What happens when you look in the mirror at 18? Having critically examined your reflection, you apply mascara to your eyelashes and remain absolutely satisfied, in a great mood. However, at 25 you have to put in a little more effort, at 30 much more, and then even more at 35...
Time, for each of us, first moves slowly, then runs, and then rapidly increases speed, and a series of events flashes before our eyes: joyful, sad, amazing, everyday, successful and not so successful.
At some point, you begin to seem to yourself like a squirrel in a wheel or a person whose coat is slammed by the door of a moving car and, in order not to get hit by the wheels, you are forced to quickly run, increasing your speed. Alone with yourself, you understand that in your soul you are still 18, well, at most 25, and in the mirror the face of a stranger is reflected, who is already 40... There are already strings of wrinkles around the eyes and on the forehead, the skin has changed color and does not look so smooth, the features have sharpened. The most important thing is that the thought that I am now successful, have a lot of experience, knowledge, and skills does not calm me down at all!
Realizing your age first brings you sadness, but after a few days you make a decision (as usual) to fight and achieve your goal. The goal is simple: to look young, attractive and well-groomed. You need a plan and tools. First, figure out: what exactly is happening to me and how to deal with it effectively with minimal investment of time, effort and money?
To determine the tactics of facial rejuvenation and who to contact first - a cosmetologist or a plastic surgeon, it is necessary to find out what type of aging the face is susceptible to. That is, the first step is to make a correct diagnosis.
So: today, the most popular classification is I.I. Kolgunenko, proposed back in 1974. This author found general patterns of age-related changes and identified six types of aging, five of them classified as early.
What do age-related changes depend on?
The type of aging is determined genetically. It depends on the shape of the skull, the type of skin and the thickness of subcutaneous fat, the development of muscle tissue, hormonal levels and other factors. It is impossible to change the morphotype, but you can prevent the appearance of certain signs, thus delaying old age.
It must be emphasized that in addition to chronoaging, which manifests itself under the influence of merciless time, there is also photoaging. This term is used to refer to skin changes that occur under the influence of external factors - primarily exposure to ultraviolet radiation.
Signs of photoaging can appear long before the natural age-related decline of the skin - for example, in those who spend a lot of time outdoors, abuse solariums and neglect cosmetics with UV protection.
Ekaterina Kruglik
Patient 1 (Fig. 7)
Age – 51 years.
Mixed type of aging (deformation-wrinkling with a predominance of deformation).
Protocol
The Ultherapy procedure was performed (protocol 600 lines). Combination of 3.0, 4.5 and 1.5 mm sensors.
Filler correction was also performed with Radiesse (Merz Pharma) 3 ml diluted with 0.3 ml Lidocaine. Bolus: zygomatic arch 0.2 per bolus, chin area 0.5 per bolus, projection of the mandibular ligament 0.2 per bolus. Linear retrograde vector. All boluses are applied only to the periosteum, into deep fatty bags. Vector – subdermal.
Rice. 7. Combined use of Ultherapy and filler correction. Result before and 3 months after. Photos courtesy of Ekaterina Kruglik.
Patient 2 (Fig. 
Age – 54 years.
Mixed type of aging, with a predominance of deformation.
Protocol
The Ultherapy procedure was performed (protocol 600 lines). Combination of 3.0, 4.5 and 1.5 mm sensors.
Filler correction was also performed. The interval between Ultherapy and filler correction was 1 month. The drug Radiesse (Merz Pharma) 3 ml diluted with 0.3 ml Lidocaine vector was used. Cannula 22G subdermal linearly retrograde. 18 vectors per side; 0.1 ml per vector.
Rice. 8. Combined use of Ultherapy and filler correction. Result before and 3 months after. Photos courtesy of Ekaterina Kruglik
You can learn more about the Ulthera® System at www.pro.ulthera.ru
The main signs of skin photoaging:
- Hyperpigmentation;
- Telangiectasia;
- Increased dryness of the skin;
- Fine wrinkles;
- Keratosis;
- Flabbiness, loss of elasticity;
- Neoplasms.
It is not possible to stop time and prevent chronoaging, but it is well known how to prevent skin changes caused by exposure to ultraviolet radiation. Constant use of creams with high SPF helps to prolong youth.
This recommendation is universal and does not depend on the characteristics of the body: everyone needs sunscreen, only the degree of protection is selected individually. But in the fight against chronoaging, an individual approach is especially important.
In cosmetology, there are both universal procedures that are suitable for everyone without exception, and those that solve specific problems associated with certain types of aging. It is very important to select the types of exposure individually, taking into account your own characteristics, in order to get the best result.
Minuses
There are also negative points:
- The appearance of jowls, drooping of tissues. Because of this, a person looks older than his age.
- It is difficult to undergo cosmetic procedures. Wrinkles can be removed using peeling, lifting and other manipulations. But it is very difficult to distribute subcutaneous fat evenly. Most cosmetic procedures are ineffective.
- Gravitational ptosis, jowls and other signs of the deformation type of aging can appear very early, even before the age of 30. For example, after pregnancy, if a woman has gained a lot of weight.
Note. Although it is difficult to combat the symptoms of aging with this morphotype using cosmetology, there are still ways to make age-related changes less pronounced.
finely wrinkled
They say about such women that they age gracefully and gracefully. Detractors may compare the face to a baked apple. From a distance (or after processing in a photo editor), the face looks young, but if you get closer, the illusion disappears. This morphotype is characterized by dry skin and an abundance of fine wrinkles. At the same time, facial features are practically not transformed; changes affect only the skin, but not the subcutaneous fat layer or muscles.
Examples of this morphotype are Maya Plisetskaya, Jane Fonda, Helen Mirren, Jane Seymour, Sharon Stone.
Most often, this type of aging occurs in thin, narrow-boned women with dry, thin skin and an oval or elongated face shape. The facial features are medium-sized, the cheekbones are usually pronounced, and the lips are thin. The morphotype is typical for natives of Western and Northern Europe. In their youth, they look very attractive, but after 25 years, “crow’s feet” and purse-string wrinkles around the lips appear, and over time, the skin on the face, neck and body begins to look like crumpled parchment.
What procedures are recommended for prevention and rejuvenation? In youth, mesotherapy is effective as prevention. In the future, biorevitalization is indicated - a course of procedures literally transforms representatives of this type. Over-dried skin responds exceptionally well to injections of hyaluronic acid, is saturated with moisture, and smoothes out. A noticeable effect appears immediately and increases from one biorevitalization session to another. Plasmolifting also works well - intradermal injections of one’s own blood plasma.
According to indications, mesothreads can be used to stimulate collagen production. Botulinum toxin injections will help in the fight against expression wrinkles. If necessary, contour plastic surgery is allowed.
What procedures will be useless or even harmful for owners of wrinkled skin? You should avoid any influences with a drying effect - they will only aggravate the existing problems. Laser resurfacing is not suitable for sensitive, thin skin. Peels need to be selected very carefully: only the most delicate ones are suitable - based on lactic acid or with a biorevitalization effect. Harsher peelings that cause peeling of the skin will only cause harm.
How to take care of your skin yourself? It is very important to protect your face from the sun so that photodamage to the skin is not added to the signs of chronoaging. Since the skin is highly sensitive, you should also use products with antioxidants and protect your face from temperature changes.
You need to constantly moisturize your skin. It is advisable to choose cosmetics with ceramides, antioxidants, sodium hyaluronate and oils. And, of course, you need to give up smoking: this habit further worsens the condition of the skin and is especially harmful for representatives of this morphotype.
When caring for your face, don’t forget about your neck and décolleté: in women with fine-wrinkled aging, these areas often reveal their true age.
What lifestyle will help slow down fading?
The following simple rules must be followed:
- Watch your diet so that it does not lead to excess weight gain. Of course, no one can avoid age-related changes, but if there is a thick layer of subcutaneous fat, this happens much faster.
- Don't consume too much salt. It retains fluid in the body, which causes swelling, which is typical for an edematous-deformed type of face.
- Drink more water. Every day you need to drink at least 1.5-2 liters.
- Perform lymphatic drainage massage regularly. It is not necessary to visit a specialist; you can do it yourself. This improves the drainage of excess fluid from the body to prevent swelling.
- Watch your posture. When the back is in an uneven position, blood circulation is disrupted. Fluid is retained in the face and neck area. As a result, a double chin is formed.
All of the above will help maintain youth for as long as possible. Moreover, even when age-related changes do begin, they will be less pronounced. If you do not follow these rules, then the first signs may appear as early as 25 years of age.
Tired
They often say about such women that they “have no age.” Indeed, representatives of this type can look like young girls and almost old women in one day. In the morning, the face may still look fresh, but by the evening signs of fatigue appear - shadows and swelling under the eyes, “crumpled” skin with a dull hue, clearly defined tear grooves, a general feeling of exhaustion. The older the woman, the more noticeable these signs are, but often girls with this morphotype, already in their youth, look worse in the evening than in the morning.
Distinctive features of the tired or tired type are a decrease in tissue tone, deterioration of complexion, the appearance of nasolabial folds and nasolacrimal grooves, slight drooping of the eyelids, corners of the eyes and mouth. Signs of photodamage are usually mild.
The signs of age are subtle, not conspicuous, but still suggestive of fading. However, this option of aging is considered the most natural and attractive. It is quite widespread.
Famous people with this type of aging are Natalia Vodianova, Kate Middleton, Julia Roberts, Sophie Marceau, Juliette Binoche.
This morphotype is typical for girls with normal or combination skin and an oval, diamond-shaped face. The body type is usually normal or fragile.
Professional procedures for prevention and rejuvenation
This type of aging is the most rewarding. Anything is possible: any anti-age procedures will be effective. Tired skin responds well to peelings, hyaluronic acid injections, and plasma lifting. In adulthood, laser resurfacing can be recommended. Fillers are used to correct a pronounced nasolacrimal groove. They can also be used to enlarge the cheekbones - this way you can lift the tissues, return the face to a more youthful appearance, and straighten the nasolabial folds. To correct “nasolabial folds,” injections of gels directly into the sulcus area are also used.
Bio-reinforcement has proven itself well: thin biodegradable threads are introduced under the skin, which form a natural frame, prevent the oval from shrinking and stimulate the production of collagen. Any procedures that remove signs of fatigue and give the skin radiance are also suitable.
What effects will be useless or even harmful? With this type of aging, it is not advisable to use barbed threads intended for non-surgical facelift. Although the tissues lose their elasticity and the oval becomes less clear, as a rule, fillers are enough to solve the problem.
Self care
To maintain the effect of professional procedures for a long time, it is recommended to use moisturizing creams with vitamins and antioxidants. A good choice would be concentrated “energizer” serums designed to erase traces of fatigue. Vitamin and toning masks will also improve the condition of the skin and give the face a fresh and rested look.
The simplest and most affordable way to look good for the tired type is to get enough sleep and proper rest.
Deformation
Such faces look young for a long time, the skin remains smooth until a very old age. Previously, it was even believed that at the age of 30, every girl faces a choice: a young face or a slender figure. Now, thanks to the achievements of cosmetology, you can get both at once, but there is some truth in the old saying: plump women usually do not develop wrinkles for a long time.
Unfortunately, the absence of wrinkles does not mean youth. The deformation morphotype is characterized by blurring of the oval of the face, “flowing down” of tissues due to weakening of the ligamentous apparatus. Jowls, a double chin, pronounced nasolabial folds, and bags under the eyes appear. The features become blurred, and the face looks middle-aged despite the smoothness of the skin. There is usually no pigmentation, but spider veins and spider veins often appear.
Examples of famous women with deformational type of aging: Alla Pugacheva, Catherine Deneuve, Goldie Hawn, Catherine Zeta-Jones, Isabelle Adjani.
The gravitational type of aging is often found among Slavs, chubby girls with large features and a tendency to be overweight and/or edema, pasty. They usually have plump lips and cheeks, well-developed subcutaneous fat, and the skin is dense, thick, often oily and porous. Heavy tissues, under the influence of gravity, inevitably slide down over the years, and the smaller the chin, the more noticeable the signs of aging.
Procedures for prevention and rejuvenation
The deformation (gravitational) type of aging is the case when only “heavy artillery” will be effective. This does not mean that ladies with this morphotype are doomed to surgical interventions - cosmetologists also have suitable types of influence in their arsenal. First of all, these are all kinds of hardware procedures, for example, photo and laser skin rejuvenation. This type is characterized by spider veins and spider veins, and photorejuvenation will help even out the skin color and give the face freshness.
Fraxel will help tighten the skin and subcutaneous structures. Laser resurfacing will give the skin additional elasticity. Thick skin tolerates even aggressive procedures such as medium peels.
Fat bags can be reduced with intralipotherapy. This technique is well suited for slender girls with heavy, full faces. Massages that relieve swelling and improve lymph flow work well.
According to indications, a thread lift can be done. In this case, strong threads with notches are used, which are firmly fixed in the tissues and allow them to be lifted and tightened.
What procedures will be useless or harmful? Most procedures aimed at improving skin quality will be useless: with a deformed morphotype, the problem lies deeper, in overdeveloped fatty tissue. For this reason, the effect of biorevitalization, for example, will be practically unnoticeable. Injections of hyaluronic acid are recommended only as a complement to other, more effective interventions. For example, you can take a course to prepare for skin resurfacing.
There is also no point in using fillers: they will not be able to hold heavy tissue and will only add puffiness to the face, aggravating existing problems.
Home care
We recommend cosmetics with an anti-rosacea effect, as well as products that increase skin elasticity. You must be aware that it will not be possible to overcome tissue drooping solely with the help of cosmetics, even the best ones. Not a single cream with a lifting effect can resist the law of gravity, so cosmetics are used only to maintain the good quality of the skin.
In addition, competent home care will help consolidate and preserve for a long time the results of professional influence in the clinic.
With the deformation type of aging, it is very important to monitor your weight, avoiding its increase if possible. Equally important is the fight against swelling. You should not get carried away with salty, sweet, spicy foods and alcohol - a reasonable diet is useful for both swelling and telangiectasias.
Type of aging “senile, emaciated face”
The “senile, worn-out face” is the sixth type of aging, which is the late stage of all types of aging. This is the period when all the signs of aging appear, and in this case only plastic surgery can radically help: namely, a one-stage combination or stage-by-stage surgical facelift, blepharoplasty with lipofilling and laser resurfacing.
Whatever your type of aging, the Abrielle aesthetic surgery clinic will help you look great at any age.
You can learn more about rejuvenation methods for your type of aging during a consultation with a cosmetologist or plastic surgeon at the Abrielle Aesthetic Surgery Clinic. To schedule a consultation, call the clinic and 8(921)99-22-335.
Muscular
The muscular or muscular type is uncommon. Sometimes it seems that time has no power over such women - they do not change for decades. However, then the years take their toll, and representatives of this morphotype age sharply. In this case, deep, pronounced wrinkles become the main sign of age. With age, the face becomes rougher, less feminine and pretty.
Distinctive features are pigmentation, drooping corners of the lips, pronounced nasolabial folds. There is no deformation, the tissues do not droop, fine wrinkles are usually absent, but there are deep, clear creases in the skin. In general, the face seems tough, hard, it resembles a man’s - and this is not surprising, because the muscular morphotype is characteristic of the stronger sex. Such signs of age even decorate them - their faces become more expressive and courageous. Ladies are not at all happy with this effect.
Most often, representatives of the Mongoloid race of normal and fragile physique age this way. This type is characterized by developed facial muscles, thick skin and a very thin layer of subcutaneous fat.
Examples of famous women with muscular aging: Demi Moore, Cindy Crawford, Brooke Shields, Sandra Bullock, Lucy Liu, Yoko Ono.
What procedures are recommended? In this case, signs of age are often difficult to correct. A careful approach is needed, since the reaction to many procedures, such as peels or laser resurfacing, can be unpredictable. To combat pigmentation, biorevitalization is recommended. Peels are used with caution, after a sensitivity test. Mesotherapy and plasma lifting provide a certain effect, and hardware procedures, such as photorejuvenation and laser, are allowed if indicated. To eliminate facial wrinkles, muscle relaxants are recommended. Under the influence of botulinum toxin, muscles relax, skin wrinkles straighten out, and the face looks softer and more feminine. It is advisable to make injections when the first facial wrinkles appear, without waiting for deep folds to appear.
What procedures are useless or even harmful in this case? The muscular type is characterized by pronounced nasolabial folds. It is not recommended to fill them with fillers to even out the relief - in this case, the face will become flat and expressionless. Filling the nasolacrimal trough is also not recommended - this will make the face puffy. In general, contour plastic surgery is not recommended.
Thread reinforcement is used only when indicated and very carefully.
How to care for your skin? Since one of the main problems faced by representatives of this morphotype is pigmentation, it is important to protect your face from the sun and regularly use whitening creams and serums that even out skin tone. Creams with retinol and vitamin C have proven themselves well. Almost all Korean and Japanese brands specialize in producing cosmetics for women with muscular aging, so it’s worth paying attention to the products of well-known Asian brands.
Women with a muscular morphotype often rely on good genetics and delay visiting a cosmetologist. This is wrong, because it is easier to prevent the appearance of wrinkles on the skin than to get rid of those that have already appeared.
