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ANTI-AGE #37

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IL N’Y A PAS D’ÂGE<br />

POUR MONTRER<br />

SON DÉCOLLETÉ.<br />

THERE IS NO MAXIMUM<br />

<strong>AGE</strong> FOR SHOWING<br />

OFF YOUR DÉCOLLETÉ.<br />

3. Skin sagging<br />

We cannot envisage treating the neck without first treating<br />

the face, particularly the middle and lower third. The superficial<br />

cutaneous layers are mobile, so we must first reposition<br />

the volumes in the middle and lower thirds of the face.<br />

For the neck, biodegradable PDO (polydioxanone) threads,<br />

inserted transversally into the dermis (CROMA ® Aqualift ® )<br />

block any dynamic wrinkles and, secondly, bring about collagen<br />

synthesis. The firming effect is undeniable and long-lasting<br />

on the neck. The winning formula is: HA injections into<br />

the wrinkle + horizontal insertion of PDO threads vertically<br />

for a “corset” effect.<br />

On the décolleté, we need to insert the threads transversally<br />

in a mesh pattern.<br />

More severe skin sagging in the neck can be treated using<br />

polylactic acid or caprolactone suspension threads, either<br />

with barbs or cones (SINCLAIR Silhouette Soft ® , CROMA ® ,<br />

APTOS ® ).<br />

These new materials and more advanced insertion techniques<br />

allow us to achieve a visible lift without surgery for<br />

one or two years, depending on the number of threads fitted.<br />

The treatment can also be repeated.<br />

and creates a unique combination of therapeutic ingredients<br />

(UNIVERSKIN ® ).<br />

2. Fine lines and wrinkles<br />

Just like in the face, a loss of proteins (collagen and elastin) in<br />

the dermis plus the effects of gravity lead to horizontal wrinkles<br />

on the neck and fan-shaped wrinkles on the décolleté.<br />

Depending on the severity of the wrinkles, treatment involves<br />

hyaluronic acid injections:<br />

• A medium cross-linked product along the wrinkles or in<br />

papules on the décolleté<br />

• An intensely-hydrating product as a skin booster<br />

(RESTINAL Vital ® )<br />

• Or the mesolift technique (FILLMED ® )<br />

“Mesobotox” may be recommended to smooth the décolleté.<br />

Tissue regeneration:<br />

• HA + PRP – Matrix Cellular ® RegenLab<br />

• HA + Amino Acids – SUNEKOS 200 ® or SUNEKOS 1200 ®<br />

• Topical growth factors with microneedling – AQ SKIN<br />

SOLUTIONS ®<br />

The new packaging in 2ml syringes or 3ml bottles allows us<br />

to cover larger areas.<br />

The patient can now maintain the effects at home by applying<br />

hydrating, anti-aging and anti-blemish active ingredients -<br />

BIOCYTE ® décolleté mask, CROMA ® .<br />

The “Nefertiti lift” involves botulinum toxin injections under<br />

the chin, into the platysma muscle and its cords.<br />

It is recommended for the oval and the lower third of the face,<br />

providing there is no ptosis or accumulation of fat, no double<br />

chin, and no significant jowls.<br />

4. How to treat a double chin and jowls<br />

Radiofrequency is always a good, straightforward solution.<br />

Treating skin sagging and fatty deposits makes the oval look<br />

more defined.<br />

New: Kybella ® DEOXYCHOLATE lipolysis, however a decree<br />

issued by the French health authority (HAS) prevents it from<br />

being used in France.<br />

A gentler option is a mesotherapy cocktail with a firming and<br />

draining effect (mesoestetic ® ), lipo-regulating peptides and,<br />

best of all, cryotherapy to melt away a double chin (DELEO ® ,<br />

cryosculpt).<br />

New, must-try treatment: HIFU focused ultrasounds. Fractional<br />

technology that acts upon the proteins in the deep dermis<br />

and the hypodermal tissues. A painful but effective way of<br />

tightening up the skin for the long term.<br />

There is no maximum age for showing off your décolleté.<br />

Older ladies no longer need to hide their chest with a scarf or<br />

polar neck jumper: women have the freedom to choose what<br />

they wear and which parts of their body they want to flaunt!<br />

The face, décolleté and legs are the hallmarks of femininity!<br />

2020 <strong>ANTI</strong> <strong>AGE</strong> MAGAZINE <strong>#37</strong> • 115

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