It is increasingly common to get or hear from someone who has had an aesthetic medicine treatment. The options are several and the doubts that arise are even more: How is it different from cosmetic surgery??, what is hyaluronic acid and botox used for?, Is it only for after 40? The aesthetic doctors Daniel Muhlethaler, Adriana Baracco and Magalí Chaparro answer these questions for El País and talk about their experience in their clinics.
Hyaluronic and botox.
Aesthetic medicine includes non-surgical hair-type treatments, face and body. Part of Muhlethaler, it is important to differentiate it from other areas related to beauty: It is not the same as what a beautician or hairdresser does and it does not correspond to the work of a surgeon..
One of the treatments that the doctor performs the most in his office is lip modeling: “About half of the consultations are to improve the definition of the lip, what is called profiling, or to give it volume, which is called projection. He said, It is done by placing hyaluronic acid and the effect lasts between nine months and a year..
Chaparro also works with hyaluronic acid. “It is a substance that is found naturally in our body and when it is well handled it does not cause any kind of complication”, assured.
One of the procedures in which he applies it the most is rhinomodeling, It is used for people who have a drooping or aquiline nose or with a visible nasal septum. “Using the four-point technique, four points of hyaluronic acid are placed to raise the tip of the nose and hide the septum, simulating the result of a rhinoplasty without reaching surgery”, Indian.
for his part, Baracco agrees that rhinoplasty is a highly consulted treatment, and he also said that he uses hyaluronic acid to rejuvenate the skin: “Improves hydration, appearance and light, he claimed.
At the same time, This substance is used for facial rejuvenation and to "fill in small defects" such as nasolabial folds., baggy eyes, nasobuccal furrows and wrinkles of the neck or between the eyebrows.
According to Muhlethaler, Botox or botulinum toxin is the other "great element" of aesthetic medicine and the area of greatest action is the upper third of the face. This includes periocular wrinkles or crow's feet, the area between the eyebrows and the forehead.
Baracco explained that this toxin acts "preventing the muscle from contracting" and thus manages to "attenuate wrinkles or lines of expression".. Although hyaluronic acid is used above all to give volume, she sometimes applies it to fill in the depth of wrinkles in patients who do not like the effect of botulinum toxin. Regarding the duration, mentioned: “Botox every three or four months must be done and the hyaluronic depends on the patient, between six months and a year.
Both substances can be combined in facial harmonization treatments with the aim of "highlighting the patient's features, hide the deepest expression lines and harmonize the face in general”, Chaparro mentioned.
And he added that "the idea is not to change the face of the person, but to give a rejuvenation without modifying the form”. In general, includes botox, rhinomodelation, filling of nasolabial folds and, sometimes, mandibular profiling.
more treatments.
Another highly requested procedure is the repositioning of flaccid facial tissues with tensing threads.. “They are placed under local anesthesia in the subcutaneous cell tissue, between skin and muscle, Muhlethaler explained. They are made up of a molecule that, when reabsorbed, stimulates the production of collagen., so as time passes the effect of the threads decreases, but improves skin quality.
According to Baracco, the tensing threads “improve the oval of the face and the double chin without the need for general anesthesia or disability, There are practically no bruises left and the person can resume their activities more or less at 48 hours”. At the same time, indicated that the duration of effect is approximately one year.
In addition, the doctor mentioned some of the techniques she uses to rejuvenate the skin, such as mesotherapy and peeling. “Skin treatments have a cumulative effect, so if it is very dehydrated and aged we have to do at least eight or 10 sessions”, held.
Both she and Chaparro commented on platelet-rich plasma., a regenerative therapy that stimulates growth factors. It is extracted from the patient's own blood., so it does not cause allergic reactions or adverse effects”, stressed chaparro. It is used in people with alopecia, what is abnormal hair loss, and also in those who are starting to lose their hair and want to avoid getting there. What's more, It serves to “close the pores of the skin of the face, neck and hands, give luminosity and stimulate the production of collagen and elastin”.
Chaparro affirmed that another of the most requested is MELA, What does mini ambulatory lipid extraction mean?, and serves to soften adipose tissue and eliminate it with micro cannulas. It is performed mainly on the abdomen, arms, back, flanks, crotch and riding pants, with local anesthesia.
“The patient can immediately return to activities”, assured the doctor. However, added that "since it is a minimally invasive technique, It cannot be done in someone who is extremely overweight because the objectives would not be achieved”. Then, the person would be “for a conventional lipo, What is with surgery?.
Be okay.
One of the most frequent beliefs with which people arrive at the office is that if they undergo a treatment with botox or hyaluronic acid, when they stop doing it, their faces will fall off, Chaparro told. “When they first come they are afraid of having to be slaves to that treatment., but it doesn't work like that, he claimed.
In fact, “Botox serves as a preventive effect”, so if they don't do it anymore, the lines that were there before may not appear again with the same intensity.
Regarding hyaluronic acid, when reabsorbed there is always "a residue" that accumulates, so one will never be worse than before.
Part of Muhlethaler, Aesthetic medicine is important because "looking good is feeling good". As explained, when you look in the mirror and are happy with what you see, the central nervous system stimulates the production of neurotransmitters that generate well-being. “That is the neurophysiology of pleasure”, Indian.
Source: The country
