scholarly journals Facial aging: A clinical classification

2007 ◽  
Vol 40 (02) ◽  
pp. 178-180
Author(s):  
Melvin A Shiffman
Keyword(s):  
Aging Process ◽  
Facial Rejuvenation ◽  
Clinical Classification ◽  
Facial Aging ◽  
Clinical Method ◽  
Chemical Peels ◽  
The Face ◽  
Quick Estimate

ABSTRACTthe purpose of this classification of facial aging is to have a simple clinical method to determine the severity of the aging process in the face. this allows a quick estimate as to the types of procedures that the patient would need to have the best results. procedures that are presently used for facial rejuvenation include laser, chemical peels, suture lifts, fillers, modified facelift and full facelift. the physician is already using his best judgment to determine which procedure would be best for any particular patient. this classification may help to refine these decisions.

scholarly journals Fat Grafting for Facial Rejuvenation

2020 ◽  
Vol 34 (01) ◽  
pp. 030-037 ◽  
Author(s):  
Kelly P. Schultz ◽  
Anjali Raghuram ◽  
Matthew J. Davis ◽  
Amjed Abu-Ghname ◽  
Edward Chamata ◽  
...  
Keyword(s):  
Fat Grafting ◽  
Facial Rejuvenation ◽  
Nasolabial Fold ◽  
Volume Depletion ◽  
Systematic Method ◽  
Face Lift ◽  
Facial Aging ◽  
Native Tissue ◽  
The Face ◽  
Injectable Fillers

AbstractFor optimal results, facial rejuvenation procedures should address both the tissue laxity and volume deflation associated with facial aging. The lift-and-fill face lift, in which fat grafting provides volumetric rejuvenation to the face while surgical lift effectively repositions and removes ptotic and redundant tissue, has revolutionized the plastic surgeon's approach to the aged face. An understanding of the intricate anatomy of distinct facial fat compartments and a systematic method to assess areas of fat atrophy and volume depletion are keys to provide patients with a natural and youthful result. Fat grafting may be used to improve contour in any area treatable by nonautologous injectable fillers, including the temples, forehead, upper and lower orbit, cheeks, perioral region, nasolabial fold, jawline, and chin—with the benefit of a more natural contour and integration with native tissue.

scholarly journals Age-related changes in the lower third of the face considering anatomical and physiological aspects and morphotypes of skin aging

2020 ◽  
Vol 23 (4) ◽  
pp. 258-264
Author(s):  
N. P. Teplyuk ◽  
Serafima V. Lebedeva
Keyword(s):  
Subcutaneous Fat ◽  
Skin Aging ◽  
Facial Aging ◽  
Chronological Aging ◽  
Age Related ◽  
The Face ◽  
Deep Layers ◽  
Bone Structures ◽  
Age Related Changes

All areas and tissues of the face will go through age-related changes; however, aging occurs at a faster rate in the lower third of the face than in other areas. This study presents the anatomical and physiological aspects of age-related changes in all areas and tissues of the face, mainly in the lower third, such as the skin, subcutaneous fat, muscular-aponeurotic system, deep layers of adipose tissue, and bone structures of the face. Involutional changes were differentiated by taking into account the constitutional and architectonic features of the face. Heterochronous and heterotopic characteristics of age-related changes, cutaneous, and treatment components of facial aging were identified. The most commonly used visual scales to assess cosmetic effects and determine chronological aging included global aesthetic improvement scale, Glogau scale, Fitzpatrick wrinkle classification, and Merz visual 5-point aging scale. According to the classification of age-related changes proposed by Kolgunenko, five morphotypes of aging are distinguished: tired, wrinkled, deformation, mixed, and muscular. Understanding the pathogenesis of involutional changes in the lower third of the face in patients with different morphotypes of aging allows for an objective and individualized choice of optimal therapy methods.

scholarly journals A Study Comparing the Efficacy of Monopolar Radiofrequency and Glycolic Acid Peels in Facial Rejuvenation of Aging Skin Using Histopathology and Ultrabiomicroscopic Sonography (UBM) – An Evidence Based Study

2016 ◽  
Vol 59 (1) ◽  
pp. 14-17 ◽  
Author(s):  
Deepal V. Wakade ◽  
Chitra S. Nayak ◽  
Kalpana D. Bhatt
Keyword(s):  
Glycolic Acid ◽  
Facial Rejuvenation ◽  
Collagen Remodeling ◽  
Collagen Formation ◽  
Dermal Thickness ◽  
Chemical Peels ◽  
The Face ◽  
Outer Canthus ◽  
Nasolabial Folds ◽  
Equal Efficacy

Background: Radio frequency (RF) and chemical peels have been used for nonablative skin rejuvenation. Both of these cause collagen remodeling in the dermis and neo-collagen formation resulting in facial rejuvenation. There is limited literature on the evaluation of collagen remodeling by objective methods. Objective: To compare the benefits of monopolar radiofrequency and glycolic acid peels in facial rejuvenation with regards to histopathology and Ultrabiomicroscopic sonography (UBM). Methodology: In this study, forty patients with mild to moderate photoaging received four treatments with 3 weeks interval of monopolar radiofrequency on one side of face and glycolic acid peels in increasing concentrations (NeostrataR) on the other side. Pre and post treatment, 2 mm biopsies were taken from both preauricular areas and Ultrasonography using a 35 MHz probe was done from outer canthus of eye and nasolabial folds from both sides of face. A blinded assessment was done to measure the increase in the grenz zone and dermal thickness. Results: In 35/40 patients there was a significant increase in the grenz zone on histopathology and decrease in subepidermal low-echogenic band (SLEB) on UBM of the nasolabial folds on both sides of the face (p < 0.05). Conclusion: Radiofrequency and chemical peels showed equal efficacy in the treatment of facial rejuvenation.

Anatomy and Aging of the Perioral Region

2021 ◽  
Vol 37 (02) ◽  
pp. 176-193
Author(s):  
Eduardo Morera Serna ◽  
Marta Serna Benbassat ◽  
Ramón Terré Falcón ◽  
Javier Murillo Martín
Keyword(s):  
Bone Resorption ◽  
Sun Exposure ◽  
Facial Rejuvenation ◽  
Upper Lip ◽  
Facial Aging ◽  
Histological Changes ◽  
Comprehensive Review ◽  
Chemical Peels ◽  
Complex Technology ◽  
Gravitational Pull

AbstractPerioral region, although severely impacted by facial aging, is often overlooked in texts on facial rejuvenation. Sun exposure, bone resorption, dynamic contraction of the sphincteric and nonsphincteric oral musculature, gravitational pull, histological changes of the skin, and unhealthy habits all take their toll in this area. Fine wrinkling on the lips, deep nasolabial and mentolabial folds, elongation and flattening of the upper lip, downturned corners of the mouth, marionette lines, diminished vermillion and upper teeth show and chin irregularities are the main signs of this process, raising great concern amongst patients and making the perioral region the most demanded area for facial rejuvenation treatment. A huge armamentarium of surgical and nonsurgical techniques, with or without complex technology, are available to tailor patient's specific needs, from chemodenervation and mild chemical peels to operations designed to restore the size and shape of the lips. In this article we perform a comprehensive review of the contemporary treatment of the aging perioral area, detailing the most common techniques and their nuances.

Clinical classification of hyperuricemia in patients with chronic kidney disease

2021 ◽  
Author(s):  
Fengqin Li ◽  
Hui Guo ◽  
Jianan Zou ◽  
Chensheng Fu ◽  
Song Liu ◽  
...  
Keyword(s):  
Chronic Kidney Disease ◽  
Kidney Disease ◽  
Clinical Classification

scholarly journals 310 A new proposal for the clinical classification of vulvar lichen sclerosus: an observational prospective study

2020 ◽  
Author(s):  
Veronica Boero ◽  
Carlo A Liverani ◽  
Massimiliano Brambilla ◽  
Ermelinda Monti ◽  
Filippo Murina ◽  
...  
Keyword(s):  
Prospective Study ◽  
Lichen Sclerosus ◽  
Clinical Classification ◽  
Observational Prospective Study ◽  
Vulvar Lichen Sclerosus

scholarly journals Fat Augmentation as Adjunct to CORE Facelift Surgery

2021 ◽  
Author(s):  
Capi C. Wever
Keyword(s):  
Fat Grafting ◽  
Facial Rejuvenation ◽  
Golden Standard ◽  
The Face

AbstractRuling out cases with strong jawlines, well-developed mid-cheek regions, and good fat presence, if done artistically, fat augmentation strongly assists midface definition and can replenish hollowed regions of the face. This is particularly true for candidates with low bodyfat or smaller skull structures. Hence, fat grafting is a strong adjunct to conventional excisional techniques in facial rejuvenation surgery, regardless of experience, technique, or geographical embedding. While CORE facelift techniques remain the golden standard that define the top level of facelift surgery, fat augmentation has its unique place along the full stretch of an individual surgeon's learning scope, as it will potentially improve results regardless of where one stands.

scholarly journals Rationale for a clinical classification of lymphedema

2010 ◽  
Vol 10 (S1) ◽  
Author(s):  
V Gasbarro ◽  
S Michelini ◽  
E Tsolaki ◽  
M Ricci ◽  
C Allegra
Keyword(s):  
Clinical Classification
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