What anti-aging treatments are recommended for a 40 year old lady who has never undergone any aesthetic procedures before?
Hi, I’m a female in my early forties. I've noticed signs of aging - my skin being less supple, signs of crow feet on my eyes when I smile/laugh, and my complexion being quite sallow. I have previously never undergone any aesthetic procedure, and in fact, barely have much of a skincare regime beyond a face wash and a simple moisturiser. What procedures (lasers, fillers, etc) would you recommend someone like me as a first step towards slowing down or reversing signs of aging on my face? And how much would such procedures typically cost in Singapore?
Hi Ming Lim,
Ageing generally results in pigmentation or issues related to sagginess. While it is difficult to pinpoint treatment specific to your skin, I will try to introduce several more widely accepted and effective treatments.
1. Ultherapy is a non-invasive, no downtime, US FDA-approved procedure for skin lifting and tightening. Ultherapy uses focused ultrasound that bypasses the superficial skin and delivers energy deep within those skin structures to help stimulate new collagen production, which then helps lift, firm, and tighten the skin of the eye, cheeks, jaw, face, neck, and chest.
2. Botulinum neuromodulators like Botox, Dysport, and Xeomin relaxes the muscles and soften existing lines on the face. They also prevent the formation of deeper lines, by limiting the muscle movements that cause wrinkles.
Botulinum neuromodulators can be used to treat frown lines, forehead lines, and crow’s feet. It is also effective in face contouring, where the jawline can be slimmed down when the jaw muscles are relaxed. Botulinum neuromodulators are also applied in face and neck rejuvenation treatments for the easing of wrinkle lines.
3. Dermal fillers are made of various kind of safe ingredients that have been developed for injection into the skin. Many filler brands contain hyaluronic acid, which is a natural compound found in our body that helps to hydrate and add volume to our skin.
Dermal fillers are designed for injection into the skin to counteract the visible signs of volume loss, smoothening fine lines and wrinkles, volumising and defining lips, and contouring and sculpting the face to give more shape and definition to the facial features.
4. PicoSure laser is a picosecond laser treatment approved by the US FDA that delivers ultra-short pulse bursts of energy to the skin in picoseconds (trillionths of a second). PicoSure is able to penetrate the deeper layers of the skin dermis to revitalise the skin by activating cell signalling to stimulate collagen and elastin production, which is essential for the skin healing.
PicoSure can treat different skin conditions and is especially effective for pigmentation, acne scars, and wrinkles.
Hope the above helps!
Dr. Terence Tan
Hi Ming Lim,
This is a common request I get in my Clinic. At the age of 40, it is important to reverse effects of aging and preserve existing to slow down aging.
You are concerned about your crowfeet, skin complexion and poor skin elasticity. I will recommend the following treatments to address your concerns. I will also recommend treatments with minimal downtime, yet with visible improvements.
To reduce your crowfeet, I will recommend botulinum injection to the skin around your eyes. Results will set in 3 days later with maximum results in 2 weeks. Besides reducing the wrinkles, the injection will also help to lift up your eyelids to reduce the drooping of the eyelids.
2) Skin Colour
I like to use Sciton Forever young BBL to improve skin complexion, pores and pigmentation . It is able to brighten and whiten the skin, giving an immediate glow to the Skin after each treatment. Depending on your condition, I may also use the Fotona 4D Laser which uses 4 types of laser to lift the skin, reduce wrinkles without fillers and improve Skin colour and texture.
3) Supple Skin
I like to use skinboosters containing hyaluronic acid and Rejuran to improve Skin hydration and elasticity. This is injected superficially into the skin of your face.
If you are not keen on multiple injections on the face, I will recommend Sciton Star, Thermage , Ultherapy or Exilis Ultra to improve Skin elasticity and provide a facelift. The selection of the appropriate treatment will depend on your skin condition, pain threshold and budget.
I hope the suggestions help you to make a decision on your treatment plan.
Hey Ming Lim,
For someone new in trying to do some anti aging, it can be a bit overwhelming. There are various non invasive and minimally invasive treatments that can help in all the layers of aging. These range from laser machines, ultrasound and other energy devices, as well as botox and filler injections.
Which treatment to choose or start with really depends on the main cause of the aging appearance, as well as your skin type.
For a start, it's really most important to properly start using your skincare (especially sunblock).
You'll find that in your 40’s, despite any preventative measures, your skin will inevitably experience certain hormonal and age-related changes, which may include uneven skin tone, wrinkles, and loss of volume.
This is because your skin and underlying tissue layers aren't producing as much collagen as it did when you were in your 20s. Skin cell turn over is also slower, which results in a duller complexion.
Here are some treatments that are especially popular amongst my 40 year old female patients:
1. Ultraformer: This ultrasound treatment helps to stimulate the production of collagen and elastin, which reduces skin laxity. The latest Ultraformer 3 can be used on the face and body.
2. Laser treatments: As you get older, certain more powerful laser treatments may be necessary to improve your skin tone and reduce lines and wrinkles. This includes resurfacing laser treatments, such as the fractional lasers.
3. Botox/Dysport injections: Helps to prevent wrinkles and deeper lines from forming, and improves the appearance of existing lines.
4. Dermal fillers: HA fillers such as Juvederm and Belotero can help to smooth out fine lines and wrinkles, and contour your face to help your skin look more supple. This is one of the most popular treatments amongst my patients. They also frequently opt for semi-permanent options such as Radiesse and Ellanse for more long lasting benefit.
5. Coolsculpting: If you have excess and stubborn tummy fats, this can help to reduce them.
Hope this helps!
Hi Ming Lim,
It is a good time to start aesthetic treatments since you are noticing early signs of aging.
There are a wide range of non invasive and minimally invasive treatments in Singapore that can help you to reverse signs of facial aging.
Anti-aging treatments should be customised to your concerns, skin type and facial features.
As this is your first time, I suggest non-invasive treatments with minimal downtime/recovery time.
These treatments include: lasers, high intensity focused ultrasound as well as injectable treatments (Botox/ Filler).
Here are some aesthetic treatments that I recommend based on the signs of aging that you have:
1. Crow's feet Wrinkles: Botox/Dysport/Xeomin are common brands of anti-wrinkle injections in Singapore. Botox relaxes the muscles that cause your expression lines. This helps to prevent wrinkles and deeper lines from forming.
2. Less Supple/ Less Firm Skin: HIFU Ultraformer 3 is a high-intensity focused ultrasound treatment that helps to stimulate the production of collagen and elastin, which combats loose skin.
For more details on HIFU Treatment Costs in Singapore.
3. Sallow Skin: Laser treatments improve your skin tone and reduce fine lines. Common laser treatments include fractional resurfacing lasers (like Fractional CO2, Fractional Pico Laser) and fractional Radio-frequency (tightens skin as well).
You might want to consider Fillers if you have volume loss (eg sunken cheeks, hollow under-eye). Fillers can also be injected at the skin level to boost skin hydration and plumpness.
Don't forget Sunblock as this is a daily essential that prevents aging due to sun damage.
For more details, please consult a doctor for a thorough face-to-face assessment.
Hope this helps!
Dr Justin BoeySozo Aesthetic Clinic
Dear Ming Lim,
There are a multitude of aesthetic treatments available. Being new to aesthetic treatments, I would recommend treating your complexion issues first as this usually involves aesthetic procedures that are least invasive (medical-grade creams & lasers) and can have the most significant improvement in your overall appearance.
This is followed by then addressing volume loss and skin laxity concerns with treatment options that my colleagues have mentioned.
Do have a discussion with your trusted aesthetic provider to understand more.
Hope this helps.
Dr David Deng