The Dra. Marta Busquets Romagosa is an aesthetic doctor and belongs to Top Doctors, the select circle of top-level doctors in Spain. As an expert in facial flabbiness, she will explain the details of this treatment.
When is a person considered to have facial flabbiness?
Our appearance changes with the years and there are changes that are specific to each age. At the age of 30, the first fine wrinkles appear around the eyes, little by little the furrows are marked and around the age of 40 we begin to notice the first symptoms of flaccidity. The flaccidity begins in the area of the eyelids, the cheekbones and little by little we see that we lose the definition of the oval of the face, we lose the facial oval and sometimes even a double chin appears. This occurs because the manufacture of collagen and elastin, which are the elements that give firmness and elasticity to the skin, decreases with the years. In addition, the union between the skin and the musculature weakens and this favors the face lengthening. When we get older we see that the face lengthens but we are not aware that there is also another process that happens, and that is that we lose the volumes, the volumes of the cheekbones, the volumes of the cheeks, and this loss causes the face to flatten out. When we treat flaccidity we have to take it into account because we also have to replace these volumes that have been lost, so treating them does not consist of putting where there was not or making an exaggerated correction but respecting the appearance of each one and making the appearance own and be natural.
What are the best techniques to combat it?
Facial flaccidity is one of the most difficult treatments in aesthetic medicine. We have different treatments and choosing one or the other depends on the degree of flaccidity on the one hand and after the expectations of the patient. There are treatments that are more preventive, softer, such as radiofrequency, rejuvenation with pulsed light, facial mesotherapy with vitamins and hyaluronic acid, botulinum toxin that we do very well to raise your eyes and treat the upper third of the face , fillers or fillers that help us recover lost volumes and autologous biostimulation with growth factors that is a powerful treatment, mainly as a preventive. For when the flaccidity is a little more established we have different treatments. They are fillers, filling materials, that where we place them act generating collagen, they are implanted by puncture or following the tension lines of the face. The material is absorbed in about 6 months and the result lasts for a year or a year and a half. In this line act the newly incorporated mini-threads, which are PDO, and act for a while, are absorbed in 6 months and their action lasts for a year or year and a half. It must be clear that when the flaccidity is very evident, the treatment is always surgery and it is something that must be explained very clearly to the patient.
Can it be prevented with exercises and facial massages?
The exercises and the facial massages improve the oxygenation of the tissues, therefore they improve the tonicity and act as a preventive and as a treatment of facial sagging. The lymphatic drainage also helps because it eliminates toxins and works in the same way. We must take into account that we must have healthy habits, correct nutrition, good hydration and avoid toxic habits such as alcohol, tobacco or excessive sun exposure.. Prevention should start around 30 years. We have a working protocol that works very well for us. It combines facial mesotherapy with biostimulation with autologous plasma and radiofrequency. This protocol used a couple of times a year is an excellent preventive.