Is it possible to get a facelift effect without surgery?

Relaxation of the skin tissue underlying the face is one of the anatomical-clinical processes that most contributes to the aging impression of an individual. It does not necessarily correspond to the internal biological state of the person, but it is he who allows us to attribute a presumed age. This relaxation is due to several factors:

  1. Atrophy of the fatty layer of the face: Several fatty compartments, underlying the face, will be subject over time to a phenomenon of apoptosis. Apoptosis is an active form of cell death, a biological program of suicide related to physiological or pathological stimuli (the name "apoptosis" refers to the programmed fall of the leaves: "apt" designating withdrawal and "ptosis" fall). The most affected compartments are, first, the malar, and later jugal, lateral-mentonian and mandibular temporal zones. This atrophy of fat mass causes the skin to lose its volumetric support. Falls, like clothes too wide on a thin person.
  2. Loss of tonicity of cutaneous tissue. Over time, we have seen a decrease in all properties of the cutaneous tissue: elasticity, resistance, etc ... The movements and forces of gravity tend to stretch the skin: the collagen and elastin low, and the changes that intervene in the composition and in the orientation of their fibers decrease the tensile strength. These same changes diminish the elasticity, that is the capacity of the cutaneous tissue to return to its initial position. The face turns out to have too much skin on the surface it has.
  3. Modifications and atrophy of bony face relief: The changes that we can observe with advancing age in our face do not only relate to soft tissues. The skeleton is transformed, the orbits go down, the jaw atrophies and opens the angle that these two branches form. The malar relief becomes flattened. In conclusion, when we examine a skull, we can, with a little experience, assign it an age.

To rejuvenate a face, we will therefore have to fight against each of these factors.

1. The correction of fatty tissue atrophy

This correction is done mainly with the injection of hyaluronic acid, which is a filler par excellence. It is a substance that exists naturally in our body, in the non-crosslinked form. It is a large hydrophilic molecule, that is, it has a great affinity for water, a property that will allow it to play an essential role in the hydration of the skin. It is formed by long chains of sugar. It is not therefore a protein. Does not cause allergy. Hyaluronic acid as it stands is used par excellence in mesolift. For fill injections, hyaluronic acid is used in its cross-linked form. The molecules were bonded to each other to increase the density of the substance. The second purpose of the cross-linking is to increase resistance to human hyaluronidase. Hyaluronic acid is a substance so known in our body that we naturally possess the enzyme that absorbs it: hyaluronidase. The crosslinking complicates the work of this enzyme and delays the disappearance of the product.

In theory, the durability of a volume restoration treatment is 12 to 18 months, depending on the anatomical areas injected. The more the region is mobile due to the action of the muscles, the more the product will be reabsorbed quickly. With respect to hyaluronic acid, a further factor intervenes in the durability: biointegration. One must remember that we use a molecule that already exists in the human organism, and which is one of the components of the extracellular matrix of the dermis. When we inject the bolus acid in the tissues, in depth, as to treat malar fat atrophy, for example, the product will develop interactions with our body. It may be colonized by fibroblasts, irrigated by neovascularization, crossed by collagen or elastin neo-fibers. It may, in short, serve as a matrix for constructing autologous tissue (this is particularly true when, afterwards, biostimulation sessions are carried out by platelet factors). This explains the numerous cases of hyaluronic acid durability, well above the normally expected 12 to 18 months.

Correction should be made with the appropriate amounts, without exaggeration. A patient is not invented, her image is restored.

2. Correction of loss of skin tone:

It is the main objective of all stimulation treatments: mesolift, radiofrequency, autologous biostimulation, collagen regeneration.

However, when one sees a pronounced relaxation of the tissues, a mechanical traction seems necessary to us. This was classically performed surgically by the facelift and cervico-facial.

There are now much less invasive alternatives: I mean the new resorbable tensile strands. They will certainly not have the spectacular effect of the surgical gesture, but, combined with the restoration of the volumes, they can "gently lift" a face.

There are two types of yarn: polylactic acid yarns and polydexanone yarns. The tensioning effect is explained by an anchorage which secures the skin in a higher position.

The period of resorption of the threads is two years for those of polylactic acid and eight months for those of polidexanone. As long as yarn action, all new segregated collagen fibers will contribute to the setting of the skin in the highest position. The effect will continue even after the wires have disappeared, particularly if collagen stimulation treatments are done.

A particularity should be mentioned in the case of polylactic acid wires: this substance, marketed in injectable form, under the name of SCULPTRA, has been known in cosmetic medicine for many years for its activity of fibroblast stimulation. The Radiesse injectable gel is also a recognized biostimulant.

3. Correction of changes in bone volumes:

It is possible to fight these changes with targeted subcutaneous injections of hyaluronic acid, particularly in the jaw area.

It will be seen, then, that with the use of fillers of the hyaluronic acid type, and the supporting threads, a tissue-raising effect can be obtained. The effect may be sufficient to prevent a surgical act.

It is a progressive treatment. Patients must understand that in order to obtain the lifting effect, it is necessary to act in stages. It is therefore with the hyaluronic acid treatment that we will start. Then, in a second phase, we will proceed to the mechanical traction of the tissues better balanced thanks to the tensioning threads.

We will especially insist on skin stimulation treatments, such as autologous biostimulation or radiofrequency, to prolong the results over time.