“We don’t fix a flat or line chase”

It happens to everyone…loss of facial fat pads in middle age. “I hear it all the time,” says Brian Whaley, ARNP-BC and Director of Rejuvenation at Essentials Medispa & Salon. Our patients “suddenly” notice that the firmness and lift in their faces have greatly diminished. It is normal in middle age for facial fat to decrease, which in turn has a hollowing and sagging effect. Indicators that most people notice are the deepening of the nasolabial folds and deepening of the tear troughs. These are both caused by a shrinking of the malar fat pads that lie just below the orbital bones of the eye. These are often called the apples of the cheek. Decreasing fullness here has a distinct elderly appearance and will continue unless corrected. “Filling in lines” is ineffective and amateurish – instead, an expert professional will treat the cause, not symptoms.

One may not be surprised at the treatments patients have undergone to address this problem, especially in this day and age. For some reason, providers are still injecting into the nasolabial folds. Whaley states, “This is a poor treatment choice that wastes money and does not improve the underlying problem of volume loss. The first thing I have taught my students is that A LINE IS A SYMPTOM, NOT A CAUSE. Fillers belong below the skin, not in the skin. The nasolabial fold is the medial margin of the flap over our oral cavities. This flap hangs under our eye which can cause tear troughs and flatten over the cheekbone, which can cause drooping of the corners of the mouth and marionette lines and the lowest tip of the flap is the jowl. The skin is a highly multifunctional organ system which renews every 60 to 90 days. Products injected into the skin are rapidly eliminated and also add weight, therefore dragging the skin downward even further. It is a mediocre cover-up and adds nothing to the improvement of contour. The line filling technique is antiquated and average; it is like using caulk in the bathtub!

Facial fillers that are properly injected deeply, just above the periosteum, replaces lost volume and adds the beautiful contours of youth. It can last up to two years, depending on the quality of the product. It is safer, more beautiful and less expensive than any “caulking approach” to a contour issue. Artistically placed filler, safely and meticulously performed, can bring back years of contour and make you appear younger, more attractive, and boost self-confidence! Interested or want to hear more? Schedule a free consult with Brian Whaley, ARNP-BC. You can age gracefully and modernly, subtle yet dramatic. Making Faces for 20 years.

Why Choose Sculptra Over a HA Filler

Sculptra is a stimulatory injectable filler composed of poly-L-lactic acid. It is biocompatible, meaning it is not harmful to the surrounding living tissue. It works by way of neocollagenesis, or stimulation of the body to produce its own collagen at the site of injection. Neocollagenesis triggers the targeted area to firm, tighten, lift and smooth the overlying skin. This is beneficial in areas of depressed skin caused by facial lipoatrophy (fat loss). This includes skin creases, wrinkles, folds, scars, and overall aging.

The injection itself is biodegradable and is absorbed by the body within one week. It is the response it creates that leads to the volume increase. The poly-L-lactic acid causes a localized inflammatory reaction, causing fibroblasts to infiltrate the area, encapsulating the injected implant with thin-walled collagen. The poly-L-lactic acid, itself, degrades into lactic acid leaving behind residual crystals. Over time, the crystals lead to collagen production causing the formation of fibrous connective tissue around the implant (fibroplasia) and thus a gradual thickening of the dermis.

This differs from other injectable fillers, such as hyaluronic acid, which cannot stimulate fibroblasts but instead stretches the existing collagen fibers through displacement of the area, leading to a short-term fix. Though the volume increase in Sculptra may take anywhere from three to six months to develop, the results persist upwards of two years. For this reason, Sculptra should be considered one of the first options for cosmetic rejuvenation.

Elizabeth Sippey PA-Resident
Essentials Medispa & Salon

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