My Hands Make Me Look 15 Years Older!

“The Fountain of Youth” – Dr Chris Porter’s inside view of cosmetic surgery where he aims to help you to make the best possible informed choice and achieve your cosmetic surgery goals.

The top of our hands are subjected to the same aging and sun damage as the skin on our faces. As we get older our hands may develop thin skin, wrinkles, patchy brown spots and lose the cushioning fat that softens the skin. Loss of this fatty layer makes the veins and tendons more obvious giving a skeletonised appearance.

Thankfully there are some relatively simple procedures that can make your hands appear more youthful.

Patchy pigmentation, fine wrinkles and thin skin can be treated by peels, either chemical or laser or IPL. Maintenance of this improvement requires regular use of sunscreen and vitamin A cream.

To conceal obvious veins and tendons the best procedure is structural fat grafting, this will re-fill the thin fatty layer and provide a softer appearance to the skin. It has been proven also that fat grafting can improve the skins color and texture. Structural fat grafting is performed by moving fat from another part of the body, such as the tummy or buttocks, and then transplanting them to the back of the hands. The fat is inserted by a series of small injections. Fat is a better option than synthetic fillers as fat will survive permanently whereas synthetic fillers will last  maximum of 12 months.

If you have any specific requests regarding cosmetic surgery topics that you would like discussed on this blog, please feel free to email me: chris@breast-body.co.nz

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Scientific Proof – How Smoking Makes You Look Older

“The Fountain of Youth” – Dr Chris Porter’s inside view of cosmetic surgery where he aims to help you to make the best possible informed choice and achieve your cosmetic surgery goals.

In a recent Plastic & Reconstructive Surgery journal article titled “Facial Changes Caused by Smoking: A Comparison between Smoking & Nonsmoking Identical Twins” specific components of facial aging secondary to smoking were identified. This was performed by comparing standardized photographs of identical twins with different smoking histories. The following is a summary of the study.

During the Twins Days Festival in Twinsburg, Ohio, from 2007 to 2010, 79 pairs of twins were identified, in which only one twin smokes or where one twin smoked at least 5 years longer than his or her counterpart. Questionnaires were obtained and standardized photographs were taken by professional photographers. A panel of three blinded judges analyzed the twins’ facial features and graded wrinkles and ranked age-related facial features.

The results showed that smoking twins compared with their nonsmoking counterparts had aged more causing upper eyelids sagging, lower lid bags, malar bags, heavy cheek folds, upper and lower lip wrinkles, and jowls. Other less significant features found in smokers included lower lid hyper-pigmentation, transverse and vertical forehead wrinkles and crows feet.

In conclusion, this study details the specifics of facial aging brought on by smoking, which primarily affects the middle and lower thirds of the face. It also demonstrated that a 5-year difference in smoking history can cause noticeable differences in facial aging between twins.

My personal philosophy is to ask smoking patients to quit 3 weeks prior to surgery, for both surgical and anaesthetic reasons. It has already been well documented that smokers have up to a 4-5 times greater complication rate after surgery in regard to wound healing, scarring, infections as well as slower recovery in regard to breathing and return to normal functioning. This study adds the bonus that if you stop smoking you will will also look younger than if you keep smoking. Now is a good time to quit!

If you have any specific requests regarding cosmetic surgery topics that you would like discussed on this blog, please feel free to email me: chris@breast-body.co.nz