In the Media
In the June 2014 issue of W Magazine, writer Francesca Castagnoli gets “Hot Under the Collar,” in this aptly titled article, when it comes to baring the area of her body she describes as covered in “fine lines that radiate from my cleavage in a fireworks display of middle age.”
She is, of course, talking about her chest area, or the décolletage. In exploring the options to treat this notoriously thinned-skin area, Dr. Few explains to her that his approach using stackable treatments will make this area smooth, clear and youthful in a single office visit.
Dr. Few’s Tips for Décolletage Rejuvenation
Whether it’s sunspots, crepey texture, sagging skin, or any combination thereof, Dr. Few told Castagnoli he first has his patients use retinol on the treatment area for two weeks prior to their scheduled office visit. When the appointment day itself comes, he uses an Erbium fractional laser to smooth out wrinkles and eradicate skin discolorations. Dr. Few then uses the ultrasound power of Ultherapy to tighten the skin.
Retinol + fractional laser + Ultherapy = safe and effective décolletage rejuvenation.
While Castagnoli points out that this may be more expensive compared with a more aggressive laser treatment option and/or Belotero (hyaluronic acid) filler treatment, which without the addition of lidocaine can burn “wildly,” she points out, “…for busy women—and for those with darker skin, which has a higher risk of scarring when lasered—Dr. Few’s approach may be worth its weight in gold.”
Moreover, Dr. Few’s approach has only a three-day recovery period vs two weeks for laser plus Belotero treatment.
When you look in the mirror, what bothers you more—is it those wrinkles around the eyes, or is it those pesky folds that could use a lift? The truth is, achieving a youthful, beautiful face requires more than a simple lift or fill. Facial rejuvenation today has evolved to require an artistic eye, a physiological understanding of the 3-dimensional components of an aging face, and the use of a variety of treatment options—all elements that Dr. Julius Few puts into practice on a daily basis. While Dr. Few admits that aging is something we can’t avoid, it is something we can do gracefully. And usually, that’s going to involve some combination of filling and lifting, as he and coauthors demonstrate in a new study published in the September 2013 issue of the Journal of Drugs in Dermatology.
In the study, Drs. Tatjana Pavicic, Julius Few and Jurgen Huber-Vorlander present the results of treating three patients using a strategic 3-step approach for the non-surgical rejuvenation of the face based on the accepted underlying causes of aging, including loss of collagen, elastin, soft tissue, and bone; the redistribution of fat; and overactive muscle activity. All treatments were non-surgical and each was performed on a separate office visit. Here’s how the rejuvenation approach works:
Step 1. Create a Stable “Foundation”
Using a home renovation analogy, the key first, say the authors, is to ensure a stable foundation before doing any additional work. To achieve this, they injected Botox to control and soften muscle contractions.
Step 2. Improve the “Structure”
Just like the mortar between the bricks, the study authors injected calcium hydroxylapatite (Radiesse), the heaviest of facial fillers, to create a scaffold for new collagen to grow onto and redefine targeted facial contours.
Step 3. Refine the Rest
Once the foundation is stable and the structure is set, it’s time to attend to the details. To do so, final treatment injections were made using a thinner injectable monophasic hyaluronic acid filler with CPM Technology.
According to the authors, this approach not only achieves excellent results, but it also helps to patients to see the various benefits of treatment, from wrinkle control to overall improvements of the appearance of the face. They write, “The results suggest that this layering approach based on an understanding of the underlying causes of facial aging, where different products are used in combination to treat the entire face, can enable patients to achieve the desired outcome of a return to the characteristics of a more youthful face.”
Pavicic T, Few J, Huber-Vorlander J. A Novel, Multistep, Combination Facial Rejuvenation Procedure for Treatment of the Whole Face With IncobotulinumtoxinA, and Two Dermal Fillers- Calcium Hydroxylapatite and a Monophasic, Polydensified Hyaluronic Acid. J Drugs Dermatol. 2013;12:978-984.