Against faces 'swollen' with fillers to smooth out wrinkles, 'gentle' corrections are imposed with a skilful mix of the different techniques available. A clear trend 'against' is recorded instead on the front of filler fillers with lifting effect, often used too generously. Tired of 'boxer on the sixth take' faces, many women are returning to the plastic surgeon for a facelift (also in 'mini' format) traditional.
Emerges at the congress Sime, Italian Society of Aesthetic Medicine. For those who do not like the scalpel, alternative or complementary techniques to 'filler' fillers are taking hold to obtain a non-surgical lifting effect. This is the case of wires, for example, that are experiencing a second spring, radio frequencies or even microneedling. Against skin aging, a novelty is the CHAC Technology, an anti-wrinkle 'mesotherapy' that allows you to stabilize the active ingredients without the use of chemical reagents, releasing them gradually in order to prolong and intensify the effect of the treatment.
This technology makes it possible to obtain biostimulants with stable and effective active ingredients for longer. In the 30-40 age group, the 'full face' treatment is increasingly required, which consists in remodeling various areas of the face (forehead, nose, cheekbones, lips, mandibular profile and chin) with fillers based on hyaluronic acid (with different characteristics depending on the area to be treated, using different injection techniques) in a single session, to harmonize the volumes without derogating from the elegance of the shapes. Making small tweaks only where they are actually needed. The results – experts assure – are immediate and guarantee a 'social glam' effect always respecting elegance and balance. And to 'erase' wrinkles, a new technique appears on the horizon, the 'micro-coring', the latest generation robotic technology for the treatment of deep wrinkles of the cheeks and the lower third of the face.
The eyes, then, are one of the favorite places by the signs of time. From viper venom, to hydro-stetching, to electromagnetic fields, there are many new techniques to correct the periocular region. There are 500 patients a year who turn to the clinics of the Fatebenefratelli in Rome, which has become a reference for the complications of treatments throughout Italy. To these are added the 'repentants', those for whom a tattoo or a filler too much can prove to be unsightly or even do damage. There are new techniques for the 'repentant' and there is also a warning: better learn to listen to the 'no' of the doctor. Overdoing it with hyaluronic acid-based fillers over time can lead to accumulations; Although hyaluronic acid is 'absorbable', with repeated treatments, perhaps without giving time to the filler to 'disappear' naturally, unsightly volumetric increases can be created. The new trend is therefore to use a sort of 'antidote' to hyaluronic acid, the hyaluronidase enzyme, to speed up the reabsorption process and erase overtreated areas. "But it is a wrong trend - says Emanuele Bartoletti, president of Sime -. Corrections must always be made gradually and you must know how to stop when you have achieved a harmonious result. This is not always perceived by patients. We need to urge people to listen if the doctor says 'no' and doctors not to passively 'accept' every patient request."
Hyaluronidase has proven to be a useful drug for the resolution of filler complications. "It can happen - explains Bartoletti - that an excessive use of the filler in dangerous areas for a specific vascularization such as the nose or the mouth region, leads to a compression of an arterial vessel that can give an ischemia of the part, up to tissue necrosis. Hyaluronidase solves these problems. This is why it is a drug that every aesthetic doctor should have, before injecting fillers with hyaluronic acid". More and more people choose semi-permanent makeup performed with pigments for aesthetic use to draw gullwing eyebrows or redesign the lip contour. The effect of these aesthetic procedures is not always the one hoped for. For cosmetic tattoo repentants (brow liners and lip liners) the solution is entrusted to the 'tattoo changing' laser technique where, Q-switched lasers and picosecond lasers are the masters. Lips, nose: to perfect the details is all in the name of naturalness and sensuality. In the wake of the request for more 'natural' treatment, the so-called non-surgical 'nose jobs' are inserted, while for the lips the imperative is that they are not 'tank top'.
As for the nose, surgical rhinoplasty has not gone to the attic, but the alternatives to the scalpel enjoy increasing popularity and ensure in many cases a good aesthetic result, at lower costs. This procedure uses hyaluronic acid fillers to improve the shape and contour of the nose, to add volume if necessary, 'smooth' one too many humps, lift the tip of the nose. Treatment is rapid and results last about a year. Even for the lips the ideal of beauty has shifted today to sensuality, but a more natural appearance and in harmony with the rest of the face, in the various declinations of Russian lips (the 'heart' lips like those of the Russian Matryoshkas, so loved by celebrities), of the 'velvet' lips (hyaluronic acid filler, injected with microsyringes through vertical injections) or of the lips with a 'glow' effect obtained through a combined technique of dermal filler based on hyaluronic acid is a biorevitalizing complex consisting of non-cross-linked hyaluronic acid, vitamins and trace elements. Among the innovative approaches are the so-called 'ice-lips': the procedure consists in associating a cryotherapy with nitric oxide vapors at low temperatures, to the injection of the filler; The technique allows to reduce post-procedure swelling, increase the patient's degree of satisfaction with the result and above all to limit the pain of the procedure. For those who are a little older and struggling with the 'bar code' (the vertical wrinkles that crown the upper lip especially in smokers) a new proposal comes from a dynamic functional filler based on high molecular weight hyaluronic acid and biomimetic peptides, cross-linked with the PEGDE that effectively relaxes the skin plane and reduces the contractility that leads to the formation of the bar-code.
"A dentist can never make an aesthetic medicine visit. And he will never be able to do aesthetic medicine because he is not a doctor. But it will be able to use, according to the new legislation, therapies that are normally used in our discipline to do cosmetic dentistry. The problem will be the skills, it is on this that we will ask the institutions to pay attention", says Bartoletti, president of Sime, Italian Society of Aesthetic Medicine, on the sidelines of the congress in Rome after the approval in the Chamber of an amendment in the simplification bill that would allow dentists to carry out non-invasive or minimally invasive aesthetic medicine activities. "In aesthetic medicine - adds Bartoletti - it is necessary to be prepared, behind every therapy there is a possible complication. Already the doctor must do a special training course, otherwise he risks doing damage to patients. The problem is not that dentists do aesthetic medicine, but to safeguard the health of patients. When they have the skills to be able to do it will be different, but at this moment perhaps the cart has been put before the horse, perhaps this step should have been prepared by providing training".