As we age, fat and bone under our skin shrink, causing “volume loss”. When these underlying structures supporting our skin reduce, the overlying skin becomes looser, rather like an over-sized coat. The skin beside our mouth is also tethered down by ligaments, causing the loose tissue sitting behind to cascade over, giving us the characteristic sagging jowl.
Collagen and elastin levels in the skin also decline with age. This can be accelerated by long-term sun exposure, causing “solar elastosis”. This reduced elastic recoil of the skin increases the degree of sagging.
Dermal fillers made from natural hyaluranon are helpful here. Juvederm® or Restylane® carefully placed behind, in front of, and above the jowls, can stretch out the loose tissue, reducing jowl size.
Using the “8 point lift” is a helpful way to identify where to place dermal filler to reduce the jowls. The 8 point lift is specifically designed to treat sag by placing small amounts of hyaluranon dermal filler around the whole face, giving a very natural look.
Botulinum toxin can also be used to gently relax the muscles that pull down on the lower face and neck. Releasing these muscles allows the skin to relax upwards, creating a subtle lift at the mouth corners.
Juvederm Ultra™ & Juvederm Ultra Plus™ are medical devices Class III for the filling of medium size and deep facial wrinkles by injection into the skin and for creating definition and volume in the lips. Contains 24mg/mL. cross-linked hyaluronic acid. Juvederm has risks and benefits. Cautions: Use in an area that has been treated with another dermal filler, people with autoimmune disease, or who are pregnant, breastfeeding, under 18 years of age or have an increased susceptibility to keloid formation and hypertrophic scarring. People on blood thinning medicines. Possible side effects: injection site inflammatory reactions (redness/swelling, itching/pain on pressure) induration or nodules; discolouration; weak filling effect. If you have side effects or concerns speak to your doctor. Product and treatment costs will apply. Note: Juvederm treatment lasts about 12-24 months. For product information check with your doctor or product information at Allergan (NZ) Limited, Auckland.
Restylane® is a gel containing hyaluronic acid and lidocaine that is injected by a healthcare professional into or below the skin to smooth facial wrinkles and enhance lips by restoring volume and fullness. Restylane is a Class III medical device and has risks and benefits. Restylane® treatment may result in some redness, swelling, pain or tenderness, itching and/or bruising which may last a few days. Inflammatory reactions can begin up to two to four weeks after treatment in rare cases. See your healthcare professional if any side effects concern you. Exposure to excessive sunlight or extreme cold should be avoided until redness or swelling has resolved. Restylane® should not be used in an area where there is a non-resorbable implant or in irritated or infected skin, Restylane® should not be used in people taking blood thinning medicines or who have an allergy to hyaluronic acid, lidocaine or other local anaesthetics. Caution if you take medicines that prolong bleeding time. Treatment lasts 12-24 months. Restylane has not been tested in pregnant or breast-feeding women. ALWAYS FOLLOW THE INSTRUCTIONS YOU ARE GIVEN. Galderma, Auckland. Distributed by Healthcare Logistics, Auckland
Botox® is a prescription medicine for the treatment of frown lines, horizontal forehead lines and crow’s feet round the eyes. Botox® has risks and benefits. Ask your doctor if Botox is right for you. If you have side effects, see your doctor. You will need to pay for Botox® and clinic fees will apply. For details on precautions & side effects consult your healthcare professional or the Consumer Medicine Information (CMI) at www.medsafe.govt.nz . Botox® treatment lasts about 4 months and further courses of treatment may be necessary. Should only be administered by trained medical professionals. Contains botulinum toxin A 50,100 & 200 units. Allergan (NZ) Limited, Auckland.