How To Firm Your Skin Without Surgery?

First of all, rest assured that many other ladies identify with you, thanks to the multitude of "v-shape" face advertisements. Your face is like a ‘layered cake’. Simplified from outside to inside, the layers are: Skin Fat (we doctors call it subcutaneous tissue) Fascia or SMAS (tough fibrous tissue layer) Muscles and then Bone . i. e your skull Smoking destroys the elastin part of the skin. The skin tissue matrix has many components, not just collagen.

Frankly, this is something which many doctors debate about. Some insist that there is significant volume loss of fillers after Ultherapy, while some deny such an occurrence. There have been figures thrown around like 10-15% reduction (IF it happens) of filler volume post Ultherapy. In my practice however I prefer to take the safe route and do HIFU first and then about 1-2 weeks later to follow up with the filler placement (if indicated). Why take the risk?

Great question. The sequence of aesthetic treatments are important since multi-modality treatments are a norm these days. Because of HA filler injections used, I generally wait for 3-4 weeks later, before proceeding with HIFU treatment. Although there is no clinical studies, however this recommendation is backed by consensus from experienced doctors who are key opinion leaders in Aesthetic Medicine. My preference is to be safe and steady, to yield the best results for my patients and minimize any potential side effects/ complications. Hope this helps.

You are absolutely right! you can combine both for improved results. Basically the two treatments target different layers of the skin. Dermal fillers are at at deeper layer, and serve to volumise your skin and reduce the appearance of "sagging" while Rejuran is given intradermally to improve conditions such as pigmentation, general skin quality. It would be best though to consult your doctor and see what else he would recommend based on your skin needs. Skin boosters may be used on a separate occasional for improved hydration status too.

From what you are describing and from the photo it seems that you have two issues. 1) eye bag 2) superficial veins. Scarless Eyebag surgery is one of the options to remove your eye bags and can be very effective if done by a proper plastic surgeon. The downside, of course, is the cost and downtime post-operatively. Another thing to keep in mind is that eye bag surgery may not treat those tiny superficial veins we see in the photo. And lastly, it is very important that the surgeon during the eye bag surgery remove similar and correct amount of fat on both eyebags.