EL-ROUBY-CLINIC

What is Facial Rejuvenation?

Our face is one of the most exposed areas of our entire body. Age, smoking, sun exposure, fluctuations in weight, genetics, exposure to pollution and other factors can all cause changes to our facial appearance. These changes are usually gradual, but one day, we might take a look in the mirror and find a different face than the one we saw years ago. Facial rejuvenation treatments offer a solution to those looking to regain a more youthful appearance.

Facial rejuvenation treatments come in many forms:

-Surgical procedures: such as facelifts, endoscopic face lift, contour threadlift, Blepharoplasty or Dermabrasion.
- Non-surgical procedures: such as chemical peels, laser skin resurfacing and cosmetic injectable fillers.

All of these procedures determine how much the procedure will cost, the type of anesthesia used (if any), downtime, recovery time, and its own share of risks and benefits.

With the increasing popularity of various cosmetic surgery procedures, it is imperative that the prospective patient research and understand different issues like what the procedure can and cannot treat, inherent risks, costs, and so on. When considering any form of cosmetic surgery, it is important to have a good understanding of the procedure before making a decision. Take some time to view the introductory information we have provided on facial rejuvenation. While the information contained in this website will provide you with a basic understanding of the procedure, it may not answer all of your questions. To get complete answers to the questions you are seeking, we recommend that you contact us.

The main feature of Aging face is Wrinkles. So, What is the Wrinkles?

Four Types Of Wrinkles And How to Get Rid Of Them?!

Cosmetics companies don’t usually do a good job of explaining the problems they claim to solve. Take anti-wrinkle creams for example. Can someone just please tell me what causes wrinkles in the first place?

1. Atrophic Wrinkling Rhytides:
What they are: Fine lines on the face that are almost parallel to each other.
Where they occur: They show up in different areas of the face and body but they tend to disappear when skin is stretched transversally. (that means they shift when your body posture changes.) These wrinkles are associated with loss of elasticity.
What you can do: Since these wrinkles are due to underlying loss of collagen, you need to protect your skin using sun block agents. You can also use moisturizers to temporarily plump the skin and diminish the appearance of these fine lines.

2. Permanent Elastic Creases:
What they are: These are crease lines in the skin that become increasingly permanent over time, especially with sun exposure.
Where they occur: They show up most frequently on on the cheek, the upper lip, and the base of the neck.
What you can do: Sun exposure makes this type of wrinkle worse. So unless you’re blessed with naturally dark skin, you should avoid sun exposure or use a sunscreen on these areas to prevent this kind of wrinkling.

3. Dynamic Expression Lines:
What they are: Wrinkles that are caused by facial muscle movement.
Where they occur: Frown lines and crows-feet.
What you can do: These wrinkles respond to Botox treatments.

4. Gravitational Folds:
What they are: As the name implies, these lines are from the effects of gravity and they become increasingly obvious as skin begins to fold and sag. As we noted in a recent post, skin research on the International Space Station might shed some light on the mechanisms of gravity-induced wrinkles.
Where they occur: The location of these wrinkles is related to the thickness of skin. While we would have thought this means that thicker skin shows more folds, surprisingly the researchers said that a fat face may show fewer gravity folds than a lean face.
What you can do: Skin-lifting procedures are effective at removing these kinds of wrinkles.

Ideal forehead and eyebrows:

Forehead in Youth: Minimal laxity, No rhytids, Hairline irregular, Brow elevated and No fatty deposits
The aging face has common characteristics: Descent of the brow and mid face leading to hollowing of the around eye region. Lateral angle of the eye opening descent with attenuation leading to ectropion.

Eyebrow Position (Brennan’s “Ideal” Eyebrow)
Women
- club shaped
- Medial end at level of base of the nose vertically
- Lateral end tapers and lies at extension of line which connect lateral angle of the eye (Lateral canthus) and base of the nose (alar base)
- both ends of the brow at the same level
- Apex (maximal height) on vertical line through outer edge of the colored part of the eye
- Arches above orbital bony rim
Men
- Curve shaped
- Thicker and uniform thickness than women brows
- Lies over supraorbital bony rim

Facial Rejuvenation Consultation:

During consultations, doctors can learn more about the patients and vice versa. This visit gives the doctor a chance to evaluate the current state of the patient’s skin and discuss options that will help the patient achieve a desired look.
Consultation visits also give patients the opportunity to address their goals and expectations for their treatment and to ask any questions they might have. These visits also allow the doctors to inform the patient of the benefits, precautions, treatment response, adverse reactions, method of administration and other important information.

I- Surgical procedures:

A- Facelift (Rhytidectomy)

What is Facelift (Rhytidectomy)?

There’s no escaping it, as we grow older, signs of aging begin to appear especially in the facial area. These include fine lines, wrinkles, deep creases, a jowly jaw line, and others. A facelift can offer a solution to these problems. However, a facelift cannot keep your face from aging but what a facelift can do is restore a more youthful appearance to your facial appearance. The procedure reduces the appearance of the most visible signs of aging.

During the facelift procedure, excess fat is removed and underlying muscles are tightened and the remaining facial skin is re-draped. This results in a firmer and fresher appearance. These results are dramatic or subtle, depending on the current facial appearance. Since each individual has his or her own unique facial features, the results vary with each individual. Facelifts are considered to be very individualized procedures.

The results of the facelift surgery can last anywhere from five to ten years, this also varies with each patient. As the years pass, your face will continue to age. Those who want to continue presenting a more youthful appearance can choose to repeat the procedure.

There is little debate that a facelift procedure is most effective in treating problem areas present in the lower facial regions such as the jowls and neck. More often than not, facelifts are commonly performed in tandem with other facial plastic surgery procedures such as upper and lower blepharoplasty which treat the facial region surrounding the eyes. Furthermore, in an effort to achieve a more profound rejuvenation of the face, injections of various collagen fillers or Botox may be utilized to treat pronounced creases in the forehead or Frown-lines between the eyebrow areas.

In an effort rejuvenate the appearance of their face, more and more people are turning to facelifts. The increasing frequency of facelift procedures places it among the top five most popular plastic surgery procedures including nose-reshaping (Rhinoplasty), Liposuction (Lipoplasty), Breast Augmentation (Augmentation Mammaplasty), and eyelid surgery (Blepharoplasty).

When considering a facelift it is important to recognize that, despite conventional opinion, the texture of the skin on the face will not be modified by the facelift procedure. Facial skin conditions such as fine lines, acne scars, age spots and smoker's creases will quickly return to their original texture and presentation regardless of how tightly the skin is pulled during a facelift.

Furthermore, a facelift will not result in bestowing beautiful skin on the recipient unless the patient possessed it prior to a facelift procedure. This being the case, there are solutions. For example, skin treatments such as laser resurfacing and chemical peels may be used in conjunction with a facelift in an effort to improve the texture of the skin and minimize the appearance of wrinkles, age spots.

Benefits of Facelift Surgery:

- While facelift surgery cannot stop the aging process, it may deter and offset some of its effects.
- Facelift surgery offers many patients a way to address the effects of heredity, sun exposure, environmental issues (i.e., pollution), smoking, etc.
- In some facelift surgery cases it is believed that the person receiving the facelift may appear to be a decade younger than their actual age.
Because of these various issues, facelift surgery continues to enjoy widespread and growing popularity.

Who would be best candidate for Facelift Surgery?

The best candidates for facelift surgery are typically those who:
- Possess good facial skin elasticity.
- Are in good physical condition
- Are psychologically stable
- Don't smoke
- Maintain realistic expectations
- Age: range varies significantly. For example, a person with fat deposits on the sides of their face or neck may be in their early twenties, while another person may be in their seventies when face surgery is most appropriate.

How is Facelift Surgery Performed?

- The Face could be divided into upper, middle and lower thirds. Each third has its lifting techniques.
- The traditional technique of facelift takes 2 to 3 hours, and done with general anesthesia in a hospital.
- The traditional technique for performing facelift surgery utilizes an incision that begins in the hairline near the temple and continues in front of the ear, around the ear lobe, behind the ear and back into the hairline.

- Following the precise creation of this surgical incision, the facial/neck muscles and sagging tissues are tightened, excess skin is removed and the remaining skin is repositioned in way that creates a rejuvenated and youthful appearance.

- In facelift cases where the neck needs specific lifting, a small incision is made under the chin from which the neck muscles and tissues are tightened.

- Following the lift process, we will use synthetic stitches or metal clips to close the surgical incision.

N.B. Keep in mind that a facelift may improve the appearance of wrinkles but it will not remove them entirely from the facial region. Additional facial treatments such as chemical peeling and laser resurfacing, along with Botox © and filler injectionsmay used to help treat laugh lines, wrinkles, furrows and other skin blemishes such as age spots and acne scars.

How much Pain is associated with Facelift Surgery?

While the degree of pain varies significantly from patient to patient, factors such as one's level of pain tolerance, the magnitude of the facelift procedure, etc., contribute significantly to the level of pain experienced following facelift surgery. Usually, there is very little pain associated with a facelift and residual swelling typically disappears within a few days. Additionally, most bruises are gone within a few weeks. Patients generally feel a sense of tightness and numbness that should gradually dissipate within several weeks.

Some patients are allowed to return home the same day as their facelift surgery, for some it may be necessary to spend the night in a hospital facility so that their recovery process may be monitored by trained medical staff.

What is The Long-Term Effect of Facelift Surgery?

Following the initial recovery period, patients may expect a rejuvenated and more youthful appearance.

While the immediate effects of a facelift may last for many years, the aging process continues. As a result, it is impossible to predict how long it might be before an individual would consider having a second facelift. Typically, those patients who look best after a facelift are those who looked best before the procedure. While some patients may have one facelift during the course of their life, other patients may have a second facelift performed seven to fifteen years later.

In regards to scarring, facelift surgery scars typically remain pink in color for the first few months before maturing into less visible white scars as time passes. Furthermore, facelift scars are primarily confined to the hairline region and within the natural creases of the skin.

What Are The Risks and Limitations of Facelift Surgery?

As in most surgical procedures, bleeding from cut tissues may lead to bruising and possible accumulations of blood under the skin resulting in topical discoloration of the skin and soreness.
Also related to most surgical procedures, any time the skin is cut infection is a possibility. As a result of new surgical techniques and drug therapies, infection is uncommon and treatable when and if it occurs.

How is Mini-Facelift (Limited Mid Facelift) Surgery Performed?

- It is a technique for middle third rejuvenation. Mini-facelift takes 1 to 2 hours, and done with general anesthesia in a hospital.
- An incision that begins in front of the ear and around the ear lobe.
- Then Only excess skin is removed.

Endoscopic facelift (brow lift or Mid-Facelift)

A technique using an instrument known as an endoscope, a tiny fiberoptic lens inserted through half-inch incisions placed inconspicuously in your mouth and temple. The lens is attached to a camera connected to a television monitor, which allows the doctor to see where he is operating by watching the monitor and manipulating the tiny instruments externally. The endoscope also contains small tools.
During treatment, we can remove any fat bags near the eyes and jowls and treat lines and dynamic wrinkles but not excess skin.

This procedure benefits are: minimal wound and scarring, less bleeding and less possibility for swelling. However, it is time consuming (4 to 5 hours); it could not remove excess skin and should be done by well trained and certified consultant of plastic surgery.

B- Contour Threads™ facelift:
Permanent threads hung up the sagging facial skin and muscles of the upper and middle thirds to temple region. (For more information Click here)

C- Dermabrasion:
- This surgical procedure scrapes off the top layers of skin. Dermabrasion can smooth scars, as well as fine lines and wrinkles on the face. (For more information Click here)

D- Fat Injections:
Fat can be harvested from the patient’s own body, and is designed to plump up the skin and provide a more youthful appearance. (For more information Click here)

II- Non-Surgical procedures:

The following are some of the more common minimally-invasive or non-surgical facial rejuvenation procedures:

A- Microdermabrasion:
This is a superficial skin polishing procedure that involves sanding off the first layer of skin with tiny crystals. (For more information Click here)

B- Chemical Peel:
When certain chemicals are applied to the skin, they cause age spots to disappear while tissue appears less transparent. (For more information Click here)

C- Laser Skin Resurfacing:
Through short bursts of laser light, unsightly veins and dark “age” spots are gently removed the skin. (For more information Click here)

D- Meso-sonic Rejuvenation:
Meso-sonic rejuvenation is designed to reduce redness, flushing and wrinkle size. This leaves the skin with a more even tone that looks and feels smoother. (For more information Click here)

E- Spider Veins Treatment (Sclerotherapy):
The injection of a chemical, known as a sclerosing solution, into unsightly veins which causes them to turn white and gradually disappear. (For more information Click here)

F- Botox Injections:
Botox is a botulinum toxin that is injected to prevent the contraction of muscles that form wrinkles, thus reducing them. (For more information Click here)

G- Collagen Injections:
Derived from purified bovine collagen, this injectable cosmetic filler is designed to replace lost collagen found in the skin. (For more information Click here)

H- Thermage:
Considered the “lunch hour face lift.” This procedure delivers heat to deep tissues and cools the skin’s surface through a device known as ThermaCool. This stimulates the formation of new collagen and results in smoother, tighter skin. (For more information Click here)

These facial rejuvenation procedures are just some of the many ways cosmetic surgery can help enhance one’s appearance.

How long do these facial rejuvenation procedures last?

The following is a listing of the average duration of the results, which can vary from patient to patient:

Facelift and Contour Threads™ facelift: Five to ten years.
Fat Injections: 9 to 18 months or even more.
Botox Injections: 6 Up to 18 months according to type and concentration.
Collagen Injections: 3 to 9 months.
Thermage: Up to two years.
Chemical Peel: Variable depending on the chemical used.
Sclerotherapy, Dermabrasion, Microdermabrasion, Laser Skin Resurfacing and Photo Rejuvenation: The results of these procedures are permanent as it removes age spots, wrinkles, and other skin conditions.
However, the skin can still age and new wrinkles and other blemishes can still appear.

What Are The Typical Costs Associated With Facial Rejuvenation Treatments?

Often the price says nothing about the quality of the work. Most multicenter clinics charge much more than private doctors — their advertising budget is more and the owner of the clinic has to take his 20% or 30% off the top. In my opinion, you are less likely to get a quality procedures at these multi-center locations.

Although price is a factor when deciding on surgery, the most important factor is that you feel you are getting a good quality, natural-looking result from the procedure.

When dealing with facelift costs, you also need to take into consideration the fact that adjuvant procedures may be needed as Botox or filler injection, peeling. Medical insurance providers do not cover the Facial Rejuvenation procedure.

Costs for facial rejuvenation vary depending on the type of treatment:
Facelift: ranging from 2000 – 3500 U.S. dollars.
Contour Threads™ facelift: ranging from 1000 – 2000 U.S. dollars.
Dermabrasion: 1000 U.S. dollars.
Fat Injections: 1000 U.S. dollars.
Microdermabrasion: 1500 U.S. dollars.
Chemical Peel: 500 U.S. dollars.
Laser Skin Resurfacing: ranging from 500 – 1000 U.S. dollars.
Spider Vein Treatment (Sclerotherapy): 300 U.S. dollars.
Photo Rejuvenation: 1000 U.S. dollars.
Botox Injections: ranging from 200 – 1000 U.S. dollars.
Collagen Injections: ranging from 500 – 1500 U.S. dollars.
Thermage: 2000 U.S. dollars.


Frequently asked questions from patients when considering undergoing facial rejuvenation?!

Personality analysis by face?
"Height of the crown indicates the idealism but more so the authority of the person. When the crown is low the person lacks in confidence to the degree that the crown is underdeveloped. An overdeveloped goes to a tyrannical, authoritarian nature. A well developed crown shows an ambitious nature.
- Upper portion of the top of the head relates to imagination in proportion to its development and the dominance
- Width or narrowness when viewed from the front: passive
- Length: reveals foresight
- Short head, when viewed sideways can indicate lack of forethought and a more live-in-the -moment attitude.
- Flat: pragmatic nature
- Wide: Intelligence, skilled worker, good student, practical in life, idealistic, creative
- High, rounded and deep: idealistic, friendships important
- Shallow forehead with a low hairline, perhaps with a widow's peak: problems with career choices, which will change through the person's life, thoughtful, idealistic, wants to help others, health career
- Exaggerated: dreamer, needs to focus on detail
- Receding: often found in men with male pattern baldness, may indicate impatient and spontaneous manner in life, esteem issues
- Indented: emotional problems, learning challenges, and difficulty completing tasks -- with indented eyebrow ridge - quick tempered, impulsive, ambitious
- Pointed: higher intelligence especially if the hairline is set back and not narrow.
Head Shape
- Wrinkles: The appearance of wrinkle and lines on the face are usually genetic. They may also speak of a troubled life, too much time spent in the sun, and are sometimes called 'worry lines.' Once again, in this day and age, they can be concealed with botox, collagen, skin peels, makeup, and skin creams".


Q - What is the type of anesthesia, and when I can return to normal life?
A - According to your age and the procedures. General anesthesia for surgical procedures, Local anesthesia or without for non-surgical procedures, and you can practice your normal life 2 hours up to 2 days according to type of procedures.

Q - What are the symptoms that may occur in the first five days after facial rejuvenation procedures?
A - Soreness which could be managed by pain killer’s medications and there may be edema or swelling of the face.

Q - What are the guarantees that the success of the process?
A - There is no doubt that the followers of the medical instructions and close follow up visits are the main factors for the success of any surgical procedure. If not, the process to achieve the agreed outcomes before, the process repeats at reduced cost. Some procedures as filers and Botox injection need refine touch after 2 weeks.

Q - When can we get the final results?
A - For Non-surgical facial rejuvenation the results appear immediately, for surgical procedures the final results is achieved after the first three weeks.

Q - Is the rejuvenated face seems naturally?
A - Yes. But full face lift has mask facial expressions.

Q - What is ideal age for facial rejuvenation?
A - It could be done at any age.

Q - If you are not Egyptian, What is the minimum period for follow up?
A - For Non-surgical facelift, just one day. for surgical procedures, five days.

Q - What are the contraindications of surgical face lift procedures?
A - There are no absolute contraindications but the patients should inform their surgeons about any allergies, serious medical conditions, and medications they may be taking. Smokers should stop smoking 2 weeks before surgical procedures to promote the healing process.

Q - Where will the facial rejuvenation procedures be performed?
A - In hospital if general anesthesia is needed (surgical procedures) or in outpatient bases (clinic) if local anesthesia will be used (Non-surgical procedures).

Q - In my case, what technique is most appropriate in helping me achieve my cosmetic goal?
A - It depend on the your age and your preference.

Q - How much does facial rejuvenation procedures cost and what elements factor into that cost like hospital fees, anesthesia, and so on?
A - Ranging from 500 to 3500 U.S. dollars. Medical insurance dose not cover facial rejuvenation procedures.

Q - What is the surgeon’s level of experience in performing facial rejuvenation procedures?
A - Consultant or Doctoral in Plastic surgery.

Q - What percentage of patients experience complications with facial rejuvenation procedures?
A - 12 - 15%

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Summary of Facial Rejuvenation Procedures:

The time of the procedure: from half to five hours.
Type of anesthesia: local anesthesia +/- sedation or General.
Location: hospital or clinic with or without postoperative hospital stay.
Expected Side effects: Temporary swelling and pain.
Recovery time: return to work after 2 hours and the final outcome immediately for Non-surgical procedures and within 3 weeks for surgical procedures.
Cost: according to procedure ranging from 500 to 3500 U.S. dollars, or 2500 to 19,000 Egyptian pounds.
Results: according to procedure ranging from months to years and sometimes permanent results.

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