Minimally invasive lifting: methods of assessing facial aging

Any therapy carried out for one purpose or another should a priori have clear criteria by which it would be possible to evaluate both the initial aesthetic condition of the face and the obtained result in order to prove the effectiveness of the treatment of the problem with the chosen method.

Changes in texture, turgor and elasticity of the skin are considered from the point of view of a possible substrate of involution:

• level 1: clinical signs of aging are associated with involutional changes in the epidermis, especially in its stratum corneum. Lentigo, accentuated skin pattern, surface wrinkles and wrinkles of medium depth are observed;
• level 2: involutional changes concern the papillary dermis. The clinical picture includes senile lentigo, actinic and seborrheic keratosis, the depth of wrinkles increases; level 3: skin aging is associated with morphological changes in the dermis throughout its depth. At the same time, wrinkles and folds become deep, the skin looks even rougher, rougher.

In the case of the analysis of qualitative characteristics of the skin, in addition to the visual evaluation, we have a sufficient arsenal of instrumental studies, while in the evaluation of the results of the correction of gravitational ptosis, the main material for the analysis is the photos of the patients.

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