There is nothing like a smiling look to give a radiant look to the face. The aphorism of an anonymous person effectively explains this magic: "A smile costs less than electricity, but it gives more light!". An amplified effect when the contour skin is smooth and smooth, free from imperfections. However, when cosmetic treatments are not enough to mitigate them, help comes from plastic surgeons and aesthetic doctors, beauty professionals who suggest targeted treatments for each problem.

The first thing to do: identify the expert  "To overcome all doubts and not have unpleasant surprises, the first step is to identify the competent aesthetic doctor with clinical experience, the only one able to accurately evaluate and suggest how to intervene with a soft approach area by area", emphasizes the plastic surgeon reconstructive and aesthetic Fiorella Donati. "Injections are great tools to reverse the signs of aging, prevent and mitigate them: but they must be used in the right way."

The fine lines of the side dish   "The periocular wrinkles, those" chicken feet "that frame the eyes and the vertical glabellar ones that appear between the eyebrows are treated with baby botox" explains Donati. "To obtain it, minimal amounts of active are inoculated, following the course of the skin furrows. The range of action is extensive and there is no precise map: it is created and built from time to time on personal characteristics ".

An alternative   For those who still do not want to resort to Botox, to mitigate crow's feet and small sagging Beautif-eye Fillmed is the protocol that aims to biorevitalize the periocular area with a soft peeling and micro-injections of an exclusive cocktail of vitamins, amino acids and non cross-linked hyaluronic acid creates lumps. "The release of the revitalizing substances is achieved with a patented system of microneedles that act away from the edges of the eye" underlines Francesco Marchetti, plastic surgeon specializing in plastic and aesthetic surgery. "It has a lifting effect on the upper eyelids, reduces bags and smoothes skin furrows".

The most requested intervention   For major sagging and bags you need a scalpel. "The most requested surgery in the age group between 40 and 50 is precisely blepharoplasty, because the skin of the upper eyelid yields and increases the periocular fat, making the look tired and aged" says the reconstructive and aesthetic plastic surgeon Fiorella Donated.

The demand for aesthetic medicine and plastic surgery procedures has never been as high as in recent years: according to the American Society Plastic Surgeons, the number of requests has increased by 200% compared to 2000. An astonishing figure destined to rise.

However, it does not apply to all methods. "Minimum invasiveness, short sessions, the possibility of quickly returning to social life with a face that represents the best version of themselves, without distortions. These are the requirements of the most desired treatments" says Marco Iera, a surgeon specialized in plastic, reconstructive and aesthetic surgery of the Istituto Clinico Brera in Milan.

In short, the Latin phrase "In medio stat virtus" is always current, the equilibrium is in the middle. And the surgeons and aesthetic doctors are responding to the growing need to see a pleasant and luminous face reflected in the mirror using methods with an imperceptible result. Because the natural aspect is the real trend.

Tandem techniques are also spreading in beauty clinics.

"In the clinic the treatments are more and more integrated, with the application of different methods during the same session, to guarantee the best result with the least trauma for the organism" underlines Marco Klinger, professor of plastic surgery at the University of studies in Milan and head of the Operative Unit of Plastic Surgery at the Humanitas Research Hospital in Rozzano (MI). "Thus, for example, during a cervical minilifting, lipofilling is performed to reconstruct the volumes of the face or improve the shape of the lips. It is the transplantation of adipose tissue taken from the same person, purified and re-injected with large needles. This tool is important because thanks to its large diameter it does not damage the fat cells that carry a precious regenerating stimulus. The implanted fat is not reabsorbed but remains in place ”.

For example, the laser & radiofrequency synergy works to remodel double chin and major sagging of the neck tissues. "Together, they exert a sort of stretching that brings together the collagen fibers," says Steven Paul Nisticò, Director of the School of Specialization in Dermatology, Magna Graecia University of Catanzaro and Coordinator of the Laser Master in Dermatology University of Rome Tor Vergata.

"To give a regenerating lash to the face, the fractional CO2 laser is associated with PRP injections," explains Nisticò. This involves taking a small dose of blood from the person, and injecting the platelet-rich plasma, previously separated from the red blood cells, onto the treated areas, creating a sort of mesh that recalls cutaneous healing cells, releases growth factors and stimulates the fibroblasts to activate the production and creation of new collagen. In short, it is a re-education for the epidermis, which is induced to produce by itself what is necessary to preserve tone and elasticity.

Autologous fat is an alternative to laboratory preparations used for fillers. "Using a patented instrument called Lipogems, it is taken from a donor area (arms, abdomen, hips or thighs), separated from the inflamed and disintegrated component without damaging it or crushing it. In this way we obtain intact fat cells, with a densely vascularized surface, which, once implanted, give consistency and blend perfectly with the tissues. Not only: they reactivate and accelerate the natural regenerative processes "explains professor Carlo Tremolada scientific director Image Regenerative Clinic Milan. "This method is associated with injections with hyaluronic acid if it is necessary to complete the lips contour remodeling."