The process of aging affects each one of us, but at what age and how much the appearance of aging will become visible, varies.
Signs of aging are more apparent on the open areas of the body.

Many factors affect our aging:

- Our genetic makeup.

- Bony changes in the face.

- Natural decrease in collagen production with subsequent thinning of the skin, accelerated by hormonal changes.

- Different skin disorders, like acne, especially cystic acne and chicken pox, that can cause scarring.

- Skin conditions like rosacea, hyperpigmentation, freckles, etc.

- Exposure to elements- wind, heat, cold, and, especially, the sun.

- Exposure to different chemicals and pollution.

- Poor daily skin care.

The appearance of wrinkles and sagging skin on the face is greatly affected by the invisible natural facial bone loss which starts in women earlier than in men. It happens around the orbits and nose. This changes the lengths, angles and volumes of facial tissues, even the distance between the eyes.
Overall, a young face has a triangular shape with the widest part being the cheek bones and the “point” being the chin. In an older face this triangle is reversed with the widest line connecting the chin and the lower edge of the cheeks. The cheekbones are not pronounced anymore. Often skin sagging gives the face a rectangular appearance as well.
We do not have methods to reverse facial bone aging yet but we have means to restore the appearance of the soft tissues.

As we age, our skin loses elasticity and underlying tissues increasingly break down with wrinkles. This is when laugh lines, smile creases, and crow’s feet becoming more apparent. Facial aging is a result of the effects of gravity, sun exposure and constant facial muscles movement during smiling, chewing, frowning and squinting. As we age, our skin loses fat volume, especially in the cheek and temple areas. Loss of the eyebrow volume gives an impression of tired eyes. Other areas, including jawline and lips, lose defined contour and the face starts looking tired and less expressive.

It is all too common that in their 20′s many women pay no attention to some abuse of their skin, like sunburn, sweat, dirt, and sleeping with the makeup on; however, soon the skin starts showing the first signs of aging.  Proper skin care is vital now, since the earlier you start, the better the results later on in life. The goal is preserving the natural beauty. The best skin care for women over 20 is more than anything an investment in the future. Each woman has her own skin type and composition and is exposed to different environments.  One thing is for sure: strong chemicals will take their toll on your skin at some point. Sometimes they’ll even speed up rather than stop the aging process. That is why it is important to create and maintain a skin care plan.

In the 30's, the first skin changes become noticeable. Sunburns may now show up as darkened patches, blotches or deep wrinkles. Pesky age spots and sun spots start to appear. There may also be puffiness that now lasts through the morning.  Keep your skin at its best for the long run. While you can not turn back the clock, you can take steps to revitalize your skin and minimize the effects of environmental and age-related skin damage.

In the 40's, smoothness of the skin slowly fades away and pores on the prominent areas of the face like nose and cheeks become apparent. Lines by the nose and around the mouth become more noticeable, too. Lips and temples lose their fullness and become less defined.  In addition, hormonal changes may cause acne and additional skin dryness. Preventative anti-aging measures may still be able to provide significant improvement in the appearance of the aging skin. Small interventions, like local Botox® injections, may be enough to support overall youthful appearance of the face and neck.

In the 50's, skin begins to lose its vitality.  Collagen fibers decrease in number and can not provide as much support to the skin. The skin loses its elasticity with wrinkles, nasolabilal and mannequin lines, age spots and other signs become exaggerated.  Anti-aging products and intensive moisturizing in order to hydrate dry skin should be used in addition to a regular cleansing-toning-moisturizing skin care.  Preventative anti-aging measures may no longer have the same potency and camouflaging the signs of aging becomes a daily routine. Saggy skin, loss of definition of facial features, loss of volume in the cheeks, deepening lines and wrinkles, loose skin in the neck and along the jaw line can be significantly improved by using non-surgical methods of treatment.

In the 60′s and later in life the effects of aging become progressively more apparent on the eyelids, neck, jaw-line, lips, temples and other areas. Topical skin care is able to provide only very minimal improvement and women rely on make up to improve their appearance. Many women use cosmetic procedures to rejuvenate their face and look their best.

Our desire to look younger and healthier has become a reality with the advances in medicine, allowing people to have procedures taking years off their skin. Recent studies have shown that surgical facial rejuvenation literally makes a person look 7-10 years younger. Not everyone is willing to have such a radical treatment as facial surgery, especially that the non-surgical methods are now widely available.

Any procedure aimed at restoring a youthful appearance to human face is called facial rejuvenation. Facial rejuvenation includes different modalities.


- Brow and eyelid lifts

- Face and chin lift

- Facial hairline restoration.

- Small surgical procedures:

- Botox injections

- Collagen injections

- Permanent makeup

- Skin resurfacing (dermabrasion)

- Laser scar removal


- Fractional radiofrequency, stimulating regenerative process of building new

- Exfoliation and moisturizing

- Non-surgical facelift

- Antioxidants, Vitamin C and Retinin A treatments

- Facial exercises

- DMEA creams

- Facial toning

- Cosmetic acupuncture

Our doctors use Botox® injection treatments, skin fillers and other techniques to smooth the wrinkles and lift up sunken areas.  Improvement in facial appearance with non-surgical techniques helps to avoid significant discomfort and downtime associated with surgical treatments at a fraction of its cost.

Our culture puts more and more emphasis on youthful appearance and decreased cost of surgery and cosmetic procedures is making them more and more affordable. What used to be a prerogative of few women became a mainstream movement. As more senior citizens enjoy healthy and active life, the amount of rejuvenation procedures has increased tremendously. Now both men and women enjoy rejuvenation procedures in large numbers.