by Dr. Ayman Hakki
8. November 2009 18:18
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.
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