Скачать или смотреть Why Adding Volume and Improving Skin Quality & Texture are as Important as a Face Lifting

A woman had a facelift and fat transfer. Unfortunately, after several months, she noticed skin laxity. She wants to know why there is sagging despite the procedures she underwent.

Dr. Amiya Prasad, an oculofacial cosmetic surgeon and a specialist in facial aging, wrote a book called "The Fine Art of Looking Younger" where he emphasized the process of facial aging: One is sagging and thinning of the deeper tissues called the SMAS (superficial muscular aponeurotic system), the other is loss of volume from bone, muscle and fat.

Although a fat transfer is a good strategy to improve facial volume, it has a certain rate of absorption. Sagging and loss of volume will eventually occur so it is inevitable that a second procedure to add volume is also required for desired results.

Dr. Prasad recommends facelift as the first part of facial rejuvenation where the tissues are placed in the proper position. However, after several months, elasticity and regression may happen at the mandibular notch and cause marionette lines. To help enhance volume, he often uses fillers like Radiesse or Restylane and strategically uses it to meet the patient's expectations. He also combines fillers with a material called platelet-rich plasma (PRP) which is drawn from the patient's own blood. This helps with healing and dramatically improves the volume.

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