[Dr. Bellview Column 64.] Recommended lifting for women in their 40s with thin skin and sagging around the mouth, cheeks, and jawline

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What lifting procedure is best for women in their 40s with thin skin and sagging around the mouth, cheeks, and jawline?

Our skin begins to sag subtly as early as our 30s. Since sagging often progresses very slowly, people usually start to notice it around their 40s, suddenly seeing it in the mirror or in a photo one day and really feeling the change. A female patient who recently visited us said she decided to get lifting after being surprised by a candid photo taken at a gathering. She hadn’t noticed it when looking in the mirror from the front, but in a photo taken from the side, her cheeks looked sagged, almost like marionette lines around the mouth. There are many people like this.

Photo used with the patient’s consent

For female patients in their 40s and older whose skin has become thin and less elastic, with sagging around the mouth, cheeks, and jawline, I most strongly recommend the Ultra Thermage procedure. This procedure combines the advantages of Ulthera and Thermage, and can provide effective lifting and improved skin elasticity at the same time. Let’s take a look at the pros and cons of each procedure.

#Ulthera

• Advantages: Reaches the SMAS layer, making it most effective for deep wrinkles, sagging, and facial fat improvement

• Disadvantages: The effect may be less immediate; improvement continues gradually starting about one month later

#Thermage

• Advantages: Targets the dermis to help improve wrinkles and tightening

• Disadvantages: Immediate changes may be difficult to feel; improvement continues gradually starting about one month later

#Titanium

• Advantages: Helps with tightening, brightening, and improving facial contours; immediate effect

• Disadvantages: The lifting effect on deeper layers is relatively smaller, so it is more suitable for younger people

Based on the characteristics of each procedure summarized above, the procedure combination recommended for people in their 40s, where aging has already progressed to some extent, is 'Ultra Thermage.' If you want to define the lines, Ulthera is the best, and for removing fine wrinkles and improving elasticity, Thermage is excellent. Of course, if you also undergo 'Ultra Terti,' which adds Titanium, you can get immediate lifting effects and brightening as well, which is even better, but cost is also something that cannot be ignored. Ultra Thermage combines the advantages of Ulthera and Thermage, and may feel like the most cost-effective procedure for middle-aged patients. Let’s summarize it. For the following reasons, I recommend Ultra Thermage for people in their 40s.

Reasons to recommend Ultra Thermage for people in their 40s

1. Overall contour improvement

: Ulthera can sharpen the facial line and the overall collapsed contours.

2. Improved skin elasticity

: Thermage can firmly improve skin elasticity and make it look tight and healthy.

3. Synergistic effect

: Because Ulthera and Thermage differ in penetration depth and heat delivery method, they can provide complementary effects.

4. Comprehensive improvement

: Without having to get various procedures separately or apply a lot of cosmetics, Ultra Thermage can address various skin concerns at once, including fine wrinkles, elasticity, and pores.

In other words, Ultra Thermage improves the overall signs of aging from inside the skin to the surface, and its dual elasticity-lifting effect makes it a particularly suitable procedure combination for patients in their early 40s with thin skin and progressing sagging. As mentioned, you can also add Titanium treatment to undergo 'Ultra Terti.' For reference, Titanium can add immediate lifting and brightening effects, and it is also a very good lifting procedure to do every 3 to 4 months after Ultra Thermage.

The period during which you can see the effects after Ultra Thermage is roughly one year, but how you manage things in between can affect how long the results last. Many people receive Ulthera, Thermage, or Ultra Thermage once a year, and I think it is also good to extend the treatment cycle by managing with Titanium whenever you feel it is lacking in between. Titanium is an attractive procedure because it has much less pain than Ultra Thermage and also costs less, so I would recommend it. Everything depends on the individual’s skin condition and desired results, so it is best to decide after consulting with a doctor.

That’s all for today.

Thank you for reading.

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