With the ageing process, the basic architectural molecules of the skin like collagen and hyluronic acid, elastin gets depleted leading to a loose sagging skin and static wrinkles. Also the muscle fascia gets loose giving a poor support to the facial structures and musculature. Various modalities act by various mechanism to stimulate collagen production and by tightening of the muscle fascia.
The heat energy delivered to the skin stimulates the collagen production thereby making skin tighter with time. Collagen formation takes 6 wks to 3 months ,thereby showing full results at 3 months post-procedure.
This delivers ultrasonic waves to stimulate collagen ,therby causing skin tightening. Collagen formation and fascia tightening takes 6 wks to 3 months ,thereby showing full results at 3 months post-procedure.
This delivers significant heat energy by targeting water molecules in the skin, causing modulation of collagen in the skin and hence tightening.
The use of platelet rich plasma on full face has been found to be useful. The growth factors present in the platelets help in stimulating the skin , when used with a derma-roller it has been found to be more effective.Multiple sessions sequentially needs to be done at an interval of 2 to 4 weeks. The advantage of this procedure, is that it gives glow to the skin with skin tightening.
Artificial sterile surgical threads are placed in the dermis/subcutaneous tissue to give a good lift in desired areas. It is an office procedure and facelift is seen just after the procedure. Further collagen formation happens along the surgical threads as a scaffold, thereby giving skin tightening effect. The full effect takes about 6wks to 3 months.
These can be used to give support at various points on the face, to give support to facial structures. 8 point facelift is a common procedure done to achieve this.
Radiofrequency/ HIFU/ Vampire facial are non invasive modalities with minimal downtime. Co2 laser has a downtime of 10 days.
The sessions need to be repeated once in 6 months to 2years depending upon patients skin laxity. The exact regimen is decided by the doctor.
In most cases single session of radio frequency/HIFU requires 3 to 4 hours to cover full face and neck region.
In most patients the non-invasive modalities(Radiofrequency/HIFU) have minimal side effects with minimal redness after the procedure. In patient with darker skin types, caution needs to be taken to avoid burns and hyperpigmenation post-procedure.
Anybody who feels the skin is getting loose than before, age is not a criterion.