1 / 43

Facial Aesthetics

The aging skin. Intrinsic aging

betty_james
Download Presentation

Facial Aesthetics

An Image/Link below is provided (as is) to download presentation Download Policy: Content on the Website is provided to you AS IS for your information and personal use and may not be sold / licensed / shared on other websites without getting consent from its author. Content is provided to you AS IS for your information and personal use only. Download presentation by click this link. While downloading, if for some reason you are not able to download a presentation, the publisher may have deleted the file from their server. During download, if you can't get a presentation, the file might be deleted by the publisher.

E N D

Presentation Transcript

    1. Facial Aesthetics Tal Marom, M.D. May 2006

    2. The aging skin Intrinsic aging – ????? ????-????, ?????? ??????; ?????? ????????? ???????, ??????? ?? ????? ???-????, ????? ????? ????? ?????? Photoaging – ????? ?????? UV, ????? ?? ?????, ????? ??????, ????? ???? ??????- ????? ???? ???????? (????), ??? ??????? ????? ???? ???? ????? ?????? ???????? ????.

    3. The aging skin ??? ??????? ???????? ???? ??, ???? ???? ??????. ????? ???? ?????? ????? ???? ?????? ??????? . ??????? ???? ?????? ???????, ????? ????, ????? ????? ???? ???? ???? ?? ????? ?????????? ?????? ?????? ????? ??? ?? ??????? ???? ????? ???? ?? ?????? ????? ?? ???? ????? ?????? ???? ??????

    4. 1. Chemical peeling

    5. ??????? ????? ??????, ??? - ???? ????? ?????? ????? ??????? ??????? ?????, ??? ???? ???????- ????? ??? ?? ??? ???? ?????? ???? ???? ?????? ??????? ????????? 1960- ????? ????? ????? (Brown) ???? ?-60'- ????? ?-TCA ??? ????? ????? ?? ????????? ?????????? ?????- ??????? ?????? ?????

    6. Nasolabial fold – Flemming-Poff scale

    7. ???? ?????? ????? ????? ????? ????? ????, ????? ?????? ????? (?? ???? ??????) ?? ????? ???? ?? ????- ??? ????????? ?????? ??? ?????? A ???????-????? ?????? ???? ?????? ????? 4% to 8% hydroquinone gel ???? ?????? ????-??? ?????? ?????????????

    8. Chemical peeling ????? ???? ???? ?"??????", ????? ??????? ????? ???? ?? ??? ???? ?????? ?????? ????? ??????? ?????? ?????? ????????? ???? ???? ??? ???? ??? ?"????" ???? ??' ?? ?? ??????? ??????? ?"? ????? ?????????/????? ??? ??????? ????? "anti-aging” ???? ????? ??? ???? ??????? ??????

    9. Fitzpatrick skin type classification (1988) Type I (very white or freckled) - Always burn Type II (white) - Usually burn Type III (white to olive) - Sometimes burn Type IV (brown) - Rarely burn Type V (dark brown) - Very rarely burn Type VI (black) - Never burn

    10. ??? ????? ??????? ????? ?????? ?????? ?????? ????? ????? ???????? ???? ???? ????? ?????? ?????? ?????? ????? ????? (????) ????? ??? ("??????") ??????? ??????, ???? ???? ???? ???? ??? ????? ???? "???" ?? ?????? ?????? ??? ???? ???? ????? ?????? ????? ???? ????? ??? ????? ??????? ?? ????? ???, ????? ??? ????? ??? ?? ????? ???? ??????.

    11. ?????? ?????- ?????? ??? ?? ??? ????? ?????? (????????+?????) ??? ?? ??? ???? ???????? ?? ???? ????????? ????? ?????? -"??? ?????" ???? ???? ????? ?????? ?? ?????? ?????? ? ??????? ????

    12. ?????? ??????? ?????? Lactic Acids Glycolic Acids Beta Hydroxy-acids (salycilic acid) Trichloreacetic Acid Non Acid Enzyme Peel Topical 5-FU

    13. ?????? ???? ????? ????? ??????? : triretenoin, 10%-20% TCA, 5-FU, salicylate, Jessner’s solution (salicylate, ethanol, lactic acid) ????? 6-8 ????? ?????, ???? ??' ?????? ???? ???? "????" ???? ?? ?? ???? ?????? ??? ?????? ???? ????

    14. ?????? ?????? ????? ????? ?????? ?? ???? ?????? ?????? ????? ?????? ?????? ????, ???? ???, ????? ????? ????? ?? TCA 35% ?????? ?? Jesnner’s solution, ?? ?? ???? ??? ?????? 88%. ???? ???? ????? ?? ??????. ????? ???? ????, ???? ??' ??????

    15. Pre- and post-treatment medium-depth chemical peel

    16. ?????? ???? ?????? ?? ????, ?????? ???? ????? ????? ???? ?????? ?? ??? ????? ?????? ????????? ?? ????, ?????? ?????????? ????. ????? ?????. ???? ??????- ???? ????? ?????? ???????? ???? ?????? ????. ????? ????? ????? 24-48 ???? , ??"? ????? ???? ????? ??? ???? ??????. ??? ???? ???? ????? ????? ???? ??????? ????? ??? ????? ????. ?????? ??????: Baker’s solution - 88% ????, ??? ?????? (????? ????? ????? ?????), ???????

    17. Pre- and post-treatment with Baker's deep chemical peel

    18. Pre- and post-treatment with Baker's deep chemical peel

    19. ?????? ???? ????? ???? ??????? ?????? ??????? ????? ???? ???? ?????? ??? ???? ??????? ?????? ????-??? ?? ????? ???-???? ????? ???? (TCA) ???????? ????? (????? ????? ??????) ?????? ???? – ?????? ????? ????, ??? ?????? ??????? ?????.

    20. Lunchtime peel 2-3 ??????? ??????, ?? ????? ?-20 ???? ?????? ???????- ?????? ?????? "???????"

    21. ?????? ?????? ??????? ?? ?????? !! "?????? ????? ??????? ??? ??? ???? ????? ??????? ?? ????" ??????

    22. ?????? ??????

    23. 2. Botox ???? ???????? ???? ?????? ????? ???? ?????, ?????? ????? ???? ??? 7-10 ???? ????? Ach-R ??????? ?? ???? ????? ??? ???? ???

    24. Relaxation of prominent corrugator muscle with BOTOX

    25. 3. Intense Pulsed Light (Thermage) ????? ?????? ??? ?????? ?? ????? (??????? ?"? ?????? ?????) ??????? ??????? ????? ?"? ??? ?????? , ????? ???? ???? ?? ?????? ????

    26. 4. Laser resurfacing ????? ??????? ????? ????? ???????? ?????? ?? ??? ?????? ???? ?????? ?? ???? ?????? ???? ?? ?? nm 1064- ????? ?????? ??"? ????? ???? ???? ?? ?? nm 1320- ????? ?????? ????? ???? ?? ????? (???? ??????)

    27. 5. Facial serum ????? ??????? ????? ?? ???? ?????, ?????? E ??????? ??????, ?????? ????-?????????? ?????? ???? ?? ?????? (vitamin A) ????? ????? ???????? ?? ?????

    28. 6. Dermal fillers ????? ?????? ?? ????? ???? ???? ?????? ????? ???-??????? ????? ??????? ?-hydroxyapatite ?????? ?????? ?????? ??? ???? ????- ????? ???? ???? ????? ?????? ???-????? ???? ????? ?????? ???????????, minimally-invasive

    29. Dermal fillers ?????? ???? ????: Restylane™, Hylaform®, Hylaform Plus®, Captique, Cosmoplast and Radiesse ???? ??? ???? – SCULPTRA : ????? ????? ??????????. ????? ?????: poly-L-lactic acid ?????? ?? ?????? ????? ????? ?? ????? ?????- ??????, ????.

    30. Hyaluronic acid injection

    31. Micro-lipo-injection

    32. Lip augmentation- Restylane

    33. Cheek augmentation

    34. 7. Mechanical peeling (dermabrasion) ????? ????? - 1905 ????? ????? ?????, ?????? ??? ????? ?? ????? ??????, ??????? ??????? ????? (?????? ?? ????? ????????? ?? Al2O3 ) ????? ?????, ??? ?????? ??? ??? ????? ?????? ?????? ????? ??? 10 ???? ???????

    35. Dermabrasion

    36. 8. Pigmentation removal ???? ???? ????, ?????????, ????? ???? ????? ????? – ??????? ????, ?????? (?)

    37. 9. Face lift (Rhytidectomy)

    38. ????? ???? "????? ????" ?????? ??????? ??? ??? ???, ????? "?? ????" ?????? ???? ???? ????? ?????: ????? ???? ?????????? ????? ???? ??????, ????? ??? ?????? ????? ????? ?-laser resurfacing ?/?? ????? ???? ???? ????? ???? ?????? ?? ??? ???? "????" ?/?? ???? ??????.

    39. SMAS superficial musculo-aponeurotic system ????? ?????? ?? ?????, ?????? ???????? ????? ?????? ?????????? ?????? ????? ??? ????? ?????? ???? ?-SMAS ?????- ???? ?????? ??????? ?????? ?? ?-SMAS ??????? ????

    40. Rhytidectomy 1901- ????? ????? ???????, ?????? ???? ????? ????? ????? ????? 1974- Skoog ???? ?? ????? ???????? ???? ?-SMAS ??? ????? ??? ?????- ????? ???? ?-melolabial fold ?????? ???? ???? ?????

    41. Face lift ???? ?????? ?? ???????? ??? ???? ????????: Subcutaneous (????? ??????, ?????? ?? ????? ????? ?????) Sub-SMAS dissection (Skoog, 1974) (???? ???? ??? ???????, ???? ?? ???? ???? ?????) Extended supra-SMAS dissection (Owsley, 1993) (??????? ????? ?-SMAS ?? ????? ?????, ????? ??? ????-????????? ???? = BLAIR) Complete subperiosteal undermining of mid-face bones) Ramirez, 1991) (???? ???? ????, ??? ??????, ????? ???? ???????, ???? ????? ?????????? ??? ??? ???? ???)

    42. Face lift ????? ???????? ??? ????? ???? ???? ?????? ????? ??? ????? ???? "?????" ?-SMAS ????? ?? ????? ?????? ???? ???? ???? ????? ??????????

    43. ???? ????? (suspension threads) ??? ????? ?????????, ???????? ????????: Aptos thread – ???? ?? ????? ?????? ????? ????? Contour thread – ???? ??? ????? ??????? ?????? ???????? ?????? ?????? ??? ???? ?????? ?"? ????, ????? SMAS, ?????? ?-undermining – ??? ?????? ???.

    44. Aptos = “anti” + “ptosis” ???? ???? ??????? ???? ?????? ?? ????? ?? ???? ??????, "??? ??????" ??????? ?????? ???????????? ??????? (barbed) ????? ????? ???? ????? ???? ??? ???? ????? ?????? ???? ?????? ????? ????? ????? ??????, ??"? ????? ???????-???? ????

    45. Aptos procedure

    46. Final results ????? ??????????? ???? ??' ???? ???? ?????????

    47. Aptos procedure ????????????? ???????- ???? ????? ??????? ?????? ????? ????? ????? – ??? ??? ???? "????" ????? ???????? ???? ??????, ??? ??? – ???? "??" ????? ?????: ????????, ?????, ????? ?? ??????, ???, ????? ??? ????? ???? ????

    48. Contour procedure

    49. ??????? ????? ?????? ??? ????? ????????? ???? ?????? ??????? (?????? ??????) ????? ???????- greater auricular ????? ??????? ?????? ?? ??????? ???? ??? ?????? ?????? ??? ?? ??????? ????

    50. 10. Blepharoplasty

    51. Blepharoplasty ?? ????? ????? ???? ?????, ??????? ?? Grave’s ?? ?????, ???? ???????? ???? ????? ???? ?????? ??????? ????? ????????? ????? ????? ????? ?? ?????: ?? ????? ???? ????????? ????? ????? ?? ???? ??? ? ????? ?

    52. Blepharoplasty ??? ?????, ????? ????? ??? ???????? ???? ???? ?????????, ????? ????? ??? ????? ????? ?????? ?????? ???? ???? ?? ???? ???? ?????? ??

    53. 11. Allopecia ???????- >60% ???????, >10% ?????? 2 ??????? ???? ?????? ????????? ?????? ???? ????? ????, ??? ??????, ??????, ?'? : ?????????? ?????????? ???????? ??? ????? ????? ???? ???? ????? ?????? ?????? ????: follicular-unit grafting , ????? ????? ???? ???????? ??????

    54. Follicular Unit Hair Transplantation (FUT) ????? ????? ???? ???? ??? ??????? ????? ???? ??????, ??"? ????? ????? ????

    55. 12. ???? ???? ?????/????? ????? ????? ??????????? ???? ?????? !! ?????- ????? ????? ??????? ???? ?????? ????- ??????

    56. 13. Tatooing ?????? ??? ?????? ??? ???? ?????? ????????, ?????? ?? ????????? ???????? ????? ????? ???? ??? ?? ?????? ????? ???? ?????? "????" ???? ?? ?????? ??????? ??????, ??? ??? ????? ?? ?????? ????? ????? ????? ???? – ????? ??????

    57. Cosmetic tatooing "????? ????" – ????, ???????, ?????? ????? ???? ??? "??-?????", ???? ???? 3-5 ???? ?"? – ?????, ???????, ????????, ?????? ??????????????, ????? ??????, ?????? ?????? ???? ????? MRI

    58. 14. Liposuction ???? ????? ???? ???? – ?? ?????? ?????: ultrasound-assisted lipoplasty tumescent technique, super-wet technique ?????? ????? ?????? ?? ???? ???? ???? ??? "?????" ??? ????? !! ????? ???? ??-????? ?????? ???? ????? ????? ????? – ????? ?????? + ???????? + ??????

    59. 15. Mentoplasty (chin surgery) ?????? ???? ?? ?????? ???????????? ?????? ???? ?? ?????? ????? ????? ?????- ????? ??? ??-???? ???? ????????/ ???? ??? ??? ????? ????? – ???? ????????? (???????????? ?????)

    60. 16. Rhinoplasty ?? ????? !! ?? ?????? ?? ??? 15 – ?? ???? ????? ??? ????? ????????? ????-??????? ?? ????? ????? ?? ????? ??? ??-?????

    61. 17. Otoplasty

    63. Otoplasty "????? ????", "????? ????-????" ?????? ?????? ?????; ??? 5% ???????? ?????? ???? ??????? ?? ?-anti-helix ?? ??????? ??? ?? ?-concha; ??-???? ??"? ????? ????? ??????/?????/?????/????? ???? ?? ???? ??????? Diffenbach – 1845 – ????? ????? ??????

    64. Causes for prominent ear

    65. ????? ?????? ????? anti-helix ?????, ??? ????? ???? ????? conchoscaphal angle ?-900 ????? ??? ?-concha ????? ?? ??????? ?? ??? ???????? ????? ????? ???? ?????? ????? ?????? ????? ?? ???? 6-7 ???? (?? ??????? ????? ?????)

    66. ????? anti-helical fold ????? ?? ????? ??? ?????? (scoring) ?? ????? ?"? ????? ?? ?????. Scoring:

    67. Mustardé suturing approach

    68. ????? ?? Conchal Defect ???, ????? ?? ????? ??? ?????? (scoring) ?? ????? ?"? ????? ?? ????? ???? ?????- concha-mastoid sutures

    69. ????? ?? Conchal Defect ???? ?? ?????? ?? ??? ?????? ?"? ????? ??? ?????? -

    70. Protruding lobule

    71. 18. Scar revision- Z-plasty ????? "????" ????? ????? ???? ????? ?????? ???? ???? ? ????????? ????? ??? ????? ??????? "???? ?????" ??????? ?? ?????? "??????" ?? ???? ??? ????? ???? ???? ????: ?????

    72. Z-plasty

More Related