used and there are still a number of myths and misconceptions regarding the wide range of dermal fillers available today. We now use predominately Hyaluronic Acid (HA) dermal fillers. HA is a naturally occurring substance found in our body predominately in the dermis of our skin and when injected blends seamlessly with the tissue under the skin resulting in a natural looking result. HA fillers have different molecular weights that need to be injected into different tissue planes. In general the more dense the filler the deeper it needs to be injected. In the past we’ve all seen often scary over treated individuals and these images remain imprinted in people’s minds and still make a number of individuals apprehensive about considering treatment. However, aesthetic treatments have moved on significantly as techniques have developed and improved as a result of understanding facial anatomy and how it changes with each decade of ageing. Now we use smaller volumes placed in strategic positions to achieve a subtle, natural look. We adopt a bespoke approach to treat each individual patient and we assess the face in a 3D perspective rather than the traditional more basic 2D approach which concentrates just on filling lines and wrinkles. This approach emphasises the importance of replacing volume loss and re-contouring the face. One of the primary aims of facial rejuvenation is 66 wirrallife.com the restoration of a youthful three dimensional appearance of the mid face enhancing and projecting the cheek area. Patients often complain about nasolabial folds (lines from nose to corner of mouth) and it is important to understand that this is the result of volume loss in the mid face. Treatment these days is aimed at the cause of the problem rather than the result of the problem. Dermal fillers can still be used to treat residual superficial lines and wrinkles but only after underlying volume loss has been corrected. Although volume replacement usually starts in the mid face we also lose volume in the temples which causes a hollowing that results in the brow appearing short and the eyes can appear smaller. Replacing the volume can significantly restore a youthful contour that results in a lifting of the outer part of the eyebrow and an open eye appearance. Volume loss also takes place in the lower face combined with skeletal remodelling of the chin. The chin actually shortens with age and becomes broader which can contribute to a fold developing between the chin and lower lip (labio-mental fold). These changes can be reversed with a combination of HA filler treatment to restore volume of the chin and provide support for the lines that extend from the corner of the mouth to the lower jaw (marionette lines). Loss of volume can also result in the sagging of the skin along the lower jaw (jowls). This sagginess can be corrected by placing the HA filler along the jawline to provide a sharper and more defined jaw and also by positioning filler in the space between the chin and the jowl which camouflages the indentation giving the jawline a more continuous contour. We also use HA dermal fillers to plump and enhance the lips. It is important that this is subtle and not over treated. It is also important to address the area around the lips (perioral area), not forgetting the so called smokers lines or barcode lines. HA dermal fillers can also improve the dark hollows under the eyes (tear trough). The tear trough can make you look tired even when you are well rested. This can sometimes be present from an early age and can cause lack of confidence. Treatment of this delicate area should only be performed by very experienced practitioners. Every patient who comes to see us will have a full and free consultation with one of our doctors in a relaxed environment during which they can express their concerns and together we can formulate an appropriate treatment plan to suit the needs of each individual. It is crucial that dermal filler treatments are performed by experienced practitioners who understand facial anatomy, the consequences of ageing and are able and available to deal with any complications. That is why all injectable treatments in our clinics are only carried out by fully trained, highly experienced doctors. To arrange a free consultation or to find out more, visit www.sdsrejuvenate.co.uk