A Face Lift is a procedure that most people can benefit from. This may sound too radical but most people feel a need and desire to look their best. When skin creams and lotions, Botox, lasers, chemical peels and fillers fail - face lift may offer the solution that is difficult to resist. Of course, many people are afraid of having surgery and having a “surgical look” but fortunately face lifting techniques have evolved considerably to offer patients less invasive methods that even the most sophisticated patient can find attractive.
How The Technique Is Performed:
Face lift remains one of the most effective rejuvenating methods for the aging face. Its technique varies from simple skin excision to complex procedure including the repositioning of muscles, fat and skin. Recent trends in patients desires of having effective facial improvement while minimizing down-time have led to the development of newer, less traumatic, short scar, less recovery methods. Full understanding of the face and neck anatomy as well as the changes associated with aging process is required by the physician prior to undertaking any face lift procedure.
Two key subcutaneous structures are at the core of face-lift surgery - superficial musculoaponeurotic system (SMAS) and platysma. SMAS is a fibrous interlocking, sometimes ill-defined, structure/sheath deep to the skin fat. It extends from platysma muscle (a thin, fan-like muscle that extends from both collar bones to the jaw line) and reaches cheekbones as well as temple and scalp components. These two structures are utilized and modified in most face lift procedures.
As we age, several facial components undergo significant changes. The skin becomes less elastic that is associated with decrease in collagen support. Furthermore, there is modification of the facial fat with respect to its amount and position. In addition, there is remodeling of facial bones that in combination with fat and skin changes lead to aged facial appearance.
Most of the surgical face lifts procedures today are a variation of two-plane face lift - use of the epidermal-dermal component (full thickness skin) as well as the SMAS-platysma component. Optimal results require modification of SMAS-platysma component through resection, placation and/or suspension. It is this modification that is at the core of most face-lifts. These adjusted deep supporting structures provide durable framework over which skin can be safely re-draped. It is imperative to realize that stretching skin alone will not result in any sustained improvement and can lead to skin death, appearance of “surgical look” as well as significant facial distortion and scarring.
The Latest Techniques:
Latest face lift techniques utilize shorter skin incisions and are primarily designed for patients with mild to moderate jowls and neck laxity. With the recent advancements in local anesthetic and, in particular, the development of tumescent anesthesia, most face lift procedures can be safely and comfortably accomplished without the need for the traditional general anesthesia. These modified procedures have accomplished several things. Shorter incisions and local anesthetic make the recovery from modern face lifts much easier than in the past. In addition, the shorter scar and resulting less significant distortion of hairline make these methods much more appealing for modern men and women.
What Every Patient Needs To Do
As with any aesthetic procedure, pre-operative consultation is an optimal time for defining patient’s motivation for aesthetic improvement and developing plan of action. It is at this time that patient’s desires and fears can be explored. It is important for the patient to ask pertinent questions regarding the expected degree of sustained facial rejuvenation, the length of the scar as well as modification of the temporal and post-auricular hairline. With proper patient selection and optimization of desired procedure, most patients can achieve rewarding sustained results that can benefit most if not all of us at some point in our life.
Facial rejuvenation is the term used to encompass all forms of restoring a youthful appearance to the face. It includes the broad categories of:
* Injectables (Botox® & fillers) (See BotoxFacts.ca for additional uses of Botox®);
* Resurfacing procedures (laser treatment, microdermabrasion & chemical peels);
* Surgical rejuvenation (brow lifts, eyelid surgery; facelifts, nose jobs, face and chin augmentation, and neck lifts);
* Topical tretinoin and tazarotene which reverse sun damage and enhance collagen production. The normal changes associated with facial aging are the result of both:
* intrinsic (age related fat and bone loss known as atrophy, and skin laxity for example) and
* extrinsic factors (like ultraviolet light / sunlight, chemicals, and smoking).
These factors contribute to biological changes associated with age and create predictable patterns of facial change. An over-simplistic analogy is mimicked by the changes in the helium balloon your child wouldn’t let you throw away. With time there is loss of internal volume (gas in this example) and as a result the covering loses its taught shape, luster, and becomes wrinkled. Moreover, there is a marked change in shape of the entire structure. Naturally, similar changes on your face can be highly distressing especially since many available treatments are being promoted.
Physicians can treat facial aging three ways: through reduction (making the skin “fit”), augmentation (“stretching” the skin back to normal) or a combination of the two.
When it comes to choosing a rejuvenation procedure, the severity of the facial aging must be considered. Here’s a review:
* Wrinkles (individual fine or deep rhytids) are managed well by Botox® or injectable fillers. Although other agents are touted to produce similar results, Botox® is currently unsurpassed in its ability to soften or eliminate wrinkles caused directly by the action of underlying muscles of facial animation. (Botox Facts has more information for you)
* For wrinkles that may not be contributed to directly by facial movement or for depressed scars; superficial or deep fillers (ranging from collagen, hyaluronic acid and poly-L-lactic acid to silicone particles and bone cement and even your own injected fat). These can also be used for wrinkles, scars, and soft tissue augmentation (most commnly lip augmentation).
* When you have wrinkles involving larger areas or if it’s related to sun-damage, the underlying problem commonly lies in the biological changes in the skin itself. Here rejuvenation methods such as laser resurfacing, microdermabrasion, and chemical peels act to restore some of the lost intrinsic biologic properties of the skin and can provide a significant restorative change over these large areas. These treatments use light associated heat, physical sanding, or chemicals, respectively, to remove the surface layers of the skin and hence stimulate a regenerative-like process. Many common skin creams advertised to improve facial wrinkles contain glycolic or other acids used in light chemical peels to help improve the taughtness of your treated skin.
* As the severity of skin aging increases, injection and resurfacing procedures may be combined themselves or with surgical rejuvenation (possibly in a staged fashion).
* Surgical management of more severe forms of facial aging can be through an additive (implants), reductive (excisions or tucks), or combined approach. Modern rhinoplasties (“nosejobs”) are a good example where combined approaches of reduction by excision and
augmentation through cartilage grafting are employed. As these procedures typically address changes in the three-dimensional volume (deep structures) and in the skin (envelope or cover) they obviously provide the greatest extent of rejuvenation and can address the greatest degrees of facial change. That said, they do come with a limited amount of scaring and the possibly some temporary numbness. Often these scars, created in lines of election, are fine and highly acceptable with some rare exceptions.
* Topical tretinoin and tazarotene can improve fine lines and the general appearance of the skin. The down-side is that you need to continue to use these topical treatments in order to maintain its effect. Sometimes, tretinoin and tazarotene can be combined with the procedures listed above to enhance the effects.
Although you may hear more and more about treating aging skin with the procedures and products mentioned above, we all know that the best form of care is through modification of your exposure to the extrinsic “modifiable” risk factors, like sun exposure (See Skin Cancer Guide for more information).
By: Dr Bryce J Cowan BSc MSc MD PhD FRCS(C)
As we age, the skin droops and develops wrinkles, lines and furrows. Depending on your skin type, you may find your skin to be pre-disposed to wrinkling. But thanks to diligent research and new advances, there are a number of solutions to combat facial lines.
Causes of facial lines
In addition to aging, facial lines can form because of the following:
* Sun damage (Fine lines and wrinkles arise because of irregular thickening of the dermis and because of a decrease in the amount of water held by the epidermis. caused mainly by sun damage.) (Read more at Sun Damage)
* Muscle movement / Dynamic lines (People tend to smile or frown more on one side than the other, or consistently sleep on the right or the left cheek. Crow’s feet around the eyes are due to smiling and activity of the eyelid muscles. Worry lines on the forehead are due to contraction of the muscle when raising the eyebrows)
* Gravity is responsible for folds in the skin
What treatment is available?
See your dermatologist for information about what might work well for you, which could include (Also see treatments for sundamaged skin):
* Topical agents which produce collagen in the skin, Vitamin A acids (Tazarotene, Tretinoin, Adapelene) and Vitamin C or alpha
* Microdermabrasion has a very modest benefit for very fine lines
* Injectionable fillers such as Restylane (Hyaluronic acid)
* Botox for dynamic lines (Check-out www.BotoxFacts.ca)
* Lasers. Traditionally the CO2 and Erbium lasers (ablative) were used to essentially peel off a layer of skin and then allow a new skin to grow in. Results were impressive but the healing time of many weeks and sometimes months of redness has reduced the use of this approach. Patients with darker skin would often end up with darker skin and those with very fair skin sometimes white skin
* Plastic surgery is usually used to improve skin folds rather than fine lines and wrinkles
* The newer non-ablative laser treatments do not have the down time of the older methods nor do they have the degree of improvement. Repeat treatments with lasers that essentially produce a heating of the dermis, which in turn encourages collagen production, Lasers such as the Nd: Yag, V Beam and Smooth Beam may be used.
* The Fraxel laser is a modification of an Erbium laser that just treats multiple small pinpoint areas of skin allowing a quick recovery after a treatment. We will be hearing more of this in the future
* Cosmetic facial surgery
Prevent it before it happens
You can take steps to protect your skin. You’ve heard it before, and it’s worth repeating:
* Avoid excessive time in the sun, and always use a sunscreen of SPF 15 or higher
* Avoid smoking and exposure to second-hand smoke or other pollutants. Smoking increases facial lines and wrinkles and delays skin healing.
* Exercise. It’s good for the skin as well as for your general health.
* Aging skin feels and looks better when moisturizers are applied regularly. These improve the water-holding capacity of the skin. Choose one that feels nice to apply, doesn’t sting or burn or provoke acne
* Use tepid or warm water and a non-soap cleanser to wash your face twice daily
* Drink plenty of water to rehydrate internally. Because moisture content is related to water, not oil or grease, oily-skinned women need to rehydrate as conscientiously as their dry-skinned counterparts
* Eat a balanced diet that includes plenty of fruits and vegetables
* Generally what is healthy for your heart and brain is good for your skin
See your doctor or dermatologist to determine which solutions best suits your experience with facial lines.
A recent article speaks about different ways in which women in their 50’s can successfully hide their age.
Top ten anti aging tips:
1. Eat a calorie-free, low-sodium, nutrients ans anti-oxidant rich diet.
2. Exercise regularly to tighten-up sagging muscles and to keep skin hydrated.
3. Drinking plenty of water to keep skin hydrated.
4. Regulate the use of make-up.
5. Moisturize your skin regularly with an anti aging skin moisturizer to keep skin hydrated.
6. Apply a skin-tightening facial once a week.
7. Apply Vitamin E on your skin daily.
8. Visit the beauty parlor at least once a month.
9. Stay out of the sun as much as possible and wear sunscreen if you do need to go out
10. Reduce or cease drinking alcohol and eliminate smoking! ( you already know this…)
Chamomile (or camomile) is a common name for several daisy-like plants. The greeks named them “earth-apple-on the ground” for their apple-like scent. There are several varieties of Chamomile - each one used for slightly different purposes or intensities of properties. German or blue chamomile and Roman (English) chamomile, or the “garden” chamomile are the most commonly used.
These two types of chamomile are used for health conditions and are most commonly found in skin care or beauty products. While the two kinds are thought to have similar effects on the body, the German variety is more commonly used in the United States. Chamomile, is one of the oldest of all herbs, dating back to ancient Egyptians. It’s both a pretty flower and an ancient healer. Chamomile has been widely used for children and adults for thousands of years for a variety of health conditions.
Chamomile is an essential addition to the herbal first aid kit. It is a useful herb in many situations. It can relieve anxiety and calm someone down in the event of stress. It can also relieve gastrointestinal upset - after a big meal, or when stress doesn’t mix well with your meal. Chamomile is even an excellent herb to use as compresses for eye problems. Warm two tea bags with chamomile flowers to ease itchy eyes, especially when traveling to different parts of the country and you are not immune to the allergens in that area. It is also used topically for skin conditions and for mouth ulcers resulting from cancer treatment.
How It Is Used
The flowering tops of the chamomile plant are used to make teas, liquid extracts, capsules, or tablets. The herb can also be applied to the skin as a cream or an ointment, or used as a mouth rinse.
Chamomile in Skin Care Products
This versatile herb is also recognized as a natural healing treatment that helps rejuvenate the skin. There are many wonderful natural facial treatments on the market today that incorporate Chamomile as a key ingredient.
To make a quick and easy tea facial, simply apply a paste made from one teaspoon of fine cornmeal mixed with cooled tea to the face, let dry, then gently rub off.
This very gentle skin tonic is ideal to replenish and enrich dry or sensitive skin. Its bactericidal, anti-itching, and antiseptic properties help to refresh the skin and reduce swelling.
Making paste with extra-strong brew and using it as an external wash or part of a hot compress can also help soothe burns, skin rashes, and sores.
Chamomile has excellent anti-inflammatory properties. Chamomile contains an anti-inflammatory compound called alpha bisabolol which helps to soothe itchy, red skin. For this reason, Chamomile along with some other herbs and natural treatments has shown promise as skin treatments for eczema.
According to family physician Dr. Kristie Leong, “Chamomile has been used throughout history to treat various skin conditions and some studies have shown it works as effectively as low dose steroid creams without the side effects. Chamomile oil can be purchased at some health food stores. It needs to be diluted with a carrier oil such as almond oil or jojoba and can then be applied as a skin treatment for eczema. Bathing in warm water containing chamomile flowers may also help to soothe inflammation and itching. Simply make a bath bag using chamomile flowers and float it in a tub of warm bath water.”
For easing skin inflammations and acne, make a strong chamomile tea, and wipe the cooled liquid over your face each morning. This effective daily rinse tones and cleanses.
Essential Oil Usage
Both Roman and German chamomile have excellent calming properties, but Roman chamomile is more effective for irritation, impatience and feeling disagreeable, and has great value in treating PMS and other menstrual and menopausal problems, while German chamomile is superbly effective on the skin, not only to sooth and calm, but to heal and for tissue regeneration.
Side Effects and Cautions
* There are reports of rare allergic reactions in people who have eaten or come into contact with chamomile products. Reactions include skin rashes, throat swelling, shortness of breath, and anaphylaxis (a life-threatening allergic reaction).
* People are more likely to experience allergic reactions to chamomile if they are allergic to related plants in the daisy family, which includes ragweed, chrysanthemums, marigolds, and daisies.
* Tell your health care providers about any complementary and alternative practices you use. Give them a full picture of what you do to manage your health. This helps to ensure coordinated and safe care.
Rosemary is a widely-used herb in many natural products, specifically natural skin care products. Its use has been traced back to ancient and medieval times, when it was used as an antiseptic to care for wounds thanks to its restorative properties. Rosemary is edible and is often used as a spice for cooking. When added to food, rosemary provides key nutrition such as calcium, iron, and Vitamin B. What is good for the body is also good for the skin, therefore, rosemary and its oil extracts have been used medicinally for hundreds of years. In modern times, rosemary has been a wildly popular ingredient in many herbal skincare products and cosmetics.
Rosemary is an evergreen herb that is native to the Mediterranean region, and is known as the “dew of the sea” because it first grew predominantly along the Italian coast. Today, rosemary can be grown in a typical garden with relative ease. The leaves can be crushed and used as an herb for cooking, and the health and cosmetic benefits of this herb are plentiful. Rosemary is popular in the kitchen as spice for fish, meat and poultry. Outside the kitchen, rosemary oil improves digestion, boosts mental activities, and strengthens follicles for increased hair growth and stronger hair. It is high in anti-oxidants, making it a key ingredient in the fight against tumors and cancer. Rosemary stimulates brain activities, fights off free radicals, and is a key component in the fight against cancer.
Also known as Rosmarinus Officinalis, rosemary is rich in minerals, has a pleasantly compelling smell, and contains powerful anti-inflammatories. According to an article by Dr. Winston Craig, “The terpenoids in rosemary, such as rosmarinic acid, rosmanol, carnosol and ursolic acid provide effective anti-inflammatory benefits, while ursolic acid conveys anti-tumor properties.” When used on the skin it stimulates blood flow and helps improve skin functions, resulting in a healthy complexion.
A common indication of skin damage and aging skin is broken capillaries, a condition where capillary walls rip and blood seeps to the surface of the skin. As a result, fine, red lines appear under the surface of the skin, creating an unpleasant look. Rosemary has been known to reduce the appearance of broken capillaries. It stimulates circulation, reduces the appearances of the red lines, which makes it an effective element in anti-aging products. Rosemary is also effective in reducing under-eye puffiness since it is able to increase circulation and help drain toxins that accumulate in the area directly under the eyes.
Thanks to its antimicrobial and astringent properties, Rosemary is also used to treat symptom of acne. When used as an astringent, rosemary helps cleanse the skin by clearing clogged pores, removing dead skin cells, and stimulating cell renewal. It also prevents excess oil buildups that can lead to inflamed pores.
Rosemary can also be made into essential oils, teas, and powders. Its soothing and rejuvenating properties are commonly used in aromatherapy for overall wellness. As with everything, moderation is key. Rosemary should not be used by those suffering from hypertension or epilepsy, and women who are breastfeeding should consult a doctor before consuming rosemary herbs.
By Van Le
Did you know we have THREE different ages?
* Chronological age - the number of years since your birth.
* Biological age - How ‘old’ are your body systems? Do you have the heart of a young person? or is your cardiovascular system stiff and laboring like someone much older than your chronological age? What of your brain? Is it quick and nimble. Is your memory fast and sure? Or is your brain like that of someone much older than your chronological age?
* Psychological age - how old do you feel? Some fifty year olds feel like 70 and others in their late 80’s feel like they are 60. There are things you can do to change your psychological age Research now shows that psychological age can affect biological age and even your chronological age.
While there are many conflicting studies and reports on what makes us age, how we age and what genes or other factors encourage or restrict our aging process, most everyone agrees on a handful of bad lifestyle habits being the predominate contributor to aging overall. If you want to look and feel old before your time these are the things you should do.
1. Smoke or chew tobacco.
2. Get as many sunburns or wind burns as possible.
Do not use sunscreen or use only those with a SPF below 15.
3. Take a lot of long baths, showers, lie in a hot tub or do other things to expose your skin to water.
4. Live in a very dry climate or keep the humidity in your home very low.
5. Avoid exercise.
6. Eat a ‘fast food diet’ or one with lots of highly processed foods. Avoid fresh fruits and vegetables.
Obviously, these aren’t the POSITIVE side of aging tips. But hopefully they will open your eyes to the realities of
what you do to your body everyday if you practice these bad habits and the ways you can avoid looking and feeling
older. NOT doing any of the 6 items listed above will helps tremendously!
Check out the rest of the site for ways you can HELP your skin look younger.