Tension represents the last T of facial rejuvenation (the other being Tone and Texture)
As we age, we wil notice that our facial skin becomes loose and generally, the complexion gets saggy. This is due to
- Reduction of collagen and elastic tissues in the skin causing it to be less elastic as well as …
- Loss of fat volume in areas like the cheek bones and temple causing a general deflation of facial contours and a change in general facial structure.
The discussion of tightening the skin can be rather complex but for the sake of simplicity (and perhaps clarity too!) we can basically do 2 things to provide tension to skin.
- “Shrink it”
- “Stretch it”
“Shrinking” or pulling the skin can be done by using a combination of
- Radiofrequency treatment
- Superficial and deep laser rejuvenation
‘Stretching” would require some form of volume replacement to be done. Options of volume replacement would include
- Filler injection (Fat, Synthetic volume fillers or Biostimulatory fillers)
- Recontouring threads
In the past, most skin tightening treatment revolves around taking away excess loose skin to cause the remaining skin to stretch ie a typical facelift. The problem with this method however is that it leaves the patient having taut facial skin but a distinctively very unnatural and aesthetically displeasing look.
In recent years however, we have found that depending on the severity of loose and saggy skin, the treatment almost always involve a varying combination of both strategy ie pulling skin and volume replacement. This is the best strategy so far as it addresses both the roots of the problem and forms a part of a process we call global facial rejuvenation.