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Prevention of Facial Aging: How to Stop the Clock

Prevention of Facial Aging: How to Stop the Clock. Wendy E. Roberts MD Generational (Geriatric) Dermatology. Evolving Aging Patient age 40, 65, 100. 40 60 100. Prevention Model from Evidence Based Medicine Literature.

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Prevention of Facial Aging: How to Stop the Clock

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  1. Prevention of Facial Aging:How to Stop the Clock Wendy E. Roberts MD Generational (Geriatric) Dermatology

  2. Evolving Aging Patientage 40, 65, 100 40 60 100

  3. Prevention Model from Evidence Based Medicine Literature • Primary prevention reduces risk factors before disease occurs. Example sunprotection (SPF) • Secondary prevention postpones or attenuates the condition. Example retinoids • Tertiary prevention treats an existing symptomatic disease process to ameliorate its affects or delay its progress Example antiaging devices Evidence categories modified from Guyatt GH, Sackett DL, Sinclair JC, Hayward R, Cook D, Cook RJ. JAMA 1995;274:1880-4129; Cochrane reviewers' handbook 2.2.2 (updated March 2004). In: The Cochrane Library, issue 1, 2004. Chichester (UK): John Wiley and Sons, Ltd; 2004.130

  4. Identification of Restoration Issues in the face of 60 plus STRUCTURE • Resorption, osteopenia of bone • Loss of subcutaneous fat • Hypertrophy and laxity of intrinsic muscles of facial expression. • Gravitational decent from loss of supportive elastic tissue • Squaring, Shortening • Loss of Convexity, (Cheekbones) • Loss of volume = deflated balloon 30 Years 40 Years 50 Years 60 Years 70 Years 80 Years Freidman, O. Facial Plast Surg Clin N Am. 2005;13:371–380.

  5. Lipoatrophy, bone loss, dermal depletion may result in skeletonization which accompanies aging . atrophy

  6. Our Aesthetic goal…Restoration

  7. Targeting therapies • Skin the largest organ of the body functionally declines with age • Increased longevity provides challenges for cosmetic core specialists to intervene at any time in the aging process and effect successful outcomes in skin rejuvenation • Starting younger in age may be more helpful • Sun protection and prevention of heliodermatitis is key and we have an increasing number of UV filters, antioxidents, cosmeceuticals, injectables and lasers

  8. Consultation and Consensus

  9. Seven Step Summary for stopping your patient’s clock. • Educate patients regarding the story of photodamage • Work with them to find the SPF they will use • Promote topical retinoid use in the third decade (nonpregnant females) • Overall cosmeceutical plan for face and off face sites • Target therapies toward skin compartments- epidermis, • dermis and deeper structures including bone • Touch up frequently, rotating your neurotoxins, filler and resurfacing visits • Promote healthy diet, oral supplementation, sleep water and exercise

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