A useful point on aesthetic medicine techniques

Botox and hyaluronic acid are the current stars of aesthetic medicine. In addition to trained aesthetic doctors and dermatologists, cosmetic surgeons practically all perform aesthetic medicine procedures which complement the possibilities of cosmetic surgery and sometimes even compete with them, as is the case, for example, in improving the shape of the nose…

The main problems that aesthetic medicine is required to treat

The main problems concern:

• forehead wrinkles forehead wrinkle lionlion and the pawgoosegoose for which only induced and transient muscle paralysis is effective, using botulinum toxin derivatives;
• in certain cases, it is even possible to use the lipofilling method which consists of injecting one’s own fat where fat is missing. volumevolumeknowing that only 30 to 40% of this reinjected fatty tissue will survive;
• the sons tensorstensors are used very frequently when there is the beginning of ptosis on the face or body. This technique is very popular among doctors and certain cosmetic surgeons. The advantage of the process is that it is not necessary to operate, but to slip a sort of small barbed wire under the skin which will allow the tissues to be re-tensioned from the inside, mechanically moved into a better position. This clever treatment invented by Doctor Sulamanidze, from Georgia, is currently in full swing but in my opinion it does not constitute a lasting treatment for facial aging when it is necessary to correct the harmful effects of gravitygravity and deterioration of the dermal base of the skin;
• the use of radiation physicalphysical for the surface of the skin under the effect of powerful light rays, laserslasers colored ones which must be adapted wave lengthwave length to the problem to be treated on the skin, also represents a significant part of the aesthetic medicine market: because relatively large, expensive devices are required, which must be well maintained so as not to cause burns or harmful incidents;
• the use of high frequency which heats the skin from the inside using probes which emit plasma or ultrasoundultrasound whose aim is to coagulate the dermal elastic fibers in order to tighten the skin by a “steak cooked on the pan” effect, currently represents a great therapeutic hope, it works well during the operation, because we see the tissues tightening at the cost sometimes of a certain fibrosisfibrosisIt remains to be seen whether this effect is sustainable for it to take on the therapeutic importance that it could have.

All these advances in aesthetic medicine do not devalue cosmetic surgery with the scalpel: this is the king of medical ballet when it comes to significant rejuvenation through an operation such as blepharoplasty or cervico-facial lifting or even microlift which is a very light lifting that I described in 2014 to compete with tensioning threads.

In conclusion, aesthetic medicine continues to progress for two main reasons:

1. The reliability of botox derivatives and the simplicity of hyaluronic acid injection have now proven themselves after more than 20 years of use and are therefore very widely applied in the context of aesthetic medicine but also by competent cosmetic surgeons. .
2. The progress of physical techniques associated with aesthetic medicine opens up new therapeutic horizons for which massive investments are made by researchers and laboratories, driven by firms that have invested heavily in order to have both a good financial return and an image of therapeutic effectiveness with a minimum of complications.

Far from competing with each other, these different methods of facial and body rejuvenation complement each other in a remarkable way, but it requires prior consultation and very precise information for patients on what they can expect from a procedure – whether it is either medical or surgical. There remains an important place for cosmetic surgery, the results of which are now becoming extremely reliable, allowing a natural appearance to be maintained even though it has been operated on.

This is an important advance, especially linked to the invention of lifting techniques involving the exploitation of the Smas (Superficial Musculoaponeurotic System of the Face described by Vladimir Mitz in 1976), which is a layer fibrousfibrous deep parallel to the skin and which thus allows the sutures to be supported to maintain satisfactory tension without deformation at the level of the face.

We can thus see among the stars who have undergone less and less deformations which ridicule cosmetic surgery, but there remain a certain number of iconic personalities who defend the right to age without involving a rejuvenating scalpel. It is an ecological and natural trend that we must respect when patients affirm this awareness.