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Hand Augmentation Using Injectable Fillers
Published in Neil S. Sadick, Illustrated Manual of Injectable Fillers, 2020
Sachin M. Shridharani, Teri N. Moak, Trina G. Ebersole, Grace M. Tisch
Few areas of the body betray the age of an individual as greatly as the face. As a result, significant time and effort have been devoted to facial rejuvenation for patients of all ages throughout the history of aesthetics. In more recent years, attention has been drawn to another area of the body with high visibility and similar age-revealing characteristics—the hands (1). Accordingly, hand rejuvenation has emerged as a discrete area of aesthetics with multiple modalities employed to achieve a more youthful appearance in this region (1,2).
Periorbital Region and Tear Trough
Published in Ali Pirayesh, Dario Bertossi, Izolda Heydenrych, Aesthetic Facial Anatomy Essentials for Injections, 2020
Colin M. Morrison, Ruth Tevlin, Steven Liew, Vitaly Zholtikov, Haideh Hirmand, Steven Fagien
Both non-surgical and surgical options exist to address the TT deformity. Patient selection is critical to obtaining good results. The best candidates for non-surgical correction are patients with good skin tone and minimal skin laxity, with mild to moderately deep TTs. Non-surgical treatment is ideal for patients seeking facial rejuvenation with minimal downtime. Poor nonsurgical candidates include those with excess orbital fat, thin skin, significant skin laxity, and deep TTs. Non-surgical techniques also have excellent utility in postsurgical patients who have uncorrected troughs or over-resected orbital fat [2]. Many surgical techniques have also been described. Most, however, do not fully correct the deformity, and some can accentuate it.
Aesthetic
Published in Tor Wo Chiu, Stone’s Plastic Surgery Facts, 2018
Choosing between surgery (see below) and non-surgical methods of facial rejuvenation comes after discussion; the patient has to accept realistic goals including the following: Non-operative methods are generally not as effective as, nor have the longevity of, surgery.Resurfacing will be especially useful for actinic damage and aims to initiate dermal collagen reorganisation and new collagen synthesis, but has a significant downtime that increases with deeper resurfacing.
Abobotulinum toxin A for periorbital facial rejuvenation: impact on ocular refractive parameters
Published in Clinical and Experimental Optometry, 2021
Mohammad H Eftekhari, Hossein Aghaei, Haleh Kangari, Milad Bahrami, Shervin Eftekhari, Seyed M Tabatabaee, Kourosh Shahraki, Mobin Bahrami, Mohammad G Broumand
Facial wrinkles, such as the forehead lines, glabellar wrinkles and crow’s feet lines (lines at the corners of the eye), are created by the contraction of facial muscles. Contraction of the mimic muscles of the face result in the overlying skin moving and forming dynamic wrinkles at 90 degrees to the contraction of muscle direction. The most significant improvement in dynamic wrinkles is observed in patients with injecting botulinum toxin, so these patients can be considered the most appropriate candidates. There are various non‐surgical and surgical facial rejuvenation techniques. The injection of a small amount of botulinum toxin into overactive muscles can relax the muscles. Some side effects of Botox are redness, bruising, haemorrhage, pain at the injection location, infection and inflammatory reaction. Some of these symptoms may indicate an allergic reaction; other allergy symptoms are itching, wheezing, asthma, a rash, red welts, dizziness and faintness. Botox is likely to spread to nearby tissues of the injection site. For instance, temporary droop in the eyebrows or upper eyelids can result from injecting into the forehead around these sites. There are three types of side effects associated with botulinum toxin: (1) the effect expected of this neuromuscular toxin, that is, excessive weakness of the muscle injected; (2) the effect of the diffusion of this neuromuscular toxin to the adjacent non‐injected muscles; and (3) the effect caused by the systemic diffusion of this toxin.8–13
The efficacy of radiofrequency, intense pulsed light and carboxytherapy in facial rejuvenation
Published in Journal of Cosmetic and Laser Therapy, 2020
Samia Nassar, Mai Assem, Dareen Mohamed, Ghada Hassan
There are two types of skin aging; intrinsic and extrinsic aging. Intrinsic aging reflects the genetic background and depends on time. Extrinsic aging is caused by environmental factors such as sun exposure, air pollution, smoking, and poor nutrition. Extrinsically aged skin is characterized by photodamage as wrinkles, pigmented lesions, patchy hypopigmentation, and actinic keratosis (1–9). There are multiple processes involved in facial aging. The weakening and repositioning of soft tissue as well as soft tissue volume loss lead to excess skin and deep creases on the lower face and the exposure of bony prominences on the upper face. Finer lines and rhytides occur from repetitive facial movements (10). Many therapeutic modalities are used to treat skin aging. Therefore, this work aimed to evaluate and compare the efficacy and safety of IPL, RF, and carboxytherapy in facial rejuvenation.
Two years’ outcome of thread lifting with absorbable barbed PDO threads: Innovative score for objective and subjective assessment
Published in Journal of Cosmetic and Laser Therapy, 2018
Aging is inevitable and a progressive process, and face is the mirror of total body aging. Aging in face affects all facial layers (1), skin, subcutaneous fat, superficial muscular aponeurotic system (SMAS), deep facia, the retaining ligaments, neurofacial muscles activity, and even the facial bony skeleton. Variable procedures for facial rejuvenation have been innovated through surgical and nonsurgical techniques, according to degree of tissue laxity, surgeon assessment, and patient preference. The most common nonsurgical tools for face rejuvenation are the dermal fillers, Botox, peeling, laser resurfacing, platelets rich plasm (PRP), and lifting using threads. Thread lifting has long history (2) and debate because of high record of complications of non-absorbable threads recorded previously. It was approved in 2005 by the FDA (3) and lost approval years later. With the introduction of absorbable threads, made of polydioxanone (PDO), thread lifting has gained interest and popularity again among diverse manufacturing companies that produce many types with many techniques, either for rejuvenation and/or skin lifting. Thread lifting is neither alternative to surgery nor magic per se, but it could have good results for rejuvenation and skin lifting, especially when combined with another method of facial rejuvenation. Many histopathological studies indicated dermal and subcutaneous foreign body reaction after inserting the thread, in forms of lymphocytes infiltration, collagen deposition, and fibrosis (4–6). This fibrosis could explain the tightening effect throughout contracture and remodeling and subsequent skin tightening.