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| Living Well

by Natausha Spears, RN Have you ever dug thru old boxes, and found old photographs of yourself in college or perhaps a photo of your wedding day, and afterwards, looked in the mirror and realized you don’t quite look like that person anymore? Despite the fact you may feel young at heart, often times the mirror shows us what the world sees and perhaps a different perception of ourselves. This can leave some people feeling depressed, or wishing we could turn back the clock. Does it seem, like with every birthday and each new year there are new lines, wrinkles, and deeper folds appearing on your face and neck? Well, there are some great choices out there to help with minimizing the look of fine lines, wrinkles and sagging skin that has not aged well. Many skin tightening and smoothing procedures can be done in the office on a lunch break, with very little pain or redness. These are often considered less invasive than a surgical technique used to tighten the skin.

One celebrity trick that keeps so many famous faces looking young is the use of what’s known as a neuromodulator. This helps keep the muscles in the face relaxed to that over use (ie: frowning, smiling or squinting) doesn’t cause the surface skin to wrinkle as much. This results in increased smoothness. Botulinum Toxin-Type A or BoNT-A is an abbreviation for the 3 different types of neuromodulators that are currently FDA approved for use in the United States. Botox, Dysport, and Xeomin are common names frequently used as treatment options. BoNT-A is a great choice for minimizing the vertical lines between the brows (the “11), it also works for crows feet around the eyes. The horizontal lines across the forehead may also me treated in this way. However, in the lower face, the combination of BoNT-A and dermal filler seem to provide patients with the most noticeable improvements. Lower face BoNT-A is not something that is widely discussed. In fact, many people do not know that BoNT-A can be used safely in the lower face. Often, when combining dermal filler with BoNT-A in the lower face, there are more significant changes in the correction and softening of lines and wrinkles. Many of the muscles in the lower face act to depress the corners of the mouth and pull the neck and jowl area down. Two of the muscles that work in this “downward pull” process are located below the corners of the mouth and in the neck. By placing BoNT-A into these depressor muscles, we are able to relax the downward action of the muscle, thereby allowing the corners of the mouth and the jowl area to actually lift. The process of using both dermal filler and BoNT-A in the upper and lower face is often referred to as a “Liquid Facelift.” The use of a dermal filler to replace lost volume in the cheeks, lips, nasolabial folds (the line from the edge of nose to corner of mouth) out to the jaw line, in conjunction with BoNT-A into the upper and lower face, can create a more relax , lifted muscle. A “Liquid Facelift” is a great option for those who aren’t ready to “go under the knife” quite yet. However, not everyone is a candidate for the liquid facelift. Sometimes more moderate to severe elasticity issues in the lower face can’t be corrected.

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When choosing someone to perform lower face injections, it is important to choose a skilled injector as lower face BoNT-A requires a thorough understanding of lower face muscles and the function of each, in order create perfect symmetry. Thrive Oklahoma

Thrive Oklahoma Magazine Sept/Oct 2014  

Welcome to Oklahoma's premiere health | wellness | lifestyle publication. Get it for free in over 350 locales

Thrive Oklahoma Magazine Sept/Oct 2014  

Welcome to Oklahoma's premiere health | wellness | lifestyle publication. Get it for free in over 350 locales

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