Showing posts with label Hyaluronic acid. Show all posts
Showing posts with label Hyaluronic acid. Show all posts

19.2.17

Looking At Beauty Through The Eyes Of A Dermatologist


Dr. Shazia Ali
Why certain faces attract envious glances, possess the invisible power to turn heads, and invoke a certain chemistry of attraction with human visual cortex? More importantly, what qualities make such faces so special that they can unintentionally become the focus of any lens; ogled and admired by all eyes that happen to gaze upon them? Can we measure attractiveness and recreate it and if the answer is yes, can we impart it onto the faces that genetically lack it? Questions, catechism and more queries — Aesthetic medicine has been on a quest for forever and more to find out answers to questions like these. 

Is beauty divine and bestowed by God only or can mortal hands recreate them?
Beauty might be divine in origin but if we can set benchmarks and quantify it — once that is done that we can attempt to recreate it. Actually plastic surgeons and aesthetic doctors have been carving beautiful visages out of ordinary faces for years now. Ancient Greeks believed beauty lies in the mathematical proportions of a face, rather than just being in the eye of the beholder. 

Golden Proportions of beauty

Lets follow this train of thought and see where it leads us.

 What defines a beautiful face? — Looking from the perspectives of poets, painters and sculptures a unique set of pretty features arranged in a certain mathematical proportion to one another creates a fascinating face. The individual features that invoke beauty include: a smooth convex forehead, a symmetrical set of big eyes highlighted by arched brows, small nose, voluptuous lips, dainty chin, high cheek bones and a chiseled jaw-line, Being a dermatologist I’d add perfectly flawless and radiant skin to this mix and we have perennial beauty at our hands.

Looking At Facial Features:
Research linking beauty to evolutionary psychology has shown that attractiveness perception comes from how our brain perceives information in general coupled with adaptations for mate choice because attractive traits signal important aspects of mate quality, such as health and fertility.

From an evolutionary standpoint, fuller faces indicate heart health and immunity to infections. So, to some degree, we are programmed to be more attracted to certain faces over others. Sexual dimorphism, a fancy term for sex-specific traits, is one of the major factors in determining what we find beautiful. The more feminine a woman’s features are, the more attractive she’s perceived to be through a male set of eyes. For women, things like large eyes, a small nose and fuller lips are generally found to be more attractive since they are considered to enhance facial femininity.

Take home message at this point is: if you don’t look like Angelina Jolie it doesn’t mean you’re out of luck. It’s important to note that it’s less about your specific features than it is about the overall face. In other words, as long as your features collectively feminize your face (even if you have a larger nose or thinner lips, for instance), you’re still considered pretty in a male visual cortex. If high cheekbones contribute to greater femininity, then the total look would be perceived to be attractive. Not necessarily just the high cheekbones on their own.

The overall face and the proportion of features compared to each other give a face an attractive advantage over others. Aesthetic doctors use this fact, while they remodel faces using surgical or non-surgical treatments.

The perceptions of beauty also differ from one cultural to another and also across timelines (old time period to modern times). Like these days among Caucasians model-skinny or angular faces are considered ideal. While in Asian and Arab cultures more fuller and contoured faces are considered attractive, which used to be popular in older times in Caucasian societies as depicted by renaissance literature and art.
East vs West Beauty Standards

A study done at St. Andrews University few years back showed that facial adiposity, or the perception of weight in the face, was actually rated as more attractive to men. From an evolutionary standpoint, fuller faces indicate agreeable cardiovascular health and immunity to other infections. Good health equals healthy babies. At least that may have been our ancestors’ unconscious reasoning. Symmetry and average-ness are also equally important when it comes to perceptions of beauty. Believe it or not, being average is cool. Both appear to indicate high variations in individual proteins, which lead to fewer birth defects in offspring.

Cognitive researchers Dr. Kang Lee and Dr. Pam Pallett published a study in 2010 that attempted at explaining the key factors that determine how attractive a woman’s face may appear to others. According to their research the distance between a woman’s eyes and the distance between her eyes and her mouth holds the key to her attractiveness. They also suggested in the study that keys to attractiveness include facial ratio, alluring features, symmetry and average-ness.

Facial Symmetry is considered beautiful because it rules out a history of poor developmental stability early on —for example, a major illness or a nutrition deficiency (which could lead to asymmetrical features). Evolutionary psychologists believe humans have evolved to find healthy facial features attractive, and symmetrical facial features are a good indication of health. Anti aging research has shown that as we grow older the asymmetry of the face becomes exaggerated, hence asymmetry is linked with aging and fading beauty.

Facial Features Average-ness Another reason you might be considered attractive is because you’re familiar. In a study at Brandeis University, there was a higher rate of agreement among close friends, siblings and spouses on what they considered attractive among strangers, suggesting that attractiveness has a strong social component, too. People who have already formed romantic relationships idealize their partner’s facial features, so they actually perceive them to be more physically attractive than other people would. These days movies and media also have a strong influence on what we perceive as beautiful. Like in certain societies big lips are considered a mark of beauty, while in other cultures high cheek-bones and chiseled jaw-line is considered more beautiful compared to a more chubby and rounded face.

Aging & Beauty
Aging changes in face
As we age all layers of our face under go changes. Skin looses collagen and elastin, which makes face look tired, dehydrated and wrinkled. Fat compartments under the skin begin to loose volume. These changes happen much earlier in the mobile areas of face like mid-cheeks and under the eye area compared to the sides of the face. As a result face does not age uniformly, mid-face volume loss leads to deep smile lines, drooping of corners of mouth and hanging jowls. Bones, which provide the solid foundation for all soft tissue layers of our face, also loose volume over time. Maximum change is seen in the glabellar (forehead), maxillary (center of face and upper lip area), lateral projection of zygoma (cheeks) and mandible (jawline) areas due to bone loss with aging. More bone loss in certain regions of face contributes to the further asymmetry of face as we age. When we gaze upon a young face our attention is drawn to eyes and lips, which is hallmarked as the triangle of youth. In contrast when we inspect an older face, our attention is caught by the drooping jawline and hollowing of mid-face, which looks like as if the triangle of youth has been inverted.
Inverted triangle of youth

Aesthetic Treatments: Working in partnership with an aesthetic doctor you can restore, as well as enhance the golden proportions and symmetry of face with injectable soft tissue implants and neurotoxins. No facial treatment can be deliver aesthetically pleasant results if the person doing the treatment does noy understand the basics of Beauty and youthfulness. So while selecting your doctor you have to remember — Can any doctor inject beauty into your face? Answer is not really, only aesthetically inclined doctors that study beauty and understand the golden proportions of a beautiful face can artistically elevate an ordinary face into a much sought after beauty.

Looking At Skin:
A luminous, unblemished complexion is a strong factor to contribute towards attractiveness. Studies suggest there are mainly two reasons for that: Flawless skin indicates good health and youth. Smooth and relatively hairless skin indicates low levels of androgens and high estrogen. Both indicate fertility. What’s more, skin free of acne and other dermatological issues is perceived to carry healthy genes (hence, greater chances of producing healthy babies). A study published in the journal of European academy of dermatology and venereology in 2007, suggested that the skin topography indicates youth and color distribution indicates health of a person. Hence these two factors make skin look attractive and alluring — so get on the good side of your dermatologist.

Aesthetic Treatments: Injectable soft tissue fillers or fat can be used to bring proportion back to face compensating the loss of volume with age or to recreate the genetically blessed proportions of beauty.

By working on your skin with a dermatologist you can achieve clear, healthy and youthfully radiant skin. Treatments that stimulate production of new, non-fragmented collagen provide substantial improvement to the appearance and health of aged skin. These treatments along with improving the skin hydration with non-crosslinked hyaluronic acid can elevate skin from being ordinary to full of life radiant.

9.11.16

The Natural Face Lift


Recently a beauty news channel interviewed me, here’s my detailed talk for your review.


Hi I am Dr. Shazia Ali. I am an aesthetic dermatologist practicing for the last 12 years at Al Tababah Specialized Clinic in Jeddah. I have been lucky enough to be trained at the prestigious University of Wales & College of Medicine in UK for the core as well as aesthetic dermatological sciences. I am extremely pleased to be here with you all today we will be talking about — aging, youth and beauty plus how to preserve it all. I’d love to share with you my personal concept of Natural Facelift — a proverbial sip from the fountain of eternal youth if you may, with focus on keeping things real and naturally youthful, as I am not a big fan of artificial.

When I moved to Jeddah from UK back in 2004, I was pleasantly surprised to see how up-to-date the ladies here were when it came to keeping up with the international trends in beauty as well as aesthetics. And over the span of last decade or so I have noticed that now even men are becoming very conscious about appearance and they like taking care of themselves — which is great. Multiple psychological studies done across the globe have shown us that, looking good & feeling good about yourself gives you a confidence boost to live a fuller, happier & more productive life. This proves aesthetic medicine should be an integral part of our lives.

Talking about local beauty standards and ideals Every Culture & Region Has Its Own Unique Beauty Standards
Initially when I moved to Saudi I had to struggle a lot to convince my clientele to buy the natural and just refreshed concept of beauty compared to what was popular — exaggerated and over the top. I have been doing my best educating and communicating with the local populace not just in my clinic but also through social media and blogging gently reminding people to accept natural as the norm and convince them go for treatments that enhance their individual natural beauty instead of trying to copy paste famous celebrity features and end up looking like aliens trend.

Seems my hard work along with global aesthetic natural trend shift has paid off and — Now a lot of people are asking the RIGHT QUESTIONS — How should we approach aesthetics? What can we do to preserve our youth and look good for decades to come without looking artificial and stretched & stuffed? — Answer is simple, start early to preserve and maintain your youth.

To move forward in the right direction vis-a-vis the anti-aging treatment plan I always ask my patients/clients — What is the image of beauty and youth in your mind?

And one concept that everyone agrees upon is: -Tight luminous, flawless skin with a uniform complexion (almost Child-like), Features wise - high cheek-bones, defined jaw line, well proportioned facial contours, arched brows and a toned silhouette. 
Second important concept is complete head-to-toe beauty — your body should match your face in beauty as well as age.     
Now that we have established what we want to achieve — we can make a logical treatment plan — target the right areas that need work and voila you can deliver youth and beauty.

To get tight luminous, flawless skin with a uniform complexion treatments with energy based devices and peels have come a long way.

To get flattering contours and replenish the lost volume fat or HA based injectable implants deliver miraculous results.

Upper face hyper dynamic muscles causing frown lines, forehead wrinkles and crows feet can be treated beautifully with neurotoxins.

Fact of life is nothing stays the same — over time things deteriorate and people who are interested in looking good need to understand and know —why do we age? And that maintenance is important

Looking at the aging process Aging skin with sagging and wrinkles basically result from a combination of many factors including cellular changes, collagen depletion, bone and fat loss. All this happens over time as a result of hormone changes, damage caused by free radicals, or consistent muscle activity. Modern life style & stress accelerates this process even more making us look much older than what we chronological should. You might be a vision of beauty in your teens & twenties but eventually your Lifestyle, eating habits and genetics along with how well you take care of your skin determines how you look in your thirties & onwards.

A holistic approach from inside out along with your aesthetic doctor’s help can preserve youth in a much more efficient manner rather than relying on fixing just one cause of aging.

Talking about the concept of The Natural Facelift
golden proportionsof beauty
As far as aesthetics are concerned we are living in real exciting times, now modern medicine can give everyone a chance to look as good as they feel. The traditional surgical facelift has been replaced with something better and natural — I call it , The Natural Facelift! A combination of non-surgical minimally invasive facial contouring and tightening techniques that can transform any aging face into a more refreshed, youthful version of themselves — it’s almost like time travel. Gone are the days when you would walk out of an aesthetic practice looking surprised, over stretched, unnatural and ridiculous. The celebrity faces we saw few years back on TV that looked like over stuffed pillows are no longer a desired or acceptable option. Over the top artificial work has been replaced with results that restore youthful but natural fullness of a well-contoured face and smooth textured skin, wrinkles should not be replaced by surprised over arched brows on the contrary they should be ironed out gently while respecting the facial harmony.

Aging, slows down the skin’s production of collagen and elastin. Facial volume is lost because of fat and bone loss with aging process and together these changes result in hollowing of mid-face, sagging features and skin creasing. Pigment changes lead to age spots and the surface texture becomes rough. 

The term Liquid Facelift was coined few years back to improve multiple areas of the face, including the eye, nose, chin, cheeks, temples, brows, mouth, forehead and the neck with the use of advanced dermal fillers, usually in combination with BOTOX®. In right artistic hands results look natural, youthful & beautiful.

I believe to further improve upon this concept of restoring golden proportions and facial contours, we also need to engineer skin surface and structural changes so we can recreate a complete and holistic youthful appearance. A well-contoured face with older looking thin lack luster skin can never look youthful. Adding skin tightening and hydration techniques along with facial contour restoration with injectable implants makes results even more superior and attractive.

My multi-prong approach to impart youth and beauty includes:
·      Treating skin with RF, Ultrasound, laser technologies to boost collagen and tighten and lift.
·      To create uniform complexion laser & chemical peels come in handy
·      To work on volume loss and improve facial contours fillers or fat give great results. Breakthroughs in aesthetic products such as Boletero, and Radiesse®, are providing longer lasting and more natural-looking results.
·      Finally treat hyper dynamic muscles with neurotoxin to further smooth out the lines etched by time.

Natural Face Lift

Working synergistically each treatment compliments the other giving natural and qualitative results rather than one treatment delivering artificial results.

Another thing I’d like to highlight here is ALL fillers and Energy based Technologies are not created equal
Boletero, Juvederm and Teoaxne RH Ranges are the latest fourth generation of fillers, which are far superior to other dermal fillers available in the market. They give beautiful natural results without causing any long-term side effects associated with older generation of fillers. Studies have shown that some of the newer generation hyaluronic acid and calcium hydroxy apetite (Radiesse) based dermal Fillers not only replace lost volume in the face, but they also help your body to regenerate on its own making new collagen.  They can be used to contour and/or lift any number of facial features without feeling lumpy or inelastic.

When looking at energy based devices for skin tightening & lifting as well as skin smoothing, we have had a great success with Scarlet which is a radioFrequency based device, as well as focused ultrasound and Fraxel as well as fractional CO2 lasers.

When it comes to treating muscle movement related wrinkles — In the right hands BOTOX® has proven to be a magical injectable. Since its discovery it has been consistently delivering beautiful results. Most patients experience noticeable improvement within 3-14 days of their treatment, the leading. It is the most popular non-surgical cosmetic medical procedure with no down time required. With botox you can achieve great things like
·      Reduces Crow's Feet
·      Reduces Frown Lines
·      Reduces Wrinkles
·      Lifts Facial Features
·      Contours the Face

Catch 22 is it requires —Maintenance: Every 3 to 5 months.

Together the judicious and artistic use of injectable dermal fillers, neurotoxins and energy based devices can lift, plump, contour and rejuvenate skin and face, taking any visage from looking tired, drawn and ordinary to radiant, refreshed and beautiful.

To sum it up — The Natural Liquid Face Lift can accomplish any of the following:
·      Improved smile, fuller sexier lips
·      More rested and energetic Look
·      Natural curved and youthful facial contour restoration
·      Reduced facial lines
·      Reduced facial folds
·      Reduced wrinkles
·      Reduced creases
·      Gentle facial lift (individual facial features or facial overall lift)
·      Profiloplasty (improving your side look by balancing forehead, nose and chin contours)
·      Skin hydration, radiance and shine