Uncle Oxy has been chasing "My Genius Girlfriend" and "The Goldfish Wife" for a while, and coincidentally, they are all related to family ethics.
The third season of "Genius Girlfriend" talks about the heroine entering middle age and falling into the trap of family trivia and marriage;
"The Goldfish Wife" is the story of the extramarital affairs of 6 women in various marital relationships.
In addition to the thrilling plot, the lighting of these two dramas is very real, and Shu has also gained some insights into the appearance, so he quickly shared it with you.
In facial lines visible to the naked eye:
Some of the lines are caused by bony factors, and from the angle of the upward shot, it can be seen that Lila's nasolabial wrinkles are because of the convex mouth, according to different rays, one will be wrinkled, one will be no wrinkles.
Some of the lines are caused by soft tissue loss, different light, different shades, such as the left picture is mild shallow fat loss, the right picture has deep fat atrophy
And some lines, like a knife carved ditch, make people eager to take the eraser to erase, as shown in the picture
This kind of vein that is obviously deeper, harder, looks drier, and the fat loses moisture and contracts or hardens, belongs to the muscle ligament type pattern, and the 30+ small partners may have some experience.
It should be known that facial aging is a comprehensive manifestation, and the aging of the facial tissue layer is: superficial fat sagging, deep fat atrophy, SMAS layer relaxation, facial support ligament relaxation, and facial bone bone resorption.
We usually focus on the anti-aging of deep fats, bone resorption, and SMAS fascia layers, but we have been ignoring the aging phenomenon of lax facial support ligaments.
Uncle can definitely tell you that the ligaments are not strong, and no one should think about it.
Tree-like ligaments, which run through multiple layers, connect the layers of tissue
Why do people fill shallow tear grooves, Indian lines, nasolabial grooves, puppet lines, but there are still ravines on their faces?
Because you are no longer shallow fat loss, but ligament relaxation with deep fat and shallow fat collapse together, the relaxation of supporting ligaments and the downward movement of fat pads often form a vicious circle of mutual cause and effect.
Why does someone simply raise the SMAS fascia layer and maintain the effect for a long time?
Because the ligaments and the SMAS fascia layer are tied to each other, SMAS will soon be pulled down by gravity due to the ligaments and deep tissues of the loose ground.
Thinning of the ligaments and sagging are an important cause of traction depressions, sagging or wrinkles on the surface of the skin of the face.
Therefore, ligament anti-aging is to solve the problem of relaxation, sagging can not be ignored, only like piling to strengthen the ligament on the soft tissue support effect, in order to better play the effect of facial lifting.
Today's light medical aesthetics class, we will talk about the structural aesthetics of ligament anti-aging. Before the structural aesthetics series, there are small partners who have forgotten, poke can be reviewed ~
01
Ligaments don't work, no one should think about it
Ligament aging, what are the specific manifestations of aging?
Originating from the periosteum and ending on the skin are the true ligaments, which mainly include the orbicularis orbicularis support ligament, zygomatic arch ligament, buccal maxillary ligament, and mandibular support ligament.
Once the orbicularis orbicularis muscle support ligament is relaxed, the support of the eyebrow lowering muscle decreases, the brow tail droops, the soft tissues cannot be fixed, and the orbital septal fat under the orbicularis orbicularis muscles declines, forming tear troughs and eye bags.
Kyoko Kayadagawa
Zygomatic ligaments are essential for maintaining facial soft tissue tension in the middle, and when the zygomatic arch ligaments become thin and loose, the zygomatic fat pads move down and accumulate to the side of the nose, forming a deep nasolabial fold;
The mandibular ligament fixes the skin of the face and neck of the suspended mandibular body, maintains the curve of the neck and jaw, and the lower jaw ligament thins and the soft tissue of the mandibular part moves downward, which may lead to the appearance of a double chin.
Matsumoto Wakasa has a strong sense of collapse under 1/3 of the noodles
It does not emanate from the bone, but from the deep fascia to the dermis, mainly the buccal maxillary ligament, the masseter skin ligament, and the latissimus cervical anterior ligament.
The aging of the maxillary ligaments of the cheeks aggravates the phenomenon of skin sagging at the nasolabial folds;
Laxity of the skin ligaments of the masseter muscle, resulting in the soft tissues of the cheeks hanging down the lower jaw margin, forming a accumulation of submandibular fat, which is manifested as a soft tissue sac on the lower lateral side of the corner of the mouth, commonly known as "sheep cheeks";
The latissimus auricultural ligaments of the latissimus cervix are aging, leaving the jaw area unskewered.
Suzuki Hona
Why is the ligament not working, so lethal to the value of the face? We see what role it plays in an anatomic sense.
A ligament is a dense fibrous tissue that looks like a tree.
It originates from the periosteum, deep myofascia, or superficial tendon system (SMAS) and runs vertically through all levels, dividing the soft tissues of the face into small rooms in an orderly manner and fixing them in a relatively stable position.
Therefore, support + fix soft tissue is its most important task.
Our face, which is the ligament emitted from the bone slit, connects the skull with the composite soft tissue, and the thicker and stronger the ligament, the tighter the connection between the bone and the soft tissue, and the younger it looks.
So the face is loose, aging, and the first and most important thing is ligament relaxation.
Matsumoto Wakasa became old and became known as the "blackened milk tea sister"
But ligament injuries are unavoidable:
One is the increase in attraction and age, and the other is the continuous expression movement and chewing action over time.
Over and over again, our ligaments are repeatedly pulled, gradually relaxing, sagging, decreasing in strength or even disappearing, from hard and thick to weak and weak.
Ligament (that little green branch): I can't hold on
Once the role of the facial support ligament is weakened, the facial fat will drop to the middle of the superficial fascia and deep fascia, and the characteristics of facial aging will appear.
At this time, it is estimated that everyone wants to ask:
Can ligament aging be done? Can ligaments restore their youthful vitality? How do I rebuild my facial ligaments?
The following uncle will tell you how to restore the support function of the ligament itself.
02
Ligament anti-aging practice
There are two ideas for ligament anti-aging, one is to add nutrition to the inside, and the other is to give it lifting treatment externally.
Let's start with the first idea, adding nutrients to the ligaments. Who can regenerate and repair the ligament tissue itself? mADM and dmae and phototherapy!
1、mADM
As china's first tissue-engineered cell scaffold particle, mADM is a long-acting collagen filler with collagen as the main ingredient.
It has the ability to promote tissue regeneration and repair, and gives tissue a certain strength and toughness, and is also the only porous material in the three classes of medical devices that have been listed in China to promote the regeneration of tissues around ligaments.
Injecting mADM into the root of the supraperiosteal ligament can effectively repair the ligament and thicken it, which is equivalent to stabilizing the pile foundation of the face and increasing the support effect of the ligament on the soft tissue, thereby achieving facial lifting.
mADM is a solid way to replenish the ligaments, while dmae and phototherapy are to stimulate the ligaments and make them self-reliant and supportive.
2、Dmae
Known as the "King of Lifting", dmane is deep in the deep dermis and ligaments, and is an ingredient that promotes nerve response and contraction, thereby strengthening the ligaments for lifting.
You can choose Dmini lifting needle and Innotilasu two products, they have this ingredient, and many doctors use this product to do ligament lifting, but pay attention to the dmae ingredient as much as possible not mixed with botulinum toxin.
3. Photoelectric ligament therapy
Photoelectric focus on ligaments, thermal effect stimulates collagen hyperplasia, can make the ligaments thicker and tougher. Phototherapy is usually a combination of ligament and SMAS fascia layer.
If the SMAS fascia layer is a trampoline, the ligament is the rope fixed around the trampoline, the rope will collapse when the trampoline is loosened, and the trampoline will also loosen the rope when it collapses, so it is usually the fascial layer combined with the ligament anti-aging to play a better anti-aging effect.
Among the many optoelectronic (laser, radiofrequency, photonic) therapies, who can reach the fascia layer and ligaments?
A: The energy of the Peninsula Ultrasound Cannon and the fourth generation of Thermage reaches the ligament and fascia layer, and according to the distribution of the facial fascia layer and ligaments, the targeted position is precisely lifted, the tensile force of the ligament is improved, and the shallow fat pad is reset, from deep to shallow, from inside to outside, the whole layer is tightened and the facial contour is enhanced.
Peninsula ultrasonic cannon is currently the only nmANA certified "domestic ultrasonic knife", which uses the thermal effect of ultrasonic focusing, and has a rich penetration level, especially the penetration depth of 4.5mm, which can reach the SMAS fascia layer and provide conditions for ligament photoelectric therapy.
The fourth generation of Thermage (15 years has been certified by the CFDA) penetrate depth of up to 4.3mm, from the surface of the skin all the way to the subcutaneous SMAS fascia layer can be covered, there is also a special playing method, called ligament pulling.
The principle is to evenly heat the soft tissues of the skin (including ligament fiber intervals and the SMAS fascia layer) to 65-75 degrees, use the thermal effect of radio frequency waves to tighten the aging loose ligaments back, and hold the soft tissues and skin layers of the face with the trend, improving the sagging and sagging of the face.
However, it is important to hit the true ligament to be effective, and as appropriate, injectable filling is added as an aid to achieve a more effective pulling effect.
After talking about the first way to increase nutrition to the ligaments, let's talk about the second idea, giving ligament lifting treatment.
1. Hyaluronic acid injection into the root of the facial ligament
Yes, hyaluronic acid from the simple "filling under the dermis", has evolved to the stage of "ligament lifting", people also have a tall flower name, called liquid lifting.
The selection of hyaluronic acid with the hardness of the macromolecule is enough, multi-point injection into the periosteum and ligaments, the use of hyaluronic acid to enhance the ligaments, play a riveting and lifting role, can strengthen ligament support, increase ligament strength, the soft tissues of the face to be lifted, fixed, improve mild to moderate facial aging, maintain a young state.
Joe Arden's MD Codes play and Rayland's True Lift style are both classic hyaluronic acid injections that lift ligament sagging.
Schematic diagram of the principle of local injection of hyaluronic acid by ligament support method
Injection of orbital ligaments can improve the drooping of the brow and tail, showing the elevation of the outer eyebrow, the upper eyelid is sagging and the skin is loose, the angle between the tear trough and the eye is smaller, and the tear trough becomes shallower;
Injection of zygomatic ligaments can improve flattening of the "apple muscle", sagging mid-facial, sunken zygomatic pouches, zygomatic depressions, sagging corners of the mouth;
Buccal maxillary ligaments are similar to zygomatic ligaments, and injections at this point can improve nasolabial grooves;
Injection of the mandibular ligament can improve mandibular margin relaxation, cheek excess, mandibular folds, and puppet patterns.
Baozi, who is afraid of pain, may ask, will hyaluronic acid hit the ligament more painfully? In fact, the pain sensation from conventional hyaluronic acid injection is not too different, and surface anesthetics are usually used.
And this method is suitable for students with mild to moderate facial sagging and relatively small soft tissue capacity. Similarly, the injection must act on the true ligament to achieve a facial lifting effect.
So, what kind of ligament lifting treatment plan can students with moderate to severe facial sagging take?
2. Artificial ligament child face surgery
Facial lifts are also divided into layers: shallow, medium and deep. The lifting level of line carving is shallow, the large skin is in the middle layer, and it is not yet possible to lift all the loose deep soft tissues (such as muscles and fascia);
Artificial ligament rejuvenation is done from deep to shallow, inside to outside, through the SMAS fascia layer, specifically for the deep soft tissues of the face and neck, including deep muscles and fat pads.
What materials are suitable for making ligaments?
Popular artificial ligaments include micro-Latino (absorbable soft tissue lifting and shaping bands) and PPDO serrated sutures.
They are elastic, non-cutting, have a certain width and volume, and can bear the volume and strength of the deep tissues of the face, far better than the vigorous pulling of the skin and shallow tissues.
Usually these two materials are combined, PPDO and micro-Latina respectively in the form of "line" and "surface" at the same time to enhance the shallow and deep tissues, so that the tension is more stable and durable, can play a role in rebuilding the true and false ligaments, safe and effective.