Words of the Changing Expressions PowerPoint show

The Changing Face of Aging
Overview
• Introduction
• The skin – our protective shield
• Why and how we age
• Canadians defying the aging process
• Cosmetic rejuvenation techniques

Introduction
• • The Facial Surgery & Cosmetic Centre of Ottawa, Inc.
– 22 years experience
– A specialist in the field of facial and cosmetic surgery
– offers his patients a wide variety of surgical and non-surgical options to enhance the way they look
– Recently awarded top 10 Canadian surgeon

Basic skincare facts
• The skin literally holds us together
• The skin is the body’s largest, most exposed organ
• Its most amazing quality is its ability to stretch
• We enjoy the skin’s elastic properties which allow us to grow and change
• We often disregard our ‘protective shield’, putting it through much wear and tear over the years

Basic skincare facts
• As the skin ages, the sebaceous glands become less active with the number of blood vessels decreases
• A lifetime of poor habits, including sun exposure and repeated muscle contractions such as frowning and squinting, can all add years to the complexion

Daily Skin care
• We offer a full line of daily skin care products, including
• Vivier Vitamin-C serums
• SkinCeuticals
• Obagi-Nuderm line

The aging process
• As we age, skin cells divide more slowly and the inner skin (dermis) starts to thin
• Fat cells beneath the dermis weaken, whilst the underlying network of collagen and elastin fibres loosen and unravel causing loss of elasticity
• As we age the skin also loses its ability to retain moisture and repair itself
• Frown lines and crow’s feet appear to develop because of persistent small muscle contractions
• Habitual facial expressions also form character lines, contributing to the formation of jowls and drooping eyelids

Sun damage (photoaging)
• The skin can also age prematurely as a result of prolonged exposure to UV radiation emanating from the sun
• The sun is the most significant cause of aging skin and skin cancers
• Exposure to UV radiation from sunlight accounts for approximately 90% of the symptoms of premature aging
• Most effects occur by age 20

How wrinkles form
• Movement of brow muscles cause the skin to crease
• As skin becomes less elastic over time, repeated frowning creates visible lines and wrinkles

Preventing wrinkles
• Avoid intense exposure to sunlight
• Use sunscreens and sunblocks
• Wear protective sunglasses and clothing
• Adopt a healthy lifestyle – daily exercise coupled with a diet rich in grains, fresh fruits and vegetables
• Ensure daily preventative skincare
• Consider cosmetic rejuvenation techniques, including injectables, fillers, chemical peels, and topical creams

The face in our 20s
• Abundant and healthy
• Collagen and elastin tissue supports the skin
• Expression lines:
– dynamic only
– static: few or none which are still reversible at this stage
• Skin aging lines:
– under eyes is the earliest site

The face in our 30s
• Collagen and elastin tissue starts to decrease and weaken
• Skin texture begins to suffer
• Expression lines:
– dynamic: deeper
– static: more noticeable, still partly reversible
• Skin aging lines:
– increases in number and depth
• Skin sagginess:
– usually around the lower face by mid-late 30s

The face in our 40s
• Skin becomes coarser, age spots and pigmentation appear
• Expression lines:
– dynamic: heavier, superimposed upon
– static: deeper
• Skin aging lines:
– increases in number and depth
• Skin sagginess:
– increases

The face in our 50s
• Skin becomes even coarser, more age spots and pigmentation appear

Searching for the ‘fountain of youth’

Interesting facts
• 95% of Canadians surveyed are confident in how they look – the highest confidence level among the five countries being polled (other countries included the US, France, Australia and Brazil)
• 80% of Canadians consider physical attractiveness somewhat to very important in today’s society

Searching for the ‘fountain of youth’
• When asked about their facial appearance, 67% of Canadians want their face to look young for their age. Also, 35% of Canadians agree that there are things about their face that they would like to change.
• 78% of women under 45 consider using various treatments and procedures to improve their appearance.
• 63% of Canadians would go to their doctors (dermatologists, plastic surgeons or family/general physicians) as their main source of information about facial treatments or procedures

Searching for the ‘fountain of youth’
• Our quest for not only the ‘fountain of youth’ but ways to enhance our appearance has led to an increase in medical research and a boom in the cosmetic industry over the past decade
• Interest in various cosmetic treatments and procedures has surged, however, the vast majority of Canadians are happy with the way they look
• Women and men are looking for simple treatments and procedures that don’t take too much time and merely improve appearance, making them look and feel better
• Simple, quick and non-surgical cosmetic techniques that are relatively pain-free and involve minimal recovery time are becoming increasingly popular

What is BOTOX Cosmetic® ?
• BOTOX Cosmetic® is a natural purified protein that relaxes wrinkle-causing muscles creating a smoother, rejuvenated and more youthful appearance
• A simple and quick, minimally invasive non-surgical treatment that delivers great natural-looking results
• BOTOX Cosmetic® is the only product of its kind with a proven 10-year safety record and history of effective use in hundreds of thousands of patients worldwide

The BOTOX Cosmetic® boom
• BOTOX Cosmetic® is now the most common cosmetic procedure performed in the US
• More than 1.6 million procedures were performed in the US in 2002

What is BOTOX Cosmetic® treatment like?
• BOTOX Cosmetic® is administered through a few tiny injections: It relaxes the muscle by blocking nerve impulses that trigger wrinkle-causing muscle contractions
• Discomfort is minimal - often described as a small insect sting that lasts for a few seconds
• You can resume normal activities immediately
• It takes effect after 2-3 days, with full effect seen 7-10 days post treatment

Is BOTOX Cosmetic® safe?
• Yes! BOTOX Cosmetic® has a proven and established safety profile
• It is the only product of its type with more than 10 years of successful therapeutic application in clinical conditions
• BOTOX Cosmetic® is approved in 70 countries and has been safely used in the treatment of a broad range medical conditions such as cerebral palsy in children, post-stroke related spasticity, and excessive sweating

BOTOX Cosmetic® treats dynamic wrinkles
What can I expect from a BOTOX Cosmetic® treatment?
• A natural effect
• Lasts 3-5 months, possibly longer depending on individual
• Repeated as you wish
• Results may last longer with repeated treatments
• Results will wear off progressively - not suddenly
• Eventually wrinkles will return and appear as they did before treatment

What are the potential side effects?
• There have been no long-term side effects of BOTOX Cosmetic® reported after 10 years of cosmetic use
• Most common side effect is tenderness or bruising at the injection site
• Less frequent side effects include headache, temporary eyelid droop and nausea

What is Restylane® ?
• Restylane® is a non-animal stabilised hyaluronic acid which is a natural compound
• In Restylane® , hyaluronic acid in the form of a crystal-clear gel smooths wrinkles and folds or gives contour
• When injected into the skin, Restylane® works with the body’s own hyaluronic acid to create the volume needed to lift lines and smooth wrinkles

What is Restylane® treatment like?
• Restylane® is injected into the skin in tiny amounts with a fine needle
• The gel gives natural volume and smooths wrinkles
• Treatment takes approximately 30 minutes with immediate results and no pre-testing is needed
• You can resume normal activities immediately
• Restylane® takes effect after 2-3 days, with full effect seen 7-10 days post treatment

What can Restylane® be used for?
• Restylane® is available in three variants which were developed for specific purposes
• Restylane® for wrinkle correction and lip enhancements
• Restylane® Fine Lines for correcting thin, superficial lines
• Restylane® Perlane for shaping facial contours, such as the cheeks and chin, correcting deep folds and volume augmentation of the lips

What can I expect from a Restylane® treatment?
• A healthy, vital appearance
• Long-lasting, but not permanent results
• Results can last up to 12 months, but it depends on individual
• Treatment can be continued or changed in combination with other treatments
• Repeated as you wish

What are the potential side effects?
• The most common side effects are injection-related, such as tenderness or bruising at the site of injection, or swelling and redness
• They typically resolve within one or two days after injection into the skin and within one week after injection into the lips

Chemical Peels
What are Chemical Peels?
• Chemical peels are a method of improving the tone and texture of the skin
• Excessive pigmentation due to sun damage may also be improved
• Most commonly used chemicals are glycolic acid, used flor lighter-style peels, and trichloracetic acid used for deeper peels
• Depth of peel required depends on the problem to be treated, skin type and lifestyle

What are Chemical Peel treatments like?
• A solution of one or more exfoliating agents is applied to the face to remove the rough upper layer of the skin and to stimulate rejuvenation of new skin cells
• The deeper the peel, the longer the recovery
• After light peels you can resume normal activities immediately
• Medium and deep peels may result in swelling and blisters and usually require 2 week recovery periods
• It is important to avoid the sun for three months following treatment
• The result: tighter, smoother skin that is relatively free of lines and blemishes

Micro Dermabrasion
What is Micro Dermabrasion?
• Micro Dermabrasion is a technique to resurface and smooth the skin
• It is a deep cleansing, exfoliating technique using a handpiece with embedded diamond chips and an adjustable vacuum
• It can assist in the treatment of many problems, including acne and acne scarring, sun damage, hyperpigmentation, dry or oily skin, dull skin, ‘smoker’s skin’, and blackheads

What is Micro Dermabrasion like?
• Most people enjoy the procedure which is done without any requirement for anaesthesia
• After treatment the area will look flushed due to increased circulation
• It subsides quickly and routine skincare can be commenced immediately

Laser Skin Resurfacing
What is Laser Skin Resurfacing?
• Works in a similar way to peels, exfoliating the rough upper layer of the skin
• Rather than chemicals, a beam of light is used to vaporise unwanted tissue, leaving other areas of the skin untouched
• Allows for greater accuracy and skin imperfections are rapidly treated one layer at a time, while underlying skin tissue is preserved
• Used to improve the skin that is sun-damaged, unevenly pigmented, acne scarred and finely wrinkled

What is Laser Skin Resurfacing like?
• A local anaesthetic is required although lasers have a faster recovery time than peels
• An initial redness that fades to light pink
• Within a few weeks this can be covered with cosmetics
• Discolouration usually disappears after 1 to 3 months
• In most cases only one treatment is required
• Complications following laser skin resurfacing are rare

What are Prescription Creams?
• Retinoids such as Tazorac® that can only be prescribed by a physician
• Can reverse and prevent the skin’s signs of aging, such as fine wrinkles, discoloration, and elasticity
• Exfoliates and regulates skin cell turnover that has slowed with age
• Is applied daily or less often to achieve results
• Can be a great home treatment by itself but is also very beneficial when used in conjunction with the many in-office procedures we have covered today

What are Prescription Creams like?
• Some people may experience redness, dryness, and irritation for the first few weeks
• This initial response subsides after 2-3 weeks once the face has acclimatized to the treatment
• Results may be seen within a month but really noticeable results are typically seen with longer use

Final Tips
In closing…
Before deciding to use a particular treatment or procedure, seek out accurate information and always consult with a specifically trained medical professional.

Thank You