Methods for facial sagging? Questions for PD Dr Mathias Tremp

Face
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Facial sagging is a natural phenomenon of time and varies from individual to individual. External factors such as nicotine, lack of sleep or alcohol, but also genetic factors play a role. There are various options for counteracting facial sagging either preventively or effectively.

Can botulinum or fillers be used to tighten the face?

Botulinum is ideal if there is little or no excess skin and the wrinkles in facial expressions are primarily disturbing. The effect of botulinum comes after 2 – 7 days (varies from person to person).

Fillers such as hyaluronic acid can replace the volume in certain areas of the face such as the cheek area (“liquid facelift”) or the lip area. However, the treatments are not long-lasting and should be repeated approximately every 6 months.

What is the “Liquid Facelift”?

The liquid facelift is a fashionable term and behind it lies the attractive idea of a facelift without a scalpel. The liquid facelift is a special type of filler injection in which the lost volume in the facial area is plumped up over a large area by injections.

Hyaluronic acid, but also so-called collagen biostimulants (calcium hydroxylapatite or poly-L-lactic acid) can be used These are biodegradable substances and the results last for 9 – 18 months. The treatments are carried out with a fine needle or a cannula. We can perform the injection with ultrasound guidance for precise treatment accuracy.

What is thread lifting?

Thread lifting tightens the skin without a scalpel. The sagging areas of skin are tightened using fine, usually absorbable threads with barbs. The threads act as a kind of support structure. The threads also regulate the skin’s own collagen production through their degradation process and act as a “biostimulator”.

The procedure is performed on an outpatient basis under local anesthesia and takes approx. 30 – 45 minutes. The treatment is ideal for younger patients between the ages of 30 and 50 who are not yet suitable for a surgical facelift or do not wish to undergo one. The thread lift usually lasts between 18 months and 2 years.

What is Microneedling Radiofrequency Treatment?

Microneedling with radio frequency is the new power combination for better skin. The treatment is suitable for wrinkles on the face, neck, décolleté or stretch marks caused by pregnancy, refinement of acne scars or the treatment of excessive sweating. Thanks to the mechanical and thermal stimulation, the skin is tightened in a very gentle way, with a recovery time of 1 to 2 days.

The treatment is painless, takes 30 to 60 minutes and should be repeated 2 to 4 times at intervals of at least 4 weeks. To maintain success, the treatment should be refreshed every 6 to 12 months.

What is the Vampire Lift?

Using the body’s own platelet-rich blood plasma (PRP), the patient’s own blood is injected directly under the skin in a similar way to mesotherapy. This well-tolerated procedure leads to cell renewal, forms new tissue and the skin feels fresh and youthful. As a rule, the treatment should be repeated 3 times at intervals of 4 weeks; to maintain success, the treatment should be refreshed every 12 months.

What is the TCA peel?

The TCA peel is the combination of different fruit acids combined with a TCA (trichloroacetic acid) solution. The result is increased blood circulation and increased production of collagen and elastic fibres. This method is suitable for refreshing, smoothing, rejuvenating and restoring radiance to the skin.

Can the individual treatments be combined?

The methods described can be combined and complement each other. For example, the Vampire Lift is suitable with thread lifting, or microneedling radiofrequency treatment with collagen biostimulators. The TCA peeling is also suitable with a surgical face lift and can be performed at the same time as the operation.

What do I need to bear in mind after the operation?

After each facial treatment, consistent sun protection SPF 50 is very important until at least 4 weeks after the treatment. In addition, we will give you decongestant medication and skin care. Depending on the treatment, you can either be socially acceptable again immediately (botulinum, fillers), in 2 – 5 days (TCA peeling, thread lifting, vampire lifting, microneedling radiofrequency treatment) or after 3 – 4 weeks (surgical face lift).

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