FACETIME: FACING THE FACTS ABOUT FACIAL AGING - MARCH/APRIL 2019 - Candela
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Insert to Supported by Candela MARCH/APRIL 2019 FACETIME: FACING THE FACTS ABOUT FACIAL AGING An educational publication for patients.
FACETIME: FACING THE FACTS ABOUT FACIAL AGING
An educational publication for patients.
FACETIME: FACING THE FACTS
ABOUT FACIAL AGING
MEDICAL EDITOR: Gilly Munavalli, MD is medical director and founder of Dermatology,
Laser & Vein Specialists of the Carolinas. He is also an Assistant Professor at the Wake
Forest University School of Medicine, Department of Dermatology and serves as a Cosmetic
Dermatologic Surgery Fellowship Director for the American Society for Dermatologic Surgery.
Your face ages in many different and specific ways. of worries is skin discoloration, followed by lines and
Some changes come from the outside—namely the wrinkles around the eyes, skin texture issues, and
sun’s damaging ultraviolet (UV) rays and environ- overall sagging facial skin in the mid- and lower face,
mental exposures—and others come from the inside, according to the latest survey from the American
such as your genes and age. Society for Dermatologic Surgery (ASDS).
Together, these external and internal forces con- You can’t stop facial aging, but you can control
trol how quickly and radically your face ages. how well you age by putting the brakes on some of
Makeup can cover up some signs of facial aging, its more vexing and visible signs. Prevention—first
including uneven skin tone and tired-looking, puffy and foremost, the judicious use of sunscreen—can
eyes, and good skin care can also counteract some help keep skin wrinkle-free longer. Luckily, a grow-
of the signs of aging, but they can do only so much. ing array of minimally invasive technologies includ-
ing energy-based devices, such as lasers and micro-
This is why so many of you are concerned about needling, can help erase and smooth some of the
the signs of facial aging. Topping your collective list other visible signs of aging on the face.
WHAT IS SKIN AGING? loss of a key skin building block Pull of Gravity As physicist
Facial aging begins the day you called collagen. and mathematician Isaac Newton
are born, and proceeds at differ- Volume Loss Volume depletes, remarked when he described the
ent rates throughout your life. causing hollow cheeks and tem- effects of gravity, “What goes up,
The face ages in five key ways: ples due to fat loss and the age- most go down.” This is also true
Discoloration Skin changes related breakdown of the underly- for facial tissues and structures.
occur, such as brown spots and ing facial structure.
sallow (yellowish or brownish) Loss of Elasticity Skin no longer HOW DO WRINKLES FORM?
color. “bounces back” quickly if you When muscles contract repeated-
Wrinkle Formation Wrinkles press on it because of the loss of ly, collagen and elastin break down
form from overactive muscles and collagen and a related component under the surface. Superficial or
dehydration, as well as due to called elastin. fine lines are caused by skin dehy-
2 INSERT TO MODERN AESTHETICS® | MARCH/APRIL 2019
FACETIME: FACING THE FACTS ABOUT FACIAL AGING
dration and the loss of hyaluronic acid (HA). Deeper
folds are the result of declining collagen and elastin.
There are two main types of wrinkles—dynamic and
static. Dynamic wrinkles develop over time when you use
your muscles to form facial expressions such as smiles
and frowns. Static wrinkles, by contrast, are there all the
time because of the decrease in collagen, elastin, and
hyaluronic acid. Dynamic wrinkles morph into static wrin-
kles when your skin loses its spring. Wrinkles are treated
on a continuum based on their severity and depth.
WHAT IS COLLAGEN? WHY IS IT IMPORTANT?
Collagen is found in the skin, bones, connective
tissue, and blood vessels. Your natural supply
dwindles with advancing age and after exposure to
the sun’s damaging ultraviolet (UV) rays, smoking,
and/or other environmental factors.
Collagen is also a building block of what’s called
the extracellular matrix, an intricate network of pro-
teins that support the skin. When collagen declines,
skin becomes less elastic and the skin’s underlying
framework takes a hit.
WHAT IS ELASTIN? WHY IS IT IMPORTANT?
Elastin is a protein that contributes to flexible and
strong skin. Loss of elastin contributes to skin sagging.
Like your collagen stores, elastin decreases with age, and
the skin becomes less stretchy and resilient as a result.
WHAT IS HYALURONIC ACID? WHY IS IT IMPORTANT?
Hyaluronic acid is found naturally in almost every
tissue in the body. It pulls moisture into tissues. As you
age, your rate of HA production decreases and skin
dries out. This is why hyaluronic acid is an important
ingredient in many skin care products.
CAN COLLAGEN, ELASTIN, AND HA BE REPLACED?
Ask your doctor about ways to boost your supply of
this powerful trio. One way is with radiofrequency (RF)
microneedling devices, such as the Profound® treatment.
With the Profound treatment, RF energy is paired with
tiny microneedles to create dermal wounds to the skin.
These wounds trigger the skin’s natural wound healing
process. As compared to mechanical microneedling devic-
es, the combination of RF energy with microneedling pro-
motes the production of collagen, elastin and hyaluronic
MARCH/APRIL 2019 | INSERT TO MODERN AESTHETICS® 3
TO THE RESCUE
▶ F or deep wrinkles, the CO2RE® laser from Candela works on both
superficial and deep layers of skin at the same time. With the fractional
mode, CO2RE treats a fraction of the skin, creating tiny wounds that
stimulate the healing process from the inside out. With one or two
CO2RE treatments, you can achieve visible results that you love.
acid. In fact, studies show that the by exposure to the sun, according
Profound treatment creates close to the Skin Cancer Foundation.
to five times the elastin, twice the Protect yourself by wearing a
amount of collagen, as well as more broad-spectrum sunscreen with
hyaluronic acid in a single treat- an SPF of 30 or higher every day.
ment.1 Just one Profound treatment
is needed to see results. Expect CAN I PREVENT FACIAL AGING?
about a week of downtime. You are not powerless. You can’t
change your genes or your age…yet.
DO GENES AFFECT FACIAL AGING? But you can hit pause to slow the
Yes, but your DNA is just one rate at which your facial skin ages.
piece of the puzzle. Sun damage, Individuals who use sunscreen with
pollution, alcohol, stress and even an SPF of 15 or higher daily show
habitual facial expressions (smiling, 24 percent less skin aging than
scowling, squinting, and frowning) those who didn’t, according to the
all cause and worsen the signs Skin Cancer Society. Don’t smoke,
of skin aging. Your diet may also and if you do, quit. Smoking causes
affect skin tone and quality. wrinkles by damaging your collagen
THE TOP CAUSES WHAT IS THE GREATEST EXTERNAL
CAUSE OF AGING SKIN?
and elastin stores.
but
You can’t always avoid stress,
you can change how you
OF SKIN AGING Hands down, sun damage is the
greatest threat to your skin. Fully
90 percent of skin aging is caused
cope with it. Find something that
helps you de-stress and do it
every single day, whether yoga,
▶ YOUR AGE meditation or deep
breathing. If you are
▶ YOUR GENES TO THE RESCUE concerned about skin
▶ T he Profound® treatment from Candela can tone, wrinkles or the
▶ SUN DAMAGE FROM TANNING help address moderate to deep facial wrinkles.
In fact, the Profound treatment has a 100%
overall quality of your
skin, talk to your doc-
▶ POLLUTION response rate for the treatment of facial
wrinkles in a single, nonsurgical treatment.2-4
tor about what else
▶ SMOKING Microwounds in the skin provide a beeline
to the dermis, and the precise time and
you can do to slow the
facial aging process.
▶ STRESS temperature combination are delivered to skin,
creating new elastin, collagen, and hyaluronic
For example, the
Profound treatment
▶ POOR EATING HABITS acid.1,2,4,5 The Profound treatment stimulates can help you rebuild
your collagen, elastin
your body to naturally revitalize every time.
▶ ALCOHOL USE and hyaluronic stores;
FACETIME: FACING THE FACTS ABOUT FACIAL AGING
Vbeam Prima can target and elimi-
TO THE RESCUE nate these veins.
▶ The Vbeam® Prima laser system from Candela is the best in class for
vascular treatments—trusted by close to 700 hospitals and universities WHAT ABOUT REDNESS AND VISIBLE
worldwide.4 It uses proprietary technology and will treat a wide range BLOOD VESSELS?
of uses, including vascular (telangiectasia, diffuse redness, rosacea) If you are bothered by the
and pigment in a single treatment. When applied to blood vessles, laser
appearance of blood vessels—often
energy goes directly to them without damaging nearby skin.
called spider veins—on the face,
energy-based devices that target
replenishing the building blocks of laser designed to target blood ves- these blood vessels can help.
youthful skin from the inside out.6 sels, such as Vbeam® Prima laser
The Picoway® Resolve laser can system, can erase these blood
brighten skin and help smooth mild- vessels. The earlier you start treat-
WHAT ARE “AGE SPOTS” REALLY?
Age spots—also called liver spots
er wrinkles;7-11 and CO2RE® has the ment, the more efficient it will be.
in lay terms and solar lentigines by
ability go deep for more significant Talk to your doctor today.
doctors—are small dark areas on
wrinkles and folds. With the Vbeam Prima laser
your skin. They tend to appear in
energy goes directly to blood ves-
places where you get a lot of sun
IT’S NOT JUST WRINKLES. AS I AGE, sels, where it destroys them below
exposure. These are not cancer-
I FEEL LIKE MY SKIN IS DRIER AND I the skin’s surface, without damag-
ous but you may be self-conscious
SEE OTHER CHANGES. WHY? ing nearby skin. A series of three to
about them—especially those on
During menopause, the production four monthly treatments are usually
your face. Treatment with the
of the female sex hormones estro- needed to delete redness. Expect
PicoWay picosecond laser using
gen and progesterone shuts down. some redness, mild swelling, or
the new Zoom handpiece can erase
This affects everything from your puffiness that will last 1–3 days. The
these telltale signs of aging, large-
skin and hair to your bones and laser has a one-of-a-kind dynamic
ly by breaking up the pigments
heart. Your skin becomes dryer and cooling device (DCDTM) that differ-
that cause age spots. Ask your
thinner during and after menopause. entiates it from competitors. The
doctor if the PicoWay treatment
You may also lose some fat under DCD protects the skin by keeping it
can help erase your age spots.
your skin, and your skin becomes cool as the laser energy is delivered
less elastic. This can result in sag- to the blood vessels. Candela’s pat-
ented DCD is programmed to deliver HOW DO ENERGY-BASED DEVICES
ging—especially around the neck.
precise and consistent epidermal AFFECT THE SKIN?
protection with each laser pulse. The field of energy based devic-
WHY IS MY SKIN GROWING MORE es has grown dramatically over
RED WITH AGE? WHY ARE THERE BLUE VEINS
Millions of people live with rosa-
AROUND MY EYES?
cea, a skin condition marked by
flushing or redness on the cheeks, The skin beneath the eyes is TO THE RESCUE
nose, chin, or forehead that may among the thinnest and most ▶ Treatment with the PicoWay®
delicate on the entire body, mak- picosecond laser using the
come and go in response to various new Zoom handpiece can erase
triggers. With age, however, your ing it a prime spot for fine lines,
wrinkles, and dark circles to form. these telltale signs of aging,
skin may grow more red, even if largely by breaking up natural
you don’t have rosacea. As collagen Some people develop blue colored
veins around the eye. pigments that cause age and
breaks down due to age and sun sun spots. The Picoway laser
damage, your blood vessels become When skin becomes thinner and
also treats tattoos by blasting
wider and are more visible to the less elastic with age, blue veins away the artificial pigment.
naked eye. Early treatment with a can be even more prominent. The
MARCH/APRIL 2019 | INSERT TO MODERN AESTHETICS® 5
FACETIME: FACING THE FACTS ABOUT FACIAL AGING
YOUR SKIN: A DECADE-BY-DECADE GUIDE
YOUR AGE YOUR OPTIONS
YOUR TEENS
During the teen years, hormones are raging, which ▶ Use SPF daily and avoid excess sun exposure to
causes increased oil production in the pores and often help reduce future skin aging. Keep up the daily SPF
acne. Facial volume is still ramping up during these habit for your lifetime
years, which is why teens often have chubby cheeks ▶ Vbeam Prima laser system may be used to treat
and oval faces. inflammatory acne
YOUR 20s: Acne Scarring, Dullness, Pigmenation
Your body stops producing elastin in your 20s so your ▶ Vbeam Prima laser system may be used for any
skin starts to lose its spring. Skin may appear duller, visible vessels or hyperpigmentation
due to acne scars and/or environmental effects, such ▶ PicoWay laser can be used to treat pigmentation,
as sun damage. acne scars and address any wrinkles
YOUR 30s AND 40s: Facial Wrinkles, Dullness, Pigmentation, Vessels
You may experience a decrease in collagen production ▶ V beam Prima laser system for vessels or
during these decades, but your underlying facial hyperpigmentation, diffuse redness, or rosacea
structure is still sound. ▶ P icoWay laser can be used to treat pigmentation; its
Resolve handpiece can be used to address wrinkles
▶ C O2RE treatment can improve overall skin quality,
from dullness, pigmentation to superficial and deep
wrinkles
YOUR 50s AND 60s: Moderate to deep wrinkling, Sagging, Dullness, Pigmentation, Vessels
Changes occur both under the surface and above the ▶ Vbeam Prima laser system for visible vessels or
surface during these decades. The facial structures hyperpigmentation, diffuse redness, or rosacea
supporting your skin grow weaker, and cumulative ▶ PicoWay laser and its Resolve handpeice for wrinkles
exposure to the sun and other environmental stressors ▶ CO2RE laser can improve overall skin quality, texture,
cause changes in texture of the skin and wrinkling. deep wrinkles, and more
▶ The Profound treatment for moderate to deep wrinkles
YOUR 70s, 80s AND BEYOND: Deep wrinkling, Sagging, Dullness, Pigmentation, Vessels
Your skin’s supportive framework continues to atrophy, ▶ Vbeam Prima laser system for blood vessels or
and fat begins to sag due to gravity. Facial plastic hyperpigmentation
surgery need not be the only answer to younger, ▶ PicoWay Resolve, CO2RE, or Profound treatments can
smoother-looking skin. address wrinkles
6 INSERT TO MODERN AESTHETICS® | MARCH/APRIL 2019
FACETIME: FACING THE FACTS ABOUT FACIAL AGING
the last two decades, and compa-
nies like Candela have been at the TO THE RESCUE
forefront, leading innovation. Most ▶ The PicoWay picosecond laser from Candela with its Resolve handpiece
energy-based devices use light can smooth mild wrinkles. Exceptionally brief bursts of energy (a trillionth
or other forms of energy that are of a second) leave the outer layer of skin unharmed. Studies show
intended to heat a specific target. noticeable improvement in wrinkles across a broad range of skin types.
That heat induces a thermal injury Additionally, pulses target pigment and other imperfections and trigger
that sometimes destroys the tar- your body’s natural wound-healing. Each PicoWay treatment session
get (such as the hair bulb for laser takes about 15-20 minutes, with results visible after one treatment.
hair removal, components of blood
when treating blood vessels, or Your doctor can talk to you about usually goes away in a few hours.
even pigmentation in the skin). In some safety measures that may Occasionally a bruise may occur.
other cases, that injury initiates a be required. For example, many
process of healing and regenera- energy-based devices require that WILL TREATMENT WITH
tion that can help the skin replace the doctor and the patient wear ENERGY-BASED DEVICES HURT?
lost stores of components like col- protective googles to protect the You may feel a slight tingling or
lagen and elastin. These are the eyes from intense laser light. pinprick sensation with some ener-
two main proteins that are respon- The efficacy of a given device gy based skin rejuvenation treat-
sible for the supple, elastic proper- often relies on the development ments, such as the Vbeam Prima
ties most associated with youth. of specific, controlled skin injury. laser system. Other treatments,
Newer devices may rely less such as the CO2RE laser, may
heavily on thermal (heat) damage WHAT WILL I FEEL LIKE AFTER? involve moderate discomfort, but
and instead use non-thermal ener- Immediately following treatment the anesthetic applied prior to the
gy to generate changes in the skin. with CO2RE laser, for example, you procedure will minimize any pain.
Some interventions, like micronee- may feel like you have a sunburn
dling, physically puncture the skin, that will last several hours. You SHOULD I TALK TO MY DOCTOR
creating tiny wounds that signal can expect peeling in the treat- ABOUT MY AGING SKIN?
the natural healing process. ment area. This may last 7-10 days. Absolutely! Your doctor is the
Common side effects after treat- expert able to assess your unique
SOUNDS LIKE SCIENCE FICTION. ment with PicoWay picosecond needs and make the right recom-
IS IT SAFE? laser may include redness, swell- mendations for you. Even if you’re
Lasers are the stuff of science ing, and tingling that may last for not ready for a procedure now, it
fiction. But they have been used a few hours to a few days after can be helpful to better understand
in medicine for years. When prop- treatment. With the Vbeam Prima your own face and your options! n
erly applied and with appropriate laser system, you may experience
safety precautions in place, these redness or mild swelling immedi- 1. Hantash BM, Ubeid AA, Chang H, Kafi R, Renton B. Bipolar fractional radiofre-
quency treatment induces neoelastogenesis and neocollagenesis. Lasers Surg
treatments are designed to be safe. ately following treatment, but this Med. 2009;41(1):1-9.
2. Alexiades-Armenakas M, Newman J, Willey A, et al. Prospective multicenter
clinical trial of a minimally invasive temperature-controlled bipolar frac-
TO THE RESCUE
tional radiofrequency system for rhytid and laxity treatment. Dermatol Surg.
2013;39(2):263-273.
3. Willey A, Kilmer S, Newman J, et al. Elastometry and clinical results after bipolar
▶ Early treatment of rosacea with a pulsed-dye laser (PDL) such as the radiofrequency treatment of skin. Dermatol Surg. 2010;36(6):877-884.
4. Data on file. Individual results may vary.
Vbeam Prima laser system can make a big difference. The Vbeam Prima 5. Berube D. Real-time temperature feedback for clinical reproducibility: the
laser system is the gold standard PDL; energy goes directly to blood mechanism of action of Profound. 2015. Candela, data on file.
6. Profound 510(k) clearance (K161043), September 2016.
vessels, where it minimizes their appearance, without damaging nearby 7. PicoWay 510(k) clearance for tattoos (K142372), October 2014.
skin. A series of three to four monthly treatments are usually needed 8. PicoWay 510(k) clearance for benign pigmented lesions (K150326), April 2015.
9. PicoWay 510(k) clearance for tattoos with 785 nm handpiece (K160607),
to delete redness. The laser has a contact cooling hand piece that July 2016.
protects the skin. 10. PicoWay 510(k) clearance for acne scars (K162454), February 2017.
11. PicoWay 510(k) clearance for wrinkles (K170597), May 2017
MARCH/APRIL 2019 | INSERT TO MODERN AESTHETICS® 7YOU MAY NOT
WANT A FACELIFT,
BUT YOU’LL
WANT THIS Baseline3 3 months post treatment3
One treatment. Lasting results. Photos courtesy of Nima Naghshineh, MD. Photos are unretouched.
Patient treated with the Profound system; individual results may vary.
The Profound® treatment is a single, nonsurgical solution that reduces facial wrinkles
and rejuvenates your skin,1,2,a for smooth, younger-looking skin, naturally.
Contact your local provider to learn how the
Profound treatment can benefit you.
beprofound.com
a
Data on file. Individual results may vary.
1. Alexiades-Armenakas M, Newman J, Willey A, et al. Prospective multicenter clinical trial of a minimally invasive temperature-controlled bipolar fractional
radiofrequency system for rhytid and laxity treatment. Dermatol Surg. 2013;39(2):263-273. 2. Willey A, Kilmer S, Newman J, et al. Elastometry and clinical results after
bipolar radiofrequency treatment of skin. Dermatol Surg. 2010;36(6):877-884. 3. Naghshineh N. Profound before and after photos. Candela, data on file.
© 2019 Candela Corporation. This material contains registered trademarks, trade-names and brand names of Candela Corporation and its affiliates, including Syneron,
Candela, and Profound. All other trademarks are the property of their respective owners. All rights reserved. PU01431EN-NAYou can also read
