As we get older, sagging skin with jowl formation (loose skin and fat under the jawline) becomes very common. Added to this loss of skin elasticity, smile lines (nasolabial folds) are also very noticeable when the face is at rest.
In the younger face, cheekbones are enhanced with fat pads that sit on top of the bone. As we age, these fat pads shrink and migrate downwards causing the skin to stretch and hang with jowl formation. Added to this, the lower eyelids also stretch and elongate and together with prominent nasolabial folds, create a sunken and drawn-in expression.
The best way to counteract these effects and create a refreshed, youthful look, is to enhance cheek bones with injection of a filler. This will create volume in the cheeks and results in lifting of the skin with a more defined jaw and diminishing of jowls. Perky cheeks also lessen the nasolabial folds and improve the under eye area. Fillers usually consist of a hyaluronic acid- similar to that found naturally in our own skin. Aging causes this natural hyaluronic acid together with collagen to deplete resulting in skin that looks thin, shrivelled and stretched. Fillers can also be injected into the nasolabial folds alone.
If the jowls consist mainly of fat, a course of radiofrequency for skin tightening together with phosphatidylcholine injections can be administered. The phosphatidylcholine breaks down fat and can also be injected into other areas with stubborn fat.
For full face revitalisation, a combination treatment of botox, filler injection, skin peels and mesotherapy can assist in rejuvenating aging skin. Mesotherapy consists of fine micro injections of hyaluronic acid together with vitamins, amino acids, antioxidants and other essential substances and provides hydration, firming, plumping and lifting to give an overall rejuvenated and improved skin texture and colour.