No matter how much we dread it, ageing is an inevitable process and each one of us is bound to experience it at some point. Ageing is caused due to a combination of factors which may be hereditary as well as environmental. Long and unprotected exposure to the ultraviolet rays of the sun, erratic and unbalanced lifestyles, family history of skin disorders etc. contribute majorly in accelerating the process of ageing. So, we can make some changes in our lifestyle to slow the ageing process a little bit, however, without any professional help the signs of ageing can occur in a person as early as 25 years of age.

Cosmetic surgical procedures are available for rejuvenation of facial structure which can take off years from a person’s face. Cosmetic surgical procedures can be of two types; surgical and non- surgical. Surgical facial rejuvenation procedure involves surgical lifting of facial muscles which tightens the underlying tissues. This reduces the sagging of the facial muscles and makes the person look much younger once the procedure is complete. Surgical facial rejuvenation also removes the extra fat which is present on the face. This extra fat is responsible for making the facial muscles look droopy and removing it makes the muscles of the face more pulled back. However, surgical facial rejuvenation is considered to be a major surgery which is done on a fewer number of patients depending upon their specific needs. Also, there are certain requirements that the patients need to fulfill. They should have some resilience and elasticity in the skin so that the skin can be pulled back and it stays in place as it is tightened. The bone structure of the patient’s face also plays a very crucial role. Generally, surgical face lift or face rejuvenation is carried out in combination of other procedures such as nose correction, neck lift, forehead lift etc. So, surgical intervention is generally required in extreme cases of ageing.

In the cases where the signs of ageing are moderate and a patient does not want to go through extreme surgery dermatologists may recommend non surgical facial rejuvenation. One of the most popular methods of non surgical face rejuvenation in the recent decades has been Botox. Botulinum toxin is injected via needles in to the areas of the face where wrinkles are present like the forehead, nasal folds which are commonly known as the laugh lines, crow’s feet around the eyes etc. Botox relaxes the facial muscles which makes the wrinkles appear smoother. It is a very short procedure but has to be repeated every 6- 8 months. The amount of Botox that needs to be injected in a particular muscle depends upon the thickness of the muscle of the face and the intensity of the wrinkles. Apart from the treatment of wrinkles of the face, Botox is now being used for a number of other purposes as well. It is used in treating migraines, excessive sweating in certain body parts such as the armpits, treatment of masseter muscles etc. The patient remains fully conscious while the treatment for Botox is performed. While the Botox is being injected there is only little discomfort experienced by the patient. The results may be visible within a week.

Derma fillers are also one of the most popular methods of getting younger looking skin. Facial fillers can be the perfect method to restore the suppleness in the skin which may be lost due to ageing. Fillers restore the lost volume in the facial muscles. Fillers can also be used for enhancing the lips, recontouring of the face and filling up residual scars from acne, surgery, accident etc. In most cases fillers are used at the early stages of ageing. In the more advanced stages, fillers may be sued in conjunction with surgical facial rejuvenation. The procedure of injecting fillers is similar to Botox. The area to be injected is cleansed and then the filler is injected by the practitioner. The fillers restore the shape of the facial contours and give a plumped up appearance to the skin.

Fillers and Botox have come to be known as ‘lunch time procedures’ because they take a very small time duration to be completed. Depending upon the patient’s requirements these procedures can take anywhere between 30 minutes to an hour. Due to the use of micro needles, there may be some residual swelling after the treatment but that usually subsides within a day or two. After the procedure you will be required to limit the exposure to the sun for a few days. However you can resume you normal lifestyle shortly after the procedure is complete. This procedure should be done by a qualified medical practitioner. We often come across cases of people who have had cases of cosmetic enhancement gone terribly wrong. Therefore, check your doctor’s credentials before getting the fillers or Botox.


About Dr. Debraj Shome

Debraj Shome-2
Debraj Shome, MD, DO, DNB, FRCS (Glasgow), FICO (USA), MNAMS, MBA (Healthcare Management, Vanderbilt University, USA), is Consultant Facial Plastic Surgeon, Oculoplastic Surgeon & Cosmetic Surgeon at Nova Specialty Surgery, Mumbai, India..Read more

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