Facial Rejuvenation: The Five (5) S’s that causes facial skin damage

Often, I’m asked by my Facial Rejuvenation patients about how long their face lift may last. I’m reminded of the French surgeon Dr Vladimir Mitz, a pioneer in anatomy regarding facelift surgery, who told me once he had a crystal ball on his desk to answer such a question! At the time, I hadn’t appreciated how profound this idea was. It makes a lot of sense to me now. Why?

There are several factors to take into account when thinking about treating patients for facial rejuvenation. I call these “the 5 S’s” and they affect your skin and thus the face.  These are:

  1. Stress
  2. Sun
  3. Smoking
  4. Sleepless nights
  5. Sugars

Let’s just take stress’s terrible toll on the skin:

  1. Wrinkles: tensing and tightening facial muscles squeezes and pinches the overlying skin, creating wrinkles and lines.
  2. Acne: hormone receptors connected to the oil glands are triggered by stress hormones, so once they’re stimulated, the gland increases oil production, causing pimples and breakouts.
  3. Hair loss: normally, hair follicles are small and resting, or active and growing, but stress shocks the system, throwing the cycle into chaos and causing follicles to sleep longer rather than produce new hair. Once they wake up, the old hair falls out
  4. Grinding teeth: jaw tension will create lines and wrinkles as skin is pinched and collagen is broken down.
  5. Increased free radicals: stress causes blood vessels to clamp down, causing a shunting of blood away from the skin as blood focuses on internal organs.

Lack of blood leaves skin vulnerable to assault from the sun, cigarette smoke and other outside pollutants that create free radicals. As an example of what stress is capable of, we have all seen people who have lost their loved ones and 6-12 months down the track they’ve seemed to have aged 5-10 years; their skin is more wrinkled, dry and sallow looking. Imagine if you throw in the other factors like sun exposure and smoking and you can see how they can affect the longevity of a face lift. That’s why it’s like looking into a crystal ball. I say to patients that a face lift usually lasts 7-10 years if you are lucky and maintain it with regular microdermabrasion, skin peels and laser skin tightening.

Things that you can do for facial rejuvenation to improve the health of your skin is to:

  1. Use regular sunscreen to protect your skin from free radicals from the outside world.
  2. Use antioxidants either applied topically or consumed orally such as vitamins A, C, E, lycopene, CoQ10, idebenone, green tea and grape seed extract.
  3. Take Vitamin B to stimulate hair growth.
  4. Relax. Calming your central nervous system and mind to give stress hormones a chance to switch off is a good thing. Try meditation, some quiet time or exercise.
  5. Anti-wrinkle injections. These injections not only make you feel better when you look your best, but medically they help muscles relax. There is a biofeedback between muscles and the brain, so if muscles aren’t tense, the brain interprets the quietness as calm and lets its guard down.

Question:  What do you do for facial rejuvenation to prevent facial aging? You can leave a comment below.

Should Nurse Injectors Perform Cosmetic Procedures?

Nurse injectors.001

I’m constantly asked by patents whether nurse injectors are truly qualified to perform cosmetic injections. For me, the most important factor for any nurse injector is their relationship with an appropriately trained, supervising doctor, and how closely the nurse and doctor work together. That doctor can either be a plastic surgeon, dermatologist, facial plastic surgeon, or ophthalmic plastic surgeon who has prescribed the injectable treatment appropriate for the patient. Remember–50 % of complications resulting from cosmetic injections are reported to result from unqualified providers, and that –33 % result from injections administered in a non-medical setting, such as a hair salon or private home.

Patients always have the option to request the doctor perform cosmetic injections, but not infrequently, specifically ask for experienced nurse injectors. In the later case, there are a few guidelines which I think are important for nurse injectors to adhere to:

  1. Nurse injectors are under the supervision of a qualified doctor who has prescribed the injectable treatment appropriate for you.
  2. Nurse injectors should demonstrate appropriate medical education and training specific to the delivery of cosmetic injections.
  3. Perform injections in a medical setting supervised by the prescribing doctor. Patients should not accept treatment from nurses or any other doctor in private homes, hair salons, hotels, bars or any other non-medical setting.
  4. Nurse injectors should follow all of the appropriate steps in performing cosmetic injections, and that all patients are given informed consent documents that clearly define the risks and benefits of the procedure.
  5. You have the option to request the doctor perform your injections.
  6. Nurse injectors should also have recent continuing medical education (CME) to be abreast of the latest injectable techniques, and should inject patients just like you on a regular basis (several patients weekly).
  7. Your doctor should also have recent continuing medical education (CME) to be abreast of the latest injectable techniques, and should inject patents just like you on a regular basis (several patients weekly). No matter what, regardless of who delivers the injection, if I as the doctor prescribe the treatment, inevitably the patient outcome is my responsibility. Therefore, it’s incumbent on me to have well trained and expert nurse injectors, someone that I can trust to inject my family members and friends. And that is exactly what I do.

The Physicians Coalition for Injectable Safety in the US state that before you undergo any injectable treatment, ask your doctor these key questions. A qualified doctor will not hesitate to provide you direct answers:

Doctor

1. What is your board certification?

2. How were you trained to do injectable treatments?

3. Do you regularly provide injectable treatments?

4. How many people have you treated with a condition similar to mine?

5. Will you personally inject me? If not, what are the qualifications of the person who will?

Brand

1. Exactly what brand of injectable do you recommend for me?

2. Is it FDA-approved (in Australia that should be TGA-approved) specifically for cosmetic purposes?

3. May I see the packaging to verify the brand name?

Safety

1. Are there any precautions I should take before my injectable treatment?

2. Will anaesthetic be necessary? Is it available?

3. What can I expect to experience after my treatment?

4. What are the potential risks of treatment?

5. How long will my results last?

Question: Do you think that there is much of a difference between a doctor or a nurse performing cosmetic injectables? You can leave a comment below.