Not too long ago, the only solution to the aging face was the traditional surgical facelift. The facelift was considered the only option before the development of many of the current technologies of dermal fillers, lasers and Botox.
The facelift did in fact tighten the loose skin of the aging face by literally pulling the skin tight, removing the excess skin and suturing the tightened skin in place. However, the biggest aesthetic problem with the surgical facelift has always been that purely tightening the skin over the surface of the face results many times in an unnatural appearance.
When the skin of the face is pulled tighter, the face will appear gaunt and not a better version of itself. Replacing lost volume in the face is just as important, if not more so, than simply tightening the skin.
Loss of volume in certain facial areas causes the face to automatically look older. When volume is lost in the face, areas that were previously more round appear much flatter, and thus allows the overlying skin to sag due to gravity.
In turn, sagging skin creates many of the typical lines we see as faces grow older. They include the lines from the nose to the mouth (known as nasolabial folds), and the lines from the corners of the mouth into the chin (known as oral commissures or “marionette lines”).
The cheek and midface areas act to “hold up” the tissue of the lower face. When the cheeks lose volume, the shifting downward occurs.
The dermal fillers such as Juvederm add volume locally to areas of wrinkles to plump up the volume right under the areas where sagging occurs. Early on in the aging process, dermal fillers can fill in wrinkles as they develop by injections into the subcutaneous tissues.
More recent developments in dermal fillers have allowed the production of thicker and longer lasting fillers such as Voluma. Voluma can be injected deeper into the face and restore volume into the areas of greatest loss that need it the most.
Since Voluma was introduced over 2 years ago, I personally have seen excellent and longer lasting results in the patients I have treated with it. When the Voluma is injected down to the level of the facial bone structure, it acts to directly lift and support all of the overlying tissue as a single unit. In other words, Voluma re-establishes a foundation to support the skin.
Restoring the lost volume to the face is now considered a very important step for the best non-surgical rejuvenation of the whole face as we grow older. Once the volume is restored, other treatments for muscle-caused or dynamic wrinkles, or for fine wrinkles, can be more effective.
If you are interested in any non-surgical techniques to restore volume and rejuvenate your face as it ages, feel free to call us at (207) 873-2158 to schedule your free and confidential consultation. After examining photographs of your face, I can talk with you about your goals and generate a plan that will address your individual needs.