The manifestions of cutaneous aging are a result of the complex interplay between intrinsic and extrinsic factors. Intrinsic aging is attributed to the individual hereditary characteristics and the natural effects of the passage of time. It is as such is considered inevitable and beyond voluntary control. Extrinsic aging occurs as a result of exogenous insults such as exposure to Ultraviolet radiation, cigarette smoking, pollution as well poor nutrition. This by nature can be avoided. Premature skin aging is evidence of extrinsic aging. In fact 80% of facial aging is attributed to solar exposure alone.
There are many components to the process of Facial aging. Thinning of dermis, elastosis, loss of facial volume and skeletal changes are some of these. Skin aging changes include development of rhytides caused by alterations in dermal layer of skin. Wrinkles on skin are caused by contraction of underlying muscles of facial expression. Skin is attached to these deeper muscles in lines these lines create wrinkles. The wrinkles are of 2 types:
A) Dynamic wrinkles
B) Static Wrinkles

The vertical and horizontal lines in the centre of eyebrows are responsible to give an angry and sometimes a tired look. BOTOX Injection can give a very pleasant result in this area.

Dynamic wrinkles appear only during facial expressions. These wrinkles therefore can be alleviated by selectively paralysing the underlying muscles which can be achieved by BOTOX Injection.
The areas which are most amenable to be corrected by BOTOX Injection include:

The horizontal lines on the forehead respond really well to adequately and expertly injected BOTOX Injection.

The oblique lines at the corners of the eyes are caused by contracting of orbicularis oculus muscles. Appropriate weakening of this muscle with BOTOX Injection can get rid of these lines and give a smooth transition from eyes to cheeks and this result in a youthful looking face.

Loose vertical and horizontal bands in neck under the chin are caused by plates a muscle. This bagguness and loose lines can be improved considerably by expertly injecting with BOTOX Injection

In women the eyebrows are higher and arching above the bony socket of the eye while in men the brows are flatter and more at the level of bony rim. The arching shape in women is often lost with age and eye brows faltter and droopy. This flatness can be reversed by selective weakness of a part of frontalis muscle so that the remaining muscle contracts with more force to compensate for paralysed muscle and so lifts the eye brow higher.

In some people the smile pattern is quite awkward and looks not so pleasant due to excessive show of teeth, excessive dimpling in chin or in some cases unpleasant flaring of nares and drooping of tip of nose. In either of cases the smile pattern can be altered and made attractive and less awkward by selective and and appropriate weakening of lip and peri-oral muscles. By expert BOTOX Injection the shape and tip of nose can also be altered.

Migraine headache is increasingly becoming common. It. Is this severe throbbing headache that involves one half of the head. It rarely settles with any painkiller and sometimes requires regular medicine intake. With the help of Botox the headache can be settled quite reliably for 6-8 months at a time. The cause of this headache is thought to be constriction and dilatation of blood vessels in the scalp. BOTOX Injection can reliably regulate these blood vessels.

Some people can have troublesome excessive sweating of hands and armpits. With the help of BOTOX Injection this over production of sweat can be settled.

The static wrinkles will not disappear even when the underlying muscles are paralysed and are usually permanent. They can be alleviated by injecting FILLER Injection underneath them to camoflage the wrinkled appearance. In addition to the wrinkles the process of aging also involves the loss of facial volume resulting in loss of smooth and confluent appearance of face, giving rise to sharp angles, abrupt hollows and bulges.
Synthetic FILLER Injection is useful in following conditions:
Permanent Glabellar and Forehead Lines:
Sometimes the glabellar lines and forehead wrinkles are too strong and permanent and do not respond to BOTOX Injection alone. In such cases Filler Injection helps in getting rid of these lines.

In some cases the drooping and more horizontal eye brows can be raised by 1-2mm by appropriate FILLER Injection. This is sometimes all that is needed for a pleasant and youthful appearance of upper face.

Tear trough by definition is a shallow hollow extending from the root of the nose under the eye. Sometimes its a normal feature of the face, but usually it is deepened and accentuated by aging and stress, esp. by dehydration an improper nutrition. In either case it is not aesthetically a very pleasant feature and is probably the most difficult area to correct. It can be corrected to a considerable extent by careful and expert FILLER Injection given deep in the tissues so that it does not show and capsulate over time.

The nasolabial folds are of variable length, width and depth. With advancing age and in certain people with professions involving strong animation of facial muscles, these folds become deeper and more prominent. The downward descent of cheek fat and soft tissue also has the same effect. The can be corrected quite nicely by FILLERS Injection.

Adequate volume in the cheeks is the single most important feature of an aesthetically pleasant and youthful face. This volume diminishes with age due to both soft tissue and skeletal atrophy and is also due to soft tissue (fat) displacement. This volume of cheeks can be easily replenished by adequate augmentation with FILLER Injection.

In some people lips are too narrow and lack the volume and show needed for a beautiful looking full and pouty lips. Volume can be added in a controlled fashion in these narrow lips with FILLER Injection

Sometimes all that is needed to make an awkward looking or snubbed nose aesthetically beautiful, is to add small volumes of FILLER Injection at right places.

Platelet rich Plasma is the most recent method in the armamentarium of plastic and cosmetic surgeons. It simply involves taking persons own blood, separating white and red blood cells from it, adding the platelet derived growth factor activating compounds to it and then injecting this PLATELET RICH PLASMA into tissues for various rejuvenating purposes. The healing and rejuvenating ability of the PRP is useful in following conditions so far:

In male patterned baldness and also in females with thinning hair, the stem cells and growth factors derived from PRP are quite beneficial in not only reducing the hair loss but also in the re-growth of the lost hair.

Dark pigmented patches especially on face are quite insightly. They are quite common in women during and after pregnancy, in men and women exposed to excessive sunlight and some times for no apparent reason these patches of melasma appear. These patches respond really well and fade away with PRP Therapy with or without MICRO-NEEDLING

Old and and new scars that may be due to trauma, surgery, burn and especially older scarred grafts over period develop into quite conspicuous and unsightly marks. Often they become a reason for serious cosmetic concern and sometimes psychological concerns too. These scars can be made much less conspicuous by appropriately intervalled PRP Therapy. Skin grafts have an ability to pigment and become hard. Both these issues can be addressed by serial PRP Therapy compounded with microneedling and subcission techniques.