05 Aug Ask Dr Molton: Which treatment should I have?
I just read an article on how cosmetic medicine has so many different treatments. How do I decide which is best for me?
Dr Molton Replied:
Good question. Many people think we just chase lines and wrinkles with fillers and anti-wrinkle injections. You are right, as cosmetic medical practitioners we have many very detailed and comprehensive applications available to us in modern day cosmetic medicine.
Let me give some insight into the way we, as cosmetic medical professionals, approach your question.
Firstly, we listen to the patient’s concerns. Then we examine the factors that are influencing the concerns. In cosmetic medicine, it usually comes down to one or more of three things:
- Facial proportions and volumes (so this might be influenced by dermal fillers and anti-wrinkle injections)
- Skin elasticity
- Tensile strength of the skin
(but we must never forget the importance of natural and normal appearance of the individual)
The first two points are easy to understand, number 3 is not. Think of a new party balloon versus an old one. The first is quite ’rigid’ and firm and at first, it has no volume.
The old balloon is flimsy and floppy but has not gone down completely so it has some volume. It also has some elasticity. But it has little or no ‘tensile strength’, unlike the new balloon. This is where the latest buzz phrase ‘skin-tightening’ comes in. This process is about improving the tensile strength of the skin. Your cosmetic medical practitioner will work with you to provide the most applicable device/procedure for your individual skin.
Just as it is important regarding the proper selection of the device, choosing the settings of that device is of paramount importance.
To sum up, using the medical model, the professional and experienced cosmetic medical practitioner will provide you with a working plan, including costings to suit your budget, and explain to you the rationale behind recommended procedures. If you think a particular procedure or treatment might work for you and the doctor hasn’t spoken about it, ask the doctor. It’s best to go to someone who has worked with the procedures/devices over time and has all the necessary technical knowledge and applications. Once you have this information, take it home, write out your questions and come back to clarify any uncertainties before moving forward to treatment.