By Sanjay Parashar:
:The human face starts ageing at 25-30 years. The signs are largely determined by an unhealthy lifestyle and poor nutrition. In some cases the individual’s health also contributes to premature ageing. The earliest signs in men can be hair loss and a receding hair line. Under-eye circles are also a sign. With time, a lot goes on around us and within us. Gravity, environment, weight gain and loss, gene and hormones, all work for ageing.
Thin-skinned people, mainly Caucasians, Mediterraneans and Asians, may develop premature wrinkles due to excessive use of facial muscles. Weight gain means accumulation of fat in the chin, neck and/or an overall change in the shape of the face from oval to circular or square. Loss of weight means loss of the fat, which will lead to sagging skin, deepening of folds besides the mouth and sunken eyes with depression under the eyes.
External factors such as sun exposure also play a role. Crepe paper skin, deep lines and wrinkles, pigmented spots and freckles are signs of ageing. Rejuvenation of the face is aimed at individual signs of ageing. The modern concept is more preventive and technologies are developed to delay signs of ageing and to a certain extent reverse it. Prevention is key, as that is what will control ageing. Correct and timely use of tools and technology like Botox, fillers, ultrasonic facelift, fractionated radio frequency etc. can control and delay it. Neuromodulators such as botulinum toxins and fillers such as hyaluronic acid are excellent tools to minimise and prevent facial ageing. The modern method of injecting botulinum is called as microbotox. Small doses distributed in the right areas can help improve quality of skin, reduce wrinkles and define facial and neck contours. Botulinum injections can redefine the jaw line when it is injected in the jaw and neck muscles.
Two point and five point filler injections in the face are the biggest scientific innovations for facial rejuvenation. They address the volume loss at key points of the face that significantly cause ageing changes. This technique gives a volumetric lift. Advances in technology have revolutionised non-surgical facelifts and rejuvenations. But advances in understanding of facial changes, knowledge of the anatomy, skills and perfect combination of technology are the keys to success. While gymming is the most effective way of toning body muscles, you cannot fix face muscles by exercise.
The author is consultant plastic surgeon, Cocoona Centre for Aesthetic Transformation