Skin changes such as wrinkles, pigmented patches, and sagging skin are amongst the most visible signs of ageing.
At Clinica London, the nurses provide advice and treatments including Intraceutical facials, Dermaroller, Clarisonic brush, and Heliocare.
Skin can be divided into three main layers:
The outer layer (epidermis) contains skin cells, pigment, and proteins.
The middle layer (dermis) contains blood vessels, nerves, hair follicles, and oil glands.
The inner layer under the dermis contains sweat glands, some hair follicles, blood vessels, and fat.
The skin contains connective tissue with collagen fibres to give support and elastin fibres to provide strength and flexibility, which is lost with age.
Ageing skin changes are related to many contributing factors such as genetic predisposition, diet, and smoking. The greatest single factor is sun exposure, clearly seen when comparing areas of the body that are regularly exposed to the sun with areas that are covered.
Use a good quality sunscreen when outdoors, even in winter
Wear clothing that blocks the sun
Use tretinoin cream/gel
Good nutrition and staying hydrated also help as dehydration increases the risk of skin injury
Aged skin has wrinkles, textural alterations, dyspigmentation, yellowing, thinning and mottling that can make it look tired and dull. A healthy Mediterranean diet and quitting smoking all help maintain healthy skin. Good face creams and face care with exfoliation can do a lot to help skin quality. Intraceuticals: hyperbaric oxygen and hyaluronic acid facial infusion, can greatly rejuvenate the face, especially the peri-orbital area.
Before considering any treatment an ophthalmic examination is performed by the oculoplastic surgeon to ensure there are no eyelid nor eye surface problems. The skin type (Fitzpatrick skin number) is taken into account when planning facial rejuvenation.
At Clinica London, we take photographs to document the face, eyelids, skin quality and appearance and then discuss the options with the patient. It is important to discuss first what the patient considers a problem and which facial areas to treat, as well as giving general advice and feedback on diet, smoking and skin care. It is helpful to bring photographs from a younger age.
A combined approach is often needed for periocular and facial skin rejuvenation. Daily sunscreen, regular tretinoin treatment or a chemical peel together with a blepharoplasty, filler or botulinum toxin A are often considered in the approach to treatment.
Botulinum toxin A