Whether male or female, aging in the face occurs by several factors. First is sagging of the skin, and the underlying muscle. As we age, a component of volume loss occurs in the elderly. Therefore, the gold standard for facial rejuvenation is to treat this laxity with skin tightening procedures. Treat the skin and muscle.
These non-surgical treatments always note in the fine print that they are not a substitute for a face lift, eyelid lift, or brow lift. Once we stop or turn back the clock with one or more of these procedures then we can address the wrinkles and texture of the skin. There are several useful nonsurgical adjuncts. These include laser, micro-needling with and without radio frequency in the use of PRF platelet rich fibrin. This PRF is thought to have stem cell factors and growth factors which when used in conjunction with micro-needling can add youthfulness and a glow to the skin. Botox and fillers also have significant benefits. This is when used in conjunction with the gold standards of surgical lives as discussed previously.
Surgical Procedures and Skin Tightening
There is another anatomic structure of the face which often gets overlooked. Especially when assessing procedures that will restore or regain a youthful appearance. That structure is the nose. The nose ages along with those other areas of the face. No matter what your age, an attractive and refined nose is always a benefit. When the nose is sculpted in conjunction with a facelift a very dramatic restoration of youthfulness can be achieved.
Once we made the investment in the above procedures surgical and nonsurgical a good skin care planor regime is essential. The basics are daily cleansing moisturization and sunblock. In Florida here it’s difficult not to get exposed to the sun. A constant overexposure to the sun will cause damage. A good sunblock is essential. Remember the goal is to look more youthful by having a logical and rational approach to the changes that time burdens us with.
THOMAS TREVISANI, MD