No, there is no new wonder drug but there are new uses and techniques with existing products particularly fillers. The number of filler procedures continues to rise and the number of surgical face lifts to fall.
Who would choose surgery over fillers if the result will be comparable?
Attention is now being placed firmly on the cause of skin laxity. Most laxity is genetically caused and shows itself in the loss of facial fat pads and loss of bone thickness in the facial bones. Sun damage contributes to this sagging by damaging the collagen and elastin in the skin.
Once the fat pads are gone they will not regenerate; nor will the bone thicken up again. This leaves us with skin draped over a smaller base like a table cloth too big for the table. Surgery removes the excess skin and in good hands can result in great improvement. However this improvement comes with potential complications. Scarring always occurs there may also be other complications.
The objective of fillers in this situation is to give the face back the bulk it has lost. This results in filling in of the under eye hollows, moves the cheek curve back up to where it used to be and reduces the marionette and naso labial folds . Improvement can also be made in the neck. To do this we need to use much more and longer lasting fillers than we used to. This is not about line filling, this is about restoring youthful contours. Price has always had an impact on how much filler we can use, so the filler companies have come to the party by offering some staggering deals on long lasting fillers. That means you can get more filler for your money and that gives better bang for your buck and a real WOW factor!
Improvement of the skin is another important feature of non surgical rejuvenation. We can achieve this in many ways using cosmeceuticals or lasers and Ipl.
Naturally this does not apply to those who have major facial and neck laxity who may be better served by surgery.
For me natural beauty is better than surgery.
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