General health
Skin Ageing and Solutions

The skin is the largest organ of the body and defines our look, beauty, expressiveness and our unique personality, while reflecting the age and general health.
With the irreversible process of ageing, the skin loses its suppleness, elasticity, radiance and youthful appearance. Expression wrinkles begin to appear and facial volume is reducing: dark circles, nasolabial folds and marionette lines deepen, cheeks flatten and lose their firmness and shape, thus changing the overall harmony of the face.
All these signs gives the face a sagged, tired and aged look.

The causes of ageing process

There are many causes of the skin ageing process, caused by internal or external factors:
Intrinsec ageing-named also chronological aging is caused by internal factors, mostly genetic factors  which determine the pace of ageing
Extrinsec ageing is caused by external factors, such as:
- Photoageing-sun and UV exposure
- pollution
- lifestyle (smoking, stress, unhealthy food, insufficient hydration, high consumption of coffee and alcohol, lack of sleep)
- facial expressions
- gravity
All these factors accelerate the aging process,  resulting changes of the multiple facial tissue layers-bone, muscle, fat and skin.
Changes in one tissue layer can have effect on the other layers and overall contributing on facial appearance.
There are three major components of facial ageing:
- the appearance of dynamic wrinkles-produced by facial muscle contractions (forehead, glabellar and " crow's feet " wrinkles)
- the appearance of static wrinkles-as a result of the volume loss (nasolabial folds, marionette lines, perioral wrinkles)
- loss of skin hydration, radiance and vitality-due to gradual decreasing of hyaluronic acid level in the skin

Causes of facial volume loss are:

• Fat resorption
• Bone structure resorption
• Depletion of hyaluronic acid level (it`s very important for water retention, helping to hydration and volumizing)

Some signs of facial volume loss:
- facial skin sags because of gravity- contour is less defined
- cheekbones loose their volume
- tear troughs accentuate
- lips thins and atrophy
- static wrinkles deepen (Nasolabial and marionette)

What is going on with our skin as we age?

 ➢ 30 years- loss of volume begin. Because of fat absorption, first signs of ageing appear: the nasolabial lines appear, lips begin to lose their volume, collagen and elastin fibers begin to be affected and delicate skin under the eyes begin to thin - dark circles begin to appear.
Fine lines around the eyes (dynamic wrinkles) appear because of muscle contractions.
➢ 40 years- loss of facial volume continues. The nasolabial lines become pronounced and marionette lines begin to appear, the lips start to lose their contour and fine upper lip lines begin to appear-smoking lines, cheecks start to loose their volume and tear troughs appear, the  mandibular contour begin to descent, the expression wrinkles become more visible (forehead wrinkles and around the eyes wrinkles). Firmness, elasticity and hydration level of the skin decrease, making it look dry and less brightness.
➢ 50 years- moderate loss of volume and changes in facial fat distribution level occur. The nasolabial folds and marionette lines are pretty deep, giving the face an older aspect, cheeks become flattened, the tear troughs are very deep  creating bags under the eyes. All these changes give the face a tired look. Mandibular contour and pre jowl  Sulcus deepen leading to facial contour loss. Lips commisures decrease.
The degradation of collagen and elastin fibers and depletion of HA in the skin lead to considerable decrease of skin`s  hydration, elasticity and brightness. The skin begin to be thinner, dryer and hyperpigmentation spots appear.
 ➢ 60 years- severe loss of volume. Massive loss of volume at mid face level and around the eyes. Tear troughs deepen and create the appearance of "sunken eyes". The face gets a tired look, marionette lines become very deep, lips continue to loose volume, the lips commissures look "fallen", all these giving an aspect of sad face.
The bone structure supporting the skin thins, resulting continuous flattening of facial features. The skin texture changes due to intense depletion of hyaluronic acid. Skin continues to become thinner with blood vessels and hyperpigmentation becoming more visible.

How can we correct wrinkles and restore facial volume lost?

To fill the static wrinkles, to replace the lost volume over time, in the different facial areas and to replenish the natural hyaluronic acid content in the skin, come to our support  the dermal filler substances (fillers) based on hyaluronic acid, used in aesthetic medicine since 1996.
So the fillers applications in aesthetic medicine are:
- add and restore volume to the skin and facial features
- fill and smooth wrinkles
- moisturize the skin and restore the optimum level of hyaluronic acid
Over time minimally invasive aesthetic treatments have become increasingly popular because they are fast,  painless and requires no downtime, the patient being able to resume normal activities immediately after the procedure. Therefore, we have created the complete range of hyaluronic acid products FigurHa and the newest substance based on calcium crystals Simetro in order to assist the aesthetician physicians and the people who want to get a spectacular facial improvement and a more youthful look, but with natural, safe, effective and last longer results.
The important role of Hyaluronic Acid

Hyaluronic Acid (HA) is a natural polysaccharide present in human tissue that acts like a sponge that absorbs water molecules, adding volume and keeping skin hydrated, supple, firm and healthy.
Its binding properties with water molecules helps the skin retain moisture and softness, keeping it moisturized, smooth and plump.
A third part of hyaluronic acid quantity in the body is naturally removed and replaced every day.
Over time, the synthesis of HA declines gradually, the skin becomes drier and thinner, losing its elasticity and vitality. Also skin support is weakened and this leads to loss of skin volume,  the appearance of lines and wrinkles and change of physiognomy.