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Minimally Invasive Advances Continue to Shape the Future of Aesthetics

By The Aesthetic GUIDE posted Mar 21, 2023 09:59 PM


These less invasive procedures are often done under local anesthesia with less pain and scarring, and a shorter recovery time. This is due in part to specially designed surgical tools that allow treatments to be performed without the need for open surgeries.Robert Dorfman, MD, a plastic surgeon and hair transplant surgeon at Ziering Medical Hair Restoration in New York City, N.Y., believes that minimally invasive surgeries are the future of aesthetics, and for good reason. “Patients want results, and they want them fast. They also look for no downtime and they want minimal risk and minimal scars. In the past, the technology just was not there to achieve this, but as we progress into the 21st century things are finally catching up,” he explained. “For example, current research in hair cloning may lead to a future in which we may not need to do any punches or strip procedures. We may just be able to culture hairs in a petri dish and then implant them!”

More Innovative Advancements in Aesthetics

The latest technological advancements have contributed to the shift from traditional plastic surgeries to minimally invasive alternatives. Some of these include new ways to emulsify fat, like cryotherapy and laser lipolysis. CO2 lasers can replace or assist the scalpel in procedures like facelifts and blepharoplasty. Smaller surgical tools allow for smaller incisions with less scarring and downtime, while blades that cut and cauterize at the same time help reduce bruising and bleeding. 

Cécile Winter, MD, a plastic and reconstructive surgeon in Nice, France, uses minimally invasive surgeries in her practice, and feels the demand will continue to rise. “Currently, many people regularly use fillers and injections to preserve their facial features,” she stated. “There will come a point when these become less effective and the skin will start sagging, which is the perfect time for minimally invasive surgery like anatomical composite facelift or blepharoplasty. 

“I am particularly passionate about rhinoplasty and minimally invasive surgery because of the natural enhanced look we can achieve,” Dr. Winter continued. “The aim of anatomically conservative rhinoplasty (ACR) is to reduce the amount of tissue damage from surgery. ARC is a philosophy of making rhinoplasty indetectable by keeping certain points of the nose/face balanced and by preserving some of its specific features. Also, the preservation of the soft tissue and ligaments preserves the respiratory function and allows the nose to age well.”

Ideal Candidates for Minimally Invasive Aesthetic Surgeries

Patient demographics often determine which treatments a provider uses. Desmer Destang, DDS, MSc(Aesth Med), a board certified aesthetic physician and medical director at Dermalogics Aesthetic Dermatology (St. Lucia, Caribbean) incorporates a specialized approach to nonsurgical rhinoplasty that suits the facial features and skin type of her patients. “My practice is located in the Caribbean so a lot of my patients are black. Fillers, especially if you have patients with flatter noses, are not a good option because of migration. Threads are by far the best option with the African-Carib patient,” she clarified. “I often need to reconstruct the nose bridge, the tip, and the alar flare, which is where I ‘dissect’ a wedge from the inside of the nose. One should be cautious about knowing the anatomy of the facial vessels, and you have to be careful to mark correctly so as not to create any asymmetries of the face.

This is a sample article from The Aesthetic Guide.

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