About the author: Dr V.P.S Ghotra
Dr Ghotra received his MD degree from Maastricht University and a PhD from Leiden University. Complementing his substantial academic credentials, he acquired a Master's degree in Ageing and Aesthetics from the prestigious University of Manchester. Leading his clinic in the vicinity of Amsterdam, Dr. Ghotra specializes in an array of minimally invasive aesthetic procedures. His expertise encompasses a wide range of treatments, from the precision of Botulinum toxin applications to the innovative techniques involved in thread lifts, fillers, and the latest advancements in laser therapies, providing his patients with cutting-edge solutions in the field of aesthetic medicine.
The Journey of Ageing: Understanding Changes in the Facial Structure
The Skin: The First Line of Defense Against Time
The most visible layer, the skin, undergoes significant changes with age. It loses elasticity and moisture, leading to the appearance of fine lines and wrinkles. Sun exposure accelerates these changes, contributing to uneven pigmentation and texture.
Beneath the Surface: Subcutaneous Tissue and SMAS/Muscle Layers
The subcutaneous tissue, which includes fat and connective tissue, diminishes over time. This loss of volume leads to sagging skin and the formation of deep wrinkles. The Superficial Musculoaponeurotic System (SMAS) and underlying muscles also lose tone, further contributing to facial sagging.
The Hidden Changes: Deep Fat and Bone Structure
Ageing impacts deeper structures too. The redistribution and loss of deep facial fat can lead to hollowed cheeks and temples. Changes in the facial bones, including resorption and remodeling, resulting in less support for the overlying tissues, contributing to overall facial sagging.
Reading the Age Map
Each area of the face tells a part of the ageing story:
Forehead and frown lines are often due to repetitive muscle movement and skin laxity.
'Periorbital wrinkles or crow’s feet arise from skin elasticity and muscle tone changes around the eyes.
Temporal hollowness reflects the loss of subcutaneous fat and bone density.
The definition of cheekbones diminishes as fat redistributes and skin sags.
The tear trough becomes more prominent with the weakening of the orbital septum and loss of cheek volume.
Jawline changes occur due to skin laxity and volume loss in the lower face.
Lip atrophy and 'barcode lines' are due to the thinning of lips and loss of surrounding structural support.
Marionette lines and nasolabial folds deepen with skin and subcutaneous tissue changes.
Facial rejuvenation: 4D approach
Dr Ghotra leverages cutting-edge facial imaging technologies like Visia and Vectra to provide comprehensive assessments of the ageing face. These tools enable precise analysis of skin texture, pigmentation, and underlying structural changes, guiding targeted treatment strategies.
The 4D Treatment Strategy: A Holistic Approach
Dr Ghotra has developed the 4D approach, a comprehensive strategy that addresses ageing on multiple levels :
Surface Rejuvenation: Treatments targeting skin texture, pigmentation, and minor wrinkles.
Dynamic Rejuvenation: Focus on reducing the appearance of dynamic wrinkles using neuromodulators.
Volume Rejuvenation: Use of fillers and other techniques to restore facial volume.
Structural Rejuvenation: Procedures that address changes in the deeper layers of the face, including SMAS and bony structures.
Conclusion: Embrace Ageless Beauty with Dr. Ghotra
Ageing is an inevitable journey, but with Dr. Ghotra's expertise and her innovative 4D approach, you can navigate this path with grace and confidence. Embrace a future where age is just a number, and beauty is timeless. To explore how Dr Ghotra can redefine your ageing experience with personalized care and cutting-edge technology, contact us today.
Discover Your Path to Timeless Beauty with Dr Ghotra.
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