The synthesis of collagen and elastin, the proteins responsible for the quality, elasticity and firmness of the skin, decreases with age. The skin begins to lose its tone, starts to sag and look thinner, and the contours of the face become heavier. The causes are heredity, unprotected exposure to the sun, smoking, poor lifestyle and, most likely, air pollution. It is therefore virtually impossible to evade it entirely. Many technologies are now on the market to help stimulate collagen formation. Many of these devices use a special source of energy to heat tissue, the radio frequency. This heating encourages skin fibroblasts to make more collagen, which results in a more compact and firm skin. This process is not immediate and most of these technologies require several treatment sessions and several weeks to see the changes.
At the clinic, we adopted the Venus Legacy ™ device, which uses innovative technology that combines radio frequency and magnetic pulsations to reverse the effects of aging skin. This combination of energies promotes blood circulation of the treated area, thus the supply of oxygen, vitamins and minerals, while stimulating the fibroblasts to produce collagen and elastin. The end result is a significant improvement in skin quality in terms of firmness, elasticity and texture. The treatments, performed by experienced technicians, last about 60 minutes and must be repeated every week for a total of 6 to 8 sessions. They are painless, cause no complications and leave no visible sign. Thereafter, the results obtained must be maintained with a treatment protocol that will include 3 or 4 sessions per year. Since this is a non-invasive technology, like all tightening technologies on the market, it is necessary to undertake the treatments at the first signs of sagging of the skin and not to wait too long. The results obtained will then be much more remarkable than if the skin has lost too much tonus.
Skin laxity is often associated with thinning of the layers of fat that are under the skin. Fillers can then be used to restore missing volumes and create a lifting effect. The vast majority of products of this class commonly used are composed of hyaluronic acid. This acid is actually a complex sugar that naturally occurs in the skin to ensure its hydration. There are several trademarks in the Canadian market (Juvederm®, Restylane®, Teosyal®, Stylage®, Belotero®, Revanesse®, Princess®). All of these products have an enviable track record that proves their quality and safety, giving the physician the ability to choose the product that best suits the type of treatment required by their patient. These are all injectable products that are deposited under the skin or in the subcutaneous tissues using fine needles or cannulas. The treatment lasts only a few minutes and has little discomfort and side effects. The results obtained are of a variable duration, and go from six months to one year and sometimes more, depending on the product and the depth of the injection.
- There are also other injectable fillers that are to be used only by seasoned injectors with a lot of experience. The best known are Sculptra® and Radiesse®. Both stimulate the gradual formation of collagen during the weeks following treatment. They are therefore very useful in cases of pronounced thinning of the face, to restore lost volumes and redefine contours.
In a comprehensive approach to facial rejuvenation, it is not uncommon to resort to the use of several treatment modalities. The face must be seen as a whole and the proposed solutions must aim for harmonious results. This is why the combination of neuromodulators and fillers is so popular because it aims at reducing dynamic wrinkles that sometimes make the face seem too severe, tired or sad, while restoring the missing volumes that cause the sagging and heaviness of the cheeks. These modalities are, moreover, compatible with other treatment approaches, such as photorejuvenation with the "Forever Young BBL" protocol for the correction of rosacea and pigment spots, or skin tightening by radio frequency with Venus Legacy®, for firmer contours. All these avenues of treatment are explored during the initial interview with the doctor who will be able to propose a treatment plan that takes into account the specific needs of each patient.