Following years of research, Dr Obagi, a Californian dermatologist, formulated a
skin care regime which optimises skin conditioning and health.
The regime is simple and is tailored to each individual’s skin. Retinova® 0.05%
is used once or twice daily depending on the extent of fine lines and wrinkles.
Following a set of simple steps of cleansing, toning, correction followed by
exfoliation (mornings) or stimulation with Retinova® 0.05% (evenings) will
result in increased cell turnover, correction of pigmentation problems and
stimulation of collagen formation in the deeper layers of the dermis.
You will find that your skin is smoother and more supple with a visible
reduction in fine lines and wrinkles.
Restylane / Perlane / Hydrafill
Facial lines result from repetitive facial movement in skin that has been
damaged and has lost collagen and elastic tissue. Important predisposing
factors are skin thickness which is genetically determined, sun damage and
smoking.
Dermal fillers (Restylane,Perlane,Hydrafill) are clear gels consisting of stabilized
hyaluronic acid that bear and bind water, thus smoothing wrinkles and folds,
imparting lift and new firmness to your skin. Lips are fuller with a more
sensuous contour. Cheeks are plumper and more youthful combating that hollow,
drawn appearance that characterises the ageing face.
A variety of products are available. I prefer to use products that are not
animal based and have a very low incidence of allergic reactions, therefore
negating the need for a skin patch test in advance. This means that I can treat
your facial lines at your first visit with Restylane, Perlane, Restylane Sub
Q or Hydrafill.
Factors such as the depth of the lines and the mobility of the face influence
the choice of product. For example Restylane is particularly suited to the
finer lines of the superficial dermis such as lines above the lip. Perlane is
preferable for deeper lines such as those from nose to mouth. Perlane is also
suitable for enhancing the lips, a highly vascular and mobile area which needs
the extra staying power of a deeper dermal product.The Hydrafill products can be used in both the superficial and deeper dermis.
Restylane Sub Q is placed beneath the dermis in the cheek area. Its deep
position over a wide surface area ensures that cheek augmentation looks natural
with soft, gradual contours.
Nose to mouth (nasolabial) lines and those in the frown area (glabella) and
above the lip (perioral lines) are the most common. ‘Marionette’ lines can give
the corners of the mouth a sad, downturned look, which is greatly improved by
using an appropriate dermal filler.
Restylane Sub Q is evenly deposited in the area beneath the cheekbones using a
very fine cannula. Local anaesthetic is used to ensure that the procedure is as
comfortable as possible.
Dermal fillers produce fuller, more sensual lips by injection along the
vermilion border in either or both upper and lower lip. The effect achievable
is dependant upon the quality of product injected.
Shallow scars which are not tethered to underlying tissue are often suitable
for injection using an appropriate dermal filler. The quality and type of
product indicated depends on the depth and length of the scar.
A local anaesthetic is offered prior to lip enhancement, cheek enhancement and
the treatment of nasolabial lines and those above the lip. It takes five
minutes to perform and the effect lasts for up to two hours.
Topical agents such as Anestop or Emla can also be used. These need to be
applied at least fifteen minutes in advance of treatments.
This depends on the area injected and the type of product used. In general
terms the less mobile the product, the longer it will last. A good example is
the treatment of lines in the frown area which should last a year if the area
has been previously immobilised with Botox®. Guidelines are
:
| Lips
|
3-6 months
|
| “Smokers Lines”
|
6 months |
| Nose to Mouth Lines
|
6-12 months
|
| Cheek augmentation
|
12 months
|
Initially there may be some redness and swelling of the treated lines which may
last 2 or 3 hours. A small bruise may last a few days but can be concealed with
make-up 6 hours after treatment.
The lips are particularly sensitive and swelling as a result of enhancement with
dermal fillers can last for several days. Therefore the effect immediately
following treatment should not be viewed as indicative of the final result.
Mild swelling following cheek augmentation can last up to five days. Clients
are advised to undergo lip enhancement or cheek augmentation when they have no
important social or business functions in the ensuing few days.
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