From fine lines and wrinkles to dullness and dryness to volume loss and sagging. A lot happens physiologically as we age...trust someone who understands the process. At Aescend Aesthetics we are passionate about graceful, seamless ageing; and treatment that potentiates beauty in a way that is individual and harmonious
Lines and wrinkles form over time as the result of skin being repeatedly creased. This may be due to the action of muscles, favouring a side when sleeping, UV exposure, volume loss and various lifestyle habits. As collagen becomes more deplete we see a concavity form. If intervention is early, simply eliminating the stimulus may eradicate lines by allowing skin time to regenerate. For deeper and more severe lines, a multimodal approach may be required including replacing lost volume, stimulating collagen and encouraging tissue turnover through resurfacing and injectable therapies.
CROW'S FEET ('LAUGH LINES')
FOREHEAD AND FROWN LINES
ORANGE PEEL CHIN (CHIN DIMPLING)
HORIZONTAL NECK LINES
'ACCORDIAN LINES' (SMILE LINES)
Anti-wrinkle injections reduce lines and wrinkles by preventing the contraction of muscles of the face. By relaxing specific muscles, the skin may no longer be constantly creased during expression. Anti-wrinkle injections may be effective for some lines that occur when the face moves, and can also assist with the lines that remain when the face is resting by allowing the skin time to regenerate.
Dermal filler may treat lines and wrinkles by adding volume into areas of concavity. This may not be possible at all sites and dependant on the aesthetic outcome, however may be indicated for some superficial lines, and deeper creases like the marionette lines and/or nasolabial folds. Filler may also strategically be used at places to increase the height of tissue under the skin and/or distal to the skin so that resultantly increased skin tension reduces the ability of skin to fold.
Skin boosters are a type of dermal filler that are very liquid. When placed superficially into the skin through direct injection, mesotherapy and/or microinfusion they may help to attract fluid to the tissue, increase hydration and skin turgor. This may resultantly improve crepey skin and reduce the appearance of lines and wrinkles in difficult-to-treat areas such as the smile ('accordian') lines, crow's feet that extend into the cheek, the neck and chest.
Collagen stimulating injections (biostimulants) are a class of injectable treatment that may cause long-lasting collagen production. They do this by aiming to increase recruitment and activity of collagen-producing cells.
In the treatment of lines and wrinkles, collagen stimulating injections (biostimulants) may help to fortify skin depressions by thickening tissue, improving its strength and hydration.
They can be thinly dispersed through large areas of tissue, or used more deeply and specifically to give long-lasting improvements.
PRP/PRF uses your own blood product with the aims of improving the health of skin, increasing thickness of tissue and improving collagen. By increasing the skin density, the appearance and severity of wrinkles may be subsequently diminished.
PDO mono threads can be inserted into the skin to create a supportive framework which over time may promote collagen stimulation. Resultantly, PRP/PRF may help to reduce the appearance of lines and wrinkles almost any where on the face/body
Skin needling involves creation of multiple small breaks in the tissue with a mechanised device. The aim is to stimulate reparation and turnover of skin, thickening of tissue and shedding of devitalised outer skin layers. Skin needling may also help to break up fibrous adhesions in the skin where lines and wrinkles may be worsened from the formation of scarring.
Radiofrequency Microneedling with the Morpheus 8 involves creation of multiple small breaks in the tissue with a mechanised device that concurrently delivers radiofrequency energy into the tissue. This may stimulate more intensive reparation and turnover of skin than more traditional methods, help to thicken tissue and shed devitalised outer skin layers. RFMN may also encourage collagen generation and contraction making it a suitable treatment for addressing lines and wrinkles created by increased skin laxity or those worsened by the formation of scarring.
Tixel is a novel treatment for skin resurfacing and rejuvenation. It may help to decrease lines or laxity by improving skin collagen and inducing minor tightening. It is one of few non invasive options indicated for lines around the eye area and can be used directly on the lids where there is excess tissue. Tixel may also help with larger lines on the face by encouraging skin turnover and thickening of tissue. Like skin needling, it may also improve lines made worse by the formation of scarring and local areas of devitalisation.
Volume loss occurs via multiple sources as we age. Fat pads migrate south, displacing tissue volume, skin thins, and muscles become less active and more sinewy. Volume may be restored through use of dermal fillers, therapies that stimulate collagen, and/or lifting modalities that aim to reposition fat pads.
Dermal filler may be used as a volumising agent with the aims of filling the natural concavities that occur with ageing and replacing lost volume. It may also be used distally to sagging tissue where it may help to provide minor skin tightening and lifting, and/or be to disguise/soften where sagging skin sits along the jawline.
Collagen stimulating injections (biostimulants) are a class of injectable treatment that may cause longer-lasting collagen production. They do this by potentially increasing the recruitment and activity of collagen-producing cells.
This action may help to thicken and tighten skin which may help to restore lost volume and improve laxity.
PDO threads aim to promote new collagen and support and tighten tissue with effects frequently lasting 6-12 months after treatment. PDO mono threads may help to soften natural folds in the tissue and make them less deep, or give the appearance of lifted tissue through generalised skin tightening.
Lifting threads are created from a biodegradable polymer that is able to adhere into tissue, enabling it to be lifted to potentially more flattering positions on the face. Known as a 'non-surgical face lift' or 'thread lift', lifting threads are a minorly invasive alternative to face and neck lifting.
Radiofrequency involves gentle heating of the skin which may help to cause contraction of collagen fibres. As a result, a gentle tightening and lifting effect may be produced with treatment possible almost on any area of the body.
Radiofrequency Microneedling with the Morpheus 8 involves creation of multiple small breaks in the tissue with a mechanised device that concurrently delivers radiofrequency energy into the tissue. In addition to potentially aiding in collagen generation and contraction, the Morpheus 8 may irreversibly destroy the deeper fat layer which in addition to shrinking problem areas, may help to tighten and thicken skin.
As we age the skin becomes thinner, it's integrity is more compromised and blood supply reduces. Together these changes cause moisture losses and dehydration which leave the skin looking dull and dry. Injectable products may help to rehydrate skin whereas treatments that involve resurfacing and blood flow restoration may improve skin integrity and the appearance of dull and devitalised tissue
Skin boosters are a type of dermal filler that are very liquid. When placed superficially into the skin through direct injection, mesotherapy and/or microinfusion they may help to attract fluid to the tissue, and increase hydration. Refraction of light by particles within skin boosters (and the addition of various peptides) may also give the skin a more dewy appearance appearance.
Collagen stimulating injections (biostimulants) are a class of injectable treatment that may cause long-lasting collagen production. They do this by potentially increasing recruitment and activity of collagen-producing cells.
By potentially increasing the collagen network within tissue, biostimulants may help to improve water content and retention of hyalauronic acid by the skin, thereby providing a brighter and more hydrated appearance.
During a carbon facial we paint liquid carbon onto the skin where it settles into small irregularities in the skin and around dead skin cells. We can then use our q-switch laser to ablate the carbon away where mild warming and disintegration of carbon may provide more intensive exfoliation and contraction of pores. This may also help to give skin a more obvious sheen which may be immediately apparent and often continues to develop over the following days. Carbon facials are generally considered comfortable with immediate return to treatment often possible.
Chemical peels may help to dissolve the proteinaceous glue that holds cells of the outer skin layer together. This may provide an exfoliant effect which can be performed to different tissue depths and intensities. The result may be brighter, more evenly toned skin, reduced fine lines, and a finer texture.
Radiofrequency Microneedling with the Morpheus 8 involves creation of multiple small breaks in the tissue with a mechanised device that concurrently delivers radiofrequency energy into the tissue.
The fractionated effect this provides may encourage skin renewal and turnover. Devitalised tissue is sloughed off, to be replaced with newer, more vibrant tissue.
Tixel is a resurfacing treatment that uses heat injury to encourage skin turnover and laydown of collagen. As part of this the skin may undergo an exfoliative process, shedding off dull outer layers. This may in turn, create overall improvements to texture, fine lines, pores, scarring and pigmentation.
Skin needling involves creation of multiple small breaks in the tissue with a mechanised device. This may help to stimulate reparation and turnover of skin, help to thicken tissue and encourage shedding of devitalised outer skin layers. The skin may consequently be left looking brighter, more even, with improved scarring, pigmentation and fine lines.
PRP/PRF aims to use your own blood product to improve health of skin, cause thickening of tissue and improve collagen. As part of having greater vitality and blood flow the skin may appears less crepey, more dewy and hydrated.
The skin on the neck and dec is thin, lacking a dense fatty layer like is found underlying the skin of the face. This coupled with continual action of a large band of muscle known as the platysma means that the neck is particularly prone to showing age-related changes. Furthermore, the neck and dec are areas of high sun and environmental exposure, and in women, the weight of breasts creases the skin during side sleeping. These sources of collagen depletion result in wrinkles and lining of the neck and dec. Available treatments for these concerns can be found by clicking below
Neck bands form when the platysmal muscles of the neck are hyperactive. This presents as vertical tissue protrusions that run the length of the neck and worsen on muscle contraction. Relaxing these muscles with muscle relaxing injections may help to tighten the neck and jawline, as well as improve horizontal neck lines.
The skin on the neck and dec is thin, lacking a dense fatty layer like is found underlying the skin of the face. Furthermore, these areas see a high level of sun and environmental exposure which predisposes them to early age-related changes such as skin thinning, irregular texture and fine lines. Skin rejuvenation treatments such as found by following the links below, may provide effective means of improving skin quality and crepeing generally:
The skin on the neck (and dec) is thin, lacking a dense fatty layer like is found underlying the skin of the face. Furthermore, these areas see a high level of sun and environmental exposure which predisposes them to early age-related changes such as skin thinning, sagging and crepeing. At Aescend we offer a number of treatments that may assist with skin tightening, click below to learn more:
The thin skin of the neck is predisposed to early sagging. At Aescend we offer non-invasive, non-surgical neck lifting using PDO COG threads. These are long polymers of suture material which embed into the fat tissue when inserted and can help to restore sagging skin to a more flattering and youthful position.
LEARN MORE ABOUT COG (LIFTING) THREADS
Horizontal neck lines ('necklace lines') may form as a result of continuous contraction of the platysmal muscle. This is a thin sheath of muscle that overlies deeper tissue of the neck, originating at the sternoclavicular line and inserting into the lower jaw. Overactivity of this muscle tenses the lower face and creases the skin of the neck, which overtime may in horizontal lines. Partial relaxation of this muscle with muscle relaxant injections and/or therapies that help to replenish skin collagen may help to improve these lines.
LEARN MORE ABOUT TREATMENTS FOR LINES AND WRINKLES
The skin of the neck (and dec) is frequently exposed to UV radiation, however unlike the face, it is an area that we frequently overlook in terms of protection and/or intervention. As a result, the face and neck are prone to photo-ageing and pigmentation. Click the link below to learn about the treatments we use for treating pigmentation.
LEARN MORE ABOUT TREATMENTS FOR PIGMENTATION
Like the neck (and decolletage), the hands are an area often overlooked when it comes to prophylactic ageing. Lacking in a dense fat layer, and routine exposure to the environment and harsh substances, the skin of the hands can quickly become pigmented, thin and coarse. Rejuvenation aims at removing pigmentation (age spots), hydrating devitalised tissue, improving skin thickness, and replacing lost volume.
At Aescend we offer a number of non-invasive options to help improve the appearance of the hands.
The skin on the hands is thin, lacking a dense fatty layer like is found underlying the skin of the face and rest of the body. Furthermore, the hands are frequently exposed to harsh substances, and routinely see a high level of sun and environmental exposure.
These factors predispose them to early age-related changes such as skin thinning, irregular texture, dehydration and fine lines. Skin rejuvenation treatments such as found by following the links below, may provide an effective means of improving skin quality and crepeing generally:
The skin around the eyes is thin and fragile, prone to wrinkling and thinning. As we age the skin of the lids (upper and lower) becomes crepey, the sockets that house the eye itself become wider, the bone of the forehead smoothes and regresses, overall tissue elasticity decreases, the temples hollow, and the muscles that support the eye area and forehead change in their activity and strength. All of these changes result in the eyes becoming hooded or 'saggy'.
'Eye bags' may also develop or become more prominent. and may be as simple as a zone of increased pigmentation or volume loss under the eye that becomes more obvious as skin here thins and increases in translucency; or occur as a result of more complex processes such as fat pad protrusion and/or poor lymphatic flow. At Aescend we offer a number of non-surgical options that aim to improve the eye area, click below to learn more.
Elevating the brow to a higher, more arched position is not only aesthetically desirable for many, but may also be feminising and promote a more youthful appearance. It can also tighten the skin of the upper lid, giving some slight improvement for hooded (saggy) or ptotic eyelids. Non-surgical brow lifting may be achieved by selectively relaxing muscles of the forehead and eye with muscle relaxing injections, tightening the skin of the lateral brow with PDO mono threads and/or through the use COG lifting threads. Click below to learn more:
Treatments that improve circulation, lift the brow, replace volume to the temple, and tighten the tissue of the eye area can act together to improve the appearance of hooded eyelids and drooped (ptotic) brows. We offer Tixel and Morpheus 8 treatments indicated for tightening the eye lids and improving circulation of the eye area, whereas dermal filler and/or PDO mono threads might be used to help restore volume to the temple. For brow lifting options, see the previous view.
Eye bags can occur because of multiple processes and may due to poor circulation and drainage of the eye area, loose skin and/or protrusion of the fat pad. While complete resolution of eye bags may only be possible with surgical intervention, we offer Tixel and Morpheus 8 treatments which may help to improve lymphatic flow of the eye area and tighten the skin of the upper and lower lid. We may also use platelet rich plasma/fibrin (PRP/PRF) and/or PDO mono threads with the aim of improving loose, crepey skin, and carefully placed dermal filler to camouflage herniated fat pads which may also respond to Morpheus 8 treatment. In-clinic treatment of eye bags/puffiness is recommended alongside prescription eye care with additives such as caffeine and phenylephrine which may help to constrict blood vessels in the tissue under the eye and prevent additional fluid retention.
Tear trough or undereye hollowing occurs when the skin under the eye thins, the fat pads move or shrink, and or the ligaments that hold the tissue of this area slacken. Treatments such as PDO mono threads, platelet rich plasma/fibrin (PRP/PRF), Tixel and skin needling may help to increase the thickness of skin under the eyes, whereas dermal filler deep into the concave formed by this area may help to replace lost volume.
Crow's feet ('laugh lines') and wrinkles around the eyes develop over time as the result of repeated contraction of the circular obicularis occuli muscle. The process can be expedited alongside skin thinning and crepeing which makes already delicate tissue more susceptible to creasing. Relaxation of the obicularis muscle with anti-wrinkle injections is often the first step to improving crow's feet, however treatments that help to improve tissue density such as platelet rich plasma/fibrin (PRP/PRF), Tixel, Morpheus 8, skin needling and PDO mono threads may also help to improve the appearance of these lines. Skin boosters are hydrating cosmetic injections similar to dermal filler which may also be used in this area to reduce the depth and severity of wrinkles.
Dark circles under the eyes may form as the result of skin thinning, volume loss and pigmentation. In the setting of inflammatory conditions such as eczema and/or chronic rhinitis, hayfever and allergies, dark circles are particularly likely due to constant inflammation of the skin or upper airways. This can cause post inflammatory pigmentation (PIHP) and/or thinning of the tissue under the eyes which then adopts the tone of underlying blood vessels etc. PIHP and/or haemosiderin staining of the skin under the eye can also occur following trauma to the eye area (black eye). Alternatively additional pigmentation in this area may be due to genetic variance and/or extrinsic ageing (UV damage). Normal treatments for improving pigmentation may be applied with caution in the eye area to improve various types of pigmentation, whereas treatments as listed above for treating tear tough hollows may help to restore volume and thicken thinned skin. In-clinic treatment of dark circles is recommended alongside prescription eye care with additives for skin lightening and improved skin cell turnover/collagen laydown as this may help to further lift and control pigmentation, as well as support tissue densification.