Case Example – Skin “Glow” Quality and Anti Wrinkle Treatments

Combination of cosmetic methods for delivering more aesthetic results is a sensible approach to the upper face due to anatomical differences of the area.

The upper face is a complex and dynamic part of the face, which conveys facial expression and emotion. Dynamic facial lines on the forehead and glabella may change to static wrinkles, which remain on the face at rest.

The two major factors involved in the formation of static wrinkles in the upper face are repetitive muscle contraction and skin quality changes (loss of dermal collagen and matrix material leading to reduced dermal support). Compared with other facial muscles, the frontalis and corrugator muscles usually retain their muscle volume and even undergo hypertrophy to compensate for  ptosis and loss in visual acuity, which intensify the wrinkles. Therefore care should be applied for more advanced age injections around eyes.

Skin quality treatments by Dermal Clinician included biorevitalization, peelings

Muscle relaxant injections by Cosmetic Doctor to relax forehead muscles. 

Like any other treatment, it caries risk – most common concern we hear is the potential risk of unnatural facial expression, ptosis (associated with botulinum toxin), and it’s fair point – if you would like 1st treat skin quality and then we will discuss if you still beneft from injections – it’s alternative. 

Case Forehead smothness, wrinkles refuctions, skin quality

Skin Quality with peelings and home skin care.

Dermal Filler for volumisation of deficient anatomical areas.

Anti wrinkle injections relaxing muscles in forehaead and elevating eyebrows, as well as relaxing area between eyebrows (Glabella).

What forehead wrinkles mean for health?

VISTA Clinic Australia practices comprehensive patient care, which include interpreting early signs of health hazards, which are commonly looks like just a beauty concern.

In 2018, at the annual meeting of the European Society of Cardiology in Munich, very interesting study has been presented. Researchers were observing a group of people for 20 years and discovered that degree of forehead wrhinkles is correlated with a risk of heart disease, stroke etc.

If forehead is too long or residing hairline – what are options. 

If recent hair loss is a contributing cause into the convern – most commonly within 2 years – we can assist with hair follicules revitalization and stimunlation.

Overall causes include stresses, hormonal changes, genetic component, Iron deficiency (or other nutritional defects), thyroid over-activity and many others. Our experienced in hair loss cosmetic physician will address the cause during the counsulation, when possible. 

Options for hair re-growth include:

• PRP (Platelete rich plasma). Concentrated growth factors from your own blood injected into area of weak, thin or lost hair. More info here
• Prescription only topical medications (oral and /or topical) 
• mesotherapy
• hair transplant

If hair follicles not viable or don’t exist – surgical options like hair transplant is the most appropriate. 

We can assist with recovery after hair transplant.

Case of resistance to Botulinum Toxin  – alternative treatment for area between eyebrows

Skin Quality light peeling to prepare for better aesthetic result and healing.

Subcision is a release by needle fibroti tissues pulling skin inside and causing wrinkles. 

Course of few treatments is usually recommended with subcisions, although results are seen to a certain extend each time. 

Dermal filler based on hyaluronic acid in a microdroplet technique to keep skin from lower structures separetely (like a pillow – prevents skin to be glued back to lower layers again). Hyaluronic acid also can be dissolved if required and compatable with tissues. 

Photos are taken on same day. Usually results assessed in 2-3 months to make further plan.

What are options for acne, rosacea or inflamed skin in forehead? 

Hair line and eyebrows proximity make forehead skin more prone to irritation and excessive oil production. Oily glands are attached to hair follicles and are nutrition for opportunistic bacteria or mites. 
Cosmetic doctor will assess the problematic skin on a special machines and provide patient with the best treatment plan.  

Acne/rosacea treatment plan are consist of 2 parts: 

• cosmetic improvement
• treating underlying cause

Options for acne/rosacea/dermatitis include combinations or any of the following:

• Strong prescription only medications (topical gels/creams  as a 1st, more safe option, but tablets sometimes needed).
• Course of peelings – VISTA Clinic Australia has own lab with over 75 peels for best customization to particular problem skin.
• mesotherapy –  injection of active ingredients into the acne prone skin (acne formed deep under the skin structures, therefore needs to be injected for quick result and avoidance of scar). 
• LED and other machins
• dermobrasion 
  and many more

What are option for forehead and glabella lines without butulinum toxin?

Case study is above, 5 months between before/after. Alternatives include subcision (wrinkles release). collagen stimulating mesotherapy (natural moisturizer  – hyaluronic acid – and vitamins).

Filler also can be considered in case of visible depressions and underlying bones irregularities, but such injections are considered the most advanced level of injecting and usually addressed over few treatments (results each time, but filling is step by step)

For fillers, risks include skin necrosis, and vision loss, which can be reversed by dissolving filler, but this modality usually used with most caution. This has created a niche for a minimally invasive technique with reduced side effects, where threads may be considered.