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look 5 years younger

Wrinkles are just the tip of the iceberg when it comes to the symptoms of an aging face, and many women (and men) get so caught up keeping lines at bay that they may sometimes neglect other signs of time.

The good news is you don’t need a complete overhaul to look a few years younger anymore, and a combination of several small, targeted treatments and surgical procedures can yield major anti-aging results.

The problem: Turkey neck

It’s no secret that the skin loses its elasticity with age, and the skin on the neck is particularly prone to sagging and looseness. A lifetime of accumulated sun exposure is the main cause of the decline of supportive collagen and elastin that lead to the dreaded “turkey waddle.”

The solution: ThermiTight™

before and after thermitight
Before and after ThermiTight. Credits: Dr. B. DiBernardo

Treatments such as ThermiTight can help remodel existing collagen and prompt the skin to naturally produce more. ThermiTight uses a tiny probe to deliver radiofrequency energy to the deeper layers of the skin, in turn generating heat that produces a tightening effect. Results begin to become visible after six to eight weeks, and optimal improvement is seen approximately six months after treatment—and may continue to refine for up to a year.

According to Gregory Buford, MD, FACS, a plastic surgeon in Denver, CO, “As a plastic surgeon, until now the mainstay of addressing skin tightening was to surgically excise that skin and create scars.  ThermiRF has changed that. By combining minimally invasive procedures such as ThermiTight along with non-invasive options such as Thermi250, I am able to offer my patients scarless skin tightening and fat contouring with minimal discomfort and very little to no downtime.  And as a Thermi user for the last several years, I predict that we have only begun to tap the potential of this existing new technology.”

One non-invasive treatment is usually sufficient for significant improvement, and patients say that other than feeling the sensation of heat, the treatment is relatively painless. ThermiTight requires minimal downtime and you can return to their normal activities the very next day. For optimal improvement, many doctors will recommend BOTOX® Cosmetic, Dysport® or Xeomin® in conjunction with energy-based skin-tightening to relax the vertical muscles of the neck that often become more visible with age.

The problem: Droopy eyelids

The same breakdown of collagen and elastin that’s seen on the neck occurs around the eyes as well, and this can lead to a perpetually tired appearance that adds years to your visage.

The solution: Upper blepharoplasty

beforea and after upper blepharoplasty
Before and after upper blepharoplasty. Credits: Dr. J. Lee

Performed under twilight anesthesia and often taking less than an hour, upper blepharoplasty (also known as an eye lift) is an outpatient procedure that removes excess skin and may involve tightening of underlying supportive tissues. Although it takes one to two weeks for incisions to heal and bruising to subside, most patients are surprised at how painless the recovery is—and results are subtle yet significant in the hands of a skilled surgeon.

“Although blepharoplasty may target a small yet very important area, this procedure can have a huge impact on the overall appearance of your face,” says Dr. Alan Matarasso, MD, FACS, a plastic surgeon based in New York City. “We can essentially restore a youthful and less tired look that can take a decade off in some cases. It’s a win-win for women as well as men.”

The problem: Sunken cheeks

The loss of facial fat is yet another symptom of aging, and a sunken look in the mid-face often replaces the plump, full cheeks associated with youth.

The solution: Juvederm® Voluma

juvederm for nasolabial folds
Before and after Juvederm Voluma fillers. Credits: Dr. G. Breslow

A hyaluronic acid cheek filler like Juvederm Voluma replaces lost volume instantly (and painlessly since it’s formulated with a numbing agent), and provides a visible “lift” that can last for more than a year. Replenishing mid-face plumpness also helps smooth the appearance of laugh lines and add definition to the cheekbones—lending an overall younger look that lasts one year or more.

“Voluma is my go to filler for replacing deep medial cheek fat when autologous fat is not an option for patients,” says New Haven, CT dermatologist Lisa Donofrio, MD.

The problem: Dull skin

Nothing says “youth” like radiant, glowing skin—and it’s imperative to include your complexion in your anti-aging efforts. Cellular turnover slows with age, and a build-up of dull, dead cells on the skin’s surface makes you look years older than you really are. At-home exfoliation can only go so far.

The solution: Sciton Halo

sciton halo skin rejuvenation
Before and after Sciton Halo rejuvenation. Credits: Sanctuary Medical

Sciton’s Halo hybrid laser uses two wavelengths of light to simultaneously reveal fresh, healthy skin and prompt rejuvenating collagen production beneath the surface. The Halo treatment combines the results of ablative resurfacing with the little-to-no downtime associated with non-ablative resurfacing, and is fully customizable for each patient’s needs and schedule. Patients can opt for one intense treatment or a series of lighter treatments to dramatically improve fine lines, discoloration, redness, enlarged pores and other signs of sun damage while delivering a major boost in the skin’s clarity and radiance.

According to Nashville dermatologist Chris Robb, MD, PhD, “Halo offers the best of both non-ablative and ablative wavelengths for my patients. I can precisely dial in the exact treatment patients need for amazing results within the desired downtime. It changes the paradigm.”

Halo recovery is relatively easy, but expect your skin to feel hot for the first few hours after treatment. By the next day, a dark, rough crust begins to form on the surface of the skin, but it can be camouflaged with makeup. There is no discomfort or oozing after the initial sunburn-like redness that occurs immediately after treatment. The outer layer begins to flake off a few days later, in turn revealing smoother, healthy, baby-soft skin that makes it all well worth it.

The problem: Hollow temples

If you haven’t noticed a change in the appearance of your temples, it’s probably because you never thought to take a closer look (or compare them to photos of your younger self). This is one of the most overlooked areas when it comes to aging, and the loss of facial fat in this spot can lead to a sunken look and visible blood vessels.

The solution: Sculptra® Aesthetic

sculptra for hollow temples
Before and after Sculptra injections. Credits: Sculptra Aesthetic

A long-lasting collagen-boosting injectable like Sculptra Aesthetic can restore lost volume with a series of treatments spaced out over several months. The only trade-off for this long-lasting rejuvenation is that it doesn’t deliver an instant effect. Sculptra requires a little patience, as it can take up to three months or longer to start seeing the collagen-boosting effects. Many dermatologists and plastic surgeons also add a hyaluronic acid filler for a quick fix while Sculptra is working it magic.

“Sculptra is an excellent treatment choice to restore volume for the area around the temples and cheeks. It is an alternative to surgical fat transfer with less down time. Many patients appreciate the more natural or slower progression of new collagen appearance which leaves people wondering what they have had done. It provides a smooth, even result that can continue to replenish fullness for two to three years after a series of two or more treatment sessions,” explains Dr. Edwin Williams, an Albany, New York based facial plastic surgeon and Past President of AAFPRS.

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About The Author

Articles by

Wendy Lewis is President of Wendy Lewis & Co. Ltd Global Aesthetic Consultancy, author of 11 books and Founder/Editor of Beauty in the Bag.

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