Facial rejuvenation for middle-aged women: a combined approach with minimally invasive procedures

Abstract

Facial rejuvenation is a significant process involved in restoring youthfulness. The introduction of less invasive procedures has increased acceptance of such procedures. Often a combination of different techniques allows individualized treatment with optimal outcomes. Furthermore, this leads to a natural look without a significant downtime. We report herein the use of such a combined approach in middle-aged women with particular emphasis on botulinum toxin type A, dermal fillers, and chemical peels. Keywords: facial rejuvenation, middle-aged females, botulinum toxin, fillers, chemical peelsIn the past the concept of facial rejuvenation was dominated by invasive surgical procedures, in particular different techniques of partial and full face lift. Nowadays there is a clear tendency for less invasive procedures which are quicker and simpler and that do not divert patients from their daily routine and activities for prolonged periods. They can provide effective, safe, relatively long-lasting, and natural results. 1,2With the development of new technologies and techniques, greater knowledge of tissue anatomy and physiology, stem cells, lasers and other energy sources, new fillers, and the ever more versatile use of botulinum toxin type A (BTX-A), a new perspective in cervicofacial rejuvenation treatments has been established. In the following we will describe our practice and experiences. We believe that needs for rejuvenation and the appropriate choice of the medical armamentarium are age-and gender-dependent so we focused on women aged 30 to 50 years. Etiological factors related to skin agingThe aging process is related to intrinsic and extrinsic factors. The main frequent changes observed among women aged between 30 and 60 years due to the natural and continuing aging process are the appearance of small wrinkles, atrophy of subcutaneous fat, and decreases in collagen and elastin production. There is also an evident decrease in the turnover of skin cells. Gravidity and muscular aging are involved in more evident folds, increasing skin flaccidity. Repeated contractions of the mimic muscles might be involved in the process. In young participants an magnetic resonance imaging (MRI) study was used to demonstrate that the anterior convexity curve of the mimic muscles is due to the existence of a deep fat pad at the back of these muscles. While this mass of fat is effectively a mechanical sliding plane, its convexity constitutes the founding principle of a youthful midface appearance. With age, the muscle gradually straightens and shortens, Clinical Interventions in Aging downloaded from https: //www.dovepress.com/ by 34.214.212.150 on 11-May-2018 For personal use only.

Treatment of lateral canthal rhytides with a medium depth chemical peel with or without pretreatment with onabotulinum toxin type A: a randomized control trial

“…The use of a combined approach in the treatment of photoaged skin has become more popular over the years. In the literature, studies and case reports have highlighted the success of multimodal regiments (involving adjunctive neuromodulator with fillers, intense pulse light, and laser resurfacing) within the aesthetic realm for improvement of rhytides and photodamage ( Carruthers and Carruthers, 2003 , Carruthers and Carruthers, 2004 , Dubina et al, 2013 , Goldman and Wollina, 2010 , Kadunc et al, 2007 , Khoury et al, 2008 , Tierney and Hanke, 2010 ). Botulinum toxin has also proven helpful within the surgical sphere to minimize postoperative scar formation ( Flynn, 2009 , Gassner et al, 2006 ).…”

Minimally invasive aesthetic procedures in young adults

“… 28 It is noteworthy, that volumizing treatment of nasolabial folds and cheeks can result in an improvement in upper lip position. 1 , 2 …”

“…In two recent reviews, middle-aged women and women older than 60 years have been discussed. 1 , 2 In the present paper, we wish to focus on young adult women and men in their third decade of life and address some of the more specific problems in this age group such as the treatment of acne scars, skin laxity, hyperkinetic facial wrinkles, and repair of tissue defects after earlobe piercing.…”

Knowledge, Attitudes, and Practices With Regard to Cosmetic Procedures Among the General Population in the Western Region of Saudi Arabia: A Cross-Sectional Study

“…According to the American Society of Plastic Surgeons, there has been a significant global increase in the number of cosmetic procedures performed over the past two decades, with a remarkable growth rate of 169% between 2000 and 2019. Notably, the majority of these procedures were minimally invasive, and women have shown a greater willingness to undergo these minimally invasive procedures, as they offer a more natural appearance with minimal recovery time [ 7 ].…”