Author/Chen Shidong. Finishing/Gao Zhiying
It is human nature to love beauty. No matter what age, you can't stop pursuing beauty. Although people of different ages have the same demand for beauty, our plastic surgeons have different designs. Because different age groups have different skin problems and different pertinence, how to help beauty seekers design a complete treatment plan from young to old is very strategic.
Knowing one's five senses is the first condition.
Before designing these treatment directions, we must recognize the basic structure and aging changes of the face. 1. The face consists of five senses, including eyebrows, eyes, nose, mouth and ears. The frame includes bones, muscles, fat and skin. The five senses determine whether it looks good or not, and the problems to be paid attention to include size, height, proportion and symmetry. Skeleton determines youth, and the problems to be considered are size, shape, concavity, symmetry and height. When I was young, there were many cells and collagen was full. With the change of age, the number of somatic cells decreases and collagen becomes less and less. It must be understood that being young is not necessarily beautiful, and being beautiful is not necessarily young.
Young people pursue big eyes and straight noses.
Young people's requirements for the five senses are mainly to look good. From the current aesthetic point of view, the main pursuit of double eyelids and high nose. Orientals generally have smaller eyes and a flat nose. If they want to be beautiful women in the eyes of aesthetics now, double eyelids and high nose bridge are standard. In addition, plump and sexy lips are also everyone's pursuit; For the five senses, in view of the high development of social platforms, people often show their faces, so whether they are photographed is the most concerned issue. First of all, you should look small when taking pictures. Some girls' faces are obviously small, and they feel big when photographed, mainly depending on "face shape, three-dimensional sense and degree of depression". People with oval faces feel big even if they have a big face. Without Lissolis' face, the three-dimensional sense will be worse and the face will feel bigger. The effect of the depression of the couple's palace (temple) will not become smaller after being photographed, but will become wider.
Therefore, if you want the feeling of a small face, you must make some adjustments to the frame. Adjustable part of the frame:
(1) Increase the aspect ratio of the face (such as hyaluronic acid filling the chin).
(2) Narrowing the width (such as injecting botulinum toxin into the masticatory muscles).
(3) increase the three-dimensional sense (filled with risorius)
(4) Reduce depression (fill the husband and wife palace)
These adjustments help to improve the visual sense after being photographed, make the face more stereoscopic and better-looking, and at the same time, because the frame becomes smaller, the proportion of the five senses will become relatively larger, and people will become better-looking.
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Age pays attention to skin aging and relaxation.
For elderly people, the basic facial features have not changed much, because the facial features are fixed by holes in the face, and the problem of deformation is not so obvious, but compared with the sub-frame, the changes are great, and the changes in the frame are mainly due to relaxation.
The supporting fibers that penetrate the skin, fat and muscle fascia gradually relax, and the fat and skin are affected by gravity and become more and more droopy. The most obvious thing you can see is the sagging of the cheekbone fat pad and the buccal fat pad: the sagging of the cheekbone fat pad will lead to the sagging of the Lissori muscle and the deepening of the law lines; The drooping of the buccal fat pad will make the corners of the mouth obvious, forming a puppet pattern, and the lower half of the face will also become larger, and heart-shaped face will become a triangular face. In addition, loose skin is like a deflated balloon, which is bigger than before inflation. People will feel old when their faces are big. Of course, these loose conditions will also affect the eyes, causing the upper eyelid and the tail of the eye to droop, and also making the lacrimal sac obvious, which increases the age.
In addition to relaxation, the loss of cells and the reduction of collagen production will cause the so-called facial volume loss, which will make the face look less full and lose the so-called sense of youth. Of course, wrinkles and skin changes will also occur with age, including various dynamic lines (head-lifting lines, crow's feet lines, Sichuan-style lines, etc. ) and the pores are thick, there are many spots and many fine lines. The change of face shape is due to the loss of collagen in chin (shorter chin) and the enlargement of masseter muscle (due to frequent use), which leads to the oval face becoming a square face.
Therefore, the older we get, the direction of our treatment will be different from that when we were young. The direction of treatment is to reduce the changes brought by age, including reducing the face that is loose and enlarged, resetting the sagging fat, making the depression full due to the loss of cells and collagen, reducing the masseter muscle to fill the atrophied chin and restoring the face shape. Therefore, the treatment must be holistic, including: firming the skin, filling the depression and reducing the masseter muscle.
merge
Surgery-based trauma takes a long time to recover, which easily affects facial expression. Unless the situation is very bad, non-surgical treatment is preferred at present, including line carving (PDO or PLLA) and photoelectric therapy (acoustic wave skin lift, electric wave skin lift, radio frequency and laser, etc.). ).
fill up
You can use autologous fat and hyaluronic acid. When the filling amount is small, hyaluronic acid is generally recommended. If the local amount exceeds 2ML or the skin is thin, it is best to use autologous fat.
People of different ages pursue beauty. As plastic surgeons, we not only provide medical services, but also provide good medical advice. Therefore, we must strive for perfection professionally, be responsible for all those who seek beauty, and don't just serve money. Only in this way can we be worthy of the original intention of being a doctor and be encouraged by everyone.
Doctor's little file
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Dr Chen Shidong.
He has been engaged in medical work for many years. Lecturer in international training of laser fat melting of DEKA company in Italy and ALMA (Deep Blue) in Israel. China plastic surgery encyclopedia "minimally invasive cosmetic surgery" editor-in-chief, director of Taiwan Province Medical Association branch of cosmetic medicine, director of cosmetic surgery education. Engaged in clinical and teaching work of medical cosmetology for a long time. I have a professional background in surgery, internal medicine and medical engineering, specializing in the research and development of advanced medical beauty technology, and have outstanding research in laser lipolysis, autologous fat transplantation, stem cell therapy, telomerase anti-aging therapy, and composite seamless micro-plastic surgery.
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