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).
- 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.
Skin aging causes certain physiological changes that are directly related to the clinical appearance of the skin.
Condition… Physiological changes | Results… Clinical aspects |
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A healthy skin is defined with these principal characterisations: smooth, even in color, firm and tight, well hydrated and free of inflammatory reaction.
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.
Skin type | Coloration | Reaction to sun exposure |
|---|---|---|
I | Light, pale white | Always burns, never tans |
II | White fair | Always burns, rarely tans |
III | Beige to pale brown (olive) | Sometimes burns, gradually tans |
IV | Pale brown to medium | Rarely burns, tans easily |
V | Medium to dark brown | Very rarely burns, tans very easily |
VI | 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 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) |
1 IPL treatment
and a series of 5 fractional laser treatments
at the Dr. Mario F Bernier Aesthetic Medicine Clinic
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
CO2 micro ablative treatment
Usually 2-3 treatments are required, 6 weeks apart, 2 days downtime
$850 and more
1 Micro-needling treatment – face
$400
1 Micro-needling treatment – face and neck
$450
Package of 3 Micro-needling treatments – face + Home Cure
$1500
Package of 3 Micro-needling treatments – face and neck + Home Cure
$1650
Package of 3 Micro-needling treatments – face + 3 Hydrafacial basic treatments + Home Cure
$1950
Package of 3 Micro-needling treatments – face and neck + 3 Hydrafacial basic treatments + Home Cure
$2100
IPL treatment (Intense pulsed light)
$600 and up
Radiofrequency Venus LEGACY treatment
Starting at $275
Nanofractionnal radiofrequency Venus VIVA treatment
$400 and up
4 treatments nano-fractionnal Venus VIVA
$1500
Hybrid Treatment
Fractora to the face and CO2 laser treatment on eyelids
$750-$950
CO2 micro ablative deep treatment
5-10 days downtime
$1950
Restylane 1cc
$680
Botox-Glabella
$400
Botox-Crowsfeet
$400
Botox-Forehead + Glabella
$850
Botox-Forehead + Glabella + Crowsfeet
$1200
Dysport-Forehead + Glabella + Crowsfeet
$980
Restylane Skinboosters Vital 1cc
$700
Restylane Skinboosters Vital Light 1cc
$700
Restylane LYFT 1cc
$680
A consultation at our clinic will allow you to know the most appropriate care for the rejuvenation of your face.