SKIN AGING AND ASSAY RECOMMENDATIONS
Aging is a process that occurs in all organs, but is most noticeable in the skin. Although genetic predisposition is a valuable factor in skin aging, exposure to the sun, exposure to physical and chemical events (make-up, occupational chemicals…), smoking, excessive alcohol use, dietary habits are the main factors that accelerate skin aging. The skin always renews itself and repairs the effects of aging. After an obvious age, the repair process in cells slows down. Collagen production of the skin decreases, and with the loss of elastic fibers in the connective tissue that forms the reinforcement layer of the skin, signs of aging such as skin loosening, wrinkles, sunspots, and gradual thinning of the skin appear.
Today, maintaining or regaining a youthful appearance has become a precious situation that creates fear for many people. With skin aging due to time and external factors, the most basic approach in effort is to clean, moisturize and consciously protect your skin from the sun with products suitable for your skin type. Today, there are many treatment approaches in dealing with the formed skin aging symptoms. The main ones of these systems are botulinum toxin injection, dermal fillers, chemical peeling, microneedling, PRP, mesolifting, laser, radiofrequency and skin rejuvenation processes with ultrasound power. These routes can be applied alone or in combination. Your doctor should decide which procedure will be applied according to your expectation and skin structure.
BOTILINUM TOXIN INJECTION
Botulinum toxin injection has been used in medicine for many years, especially in neurological diseases. It has been used in cosmetic applications since 2002. Botulinum toxin injection is one of the most recognized systems today, especially in dealing with dynamic wrinkles on the face. When the application is made in a short time and applied in expert hands, the rate of side effects is very low. Contrary to what is known, there is no lower age limit in the treatment of wrinkles with botulinum toxin. Mimic wrinkles can also be applied as a precaution without sitting. The permanence of the application is in the middle of 3-6 months, although it varies from person to person.
Dermal fillers are used to correct wrinkles and folds, to flatten scars, to determine bumpy and loose lines, to give the skin a renewed appearance. It plumps the skin, keeps it looking smooth and moisturized. Different filling considerations are used to address the problem. These issues can be permanent or discontinuous. Among the discontinuous elements, the hyaluronic acid-containing fillers have types that can last between 6 months and 18 months.
Permanent elements, on the other hand, are elements with different content that extend their lifespan when applied. These are synthetic, silicone-based items, and their use has been limited in recent years due to the risk that permanent issues can cause foreign body reaction.
Chemical peeling is an application procedure that aims to create controlled damage to the skin at various depths by applying one or more chemical spies to the skin and to reveal a renewed healthy skin during the smoothing process. According to the penetration depth of the peeling solution into the skin, it is classified as superficial, medium and deep.
The depth of chemical peeling is determined according to the application purpose, skin color and skin type. Superficial peelings are used to renew the upper skin layer and to remove the upper skin origin stains. Fruit acids (Alpha hydroxy acid-AHA, Beta hydroxy acid-BHA) are frequently used. Medium-depth peels affect the upper skin layer and middle skin layer. It is used for the removal of mild to moderate wrinkles, the treatment of stains that go down to the middle layer of the skin and the tightening of the pores. The most commonly used chemical spies are Jessner’s solution, glycolic acid and 35% trichloroacetic acid (TCA). Deep chemical peels penetrate the entire middle skin layer. TCA 50%, Bakers , Phenol and Jessner’s solution are used. It is preferred for the removal of deep wrinkles and the treatment of deep acne scars. Deep chemical peeling formulas are not preferred for individuals with dark skin structure. In recent years, chemical peels have been produced using nano technology. In peelings produced with nano technology, the activity is high and the side effects are extremely low.
PRP (PLATALET RICH PLASMA)
Platelet Rich Plasma (plasma enriched from platelets), in short, PRP is the name given to the application. It is the process of separating a small amount of blood taken from an individual into its components by passing through a special process and giving back the obtained plasma enriched from the direction of platelet in a small amount to the individual for skin rejuvenation purposes. PRP application is also used in the treatment of scars, wrinkles, spots and hair loss. The results of the process to be applied using your own blood are very effective. When the platelets, which are heavily in the plasma, are given to the skin, the growth factors in their body stimulate the production of collagen and the formation of new capillaries, which allows the skin to renew itself quickly.
Creams and solutions that we apply externally to the skin nourish and revitalize the upper part of the skin, and do not reach the lower layer of the skin. But the main part of the skin that needs to be revived is the lower skin. Mesolifting is an effective treatment method based on injecting mixtures such as vitamins, antioxidants, and hyaluronic acid into the middle layer of the skin. The process with micro injectors is painless and painless or at a tolerable level. The patient can continue his daily life after the treatment. The applied points increase the skin’s collagen and elastin production and provide skin regeneration. The skin takes on a brighter appearance. The elasticity of the skin increases and sagging decreases. It is an effective method in removing the sagging and aging effects on the face, neck, décolleté and hands.
Microneedling therapy is also known by various names such as “mesoroller, dermaroller-dermapen or collagen induction therapy”. Microneedling opens micro channels (micro wounds) in the dermis located in the second lower layer of the skin, and tiny needle-tip bleeding occurs on the skin thanks to needling. It is expected that there will be an improvement in its surface, texture and color. The process improves in 1-3 days without leaving any traces.
The microneedling system is used to open fine lines on the skin, tighten the pores, and reduce scars (acne scars, striae, burn scars, etc.) on the skin. It also increases the absorption of topical cosmetics and/or growth factors, peptides and stem cells applied to the skin.
SKIN REJUVENATION WITH RADIOFREQUENCY AND ULTRASOUND POWER
It is a non-invasive (non-invasive) treatment system developed for reducing unwanted fat deposits, skin tightening and wrinkle removal by using focused radiofrequency and heavy ultrasound power simultaneously or with different powers.
Its effect on wrinkle reduction and skin rejuvenation is directed to the collagen tissue (subcutaneous connective tissue). With the collagen filling technology, the structure of the damaged collagen helix is affected by the heat power and the dissolution process begins. With the natural beautification process, cells are stimulated to produce new collagen bonds. The skin is filled with new collagen again. The treatment is applied 1 session per week and a total of 4 sessions are recommended. There are also focused ultrasound systems applied in a single session.
SKIN REJUVENATION LASERS
It is a treatment method based on increasing the collagen production in the scanned area as a result of full scanning of the skin with laser beams. Collagen production provides the formation of new connective tissue along with it. This gives the skin a taut, lively appearance.
Firstly, ablative co2 lasers were used in skin rejuvenation with the laser system. As a result of the rapid evaporation of the tissues with ablative laser systems, the tissue becomes tighter and smoother. On the other hand, the rate of side effects and the long duration of work reduced the use of these techniques in skin rejuvenation. Subsequently, skin rejuvenation procedures with nonablative lasers gained popularity. In the last 10 years, the concept of fractional skin resurfacing has come into use. The term fractional means treating a part or part of the skin. It is aimed to accelerate the beautification by leaving intact skin areas in the area to be treated. Your doctor will decide which laser system and which formula will be used according to the skin structure and treatment expectation.