All fillers are either temporary (Restylane Juvederm are Hyaluronic acid based), semi temporary (Radiesse), or permanent (Fat, Artecoll and Dermalive). All these fillers (with the exception of fat); from the most absorbable (Collagene) to the least absorbable (Gortex) fall into the category of allo-dermic (not of one’s body) fills, and all carry side effects, see first reference bellow.
They are becoming popular because they are relatively simple to use, and the injection is easy to recovery from. Face lifts, peels, lasers and even fat-fills cost more, require higher expertise, and a longer recovery period. My solution is Face Accentuation and by using this sequential method I enhance each individual’s underlying facial youth by; first using injectable fillers, then a selective-mid-facial-filling with permanent fillers (like fat), then doing a surrounding-facial-thinning, and using skin tightening only when necessary.
Suction-lipectomy was invented by Teimourian in 1975. He later in 1985 started to inject the fatty product of suction into the face. Obagi pioneered the use of peels to tighten and rejuvenate skin. Coleman refined fat-filling and trademarked it as Lipostructure. Little invented a method of permanent central facial augmentation that requires extremely skilled surgical manipulation. He then coupled it with an Omega lift and coined it “Facial Sculpture”. Bitar in 2002 used many artificial types of filler (see references).
My approach borrows from these and other cosmetic advancements, but it differs from them all in that it makes the case for central augmentation and peripheral reduction, only using lifting when the first two methods (with or without peels) are insufficient to achieve desired skin tightening. This sequential, simple and quick procedure achieves the desired accentuation; bringing out-naturally-the features we used to love in our face.
To understand this new all embracing procedure one must realize the outcome of each individual procedure. Lifting makes the face look gaunt, suctioning makes the face look empty, and filling makes the face look puffy. Face Accentuation, on the other hand, simultaneously fills the center of the face, reduces its perimeters, and trims the excess skin if peeling is insufficient to do so. It is a totally new way to enhance, not detract from, the beauty of our face. Lifts (as a primary rejuvenation technique) is becoming unpopular and my Accentuation restores youthfulness without relying solely on artificial substances.
My method differs from others in that it is both natural, costs less, and is eventually permanent. Standard cosmetic interventions often give rise to a “plastic” look. Replacing short-lived treatments, permanent foreign substances, and the more radical surgical procedures, Face Accentuation combines modalities in a set-sequence that delivers a rejuvenation that is both natural and long-lasting.
Ayman R. Hakki M.D.