31.7.2022 | Treatments
10.5.2022 | Treatments
Facial volume loss can cause a young, full face to become older and thin. Chubby cheeks seen in young people are not always due to weight gain, but rather represent a firm, smooth face that has not yet experienced any problems in soft-tissue health.
As the face loses fat, the skin can sag and lose elasticity. Wrinkles may appear as the soft tissue beneath the eyes shrinks. Facial volume loss may make individuals appear older, but there are many ways to combat the underlying causes of the condition – reduced collagen production, for example.
Over the last 10 years aesthetic medicine has changed focus from individual areas of the face to look at the reasons behind ageing, including significant facial volume loss.
A full and round face shape can begin to lose volume, appearing sunken and skeletal for a variety of reasons. Ageing naturally, weight loss, hormone shifts, UV exposure, smoking, injury, and certain medical conditions that require specific medicines that result in volume loss all contribute to a loss of fat in the facial region.
Facial volume loss occurs predictably in the bones of the face alongside weakening of the ligaments supporting the facial muscles and ligaments and loss of collagen and elastin in the skin.
This causes a sunken appearance in some areas, forming excessive folds such as in the nasolabial area, changing eye shape and leading to jowls and a weak chin due to bony recession.
A lack of collagen makes a face appear older. The role of collagen is to provide a supportive structure for the skin, resulting in plump, firm skin. As we age, the elasticity of facial skin also declines as collagen diminishes. When facial fat decreases and shifts as we age, the lack of collagen and fat may make a face look older.
Once evenly-distributed face fat around the eyes, cheeks, forehead, temples, and mouth shrinks, resulting in facial volume loss. Round cheeks sink downward, causing hollowness under the eyes. Lips lose their plumpness as they age and appear thinner.
As time passes, fat may accumulate in areas where the skin was previously taut, such as in the lower jaw. When facial fat is stored in the lower face, it may result in unsightly jowls of sagging skin hanging on each side of the jaw and the neck.
Wrinkles are a result of daily, repetitive facial muscle contractions. The loss of facial fat and the resultant decrease in facial muscle activity causes deep wrinkles and folds. This, coupled with a reduction in collagen that gives thick, supple skin, can result in an undesirable appearance.
Dermal fillers are the most important medical treatment for volume loss. The most common are made of hyaluronic acid. A naturally occurring substance found in the body that provides skin elasticity as a result of its water retention capabilities, hyaluronic acid is cross linked in the laboratory, extending the duration of effect to over 24 months in some cases, and injected carefully to increase the volume of facial areas that have lost volume.
Sculptra®, a polylactic acid-based substance, is one of the most famous collagen boosters. Sculptra® is utilized to improve deep nasolabial folds, fill in laugh lines, and enhance lip volume.
The hyaluronic acid filler Radiesse may be used to treat deep facial wrinkles, nasolabial folds, and the backs of the hands.
At Infinity Aesthetics, we utilise only FDA-approved fillers like Juvederm Voluma, Belotero Volume, and Restylane Lyft to increase volume in different facial regions, or Restylane Defyne and Belotero Intense to reduce deep marionette lines and nasolabial folds.
In the lower face formation of jowls (due to laxity in ligaments allowing the soft tissues to fall further forwards) gives a heavy aged look and causes loss of facial definition, but can be helped by dermal fillers for the face (alongside other aesthetic treatments). Owen undertakes an expert liquid facelift which is a version of the 8-point facelift which can be found here.
Following a full facial assessment, careful application of dermal fillers for the face can restore volume and reverse some of the signs of ageing. Dermal fillers can also revive the skin providing a healthy glow because of the replenishment of hyaluronic acid.
Around the cheeks, dermal fillers can give a plan and defined look with reduced shadowing, providing a lifting appearance to sunken eyes, forehead volume loss and in the temples which can also give a slight eyebrow lift. Targeted dermal filler can minimise the appearance of jowls. Dermal fillers can restore facial balance such as with nonsurgical chin augmentation. All of this is undertaken by Owen in his aesthetic clinic in Mumbles, Swansea.
The full facial treatment package (liquid facelift) can be transformative for our patients who may have more significant volume loss around the face with associated sinking and sagging of soft tissues.
As we age, we lose volume in our temples, giving the face an appearance which is sunken and more skeletonised, but can be treated with dermal fillers.
As we age, tissue is lost from the chin which recedes and with loss of tension in the supporting ligaments of the mid and lower face, lines form running from the corner of the mouth down towards the chin (Marionette lines).
The position and shape of the cheekbones is essential for facial beauty. Dermal fillers for cheeks can restore well-defined and proportioned cheeks to improve the profile of the face increasing a youthful and attractive look without shadows or creases.
Nasolabial folds run from the corner of the nose down towards the corner of the mouth often becoming more pronounced with ageing as laughing and smiling over a person’s lifetime causes these to become deeper often adding years to a person’s appearance. It is however a natural line, and care must be taken not to obliterate this (as it looks weird and not aesthetically-pleasing).
With ageing, recession of the bone in the jawline and sagging of the overlying soft tissues can lose the defined and strong jawline which is so important for framing the face and altering the shape (feminising or masculinising for example).
Over recent years, the chin and jawline area has become much more important, giving a strong, youthful look and giving balance to the overall facial appearance.
Assessment and treatment of the chin together with assessment of the nasal profile and lips is often called profile balancing. This looks to create a harmonious dependent on facial portions, typically using dermal fillers in the chin and lips and a nonsurgical rhinoplasty where indicated.
A full facial profile may also look at assessment of the forehead where frontal bossing can lead to a slightly hollowed appearance and may also benefit from soft fillers injected into the forehead. This is a potentially high risk area due to arteries that run within the forehead and a medical injector would be essential to reduce the incidence of complications. You can see more on forehead filler at the link here.
Ageing is an irreversible process. Multiple factors contribute to fine lines and wrinkles as we get older, resulting in aging skin. Around the eyes is one of the most common places where we show our age.
Aging is an unavoidable aspect of the aging process. A variety of factors contribute to fine lines and wrinkles as we age, creating a ‘perfect storm’ for aged skin. Around the eyes is one of the most common places where we show our age.
Those fine lines around the eye area are referred to as “crow’s feet”. These tiny wrinkles might also be known as “smile lines” since they form when we grin. These little wrinkles may not be problematic when you’re grinning, but they are definitely detrimental when they become permanent characteristics of your face.
People usually seek advice when wrinkles around their eyes become visible when they are not moving. These are known as “static wrinkles,” and they are always visible. If these little creases only appear when a person smiles, they are called “dynamic wrinkles” and treatment can prevent them deepening or becoming static.
Ageing causes crow’s feet, but what happens to the skin during the development of static crow’s feet? As you age, collagen and elastin, two proteins present in the skin’s supportive structure, are produced in lower quantities. Because these proteins are responsible for the skin’s firm, plump look, they are primarily responsible for their production.
As you age, your skin becomes even more transparent, specifically around the eyes. Around-eye skin is already thin as tissue paper, so rubbing or pulling on it as you apply makeup can cause a negative impact on your appearance. When the skin is thin, it is more prone to developing wrinkles.
The tiny muscles around your eyes contract when you make any facial expression, not just when you smile. Since you probably cannot avoid grinning, you cannot avoid getting crow’s feet. However, certain procedures can prevent and treat these fine lines.
A strong anti-aging skincare routine is crucial. Your skin must be cleaned, toned, and moisturised properly to sustain good health. A high-quality eye cream is also critical. Using your ring finger to apply your eye cream is the best approach, as it applies the least amount of pressure to the sensitive eye region.
It is important to take other anti-ageing precautions in your lifestyle. Sunscreen, adequate sleep, water consumption, and limiting alcohol all help prevent premature skin ageing. Even with your best efforts, crow’s feet may not be prevented. Fortunately, there are several treatment options.
Despite the release of new products, therapies, and technologies, one option consistently tops the list for treating crow’s feet: Botox. This injectable is both simple and safe (it takes around 15 minutes per procedure with no downtime) and is an licensed, prescription-only treatment for wrinkles. It is very effective, but it will require ongoing sessions for maintenance.
Hyaluronic acid is used in dermal fillers like Juvederm, Restylane and Belotero to moisturize and lubricate the skin, making wrinkles appear less harsh. These injections are another popular choice for eliminating fine lines around the eyes. Touch-up procedures with dermal fillers are also necessary.
Finally Morpheus8 is a new and amazing treatment using radiofrequency energy to resurface lines which have formed and tighten the skin around the eyes.
Dark circles are common due to several factors, partially genetic or lifestyle, affecting people of all ages and ethnicities.
Deep nose to mouth lines (marionette lines) are due primarily to a loss of volume around the mouth in the bone and soft tissue, with ligament laxity.
Many people find that over time that can accumulate in the compartments under the chin giving rise to a loss of the normal chin-to-neck angle and the appearance of a double chin.
Forehead and frown lines are an early sign of ageing as over time the skin loses its ordinary connective tissue support with decreasing levels of collagen and elastin.
Formation of jowls around the lower face make us look much older than we feel.
Dr Owen Thomas is a highly trained aesthetic physician with a level 7 qualification in injectable treatments.
He uses his passion and skill combined with a professional, ethical and safe approach, to enable his patients to feel rejuvenated, confident and ready for everything life has to offer.
31.7.2022 | Treatments
10.5.2022 | Treatments
31.7.2022 | Treatments
10.5.2022 | Treatments
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