Dr Maryam Zamani as featured in The Aesthetics Journal

Triple Boost HydraBright for Periorbital and Facial Rejuvenation

Dr Maryam Zamani details the facial ageing process and shares her new technique for rejuvenation

Ageing is a multifactorial process caused by the accumulation of both intrinsic and extrinsic factors. Gravity, skeletal remodelling, subcutaneous fat distribution changes and loss, and skin changes, all contribute to the ageing face. Extrinsic factors include environmental insult such as photodamage caused by UV exposure, and lifestyle factors including; smoking, stress, diet, and drug abuse. Loss of collagen, leading to the atrophy of the dermis, degeneration of elastin fibers and loss of hydration account for intrinsic skin ageing. Clinical signs of ageing skin include rhytides, lentigines, telangiectasia, loss of elasticity, uneven skin tone and volume loss. The sequence of ageing starts with loss of skin elasticity resulting in rhytides, volume loss, and downward descent of the skin and fat pads. The resorption of the infraorbital fat pads distorts the ogee curve, making the under eye appear aged. In the upper face, this progresses to create a longer eyelid to cheek junction, lengthening the lower eyelid and influencing the formation of a tear trough with a V-shaped deformity along the maxilla and zygoma. This cumulative process creates a more tired appearance of the face and eyes.
The primary goal of periorbital rejuvenation is to restore a balanced distribution of facial fullness while addressing the overlying skin. Repair of ageing skin epidermis and dermis can be pharmacologically enhanced by topical application agents such as mesotherapy. Hyaluronic acid can also be used to help restore facial harmony by replacing the volume depletion that occurs with ageing.

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