My “Sandwich Technique” to Combat Saggy Skin

My “Sandwich Technique” to Combat Saggy Skin

Let me start off by greeting everyone a joyful and beautiful 2020! Everyone starts off a new year with a set of resolutions that they want to achieve. Very often, the word “ageing” comes to mind because we are all not getting any younger. And with ageing, comes saggy skin that I am sure most ladies are most resolute about addressing!

My philosophy to lifting saggy skin

Maybe I was a little hungry when I thought of this phrase to describe my philosophy to lift saggy skin. But it is entirely appropriate because my treatment philosophy is about layering one aesthetic treatment on top of another, which is similar to how we make a sandwich – by layering one ingredient on top of another.

My “Sandwich Technique” to treat sagging skin is a double-down strategy designed to target two issues that occur when we age. The first is the loss of facial volume due mainly to bone resorption or a decrease in our bone mass, which makes our skull smaller.

Shaw RB Jr, Kahn DM. Aging of the midface bony elements: a three-dimensional computed tomographic study. Plast Reconstr Surg 2007: 119: 675–681.
Shaw RB Jr, Kahn DM. Aging of the midface bony elements: a three-dimensional computed tomographic study. Plast Reconstr Surg 2007: 119: 675–681.

When this scaffolding for skin reduces in mass, there is nothing holding up our skin and our skin hangs down loosely. This leads to the second issue: our saggy skin becomes more apparent. The sagging also worsens due to sun exposure, gravity, and reduced collagen and elastin production as we age. Our skin is less supple and elastic over time, so the result is saggy and lax skin that creates a tired and aged appearance.

Vleggaar D, Fitzgerald R. Dermatologic implications of skeletal aging: a focus on supraperiosteal volumization for perioral rejuvenation. J Drugs Dermatol 2008: 7 (3): 209–220.
Vleggaar D, Fitzgerald R. Dermatologic implications of skeletal aging: a focus on supraperiosteal volumization for perioral rejuvenation. J Drugs Dermatol 2008: 7 (3): 209–220.

The first ‘layer’: Dermal fillers

The first ‘layer’ in my “Sandwich Technique” for addressing saggy skin is to use dermal fillers to return volume to our face. Dermal fillers can be hyaluronic acid or HA-based fillers like Juvederm®, Restylane®, and Belotero®. HA is a natural compound found in our body, and it helps to hydrate and add volume to our skin.

There are also non-HA fillers which are safe and effective, such as Sculptra®, Radiesse®, and Ellanse®. These work by stimulating the production of collagen. Those who prefer fillers with natural ingredients, there is also Algeness®. It is made from purified agarose gel (polysaccharide), which is derived from the purification of agar-agar processed from red algae.

The second ‘layer’: Ultherapy

I would then ‘layer’ the filler with Ultherapy®. Ultherapy is a no downtime, non-surgical skin tightening treatment approved by the US Food and Drug Administration (US FDA). It uses micro-focused ultrasound energy to give our skin an additional lift by stimulating our skin to generate growth of new collagen.

This process tightens and gradually lifts the skin, thus restoring the youthful appearance of the skin. Ultherapy also smoothens out wrinkles and fine lines during the lifting process.

So, there you have it. My “Sandwich Technique” to treating sagging skin. Regardless of whether you’re looking at dermal fillers, Ultherapy, or perhaps both, consult a doctor to find out which treatment or treatments are most suitable for your skin.

Cheers to a happy lifting in 2020!

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