“What do you think is the leading facial rejuvenation surgery according to statistics among American plastic surgeons? No, not the fight against wrinkles or even a facelift.
The American Society of Plastic Surgery names bags and swelling on the cheekbones under the eyes as the most common reason for visiting a rejuvenation specialist.
I confirm that this is indeed the case. Many of us are ready to put up with the first wrinkles and small bags under the eyes. But the cheek bags are too noticeable, and creams are powerless against them. Therefore, it is this problem that sooner or later leads to a specialist.”
Andrey Iskornev, plastic surgeon.
Causes
Know! The amount of fat under the skin in the cheekbone area increases over the years, but a number of predisposing factors can accelerate the process of formation of sufas, including:
- sudden weight gain in general;
- genetic predisposition;
- the formation of constant swelling, as a result of which the skin stretches and the subcutaneous space filled with fat increases.
Painting bags can visually increase due to sagging skin , which with age .
Why do jowls appear?
Our face consists of 57 muscles and fat, which is concentrated mainly in the cheek area. This cheek fat, in honor of the French anatomist Marie François Bichat, has its own name - Bichat's fat pads, and reaches a very impressive size.
With age, any person experiences drooping of facial tissues. The lower jaw to the left and right of the chin is devoid of muscle support (this can be easily seen in the figure), and nothing prevents sagging in this area.
As a result, characteristic sagging is formed along the jawline - “bulldog cheeks”, which make the facial contour wavy.
In thin people, shaving is usually due to excess skin and only skin. In all other cases, sagging is enhanced by subcutaneous fat or descending lumps of Bisha
It is believed that Bisha's structures contribute not only to the “blurring” of the contour of the lower jaw, but also cause nasolabial folds and form sufas on the face.
Most often, sagging skin in the lower jaw area is the visible result of a number of invisible changes that have occurred to our face over the years:
- Low collagen and elastin content. Collagen inside our skin is like the reinforcing mesh in buildings made of monolithic concrete. Only with age does the old collagen “break down”, and the new one is not synthesized actively enough. This causes the skin to lose support and elasticity.
- Weakening of the facial muscles, which cannot hold the skin and subcutaneous fat high in the same place. Thus, as a result of weakening of the cervical platysma muscle, a “goiter” and a double chin are formed in the neck area. The same mechanism underlies sagging cheeks.
- Due to a lack of certain elements and hormonal changes, the bones become thinner and the face becomes flattened. Cheekbones lose their “sculpted” volume. Deprived of this important support, all facial structures, like on a sled, literally “slide” down.
- An age-related decrease in the amount of melanin pigment in the skin makes it vulnerable to sunlight and accelerates aging.
A face with jowls is not just a problem of age. There are other reasons too. Individual facial characteristics, stress, constant exposure to wind and cold, smoking, alcohol, coffee, poor nutrition, certain medications, endocrine diseases, rapid weight loss, a poorly developed chin and even the force of gravity all contribute.
The risk of developing early jowls is especially high in heavy individuals with a large amount of cheek fat. These are overweight people and those who, at normal weight, inherited chubby cheeks.
The same factors apply to men. But due to gender characteristics, they have less facial fat. Their skin is not subject to hormonal fluctuations during pregnancy and menopause; it remains dense for a long time. Therefore, men's jowls appear 10-15 years later.
Expert comment:
“The appearance of jowls in youth is usually a consequence of being overweight. In all other cases, this is an obvious sign of age.
. But if jowls appear after 40 years, there is no need to urgently remember the forgotten cosmetologist.
Don't get me wrong, you definitely need to continue to take care of yourself. But creams, face masks, peelings and mesotherapy do not work on jowls. And do not rush (no matter what they tell you) to invest money in fillers and 3D mesothreads - they do not work against sagging of the lower jaw, and you will simply waste your money.
To get rid of jowls on your face after 40, you need to work with the causes, not the consequences.
.»
Andrey Iskornev, plastic surgeon.
The mechanism for the formation of jowls on the face is the drooping of intrabuccal fat.
Prevention
It is impossible to prevent the development of sufs.
This is because these fat deposits inevitably appear with age.
But you can slow down degenerative processes by following these preventive recommendations :
- the diet should be balanced : it should include more foods containing vitamin B;
- for normal functioning of the hormonal system and to prevent the formation of bags from overwork, it is necessary to get enough sleep , allocating 7-8 hours a day for sleep;
- stable physical activity has a tonic and , which can be achieved by walking in the fresh air for only half an hour a day;
- You need to drink 1.5-2 liters of water per day to maintain water-salt balance.
Remember! For sensitive skin predisposed to the development of such cosmetic defects, nourishing and moisturizing face creams should be used.
When choosing them, it is better to consult a cosmetologist.
How to get rid of bags under the cheekbones: debunking myths
The first thing that comes to mind: massages, medicinal cosmetics, vitamins... This is a good option. It will be great if you add fresh air, proper nutrition and exercise! You will look much better and feel incredibly healthier.
There is only one BUT: these wonderful measures will in no way help you remove the swelling on your cheekbones under your eyes.
Let us remind you: we are dealing with zygomatic hernias, with some mini-containers of adipose tissue that fall down under the influence of the universal law of attraction. Judge for yourself, how can you solve this problem with the most wonderful massage and the longest walks? That's it, no way.
Reviews about the treatment
“
Bags on my cheekbones appeared for the first time several years ago . No cosmetic products helped. The salon advised me not to spend money on creams and suggested doing a facelift .But we were warned in advance that this is not a 100% guarantee of permanently getting rid of the bags, and additional operations may be required over the years.
I agreed, as a result, the bags were almost completely removed, and although more than two years have passed, my face looks almost the same as after the procedure .”
Elizaveta Shipnevskaya, Kislovodsk.
“When I started having sufs , at first I didn’t attach any importance to it, attributing everything to age.
But over the years, my face began to look like the face of an alcoholic. It was unpleasant and ugly, and I decided to have a check-lift .
The procedure is not very expensive for me, but I am satisfied with the effect.
But the specialist warned even then that over time the bags would reappear, and then they would either have to do liposuction or consider the option of fillers.”
Marina Panyutina, 48 years old.
Exercises for jowls
If you are not lazy and devote only 15-20 minutes a day to yourself, then gymnastics will return a blooming, fit look to young people. People with pronounced age-related changes, unfortunately, will not be able to remove jowls with exercises, but the complex proposed below will help slow down further sagging of the skin:
- - puff out your cheeks strongly for 30 seconds every day and roll the air in all directions,
- - pursing your lips like a tube, “blow out” an imaginary candle 50–55 times daily,
- - press your index fingers firmly to your cheeks and try to smile, overcoming resistance. This is a great exercise to strengthen your facial muscles!
Photos "before" and "after"
SMAS face lift. Surgeon - Andrey Iskornev.
SMAS face and neck lift. Surgeon: Iskornev A.A.
SMAS face and neck lift. Photos before and 7 days after without photo retouching. Surgeon: Iskornev Andrey.
Isolated lift of the lower third of the face and neck. Tightening of jowls and folds of sorrow in the corners of the lips. Surgeon: Vasiliev Maxim.
In the absence of significant excess skin, a comparable effect can be achieved with a thread lift of the face and neck. The best result is obtained by placing 4 threads: 2 on each side of the face.
SMAS mid-face lift, endoscopic forehead lift, deep Hollywood platysmaplasty, CO2 fractional skin resurfacing, lip contouring. “Before” and 10 days “after”. Surgeon: Iskornev Andrey.
Suf correction methods
Since the appearance of sufas is associated with constitutional characteristics that cause problems of local subcutaneous adipose tissue, removal of malar fat, and even more so at home, that is, with the help of lotions, patches, various healing salts, infusions of chamomile and other medicinal plants, gymnastic exercises for facial muscles and other exercises, and even through professional facial massage is not able to have any significant positive effect.
The listed methods can have a very short-term and insignificant effect by reducing swelling. But they are completely unable to affect malar fat deposits and are completely ineffective. The use of diuretics and drugs that stimulate the central nervous system, which are often recommended by non-professional cosmetologists as “proven” means for eliminating periorbital edema and zygomatic hernias, can lead to disturbances in electrolyte metabolism, dehydration, impaired renal function and other disorders.
It is more effective to carry out conservative correction with subsequent assessment of the results, which may not be ideal, but quite acceptable, and only if the results are unsatisfactory, it is recommended to use the possibilities of surgical correction.
Hardware physiotherapeutic effects
Will RF lifting help reduce the severity of the defect? The basis of this procedure is exposure to high-frequency electromagnetic pulses, or radio wave therapy. In addition to this method, other hardware procedures are used in cosmetology, for example, ultrasonic lifting, fractional thermolysis, etc. Microcurrent therapy, such as darsonvalization, is also popular, promoting blood circulation, slight breakdown of fat cells, reducing tissue swelling, and activating the synthesis of collagen and elastin fibers .
All hardware physiotherapeutic techniques with promising characteristics practically do not have any positive effect on painting bags. In reality, the latter may become somewhat less noticeable at a young age with a slight initial severity of the defect. However, this does not happen due to a decrease in the sufas themselves, but only due to an improvement in the condition of the surrounding tissues.
Thus, the indications for RF lifting and microcurrent therapy are minor manifestations of the defect at a young age.
Injection techniques
At the age of over 30 years and significant manifestations of paint bags, injection techniques can be used. They, depending on the mechanism of action, are divided into two types:
- Hiding, leveling the defect by adding volume to the surrounding adjacent tissues.
- Correction of sufa lipolytics with a different mechanism of action or diprospan, which is not a typical lipolytic.
Leveling the defect can be done by:
- Contour plastic surgery, which is a subcutaneous injection of hyaluronic acid gels or, much less commonly, calcium hydroxyapatite. By introducing one of the drugs, the middle facial zone is modeled and the folds in the nasolacrimal area are filled, as a result of which sagging skin is eliminated, and the border between the lower zygomatic and buccal zones becomes less noticeable. An alternative and more effective new generation procedure is facial volumization.
- Lipofilling, which is identical to the previous option, but instead of hyaluronic acid or calcium hydroxyapatite gels, transplantation of one’s own adipose tissue is used.
Each of these techniques is characterized by positive and negative qualities.
Painting bags “before” and “after” correction
For the purpose of correction with lipolytics, the following injectable drugs are used:
- Classic lipolytics, which include sodium deoxycholate and phosphatidylcholine. The mechanism of their action is to destroy fat cells and break down the fat they contain. These drugs are effective, but they are used extremely rarely in the periorbital area. This is due to the risk of injury to border tissues in cases of erroneous choice of dose, points or depth of administration.
- Dermahil, which is a complex of peptides that reduces the volume of a fat cell without destroying its membrane. The active ingredient of the drug, in addition to the lipolytic effect, is characterized by the ability to stimulate microcirculation and lymphatic flow, as well as increase skin tone. All these effects can have a positive effect on the correction, but only to some extent, very moderately. You should not place excessive hopes on this drug in terms of reducing the volume of body fat.
- Diprospan, related to glucocorticosteroids. The introduction of the drug into the area of painting fat leads to its breakdown, a decrease in tissue volume and a noticeable smoothing of the relief. At the same time, the use of diprospan is associated with the difficulty of dosing, the possibility of developing atrophic processes in fatty tissue and the appearance of areas of retraction.
- Mesosculpt, which is the most popular multicomponent lipolytic agent. It is designed for use specifically in the area of paint grease localization. The drug does not lead to mechanical or chemical destruction of fat cells, but inhibits their division at the genetic level and changes biological activity. This action lies in the fact that the drug is involved in the transformation of white fat cells into brown cells, which, unlike white ones, are not prone to lipid accumulation, due to which an increase in malar fat does not occur. As a result, to a certain extent it is possible to achieve the desired effect without damaging the cells themselves. In addition, mesosculpt promotes the breakdown of fat and stimulates blood flow in tissues. And although it does not have direct anti-aging effects, it has a moderate anti-edematous and lifting effect, which improves the overall appearance of the periorbital area.
It should be noted that due to septal septa, it can be difficult to achieve uniform distribution of lipolytic in the required area, which sometimes leads to negative results.
Alla Pugacheva
Maxim Galkin did not spare his wife and posted on his Instagram a photo of Alla Borisovna with swelling, without Photoshop or makeup. Below he signed that he loves her in this natural form and adores all her imperfections.
How Prima reacted to such a revelation remained a mystery to everyone, but fans started a heated discussion in the comments. Some spoke out in support of naturalness, while the other side expressed their sharp dissatisfaction.
How to tighten jowls surgically
If jowls appear on a “heavy” face against the background of large excess skin, the methods listed above will give a weakly expressed aesthetic effect. In this case, the face can only be modeled using surgical lifting.
Platysmoplasty and SMAS lifting will help tighten the jowls on the face. During the operation, the tissues are moved to their previous, youthful position and securely fixed. Excess skin is removed. In the muscle-free area of the lower jaw, the surgeon artificially creates support systems that keep facial tissues from rapidly sagging.
This method eliminates age-related sagging skin, makes the face young and harmonious. Deep folds and wrinkles are smoothed out, the oval line of the jawline is leveled, a deep, even “angle of youth” is formed between the chin and neck, the corners of the lips are raised and the “crying Pierrot” facial expression disappears.
Postoperative sutures are polished after a month and become completely invisible even without makeup.
Fighting malar edema at home
It is practically impossible to remove sufas completely and forever, but making them unnoticeable is possible for everyone. Those who have achieved this claim: the main thing is an integrated approach using the following methods:
- Gymnastics for the face Carol Maggio. This gymnastics must be performed every day, without missing a single time.
- Japanese facial massage. It improves microcirculation and prevents fluid stagnation.
- Eyelid skin patches will help eliminate swelling during an exacerbation.
- Proper drinking regime with complete abstinence from alcohol: alcoholic drinks and drinking liquids at night are the main factors in the appearance of any swelling on the face and body.
- Caring gels and creams with anti-edematous action.
A long and persistent struggle will certainly bring results, but not all owners of malar edema on the face are capable of such a feat. Therefore, those who are not highly disciplined in terms of self-care are left with one, the simplest and most accessible way to solve the problem - a smile. Treat everything with humor - and those around you will not notice the shortcomings of your appearance, because through a radiant smile and a kind look it is simply impossible to see them.
— Author — Pelageja, website www.sympaty.net – Beautiful and Successful Copying of this article is prohibited!
