All women cherish the dream of remaining young and beautiful as long as possible. Modern methods of aesthetic medicine will help bring these desires to life. First of all, we are talking about contour plastic surgery. The procedure allows you to maintain the attractiveness and freshness of your facial skin, even if age-related changes are already actively manifesting themselves.
During the procedure, special preparations are injected under the skin to correct minor skin imperfections. This is a quick and painless procedure that allows you to maintain youth without surgery. For contouring, a number of drugs, so-called “fillers,” are used.
We work with the following fillers:
- Radiesse.
- Princess.
- Juvederm.
- Etermis.
- Surgiderm.
- Belotero.
In order to make a choice, you need to familiarize yourself with each representative of the funds offered.
Radiesse
The German drug contains calcium hydroxyapatite and gel. Radiesse is injected into the deep layers of the dermis. It is not used for superficial injections. Radiesse fills the “voids” under wrinkles, thereby smoothing them out. Gradually, the auxiliary gel dissolves and the main rejuvenating effect is carried out by the active component. Calcium hydroxyapatite stimulates body tissues to synthesize collagen. The more active the production of collagen fibers is, the faster the skin will restore its elasticity and unsightly skin folds will disappear.
Contour plastic using this product is used both for tightening the oval of the face and for the purpose of a general rejuvenating effect. The result will please you for 1 to 3 years.
What techniques can cope with gravitational ptosis?
If the patient has severe gravitational ptosis, then the treatment protocols will be different.
How to understand that a patient has all the signs of tissue ptosis? Very simple. As doctors advise, you just need to go to the mirror and lift the nasolabial folds slightly up with your fingers. If they level out, then there is prolapse of the soft tissues.
Zhmurina Natalya Borisovna
Director, Chief Physician of “A Clinic” Dermatovenerologist, cosmetologist
Gravitational ptosis is a natural process caused by weakening of the ligamentous apparatus with age. You can strengthen it and return it to a state of youth in various ways.
Thus, excellent results are obtained by circular tissue tightening at the level of SMAS - the muscular aponeurotic layer - using the Altera System
, created by the international company Merz Aesthetics.
Altera
- This is the only device in the world that works on the principle of plastic surgery. Deep lifting with the Altera System apparatus includes tightening of the skin, subcutaneous fat, facial muscles, collagen and elastin fibers. This lift gives a pronounced and long-term rejuvenation effect.
Tissue tightening occurs using focused ultrasound, which has the ability to penetrate to a depth of 4-4.5 mm. This is the level of SMAS - superficial muscular aponeurotic system. It is located under the skin and connected to it into a single frame. When muscles contract, they pull the skin along with them. As a result, sagging and deep creases appear over the years.
Ultrasound heats the subcutaneous layers. When the temperature rises there, the collagen fibers and connective tissue of the fatty layers thicken. The skin begins to tighten. And in order for the effect to be natural and long-lasting, an internal renewal process begins in the skin. During the Ulthera-therapy procedure, micro-focused ultrasound energy is delivered to a precise depth and at a temperature that stimulates the growth of new, young collagen and elastin to replace old ones.
Altera is a one-time procedure with no seasonal restrictions and no rehabilitation period. After the procedure, the skin renewal process continues for 2-3 months, after which the patient’s appearance is radically transformed! The effect of the procedure lasts for at least 3 years.
Lifting threads also work for a long time in the skin, which also remarkably remove the manifestations of gravitational ptosis. There are already quite a lot of threads today (this includes Dermafil
, and
Aptos
, and
Rezorblift
). All of them belong to the category of “smart”, that is, they adapt perfectly to tissues, do their job and are eliminated from the body naturally.
Their main task is to move tissue from the center to the periphery, in other words, to tighten it. For example, threads from France Clovermed do an excellent job of this.
Row of threads ( Aptos
,
Resorblift
,
Silhouette Soft
) are made from 100% polylactic acid, biologically compatible with the human body. It completely resolves and is eliminated from the body within 9-12 months. But during this time, being inside the body, it has a rejuvenating effect, activating skin renewal and slowing down the aging process. In addition, skin cells begin to actively produce new collagen of their own, which increases skin elasticity. This happens under the influence of polylactic acid.
All lifting threads have special notches that are securely fixed in the facial tissues, thereby tightening its contour. The effect of non-surgical lifting is created. A reliable supporting frame is formed around the threads, which will remain in place after the thread has dissolved.
In complex cases, when ptosis is very pronounced and advanced, complex combined treatment protocols are used, consisting of implantation of threads and injection of fillers, or the use of ultrasound and fillers. Also, in combination with these techniques, hyaluronic preparations can be pierced, which will only enhance the rejuvenation effect.
Princess
The drug is made in Austria. The composition includes hyaluronic acid, purified using a special SMART system. Thanks to this treatment, the product becomes homogeneous and is able to be evenly distributed in the voids under the skin. There are several lines of the drug, each of them has its own purposes and indications.
Princess Filler is used for facial skin lifting, in particular bio-reinforcement. Most effective for moderate wrinkles. The series is recommended for young girls.
Princess Volume. A number of preparations for more mature skin of oily and combination types. The line is effective in the fight against deep wrinkles. Princess Volume is also used to correct the shape of the face and helps eliminate traces of acne.
The result lasts 6-12 months.
Experts' opinion
Many cosmetologists prefer to use fillers from Korea, noting the optimal price-quality ratio. These products have good plasticity and viscosity, and a high degree of purification ensures high safety of the procedure.
Nelly Mezerya (Cosmetologist):
Every day the cosmetology market has an increasing range of Korean-made fillers. Many have proven themselves very well and are loved by cosmetologists for their relatively low cost and high quality of preparations. Neuramis fillers have become an excellent alternative to more expensive drugs, the results of the procedure are good. It is possible to purchase a fake, so you should order from trusted suppliers and do not chase a lower price.
The doctor shares his experience in using drugs and focuses on the most suitable ones for the task:
The second forum participant agrees with the opinion of his colleague:
The specialist talks about the high effectiveness of Revofil:
The cosmetologist highlights the advantages of Regeness:
About the duration of the effect of Neuramis:
In this commentary, the cosmetologist advises trying Huafilia filler:
Juvederm
Filler straight from the USA. It is a gel already packaged in disposable syringes. The main active ingredient is synthetic hyaluronic acid, which does not cause an allergic reaction. Like many fillers, Juvederm has several series. The cosmetologist, depending on the patient’s individual problems, selects the most suitable drug from the lines.
Juvederm Ultra is injected into the superficial and middle layers of the dermis. Used to emphasize and correct lip contour. Also, the Ultra 3 line effectively smooths out wrinkles in the zygomatic and frontal areas.
Juvederm Voluma . Best suited for large-scale transformations – modeling the oval of the face. In the area of the cheekbones and cheeks, injections of the drug are carried out to increase volume, especially if large voids form under the skin, manifested by massive jowls (sagging skin). The Voluma line is used for chin correction and non-surgical rhinoplasty.
Juvederm Volbella . This injectable gel is used to add natural volume to the lips. With its help, cosmetologists actively eliminate facial wrinkles around the mouth and fill voids along the nasolacrimal groove, camouflaging deep nasolabial folds.
Juvederm Volift . This is an updated analogue of the Volbella series. It is also used to fill voids under nasolabial wrinkles.
The result obtained lasts 1-2 years.
Exercises for nasolabial folds –
Some people claim that exercise can strengthen the muscles surrounding the nasolabial folds, potentially making them less noticeable. Nevertheless, it is believed that active facial expressions associated with contractions of the facial muscles, on the contrary, lead to a deepening of the nasolabial folds. There are no clinical studies on this issue. The complex for nasolabial folds includes the following exercises, which are recommended to be done every day -
- Pucker your lips while lifting them towards the tip of your nose and hold for 15 seconds (repeat 4-5 times).
- Pucker your lips so they appear fuller, then pull the corners of your mouth outward and hold for 15 seconds (repeat 4-5 times).
- With your mouth slightly open, pull the corners of your mouth with your index fingers, moving them further apart, and hold for 2-3 seconds (repeat 25 times). We hope that our article was useful to you!
Sources:
1.
, 2. Personal experience with fillers, 3. National Library of Medicine (USA), 4. https://aestheticsjournal.com, 5. “Cosmetic dermatology” (L. Bauman), 6. “Anatomy & volumizing injections” (Nabila Azib, Philippe Berros, Frederic Braccini).
Etermis
German products, which contain two active substances: mannitol and hyaluronate.
Mannitol has antioxidant properties. It slows down the destruction of hyaluron, which further prolongs the preservation of the rejuvenation effect.
Unlike other products, Etermis contains an increased concentration of hyaluronic acid. Accordingly, the drug is more effective and allows you to replenish a larger volume, as well as maintain the result for as long as possible.
Our doctors work with Etermis 4. It is injected into the middle and deeper layers of the dermis. This series successfully copes with deep wrinkles and massive ptosis. Etermis 4 fills voids, replenishing lost volume. Even deep, pronounced folds are smoothed out. Using Etermis 4, a cosmetologist can also correct facial asymmetry and correct lips.
The effect of Etermis lasts up to 2 years.
Indications and contraindications for hyaluronic acid injections into the lips
The skin of the lips is one of the most vulnerable areas. Despite the protective layer of balm, lipstick or gloss that is constantly renewed throughout the day, lips tend to dry out and crack during the cold season. The reason is too rapid and regular loss of moisture under the influence of wind, frost, and dry air. This negatively affects the condition of the skin of the lips and contributes to premature aging. The undeniable advantage of injections into the lips is an increase in the level of moisture, due to which the skin becomes elastic, firm and looks really young.
Injections of hyaluronic acid into the lips help:
- correct asymmetry of the lip contour;
- enlarge one of the lips, which visually appears thinner (upper or lower);
- add thickness and volume to overly thin lips, because they give an angry look to any woman;
- remove unsightly wrinkles and folds;
- hide premature aging;
- eliminate dry skin;
- make contours more pronounced and clear without contour pencil and makeup;
- lift the downturned corners of the lips, visually “throwing off” several years.
Contraindications to the use of preparations with hyaluronic acid:
- period of pregnancy and breastfeeding (lactation);
- individual intolerance;
- impaired blood clotting (too low or too high);
- local inflammatory processes in the perioral area (dermatitis, herpes, etc.).
Surgiderm
This is a multicomponent drug from France. The main active ingredient of Surgiderm is hyaluronic acid. Thanks to additional components, hyaluronate forms additional bonds in the skin and forms a matrix structure. The acid becomes more stable and dissolves much more slowly than other representatives. The three-dimensional structure also prevents Surgiderm from migrating under the skin or being displaced by external factors.
Injections are carried out only to medium and deep depths. Contour correction in the sensitive area around the eyes is not carried out with this drug.
Surgiderm 24 XP has a high density and is ideal for camouflaging nasolabial folds and moderate wrinkles. Using this ruler, you can lift the cheekbone area and give the missing volume to the lips.
Surgiderm 30 XP. The series is distinguished by its viscosity and is used mainly to increase volume where it is lacking. The drugs are effective against deep wrinkles. In the forehead area, a cosmetologist can not only smooth out the skin, but also raise the corners of the eyebrows. The eye will become more open, the face will take on a fresh and rested appearance. Series 30 XP is also used for lip contouring.
Surgiderm is compatible with other preparations containing hyaluronate. The result lasts up to 1.5 years.
Contour plastic surgery of nasolabial folds: price
For contour plastic surgery of nasolabial folds, the price in professional dermatological clinics starts from 10,000 rubles (for 2022). The final cost will depend on the brand and volume of filler. For example, the cost of correction when using 1.0 ml of Juvederm Ultra 3 or Ultra 4 will be about 13,000 - 14,000 rubles, Restylane or Perlane - 16,000 rubles.
The cost of services from private cosmetologists is usually somewhat lower, but we immediately draw your attention to the fact that too low prices can only indicate the use of counterfeit drugs, the volume of use of which, according to statistics, already reaches 40% of the total volume of drugs. For example, the cost of the Juvederm Ultra 3 filler alone is about 7,000 rubles, and the Restylane line of drugs ranges from 8,000 to 10,000 rubles. Therefore, if you are offered a final cost of 7000-8000 rubles, then this is only possible if you use counterfeit drugs or fakes.
Recovery after the procedure
In the first 24 hours after filler injection, certain recommendations are followed. During this period you will need:
- exclude the use of any cosmetics;
- avoid active facial expressions;
- Avoid rubbing your face.
For several days you should avoid exposure to ultraviolet rays and playing sports. It is necessary to temporarily postpone other cosmetic procedures. Non-steroidal anti-inflammatory drugs should not be taken for two weeks.
