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New Dimensions in Non-Surgical Face Lift – Dr. Nedic

New Dimensions in Non-Surgical Face Lift – Dr. Nedic




New Dimensions

Aesthetic & Anti-Ageing practitioner, Dr Sly Nedic discusses a non-surgical facelift that restores volume and lift – while returning the skin to it’s youthful glow…

Facial laxity is the ageing of the skin. It is the ongoing decrease in skin collagen and elastin due to environmental damage and hormonal ageing. There are two types of facial laxity, this being: absolute skin laxity – and relative skin laxity.
Absolute skin laxity occurs when the skin becomes thinner and begins to sag. Under the skin there are supporting structures which work against the forces of gravity, but unfortunately they become weaker as we age. The loss of facial volume due to the depletion of muscle mass, redistribution, loss of bone mass and firmness in supporting ligaments all contribute to the global facial sagging. This we refer to as relative skin laxity. When these effects are added together in varying degrees – combined with the effects of gravity we end up with the ageing face, which is unique to each patient.

Careful examination and diagnosis of each patient’s unique ageing characteristics is essential before a suitable technique is decided upon. The facial features should be examined globally and systematically in the following way:

  • Skin thickness, elasticity and firmness and any evidence of sun damage
  • Volume loss from temples, zygomatic arches (cheek bone), malar region,
  • Mid face and jaw line.
  • Gravitational forces: brow laxity, nasolabial folds, marionette lines, jowls etc…

Conventionally and traditionally we use surgical correction to lift skin upwards (superior – laterally) and use fillers to fill up nasolabial and marionette lines. In the new 3 dimensional approach, we address the ageing face globally. One of the main characteristics of this approach is that the 3D volume restoration adds to the “upwards” correction by introducing a totally new dimension- a forward projection.

In this approach, by volumizing the tissue of the face and replacing the volume, it not only adds youthfulness but also to the lifting effect of the face. The placement of the volumizing product is done after careful examination, with the intent of preserving the natural facial balance. We divide facial structures into three differently mobile compartments. The most lateral compartment is fixed and we usually volumise in order to achieve a lifting effect of the more mobile middle part of the face. Volumizing of the temples and zygomatic arch (cheekbone) provides lift to the mid and lower face while creating youthful facial ratios. The mobile middle compartment of the face, where the malar fat pads usually sag (creating a tired look) can also be revolumised. This is thanks to the new generation of dermal fillers which are not easily migrated (eg Juverderm® VOLUMA – Allergan). Generally, volume deposition is done very deeply in this area – and the patient immediately sees rewarding results. It is quick, safe and usually without downtime.

The use of Cannulae in the 3D volumizing technique

The use of micro-atraumatic cannulea in medical aesthetics is quite revolutionary! It is often used in volumizing techniques – and clinical experience shows that the use of cannulae decreases incidences of bruising and heamatoma, while the speed of recovery time is shorter. Patients feed back also suggests there is less discomfort. However some practitioner’s can still achieve great results using needles, or they can even combine needles and Cannulae for a patient‘s specifi c approach. Care must be taken not to over volumise the face – particularly if there is no need for it or if the skin laxity is too excessive. The facial balance is best maintained if the medical practitioner uses a patient’s photo from their youth as guidance.

Often, to restore absolute skin laxity, volumizing techniques need to be combined with other collagen embracing treatments such as RF Thermage, Infra red lights, Titan etc. In addition, a global approach means addressing all the problems of the ageing skin. This includes sun damage where resurfacing techniques and peels should be used. For superfi cial static wrinkles and dynamic wrinkles, a combination of dermal fi llers and Botox still has its place. In the case of excessive skin laxity, volumizing 3D techniques may not be enough – and surgery may be the preferred option. Thankfully, modern patients are addressing the signs of ageing earlier than they did in the past. Patients love that there is less down time with revolutionary new aesthetic techniques… and on the whole, are very satisfi ed. The New 3D Volumizing technique is a leading one!