摘要

Objectives: Since years the focus in aesthetic medicine was on volumizing the face using fillers, obviously more we fill increasing the volume of the zygomatic area & the middle cheek more the face is lifted following the simple physics’s rules. The results on our patients is the overfilled syndrome commonly known as pillow face The new trend is to stop the aging process with autologous regenerative medicine. Almost all the energy based devices are supposed to have an action on the dermis or on the fat layers what about the muscles’ aging? Introduction: Considering that face muscles represent 60% of the face form, them there is 20% skin, 10% fat and 10% bone. As a consequent face muscle restoration would be the main antiaging procedure.Working on muscles is the new trend in face contouring Materials / method: I have been using since the last 3 years the diathermocontraction : a Simultaneous Generation Bipolare Radiofrequency & muscles contractions Acknowledging perfectly face muscle anatomy, we can focus while using the diathermocontraction on the lifting muscles of the face and on the retaining ligaments. RF diathermy treatment reduces wrinkles and cutaneous ageing, with selectively treating the deeper dermal and subdermal layers, while muscle contraction can cause a 20% increase in the thickness of the zygomatic major muscle, with an improvement of skin texture as wrinkles and skin hydration. Results: Overall, combined effects of diathermy and contraction can also stimulate both satellite cells activation, able to regenerate and strengthen the existing muscle fibers through differentiation, and the release of Heat Shock Proteins (HSP), signaling molecules promoting muscle protein synthesis and muscle hypertrophy. The effects of the radiofrequency are well known: the improvement of the blood microcirculation leading to the increase of tissue oxygenation and the release of the IGF insulin growth factors, the FGF Fibroblast growth factor and VEGF vascular endothelial growth factor Conclusion: The new trend in aesthetic medicine is a conservative and regenerative approach. Volumizing the muscles using diathermocontraction is very effective to naturally lift the mid and lower face improving the jawline contouring and the v shape. This innovative technique has no side effects is painless and has long term results. The future of regenerative medicine is also regenerative energy base devices focusing on muscle ageing.