PEER-REVIEW | FACIAL REJUVENATION |
FACELIFTS? A BETTER
LIQUID
Dario Bertossi reviews the use of dermal fillers as a viable alternative to surgical procedures for facial rejuvenation, and the positive and negative aspects of these treatment options
ALTERNATIVE TO SURGERY?
ABSTRACT An increasing number of patients are requesting less aggressive treatments to improve their facial appearance. The technical skills and range of new material available have made it possible to shift towards the liquid facelift, which comprises a combination of non-permanent dermal fillers with neurotoxins. This articles explores the surgical techniques available, and compares the pros and cons of the medical treatment, highlighting the potential results and the lower rate of complications when opting for the liquid facelift.
DARIO BERTOSSI, MD, Associate Professor, Department of Surgery and Maxillofacial Surgery Department; Chief Professor, Pier Francesco Nocini, Policlinico GB Rossi, Piazzale La Scuro 10, 37134 Verona, Italy
email:
dario.bertossi@
univr.it T
KEYWORDS facelift, dermal fillers, hyaluronic acid, botox,
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HE SURGICAL APPROACH TO THE correction of facial ageing has changed dramatically over the last few decades. This has largely been the result of social changes with regard to populations desiring intervention for the inevitable
ageing of their appearance. Equally important has been the development of technologies and techniques directed at accomplishing this intervention. Currently, a range of injectable methods have gained wide acceptance. These methods include the use of botulinum toxin and injectable filler substances 1 There is no doubt that classic surgical and non-surgical
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procedures such as blepharoplasty, rhytidectomy, or laser resurfacing still represent important techniques in aesthetic and facial rejuvenation. It is also clear that the combination of these traditional treatments with other procedures that offer improved skin quality and texture,
June 2013 |
prime-journal.com
wrinkle appearance, are low risk, cost-effective, carry low morbidity, and quick recovery, represent important advancements. Different types of dermal fillers or soft tissue augmentation combined with botulinum toxin (e.g. BOTOX®; Allergan, Irvine, CA.) injection represent an important non-surgical resource that, combined with traditional techniques, can improve or extend the results.
Facial ageing The ageing face can be distinguished in a number of ways from a more youthful appearance, reflecting the interplay of extrinsic and intrinsic factors. Important extrinsic factors include the varied consequences of photodamage, cigarette smoking, alcohol consumption, diet, and general health. Intrinsic factors encompass gravitation effects resulting from decreased skin elasticity, loss of volume in the facial fat compartments, and bony and soft tissue remodelling. Additionally, the
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