【True Wrinkles】
Causes: Aging, UV damage, and poor lifestyle habits lead to loss of collagen and elastin fibers, thinning of the dermis, and sagging skin.
Examples: Nasolabial folds, neck wrinkles.
Appearance: Deep lines, appearing as distinct grooves.
Tactile Assessment: The skin surface is noticeably sunken and uneven when touched with a finger.
Relationship with Facial Expressions: Unaffected by facial expressions, always present.
[Reference Solution]:
1. Hyaluronic Acid Filler
Principle: True wrinkles are caused by changes in the deep structure of the skin and loss of collagen. Hyaluronic acid filler involves injecting a substance similar to the body's natural hyaluronic acid into the wrinkles. Its high water absorption and filling properties increase skin volume, filling in depressions, thus making wrinkles shallower or disappear.
Advantages: Immediate results; wrinkles are noticeably reduced immediately after injection; relatively simple procedure, short treatment time, generally no hospitalization required.
Example: For nasolabial folds, doctors will select the appropriate molecular size of hyaluronic acid based on the specific characteristics of the folds, such as depth and length, and inject it precisely at multiple points to quickly reduce the appearance of nasolabial folds.
2. Radiofrequency Skin Tightening
Principle: Radiofrequency technology uses radiofrequency energy to penetrate the skin, causing water molecules in the skin to vibrate and generate heat. When the temperature reaches a certain level, it can stimulate collagen proliferation and reorganization in the skin, thereby restoring skin firmness and elasticity and improving true wrinkles.
Advantages: It is a non-invasive treatment with minimal damage to the skin; the treatment process only involves a slight warm sensation, making it highly comfortable; the effects last relatively long, generally maintaining for 1-2 years or even longer after multiple treatments.
Example: When treating true facial wrinkles, professional radiofrequency instruments will apply energy evenly to the skin surface. After multiple treatments, it can significantly improve facial skin laxity and wrinkles.
3. Thread Lift
Principle: Absorbable protein threads are implanted into the fascia layer of the skin. The threads lift sagging, loose skin, and as they degrade within the body, they stimulate the skin to produce collagen, further enhancing skin firmness.
Advantages: Quickly and effectively improves wrinkles and facial sagging; personalized thread lifting plans can be designed according to the patient's facial condition and needs.
Example: For more severe true wrinkles, such as severe nasolabial folds and marionette lines caused by facial skin laxity, thread lifting can make the facial contours firmer in a short time, significantly reducing wrinkles.
【Pseudo-Wrinkles】
Causes: Temporary dehydration, dryness, or temporary contraction of facial muscles.
Example: Fine lines appearing when the skin is dry.
Appearance: Shallow lines, mostly fine lines.
Tactile Assessment: Lines are perceptible, but the tactile sensation is relatively subtle; the skin's overall elasticity is good.
Relationship with facial expressions: Wrinkles are somewhat related to facial expressions. When facial expressions disappear or the skin receives proper care, wrinkles become shallower or even disappear.
[Reference Solution]:
1. Hyaluronic Acid Injection
Principle: Pseudo-wrinkles are often caused by dehydration or temporary muscle contractions. Hyaluronic acid injection uses microneedles to deliver nutrients such as hyaluronic acid directly to the dermis. Hyaluronic acid has powerful moisturizing properties, absorbing large amounts of water and keeping the skin hydrated, thus reducing pseudo-wrinkles caused by dehydration.
Advantages: Quickly replenishes skin moisture, improving dryness; relatively simple procedure, short recovery time, generally does not affect normal life and work; not only improves pseudo-wrinkles but also makes the skin smoother and more delicate, improving overall skin texture.
Example: For fine lines caused by dry skin, after hyaluronic acid injection treatment, the skin can quickly replenish moisture, becoming smoother and more delicate, and wrinkles will be significantly reduced.
2. Botox Injection
Principle: If pseudo-wrinkles are caused by temporary contraction of facial muscles, botulinum toxin can block nerve impulses between nerves and muscles, relaxing the over-contracted muscles and thus reducing wrinkles caused by facial muscle movement.
Advantages: Significant effect; results are generally visible 3-7 days after injection; simple and short treatment process; highly targeted at improving pseudo-wrinkles caused by facial expressions.
Example: For pseudo-dynamic wrinkles such as crow's feet that appear when laughing, the doctor will inject an appropriate amount of botulinum toxin into specific muscle points around the eyes. After the injection, the muscles relax, and the crow's feet will not be as noticeable when making expressions.
【Dynamic Wrinkles】
Causes: Long-term contraction and pulling of facial muscles.
Examples: Crow's feet that appear when laughing, frown lines when frowning, and forehead wrinkles when raising eyebrows.
Appearance: Almost invisible when the face is expressionless; appears in the corresponding areas when making expressions; initially light and thin.
Tactile Assessment: When the face is expressionless, the skin surface is smooth, with no obvious bumps or depressions, and no obvious lines can be felt.
Relationship with Facial Expression: Wrinkles appear when facial expressions are made; wrinkles weaken or disappear when expressions disappear.
[Reference Solutions]:
1. Botox Injection
Principle: Blocks impulses between nerves and muscles, relaxes over-contracted muscles, inhibits the release of acetylcholine, and reduces dynamic wrinkles.
Advantages: Simple operation, minimally invasive, quick recovery, visible results in 3-7 days, and effects last for 3-6 months.
Example: For forehead wrinkles, the doctor precisely injects according to the wrinkle and muscle distribution, relaxing the frontalis muscle to reduce wrinkles.
2. Hyaluronic Acid Injection Combined with Botox
Principle: Hyaluronic acid and other nutrients are injected into the dermis through microneedling to hydrate and moisturize; combined with Botox, the two work synergistically to improve dynamic wrinkles and skin condition.
Advantages: Removes dynamic wrinkles and improves dry skin, brightening the complexion.
Example: First, administer Botox to relax the orbicularis oculi muscle, then inject hyaluronic acid around the eyes to reduce crow's feet.
【Static Wrinkles】
Causes: Develop from dynamic wrinkles, caused by photoaging and natural aging leading to loss of facial bone and fat, resulting in loss of skin support.
Examples: In addition to static wrinkles that develop from dynamic wrinkles, there are also fine lines around the eyes and nasolabial folds (caused by natural aging) due to skin aging.
Appearance: Always clearly visible regardless of facial condition. With age and skin aging, the depressions or indentations become more pronounced, and the lines deepen and widen.
Tactile Judgment: The skin's surface grooves can be felt at any time; gently stretching the skin still reveals the depressions.
Relationship with Facial Expressions: Basically unrelated to facial expressions; they exist in the corresponding positions on the face regardless of whether facial expressions are made.
[Reference Solution]:
1. Hyaluronic Acid Filler
Principle: Utilizing hyaluronic acid naturally present in human skin, it is injected into the depressed areas to fill the skin volume and eliminate static wrinkles.
Advantages: Immediate results, high safety, fast recovery, and effects last 6-12 months.
Example: Selecting suitable products based on the condition of nasolabial folds, injecting at multiple points to reduce nasolabial folds.
2. Radiofrequency Skin Tightening
Principle: Radiofrequency technology causes water molecules to vibrate and generate heat, stimulating collagen proliferation and reorganization, improving skin firmness.
Advantages: Non-invasive, minimal damage, requires multiple treatments, long-lasting effects, improves static wrinkles and skin laxity.
Example: The instrument applies radiofrequency energy evenly to the face, stimulating collagen regeneration and improving cheek wrinkles.
3. Thread Lifting
Principle: Absorbable protein threads are implanted into the fascia layer to lift sagging skin and stimulate collagen production.
Advantages: Significant results, quickly improves facial laxity and static wrinkles, suitable for severe laxity.
Example: Protein threads are implanted according to facial structure and degree of laxity to tighten the skin and improve overall appearance.
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