The Medico-Surgical Treatment of Wrinkles
The techniques used in medical and surgical treatment of wrinkles are simple, fast and effective, used alone or in combination with a wave of cosmetic surgery (face lift, eyelid). They still require a technicality and precision very important, only guarantees the result.
Bridging, destroy, relax the wrinkles to make it disappear, techniques abound.
We do not disclose all of biomaterials used to fill wrinkles, but know that there are two kinds:
-Absorbable products, to be renewed after one or two years on average, but to a "step backwards". For these products, the risk of complications is limited to the time of absorption;
-Non-absorbable products, which have the advantage of a lasting effect, but whose side effects late (inflammatory granulomas and small hard lumps under the skin) are more frequent.
Given the multitude of products available, only one conversation with your doctor will choose the ratio efficacy / safety for you.
The Gore-Tex (SAM)
Used since the 1990s in aesthetics, it is a permanent implant inert. It is easy to handle. It comes in different shapes and thicknesses that are cutting demand. This implant is well tolerated, strong, flexible and malleable. It requires a careful surgical technique.
Good signs: the increase of the upper lip, the filling of nasolabial folds and the filling of frown lines. The surface wrinkles slightly marked are not a good indication of the Gore-Tex.
The complications are dominated by infection requiring removal of the material. The infection rate is estimated at 5% which is not negligible. However removal of the Gore-Tex is very easy and without sequelae.
The resurfacing laser
Thanks to the computer (scan pulse), this new technique, very accurate compared to standard techniques, is a revolution in the treatment of wrinkles. This precision results in very high security. Controlling the depth of destruction of the ride is automatically calculated by the laser.
The laser vaporization produces a very localized wrinkle does not damage the surrounding skin. This gesture can be performed under local anesthesia for wrinkles isolated under anesthetic premedication for a region (lips, eyelids). It may be associated with any surgery (face lift).
This technique has excellent results at the wrinkles of the lips, eyelids, faces "cracked".
Attention this laser is not effective on wrinkles "muscle" deep and does not correct an excess or sagging skin, contrary to what is sometimes called.
The postoperative course is characterized by edema (swelling) for 8 days, requiring a stay of socio-professional activities, and erythema (redness) for several weeks, requiring makeup during this period.
Sun protection (sunblock cream) is essential for several months. In conclusion, this technique is a great improvement over its safety, simplicity and excellent results, but we must accept a makeup time the pinkness.
The injectable implants little or no absorbable (Artecoll, dermal)
The best indications are: frown lines, the nasolabial fold and perioral wrinkles.
The technique is simple but must be perfect. The level of intradermal injection should be deep. When injected subcutaneously, the implant may move into the subcutaneous tissue is laxer.
If injected too superficially implant can be reflected through the skin. The immense value of this technique is its ease of injection through a needle and syringe (similar to the technique of collagen). Complications are related to poor technique (especially if injected too superficially).
Lipostructure
In this case, not foreign products to be injected, but its own fat reinjected where it will highlight the cheeks, cheekbones, chin and lips. Lipostructure is indicated for the increase in volume and not to fill wrinkles. This intervention requires hospitalization. Despite the resorption rate of 20 to 50% fat (after purification), this technique provides a durable correction without potential side effects associated with the product.
Botox or botulinum toxin
This medication is used since 1980 for the treatment of facial muscle contractions. Neurologists used to treat nervous twitching of the face for over 20 years. Noting that the patients had a lower age of the injected area, practitioners have emphasized this side effect: the botox could be used for the treatment of wrinkles. It is an intramuscular injection, resulting in paralysis of muscles responsible for wrinkles. There is no screening test or skin preparation to do before the injection.
Botox injections are very interesting in terms of frown lines and wrinkles of the crow's feet. It is an intramuscular injection of the product without prior anesthesia needed.
The toxin will lead to a weakening of the force of contraction of the muscle responsible for the ride. This muscle relaxation is a gradual manner after one week. The wrinkles will be diminished.
While fingering the practitioner will find the right compromise between the reduction of wrinkles and that of facial expression.
It is usually necessary to repeat the operation six months after the first injection, and then once a year. There is no hospital. The socio-professional activities can be resumed immediately.
The SOFCEP noted that other positive side effects seem related to facial injections of botulinum toxin "skin texture is generally improved, decreased facial sweating and headaches eased.
This technique is used for those wrinkles muscular upper facial condition that these lines are not too pronounced. If wrinkles very important surgery will be necessary.
Different techniques may join or be used specifically to suit your case. They can also be used alone or in combination with a gesture of such eyelid surgery cosmetic facelift ...
