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Facial rejuvenation:
Wrinkle & Sagging Skin Treatment

What explains the sagging facial skin?

Ageing of the face and neck causes a slackening and reduction of cutaneous and subcutaneous, fibro-fatty and muscular tissues as well as a reduction in the bone structure of the face. This inevitably leads to the appearance of wrinkles, malar pouches (drooping or slackening of the cheekbones), deep furrows (laugh lines), jowls and folds in the neck’s platysma muscle (optu-angled neck).

young skin vs older skin

Factors responsible for ageing and sagging skin:

  • Time (age, gravitational pull)
  • Genetic markers (heredity, skin quality)
  • Environment (pollution, stress)
  • Lifestyle habits (consumption of tobacco, alcohol, food, sleep habits, frequency of exposure to the sun)
  • Significant weight loss.

Each factor and its impact must be taken into account when dealing with the ageing of an individual.

After an examination and analysis of the face to determine tissue quality and the degree of ageing, a decision can be made as to procedures.

The skin… a reflection of our moral and physical health

Skin aging causes certain physiological changes that are directly related to the clinical appearance of the skin.

Condition… Physiological changes
Results… Clinical aspects
  • Diminution of natural moisturizing factor
  • Shrinking of sweat glands
  • Slowing down of sebaceous gland secretions
  • Dry and rough skin
  • Reduced collagen production
  • Skin becomes thinner and translucent
  • Elastin fibres deteriorate (solar elastosis) and become less extensible
  • Skin becomes loose, less elastic and thicker-looking
  • Decreased cell migration
  • Irregular skin texture (skin less smooth)
  • Poor functioning and reduction of melanocytes (cells carrying pigment of skin)
  • Hyperpigmentation (brown spots – Solar lentigo)
  • Hypopigmentation (white spots)
  • Molecular deterioration (DNA)
  • Decline in cell repair mechanism
  • Wrinkles and fine lines
A healthy skin is defined with these principal characterisations: smooth, even in color, firm and tight, well hydrated and free of inflammatory reaction.

Development of a treatment protocol for facial rejuvenation

peau du visage tombante

Facial rejuvenation is beyond an art and science expertise, and not all treatments are suitable for all skin type according to patients: age, ethnicity, skin color and skin thickness. Per example, a patient with a skin type I according to the Fitzpatrick classification chart (figure 1) won’t have the same treatment options as a skin type VI person.

A global evaluation must be done to analyze and make a diagnosis by the physician. Dr Mario F. Bernier Board Certified Plastic Surgeon will formulate a comprehensive treatment plan that includes short and long-term goals.

Figure 1: Fitzpatrick classification chart

Skin type
Reaction to sun exposure
Light, pale white
Always burns, never tans
White fair
Always burns, rarely tans
Beige to pale brown (olive)
Sometimes burns, gradually tans
Pale brown to medium
Rarely burns, tans easily
Medium to dark brown
Very rarely burns, tans very easily
Dark brown to black
Never burns, tans easily
One of Dr Mario F. Bernier’s mentors, the reputed Dr Zein Obagi from Beverly Hills, says that skin’s thickness should be considered in procedure selection to assure the best outcome in skin rejuvenation and healing.

Skin laxity vs Muscle laxity

Skin laxity is manifested as wrinkles and fine lines, lower eyebrow, excess of upper and lower eyelid skin, loose skin on the cheeks and jawlines and deep nasolabial folds. Muscle laxity will affect, platysmal banding, (neck) which lead to jowl formation, orbicularis oculi (eyes) and frontalis (Front) muscle drooping, which lead possibility to eyelid and eyebrow ptosis.
Skin Laxity
Muscular laxity
Appearance of wrinkles
Eyelids ptosis
Lack of elasticity
Eyebrow ptosis
Deepened nasolabial folds and marionette lines
Jowl formation
Loose of volume & contour
Redundancy of neck muscles
Fat migration
Treatment options
Treatment options
Restoring skin through the use of daily topical products that contains essential agents
Combining surgery & non-surgical treatment as numbered on the left side
Chemical Peel
Ablative & Non-Ablative Fractional Laser treatment or CO2 laser treatment
Injectable such as neurotoxins & dermal fillers (Botox)

Facial rejuvenation
Before and after pictures

1 IPL treatment
and a series of 5 fractional laser treatments
at the Dr. Mario F Bernier Aesthetic Medicine Clinic

rajeunissement du visage laser - Avant rajeunissement du visage laser - Après

1 IPL treatment, series of 5 fractional laser treatments, injection of Botox in the face (forehead, glabella and crow’s feet) and Restylane in the nasolabial folds and marionette lines

rajeunissement du visage - Avant ajeunissement du visage - Après

Prices for facial rejuvenation treatments

Skin rejuvenation treatments (IPL, CO2 laser, radiofrequency)

CO2 micro ablative treatment

Usually 2-3 treatments are required, 6 weeks apart, 2 days downtime
$700 and more

1 Micro-needling treatment – face


1 Micro-needling treatment – face and neck


Package of 3 Micro-needling treatments – face + Home Cure


Package of 3 Micro-needling treatments – face and neck + Home Cure


Package of 3 Micro-needling treatments – face + 3 Hydrafacial basic treatments + Home Cure


Package of 3 Micro-needling treatments – face and neck + 3 Hydrafacial basic treatments + Home Cure


IPL treatment (Intense pulsed light)


Radiofrequency Venus LEGACY treatment

Starting at $275

Nanofractionnal radiofrequency Venus VIVA treatment


4 treatments nano-fractionnal Venus VIVA


Hybrid Treatment

Fractora to the face and CO2 laser treatment on eyelids

Cost of hyaluronic acid injections and Botox for the face

Restylane 1cc






Botox-Forehead + Glabella


Botox-Forehead + Glabella + Crowsfeet


Dysport-Forehead + Glabella + Crowsfeet


Restylane Skinboosters Vital 1cc


Restylane Skinboosters Vital Light 1cc


Restylane LYFT 1cc


Consultation request

A consultation at our clinic will allow you to know the most appropriate care for the rejuvenation of your face.