The combined effect of sun damage and intrinsic skin result in facial aging frequently with wrinkles and fine lines. Different surgical techniques can be used for the reversal of the mechanisms and physical results of aging. A facelift or blepharoplasty alone cannot remove wrinkles and are especially inadequate for the fine wrinkles around the mouth, eyes and forehead. The chemical peel, dermabrasion and laser skin resurfacing procedures are used in the peri operative period to minimize these surface irregularities.
All three procedures remove the outer sun damaged layer of the skin, attempting to leave the patient with a smoother and more youthful appearance. The chemical peel procedure consists of the application of a medical mixture to the treated skin, which creates a controlled chemical burn. TCA (Trichloroacetic acid) is usually used in different concentrations. In the dermabrasion procedure, the outer layer is mechanically removed with a bur in a "sanding" motion. In the newer methods of laser skin resurfacing, various lasers can be employed to vaporize the outer layer of skin and induce a tightening of the remaining skin.
The result of the treatment is a general tightening of the skin with obliteration of many of the fine wrinkles and scars while making the deeper wrinkles and scars less noticeable. In patients with excessive wrinkling or scarring, a repeat procedure may be desirable, but complete obliteration of all lines, wrinkles or acne marks will not be possible in any patient. The use of a proper skin care program in addition to the resurfacing yield a better and more lasting result.
Chin And Other Implants
The use and utilization of facial implants is a popular ancillary procedure with or without facial rejuvenation surgery. The most common implants are either made of silicone or a porous material called medpor.
The most commonly performed procedure in this group is chin augmentation. Most people feel that a stronger chin is more aesthetically pleasing than weak chin. This is usually discussed with the patient in the event of a rhinoplasty procedure as both procedures are complimentary in order to achieve a good facial balance.
Less frequently, patients will present with a narrow jaw and request enhancement of the angles of the mandible, or to give someone more prominent cheek bones.
Similar implants could be used to augment the nasal dorsum or to provide more tip support. (Please refer to the Asian nose in the rhinoplasty section).
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