MedEsthetics magazines offers business education and in-depth coverage of the latest noninvasive cosmetic procedures for physicians and practice managers working in the medical aesthetics industry.
Issue link: https://medesthetics.epubxp.com/i/535392
54 JULY/AUGUST 2015 | Surgical Aesthetics SURGICAL AESTHETICS BANISHING THE SAG Revision Skincare's Nectifi rm contains eight active ingre- dients that work together to strengthen the dermal- epidermal junction. They include bamboo, silicia, English pea extract and glucosamine to fi rm; tripeptides for fi ne lines and wrinkles; and plant-derived fl avonoids to reduce fat cells. Contact: 800.385.6652, revisionskincare.com. SkinLuma's NEXAGE Neck Retexturizing Balm com bines hydroxypinacolone retinoate, a gentle retinoid ester, with emollients, peptides and antioxidants, including vitamin C, vitamin E and ferulic acid, to stimulate collagen production, reduce redness and rejuvenate skin on the neck and décol- leté. Contact: 800.874.9686, skinluma.com. SKIN ACTIVE Triple Firming Neck Cream from NeoStrata was developed specifi cally to help rebuild the skin matrix in the neck area. The cream combines NeoGlucosamine to increase hyaluronic acid in the skin and reduce areas of hyperpigmentation, plus NeoCitri- ate and pro-amino acids to stimulate the production of collagen and pro-collagen. Contact: 800.628.9904, neostratapro.com. Marini Juveneck from Jan Marini Skin Research con- tains acetyl decapeptide-3 and avena sativa (oat) seed extract to lift and fi rm; oligopeptide-24 and dipotassium glycyrrhizate to improve texture, eliminate crepey skin and brighten skin tone; bisabolol and biotin to calm and soothe; and panthenol and hyaluronic acid for extra hydration. Contact: 408.620.3600, janmarini.com. Topical products formulated specifi cally for the neck and décolleté can help patients prolong the results of their neck treatments. Ingredients for these products are typically aimed at stimulating collagen and elastin production, evening skin tone and providing hydration. in some cases, patients may need volume. In these select cases, Dr. Eviatar is using a relatively new technique that involves injecting reconstituted Radiesse in several areas around the neck. "Women with long, thin necks get a lot of wrinkling as they age. They've lost volume in the neck and the skin has lost collagen, so it becomes very crepey and hangy," he says. "We reconstitute the Radiesse with 3cc of lidocaine to one 1.5cc syringe of Radiesse and add 0.5cc of saline to make a very thin, collagen-stimulating product." He injects very small amounts of the fi ller under the skin of the neck, up toward the ear and toward the back of the neck. "This really pulls the neck up," he says. "With one to two syringes, you can treat the entire neck. With this tech- nique, you're doing a couple things: You're dissecting off all these wrinkles with the needle and you're also stimulating collagen, so you're slightly thickening the skin. The whole area gets dramatic improvement." Addressing Skin Discoloration One concern that cannot be addressed through surgery, injectables or noninvasive skin tightening is poikiloderma. "If there is sun damage, broken vessels or pigment prob- lems, intense pulsed light (IPL) is the gold standard for improving skin color," says Dr. Eviatar. To help maintain the results of any neck procedure, Dr. Eviatar counsels patients to avoid smoking and excessive sun exposure, and use sun protection when outdoors. "The second thing I recommend is using topicals with retinol and antioxidants that are formulated for the neck. It's not an elaborate maintenance regimen but patients are investing money, and things like sun bathing and smoking will quickly undo the results we've achieved." Inga Hansen is the executive editor of MedEsthetics.