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.

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 Analysis of response of epidermal melasma to 70% glycolic acid peel

2020 ◽  
Vol 6 (2) ◽  
pp. 174
Author(s):  
Kumaravel Sadagopan ◽  
Namratha Chintakula
Keyword(s):  
Glycolic Acid ◽  
Therapeutic Response ◽  
Positive Family History ◽  
Age Groups ◽  
Sun Exposure ◽  
Severity Index ◽  
Common Pattern ◽  
Duration Of Illness ◽  
Chemical Peels ◽  
History Of

<p class="abstract"><strong>Background:</strong> Melasma is an acquired disorder which presents as light brown to dark muddy brown macules (hypermelanosis) symmetrically and bilaterally on face mainly in areas which are exposed to sun and is seen more commonly among women. Chemical peels are said to be second line of management in melasma among which glycolic acid peel is considered as a gold standard. Aim of present study was to analyse the therapeutic response of epidermal melasma to 70% glycolic acid peel.</p><p class="abstract"><strong>Methods:</strong> 30 subjects were included in the study. Baseline melasma area and severity index (MASI) score of each epidermal melasma patient was recorded and were treated with 70% glycolic acid peel once in 3weeks for 3months and analysed response after 3 months using MASI scores.<strong></strong></p><p class="abstract"><strong>Results:</strong> Peak incidence of melasma was seen between age groups 31-40 years with female to male ratio 9:1, malar pattern being the most common pattern with majority of the patient’s duration of illness &gt;1 year. 30% had positive family history. 26.6% had history of daily sun exposure &gt;1 hour. 63% reduction of MASI score present. Most common side effects were erythema and burning.</p><p class="abstract"><strong>Conclusions:</strong> 70%<strong> </strong>glycolic acid along with sunscreen showed significant results in the improvement of melasma with 63% reduction in MASI score 12.97±5.15 to 4.69±1.92.</p>

Maxillary Sinus Atelectasis with Enophthalmos

1998 ◽  
Vol 107 (1) ◽  
pp. 34-39 ◽  
Author(s):  
James H. Boyd ◽  
Karen Yaffee ◽  
John Holds
Keyword(s):  
Bone Resorption ◽  
Maxillary Sinus ◽  
Maxillary Sinusitis ◽  
Endoscopic Technique ◽  
Orbital Floor ◽  
Review Of The Literature ◽  
Comprehensive Review ◽  
Middle Meatal Antrostomy ◽  
Chronic Maxillary Sinusitis ◽  
Sinus Ostium

Chronic maxillary sinusitis may present as atelectasis of the sinus with changes to surrounding structures. Several mechanisms have been proposed for this problem. Chronic obstruction of the sinus ostium, with resultant retention of secretions and osteitic bone resorption, may account for these changes. Enophthalmos is one manifestation that may require corrective treatment. Titanium micromesh reconstruction of the orbital floor, with or without onlay concha cartilage, has reliably resolved the enophthalmos. Reconstruction of the orbital floor and ventilation of the obstructed sinus ostium may be carried out relatively safely in a single operation. The standard endoscopic technique of uncinate removal and middle meatal antrostomy should be modified to prevent orbital penetration. This report reviews our series of 6 patients with this problem, as well as a comprehensive review of the literature. Recommendations for management of both the obstruction and the secondary orbital manifestations are presented.

Chemical and Laser Resurfacing of the Eyelids and Face

2011 ◽  
Author(s):  
John B. Holds
Keyword(s):  
Sun Exposure ◽  
Skin Lesions ◽  
Healing Time ◽  
Skin Type ◽  
Skin Resurfacing ◽  
Skin Preparation ◽  
Type Iv ◽  
Malignant Skin ◽  
Chemical Peels ◽  
History Of

Chemical peels, mechanical abrasion, and more recently laser and electrosurgical devices are used to resurface eyelid and facial skin. The common feature in these techniques is the denaturation or removal of the skin surface. These techniques typically help to hide skin changes related to sun exposure and aging by evening the skin tone, decreasing dyschromia, and diminishing wrinkles. These techniques all require careful case selection and patient preparation with appropriate treatment and postoperative care. Recent interest has focused on less invasive therapy with techniques that leave the epithelium largely intact, shortening healing time and reducing the risk of complications. Aging and sun damage induce a number of changes in skin, including wrinkling, the development of muscle- or gravity-related folds, irregular pigment or dyschromia, and the growth of benign and malignant skin lesions. Scars from acne, trauma, or surgery can also be indications for skin resurfacing. Potential benefit in all of these techniques must be balanced against risks and expected healing time. A medical history must be obtained, looking for a history of immune dysfunction, prior acne, or a history of herpes simplex outbreaks. Prior treatment with radiation or isotretinoin (Accutane) may diminish the pilosebaceous units required for healing. Acne rosacea and cutaneous telangiectasia may be aggravated by skin resurfacing. Cutaneous history must focus on scarring tendencies such as keloid formation, skin type, and ancestry. In particular, one must determine the patient’s skin type, most commonly by assigning a Fitzpatrick’s skin type. Patients with skin type III require careful topical preparation for skin resurfacing treatment in most cases, and patients with skin type IV or higher are more prone to scarring and pigment issues and are not treated with medium depth to deep skin resurfacing techniques by most clinicians. Wrinkles may be graded by the Glogau classification scheme. This scale from “fine wrinkles” (type 1) to “only wrinkles” (type IV) will help to define the amount and type of treatment needed. These loose recommendations will generally hold true in determining effective therapy. The deeper and more invasive the treatment, the more important the role of skin preparation and prophylaxis.

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 A comprehensive review of senile immature cataract and its correlation with kaphaj kach in ayurvedic literature.

2018 ◽  
Vol 6 (5th) ◽  
Author(s):  
Swapna Ramakant Patil ◽  
Shilpa Dhote
Keyword(s):  
Visual Impairment ◽  
Modern Science ◽  
Signs And Symptoms ◽  
Original Text ◽  
Lens Protein ◽  
Histological Changes ◽  
Comprehensive Review ◽  
Loss Of Vision ◽  
Lens Opacification ◽  
Age Related

Ayurveda, The science of life, since its origin is serving the mankind throughout in health & disease state of life. Shalakyatantra, one of its specialized branch deals with the science of Ophthalmology, Otorhinolaryngology, Orodental surgery & Head; was contributed and developed by Rajrishi Nimi, the King of Videha, who was a colleague of Atreya, Punarvasu, Dhanwantri, Bharadwaja, Kashyapa etc. The available literature related to this speciality is reproduced from original text of Nimitantra in Uttartantra of Sushruta samhita. Correlation of Tritiya Patalagata kach with modern science is varies according to different authors, but according to some it can be correlated with different stages of senile immature cataract after considering the signs and symptoms and histological changes in the lens.One of the oldest concepts is that precipitation, denaturation, coagulation or agglutination of soluble lens protein is responsible for lens opacification. Accordingly after considering signs and  symptoms, here correlating Kaphaja kach with Senile Immature Cataract. Senile immature Cataract is also called as age related Cataract. It is one of the major causes for the age related visual impairment and blindness. It affects 11.5- to 15.5 million persons worldwide. At certain age of life, opacification of lens starts in everyone’s eye which leads to gradual diminished vision or loss of vision. which means gradual opacification leads to cataract. According to modern science, senile immature cataract can be correlated with kaphaja kach. In modern science surgery is the only treatment available in cataract. In Ayurveda our Acharyas have mentioned various procedures like anjana, aschotana, pariseka, tarpana to delay kach or arrest the procedure of opacification. which can be useful in senile immature cataract.

Radiofrequency Rejuvenation of the “Tweener” Patient: Under, Over, or Through the Skin

2021 ◽  
Author(s):  
Joanna Kam ◽  
Ariel Frost ◽  
Jason D. Bloom
Keyword(s):  
Minimally Invasive ◽  
Patient Population ◽  
Facial Rejuvenation ◽  
Efficacy And Safety ◽  
Facial Aging ◽  
Select Patient ◽  
Aging Face ◽  
The Aesthetic ◽  
Excisional Surgery ◽  
Invasive Intervention

AbstractThe demand for noninvasive facial rejuvenation continues to increase as younger, well-informed patients enter the aesthetic market. We refer to a subset of these patients as “tweeners,” those who present with early signs of neck and facial aging, but who have not yet developed changes significant enough to warrant a traditional excisional surgery approach. Many of these patients are in search of a minimally invasive intervention, a bridge in between observation and surgery. The authors describe their experience with radiofrequency (RF) technology as an in-office tool to address the aging face in a select patient population. This review also attempts to comprehensively search the existing body of literature to describe the RF technologies and devices available for facial rejuvenation. The efficacy and safety profiles of the devices are discussed, and the devices are categorized by their method of RF delivery—over (contact), through (microneedle), and under (percutaneous) the skin.

Sign in / Sign up

Export Citation Format

Share Document