Treating Facial Wrinkles Using Botox and Fillers
Which Agents are used in Cosmetic Wrinkle Reduction Treatment?
Facial skin features are the key factors that help people influence their perception of others and judge their age and health. Research on the Effect of Incobotulinumtoxin A and Dermal Filler Treatment by Bernhard Fink and Michael Prager demonstrates that after a nonsurgical rejuvenation treatment to remove wrinkles and lines and restoration of the facial volume showed a noteworthy reduction in the perceived age and a visible increase in the perceived attractiveness and health of female faces with the usage of calcium hydroxylapatite (CaHA), Incobotulinumtoxin A, and hyaluronic acid (HA). The cumulative treatments showed more pronounced results. Faces treated with CaHA + incubotulinumtoxin A + HA were perceived as healthiest, youngest and most attractive among the treated faces.
How Does Collective use of Botox and Fillers Affect Wrinkles?
The collective effect of dermal fillers and botulinum toxin A removes all the wrinkles, fine lines, refills volume loss occurred due to age and brings back facial contours giving a youthful perception. Having deeper wrinkles and increased number of facial lines are more prominent with increasing age. Previous studies have demonstrated that faces that have been modified and had their skin surface topography cues digitally removed are perceived younger and healthier than the original counterparts. The evaluators saw that even a small amount of treatment showed a very prominent change in the age perception when done. The results also showed that the female facial age was effected much more when the skin surface topography cues were removed as compare to the change of skin color distribution. While another strong effect on the perception of female facial health was by smoothing the uneven skin color distribution. While the research focused more on loss of volume and contour and lines and wrinkles, it is also a possibility that the addition of treatments that target the textural changes and skin surface may change and modify the perception even more.
Does Perception Make a Difference in Assessing Results?
Many studies use the satisfaction of the patient as a means of assessing the results of the aesthetic treatment. To obtain a much more objective measure of the treatment the authors of the journal hired a large group of independent evaluators to judge the results. The benefit of such a step is that it gives the physicians and the subjects with treatment results that are reliable and provide realistic results that are expected. A similar way of assessing the results was used after the treatment success of a number of facial cosmetic surgeries. The researchers took six men and 54 women that aged 45-72 and had gone through the procedure of cosmetic surgery. They were shown to 40 medical students who were then asked to guess the age of the people in the images. There was a very prominent reduction in the perception of age. The third-party assessors assessed the ages to be 7.2 years younger than the patients actually were. The effects were much clearer when the surgical procedures were increased in number.
This study was the only one to use this number of independent third-party assessors to observe and judge the aesthetic outcomes of the nonsurgical procedures of facial rejuvenation. The degree of perceived age was not quantified after the treatment, but a large number of individuals were used as a representative to the common population to show them that the use of CaHA, HA dermal fillers and Incobotulinumtoxin A (Botox), particularly all together can change the perception of age, attractiveness and health.
How Much Has Botox and Filler Treatment Been Used in the past Decade?
In the past decade, there has been a lot of increase in the number of cosmetic treatments such as dermal fillers and butulinum toxin A (Botox), these procedures have become two of the most popular nonsurgical treatments being performed in the US. The natural aging affects both the underlying facial structures and the skin which results in the slow change of the facial appearance overall. Optimal results are achieved when all of these factors are taken care of.
The effect of certain features on the perception of health and age only depend upon the context in which subject is being observed. The pictures were taken very carefully so that each of them had the same position and the lighting, having the same hairstyle and no makeup to make sure they all had the same impact on the eyes of the observers. Photographic images are used because the cues that are present for the estimation of the age can be standardized and controlled. In addition to that, estimating ages from pictures are said to be highly reproducible when there are a lot of observers and assessors. The only issue that occurred was that the subjects could not maintain a similar facial expression for the photos.
What are 2D and 3D Ways of Perceiving Age?
The most popular way of generating perceived age is through 2-dimentional photography. But as time is passing 3-dimentional analysis of facial volume is becoming more and more popular and effective. It gives a more objective measure of the treatment success. Mainly when the volume loss is because of age and the structural differences caused in the face because of age. How the common people perceive attractiveness is illustrated by this preliminary study. Other studies are now trying to determine how the results are related to or different from the studies using the rating scales in the clinics and from the subjective patient satisfaction.
Concluding the study we can say that the rejuvenation of facial structure and appearance with CaHA, Incobotulinumtoxin A, and HA dermal fillers is a very important process in the category of anti-aging techniques. This study shows evidence of success of the combined usage of CaHA, Incobotulinumtoxin A (botox), and HA dermal fillers in reducing facial wrinkles.