All of us more than 30-40 see our facial skin start out to loosen and sag, and lots of of us want or skin could be tighter and much more youthful seeking. Skin tightening remedies such as Thermage, Titan, Refirme, LuxIR and other folks are typically advertized as a non-surgical face lift. Having said that, an objective comparison of a properly performed surgical face lift with the outcomes of a non-surgical skin tightening remedy reveals that the finest skin tightening remedy achieves only 20-30% of the common face lift outcome. Skin tightening outcomes on the tummy and arms are at finest 20% of what can be accomplished surgically with a tummy tuck or arm lift.
Newer, but much more invasive, subcutaneous laser remedies are reaching substantially greater skin tightening than the presently readily available surface remedies working with Thermage, Titan, Refirme and Lux IR, in my expertise. I predict that the new laser technologies will continue to increase and steadily replace the older surface technologies which utilizes radiofrequency and infrared power to tighten skin.
How Do Skin Tightening Therapies Function?
As our skin ages it loses elasticity. Elasticity is what holds our skin tightly to our face and physique. Elasticity depends on collagen and elastin, two elements of the deeper layer of our skin named the dermis. The elastin and collagen accountable for tight skin are located in the deepest aspect of the skin, just above the fat layer which lies beneath our skin.
When collagen is heated to 66 degrees centigrade, the collagen contracts and the skin is tightened. This is named remodeling and happens more than lots of months right after the collagen has been heated.
The process of all these machines is to heat the deep collagen of the skin to result in contraction of the collagen and remodeling, which causes skin tightening. To achieve this deep skin heating, radiofrequency power (Thermage), infrared power (Titan, LuxIR Deep), or a mixture of each (Refirme) is passed into the skin to heat and remodel the collagen. These machines have sophisticated cooling devices to cool the surface of the skin to avoid a burn although the power is passed by way of the skin into the deep dermis.
How Productive Are These Therapies?
These infrared and radio frequency primarily based remedies do tighten the skin. Having said that three-four remedies scheduled four-six weeks apart are ordinarily expected for a visible outcome. In my expertise a 20-30 % outcome is the finest I can obtain.
The most telling instance of the advantage, in my expertise, is that I have to show a patient a just before photograph subsequent to a six month right after photograph for the patient to see the distinction. This is decidedly distinctive from a face lift or tummy tuck outcome which the patient can appreciate a marked improvement in skin tone promptly right after surgery.
What Do These Therapies Price?
Fees differ, but normally remedies expense about $1000.00 per remedy. 4 remedies are ordinarily discounted to $3500.00. In my expertise, 4 remedies are essential to see the finest outcome.
What New technologies are on the Horizon?
New laser liposuction techniques are making outstanding skin tightening in addition to dissolving fat. Objective information as to percentage of skin shrinkage following laser liposuction remedies are not but readily available. Having said that, in my anecdotal expertise, I am seeing really considerable, visible skin shrinkage right after laser liposuction remedies, and outcomes have been maintained at least eight months, which is the longest expertise I have to date.
The new laser technologies is not actually non-surgical but is surely minimally invasive. A little laser fiber is placed beneath the skin into the fat. Heat from the laser dissolves the fat and tightens the skin.
I assume that I am seeing greater outcomes for the reason that the laser power is getting delivered much more closely to the deep collagen and elastin layer of the skin which is exactly where skin elasticity resides.
My prediction is that this new minimally invasive approach will steadily replace the present transcutaneous (from on top rated of the skin) approach made use of by the radio frequency and infrared tactics pointed out earlier.
How to Make a decision Which System is Greatest for You
I should admit my prejudice-I am a board certified plastic surgeon and my aim is often the finest outcome for the patient. At present if you have loose sagging facial skin and you want to appear substantially younger, an expertly performed face lift will unequivocally give you the finest outcome.
If you are adamant that you do not want surgery then I would advocate 1 of the non-surgical radio frequency or infrared techniques. Having said that I will warn you that you will need to have to study your face very carefully to see the advantage.
I do use the non-surgical approach regularly about the mouth exactly where face lifting is significantly less efficient. I also use the infrared device on the neck to treat recurrent laxity right after a face lift.
If you are not in a rush, and are comfy with the possibility of a minimally invasive process, which requires putting a little laser fiber beneath your skin, then I would wait. Undoubtedly, the new laser technologies will continue to increase.
I am currently reaching really good tummy tuck kind outcomes working with the new laser liposuction fiber approach on the abdomen.