Dr. Viera Ramirez, referral specialist in Dermatology, talks about the 10 most important treatments to differentiate advanced facial aesthetic dermatology.
Performing an ultrasound before performing a facial filler with any substance such as hyaluronic acid, hydroxyapatite calcine, polycaprolactone, polylactic acid is essential. The use of techniques such as ultrasound helps us to delimit the anatomical area, where the substance has to be infiltrated, the existence and type of previous fillers, visualize blood vessels to know their exact route and thus avoid puncture, etc. It is important not to perform an infiltration without a previous ultrasound of the infiltration areas.
2. Use of laser after suture removal in facial surgery. Excellent improvement of post-surgical facial scars has been demonstrated without waiting a few months for laser application. With this new method, it is simply necessary to control the vascular and proliferative phase of the scar immediately after suture removal. “What must be conveyed to the population with regard to scars is that there is no need to wait, the laser must be applied as soon as possible. If possible, on the same day that the stitches are removed from a scar, because the sooner you act, the better the result”.
3. New treatments for pigmentary irregularities “spotting” of the face. The ultrapulsed picosecond laser allows trigger times of trillionths of a second to be achieved, which destroys and eliminates dark pigment that until now was not very accessible. In addition, recent studies show that the combination with tranexamic acid helps to control the irregular activation of the pigment-producing cell (melanocyte).
4. The combination of laser treatments and light sources in the same session enhances their effects and results in the treatment of resistant facial vascular lesions, such as rosacea. The combination of 3 types of light sources acting at different levels of depth have shown excellent efficacy when administered in the same session: long pulse Neodymium Yag laser, pulsed dye laser and BBL medical pulsed light. Other pathologies such as acne, viral warts, onychomycosis (fungal nail infections) can also be treated with vascular lasers, offering excellent results.
5. Use of deep tightening sutures for facial sagging to restore skin firmness and elasticity. This achieves a more defined contour by combining two effects: immediate tissue repositioning and gradual collagen regeneration. In addition, the repositioning effect is immediate and discreet.
6. Laser treatments for neck flaccidity. The Precision Tx laser is specifically designed to remove fat from small and particularly sensitive areas. Thanks to a Neodymium Yag laser wavelength of 1440nm, it delivers energy under the skin, directly to the dermis and hypodermis to improve skin elasticity, thickness and texture. Through the action of the laser there is a “melting” of fat accumulations, collagen production and brings significant improvements in the neck, facial contour and produces tissue tightening. In addition, it stimulates collagen production and provides a lifted contour that continues to improve for six months. Treatment with the Precision Tx cannula of the Cellulaze laser is minimally invasive and is performed under local anesthesia.
7. The treatment of submental fat or double chin. Belkyra is one of the latest contributions in aesthetic treatments. It consists of an acid that occurs naturally in our body and has been successfully mimicked. It is injected in specific areas of the neck where there is localized fat, dissolving it. After several injections, it manages to redefine without surgery the area of the “double chin” offering itself as an alternative procedure to liposuction.
8. Treatments to maintain a healthy skin, an aesthetic skin. In order to maintain the health of the skin, keeping it luminous, hydrated, dense, homogeneously pigmented, and without excess oil production, new technologies are emerging, among which Dermalinfusion stands out. Dermalinfusion is a technique that offers at the same time a superficial peeling with a personalized diamond tip, vacuum-suction and introduction or mesotherapy of specific active ingredients, according to the needs of the patient’s skin. It has been a revolutionary treatment in the USA and has been used on both facial and body skin.
9. Application of advanced techniques with fillers. The use of hyaluronic acid with specific characteristics allows the treatment of areas that until recently were difficult to treat. Treatment with fillers is currently possible in the area of the under-eye circles, the nose, wrinkles on the upper lip or acne scars. The results are natural and excellent with only a single session.
10. Application of advanced botulinum toxin infiltration techniques. In addition to its administration in the upper third of the face, botulinum toxin, when required by the patient, can be administered by trained specialists in the lower third of the face. The treatment improves the smile, lifting the corner of the mouth, improving the jaw line, the neck or reducing bruxism by weakening the masseter.