Blog, Prevent Aging


Age management with the use of hyaluronic acid injections, botox and Coolsculpting

The way our face ages depends on the person. Working in the field of aesthetic and anti-aging medicine, I would like to suggest a protocol of mostly non-invasive or minimally invasive age management treatments adapted to a particular age, helping with such issues as dehydration, sagging, a thinning dermal layer, wrinkles, loss of fat and muscle, pigmentation marks, rosacea, photo-aging etc. These changes accumulate with age.


Around the age of 30, but sometimes before, the first signs of skin sagging start to appear. The skin becomes slacker, but there is no real change to the facial contours yet. Often the skin feels dry and dehydrated. This is a good time to introduce the following treatments:

1. Regular bio-revitalization with amino-acids and/or Hyaluronic Acid

This is a treatment designed to improve your skin texture while making it hydrated, smoother and firmer: the cells of the subcutaneous connective tissue in our skin are called Fibroblasts.

Fibroblasts form collagen and repair fragile and worn out skin, ensuring improvement of skin tone and elasticity. Fibroblasts’ activity reduces over time because of aging and other reasons such as eating habits, diets, smoking, intense physical activity, long exposure to the sun. Therefore, skin gets old, loses tone, elasticity, brightness, volume which results in formation of wrinkles and furrows.

Fibroblasts produce collagen by using a nutritional support: amino acids (Glycine, L-Proline, L-Lysine). They are essential to compensate the reduced fibroblasts activity. The better fibroblasts are fed by amino acids, the more vital and plentiful are the cells. Therefore, skin’s quality greatly improves.

Additional Suggestions

Use gentle peel. It will smooth the skin and enlarged pores.

Take a few sessions of focused ultrasound. This procedure has no downtime or side-effects and the results become gradually visible over three months and last for around two years.

Consider fractional radio-frequency (RF). This treatment will tighten the skin.


Around the age of 40, the first hint of jowls appears, with the changes in the oval of the face. We notice the following lines and wrinkles:

  • Nasolabial folds – nose to mouth grooves
  • Horizontal forehead lines
  • Peri-buccal lines – these are the lines that some of us call “bar code”. They appear over time and are exacerbated by smoking and sun exposure.

Also, the skin around the eye contour becomes thin and very sensitive. It deteriorates when exposed to UV rays and tobacco toxins. As a result, wrinkles around the eyes become more prominent.

First and before any other procedure, the sagging skin should be treated with a session of focused ultrasounds. An alternative option, although more invasive, is the threadlift (insertion of resorbable barbed threads). Threadlift gives optimum results after about a month and should last between 12 and 18 months.

Next step is to improve the skin condition and texture, correct lines and wrinkles using hyaluronic acid while minimizing forehead lines, crow’s feet and marionette lines with injections of botulinum toxin. Fragile skin around the eye contour must be re-densified. It is highly recommended to avoid carrying out these injections before the ultrasound treatment, because, due to the heat the ultrasounds give off, they may adulterate the injected products.

Also, regular sessions of bio-revitalization with amino-acids, hyaluronic acid or equine collagen should be kept up.


Around the age of 50, sagging becomes more significant: the face loses its volume, the pores drastically enlarge, and the skin starts to crumple. Consider the following protocol:

1. Start by treating the sagging skin using either focused ultrasounds or threads.

2. Go for a volumizing dermal filler to restore the face’s volume in cheekbones, temples and lips. Depending on the treatment area, it can be either:

  • Hyaluronic acid dermal filler
  • Calcium hydroxylapatite (CaHA) filler that is usually applied with a cannula for a more natural result
  • Poly-L-Lactic Acid filler

3. Fill in the tear troughs (hollow under-eye shadows) with hyaluronic acid that can also re-densify the delicate skin around the eye area saving the botulinum toxin – Botox, Vistabex, Dysport, Azzalure, Xeomin, Bocouture – for forehead lines, crow’s feet and marionette lines.

Additional Suggestions

Do not forget to renew the skin’s surface by rehydrating the skin with bio-revitalizing mesotherapy. For optimum results stick to a protocol of 3 to 4 sessions, spaced two weeks apart, twice a year.

Use a TCA or glycolic peel providing you don’t mind taking some downtime post-treatment.

Do the micro-needling sessions followed by a hydrating hyaluronic acid nappage.

Book fractional radiofrequency sessions, followed by LEDs – a relatively-new treatment which, in exchange for a bit of temporary redness, completely resurfaces the skin, densifies the dermis and boosts new collagen synthesis.

Treat fine lines around the lips with superficial injections of hyaluronic acid.

And last, but not least: consider Coolsculpting to reduce excess fat on your face and body. Most people have few areas in their bodies and faces that have excess fat, for example, submental fat also known as “double chin”. Though it is entirely normal for humans and particularly for women to have some unwanted fat, it is aesthetically undesirable. Why? Because it makes us look older. Thus, if you want to get rid of that for more youthful appearance, then Coolsculpting is precisely the treatment you need. Read below to find out more about this fat freezing procedure.


It is a brand name for a treatment that freezes the body fat. It is a non invasive procedure, it is also known as cryolipolysis and it helps to remove stubborn fat deposits from your body. Interestingly, cryolipolysis can reduce fat in the treated area by about 20 percent.

Coolsculpting has been approved by the the US Food and Drug administration (FDA).


As I already have mentioned above, Coolsculpting is known as cryolipolysis, a procedure that breaks down fat deposits by the means of applying a freezing cold temperature. More so, scientists realized that fat is more susceptible to injuries from cold than any other body tissues. And that very discovery led to the development of a technique that freezes the body fats.

Coolsculpting uses a machine that aids in the permanent freezing of the fat cells, making inflammatory responses from the body and destroying the fat cells. After some weeks, dead cells are eliminated through natural physiological processes.

Cryolipolysis is generally practiced in clinics and spas. If you are curious about the process, read further.


First of all, a patient needs to find out if they are the right candidate for this procedure. Note that Coolsculpting does not work for obese people, so it is not a weight loss treatment. It works only on stubborn pockets of fat in people with a normal BMI. Moreover, if you suffer from cold urticaria, cold agglutinin disease, paroxysmal cold hemoglobinuria, and cryoglobulinemia, then it’s best to forget about Coolsculpting.

However, if you are a suitable candidate and you have been invited for the appointment, first thing the medical practitioner would do is mark the treatment area.

Then, the practitioner apples a special gel to the treated area. The gels acts as a barrier between the cooling applicator and your skin.

Next, you finally get treated. The treatment is performed by a machine resembling a vacuum cleaner equipped with cooling applicators. The cooling applicator sucks the fat bulge of the treated area. Be warned that it may hurt and you may feel uncomfortable from the cold sensation. After 5-10 minutes, you should feel less discomfort, and the treated area becomes numb.

When the treatment is over, you get post-treatment massage. The massage of the treated area is essential since it aids in procedure effectiveness and more fat reduction.


After the age of 50, we may also need to treat:

  • Pigmentation marks using depigmenting peels or pulsed light, coupled with LEDs
  • Rosacea and vascular marks using pulsed light therapy and Yag lasers, either alternately or combined
  • A double chin with 1 or 2 sessions of cryolipolysis or deoxycholate injections

After the age of 60, treatments are carried out case by case, bearing in mind that the surgical alternatives to aesthetic medicine treatments such as face lift, liposuction, blepharoplasty should also be considered at this stage.

Hope you found this post useful. Aging isn’t something we are looking forward to, but with a clever age management we can certainly delay it or at least make it less upsetting.

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