CAN IMPLANTS BE COMBINED WITH OTHER TECHNIQUES?Implanta can be combined with other rejuvenation techniques such as Botox, intense pulsed light, radiofrequency, peelings, mesotherapy and surgery. The materials utilized as fillers are biocompatible and are used to correct wrinkles, lines or to give more volume to certain areas of the face like the lips, giving a natural look with a simple application. Fillers have variable duration times. Within the synthetic materials there are different durations of reabsorption. There are materials like Hyaluronic Acid that lasts 6-12 months, or materials like Sculptra or Radiesse that last 2 years or Aquamid that is a permanent filler. All fillers are infiltrated with local anaesthetic. It is a minimally invasive technique that permits the patient to return to a normal social and work life the next day. To Rejuvenate Is To Have The Look Of YouthThe passing of time produces the reabsorption of the tissues that fill facial areas like the cheekbones, the cheeks and the chin area, and give an “emaciated” look making the patient look like their face is “falling”. With the disappearance of this natural tissue filling of the face, the first surplus of skin appear; the skin loses the natural support of its deep anatomic structure that “pads” its look, in addition to appearing as an excess of skin, it is also lax and lacks smoothness. The sub-orbital face line -that starts at the internal angle of the eye and runs through the cheek, dividing it in half- is more defined. This line is caused by the reabsorption of the soft tissue at the level of the cheekbones and the displacement of the SOOF (Suborbicular Oculi Fat). This nasogenic line occurs due to the disappearance of natural filling tissue in the cheekbones, as well as the cheeks. Finally, the marionette lines (marionette’s line face) that start from the corners of the mouth and fall vertically to the edge of the lower chin can give a sad look to the peribucal region. These defects of the central region of the face are not resolved with conventional rejuvenation techniques, like blepharoplasty or a lifting, because these techniques basically “stretch” the skin by removing the excess parts. Today this is corrected with fillers or facial filling materials. The implant is inserted first into the prominent parts that have lost elevation (the cheekbones, chin area, and the oval of the face) and after evaluating the correction obtained in this manner by reprojecting the prominences of the face, the residual depressions are filled in the three types of lines that we have described: the cheek line, the nasogenic line and the marionette lines. In another session or when depressions or lack of elevation is being corrected, fillers may be used to enhance lip volume or to treat just the borders of the lips to give them more projections with a natural look. That is, filler materials not only serve to rejuvenate, but young individuals can use make themselves look better by augmenting their lips, enlarging of their cheekbones for “flat” faces, or raising the chin in faces with a “bird profile”. The interest in new techniques is enormous because until now rejuvenation in the centre of the face was technically risky and ended with few satisfactory results due to the lack of a natural look. Technically it was impossible to respect fixed anatomical distances that give a face the natural look that every patient expects to get when they begin a facial rejuvenation treatment. It Is The Philosophy Of The Instituto Médico Láser To Maintain The Following Considerations In Respect To Facial Rejuvenation:To rejuvenate is not to stretch but to reposition
It is obligatory to distinguish between the look of the skin and excess skin
The basic facial distances should be the same as when the patient was 20 years old
With the following conclusions: To do a rejuvenation procedure you must respect the harmony between “light and shadow” with respect to fixed points and the special physiognomy of the face.
There is not only one valid treatment to reach an ambitious and multi-factored objective.
The concept of rejuvenation requires mastery of medical techniques, which in complete harmony will enable us to achieve our desired objectives.
Rejuvenation Is To Be Myself With The Look Of YouthNon-Surgical Treatment Of Periocular Bags Or Saggy EyesWith the passage of time, the skin and tissues around the eyes loose their smoothness and elasticity. This makes the fat that accumulates under the eyeball to fall frontward, with the appearance of the popular “periocular bags”. Quite frequently, this increased volume under the eye prevents good lymphatic drainage of the area, which causes a localised retention of liquid making matters even worse. If these two factors are added to the fact that as the individual ages the skin around the eye area changes its tone, becoming darker and with no luminosity, we can easily understand the “eye shadow” effect that we dislike so much. At present this unaesthetism can be greatly attenuated by employing the Periocular Modelling Technique with polylactic acid. In this technique the product is infiltrated between the bone and the muscles underneath the eyeball. The needle used is extremely thin and the procedure is totally painless. 1. Visibly smoothes out the volume defect between the nose and the bags to avoid the optical effect that increases the size of the bags. This procedure is only contraindicated in patients with a past history of ocular herpes or those prone to keloid formation. The effects last for one and a half to two years. Two or three separate sessions are required at 3 weeks intervals and the cost ranges from 400 to 1200 euros, depending on the severity of each case. IML - Paseo del General Martínez Campos, 33 - 28010 Madrid - Tlf. 91 702 46 27 - consulta@iml.es
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