Another characteristic symptom of chronologic aging, facial flaccidity usually becomes apparent after age 35. It results from the lack of collagen and elastin, or the simple disorganization of the fibers responsible for supporting the muscles and skin. It is characterized by the appearance of thin and fragile skin, lacking elasticity and loss of firmness.

It is also intensified by external factors that can be avoided with changes in some habits. Aggravating factors include smoking, alcohol consumption, excessive sun, lack of regular water intake, stress, pollution, physical inactivity, followed by sleepless nights and improper diet – low in antioxidants and high in sugars and fats.

In some cases, sagging is a result of sudden weight loss or hormonal changes related to obesity, pregnancy or chronic illness. There are two very different types of sagging i.e. the skin, caused by the lack of supporting fibers (collagen and elastin), due to aging or drastic weight loss, and the muscle -which is deeper and comes from the wear of the supporting fibers of the muscles.



Female > Facial Treatments

Biostimulators, when injected into the skin by cannula, have the ability to reinforce collagen, elastin and hyaluronic acid inside. The action of biostimulation therefore occurs from the inside out.

The dermis, for example, under the effect of biostimulators, starts to produce a lot of collagen, so the treatment is well-known when it comes to reducing sagging and achieving excellent results also for cellulite. Results in the buttocks and inner thighs and arms are significant.

By themselves, biostimulators greatly improve sagging, recovering contours and providing firmness, with immediate results. But when combined with microfocus ultrasound, the results are even better.

Sculptra® from Galderma is a biostimulator composed of polylactic acid; and Merz’s Radiesse® for calcium hydroxyapatite. Both are fully absorbed by the body. The use of cannulas for their application avoids stings and possible bruising. Topical anesthetic is used so that there is no discomfort throughout the procedure

Post-treatment: No downtime. Redness or mild edema may occur.

Protocol: 2 to 3 sessions, monthly application.

Result: Immediate, with evolution up to 30 days after the end of treatment


Female > Facial Treatments

Exilis Elite promotes tissue heating through radiofrequency to improve appearance, redefine contours, reduce wrinkles and treat sagging. The main benefit of Exilis Elite is its ability to direct the energy with the ideal combination of heating and cooling to achieve the best cosmetic outcome while keeping patients comfortable (Painless). Exilis Elite offers the best depth of penetration to produce aesthetic positive effects, a younger appearance and firmer skin. The regions of the face where Exilis is most commonly used include the eye area and around the mouth.

Post-treatment: No downtime.

Protocol: 4 sessions, fortnightly.

Result: Gradual, from the 2nd session.

Fotona 4D®

Female > Facial Treatments

Two types of laser combine in the Fotona 4D, enhancing its action. In practice, it translates as a four-dimensional treatment, the accuracy of which is guaranteed by a robotic tip that varies according to the type of recommendation i.e. sagging, fine lines, wrinkles, etc. Each has the ability to scan and evaluate the area to be treated, ensuring homogeneous action.

For rejuvenation and decreased sagging, the tip is aimed at the neck, double chin, eyelids and eyes. With a special tip model, the device can also be directed to the inner walls of the mouth, thus stimulating collagen from the inside out, also improving the skin around the lips, the so-called “barcode”. In this case it helps to increase the volume of the lips. The result is a facelift and rejuvenation of the entire treated area.

Post-treatment: No downtime.

Protocol: 3 sessions, monthly.

Result: From the 2nd session.



Female > Facial Treatments

Device recommended to promote skin rejuvenation, combining radiofrequency with emission of magnetic pulses through tips. The facial has four electrodes, and the body is multipolar. The emission of pulses acts by means of a high flow current, which improves the support and elasticity of the skin. Its restoration results from direct stimuli to the production of collagen and elastin. Radiofrequency acts on sagging, increasing the synthesis of collagen and elastin. The equipment has the ability to develop greater current flow, so it is more effective in promoting skin lift and elasticity.

Post-treatment: Slightly pink skin for up to 1 hour after each session.

Protocol: Between 8 and 10 sessions, weekly.

Result: Gradual, from the first session.

MD Codes®

A recent protocoled technique that allows you to map parts of the face using an efficient point code to get precision and speed when filling them with hyaluronic acid. The result is an excellent quality facelift with delicate and sophisticated embellishment, ideal for a younger, more natural look.

This coded mapping is based on the criteria of the “Mathematics of Beauty”, which is inspired, in turn, by the balance and harmony of the so-called “golden ratio”, which goes back to the notion of beauty that inspired many philosophers and, above all, Renaissance artists such as Michelangelo and Leonardo Da Vinci.

According to this proportion, the beauty of a face can be calculated – and it is this knowledge that MD Codes puts at the service of Cosmiatry. With this, the dermatologist gains precision when deciding on the points to receive more, or less fills.

The ability for the doctor to restore lost volumes at structural points on the face is the big news that MD Codes brings, as it uses hyaluronic acid to fill in wrinkles, such as those going from the sides of the nose to the mouth, called “Chinese mustache”. ”, Is usual.

The new chapter that MD Codes begins to write will allow the change in facial architecture to be delayed in the name of balanced rejuvenation. This naturally changes over time because of fat loss and bone structure.

This is the case of “Chinese mustache”, which arises as a result of deep fat loss and bone resorption of the cheekbone. Flattened when viewed in profile, the skin there is left and so pronounced grooves appear. Filling them was a way of solving the cause, but not the consequence of the problem.

The revolution that MD Codes brings allows them to fill in the points before the problem sets in, ensuring men and women look youthful and natural for longer. The technique has coding for different types of faces, considering the characteristics of each gender. In the case of men, the lower third and mandible contour are generally more defined and angled, whereas the woman has a more pronounced middle third.

MD Codes is a very much celebrated achievement by Cosmiatria, as it paves the way for accurate fillings of wrinkles and lines through cannulas without the risk of invasive procedures. But once again, even though the technique is a breakthrough, its use and results will depend on the dermatologist’s knowledge of anatomy, associated treatments, and his understanding of discerning beauty.

Post-treatment: No downtime.

Protocol: 3 sessions, monthly.

Result: Immediate, lasts an average of 12 to 18 months after the beginning of the first session.

Thermage facial®

Female > Facial Treatments

Radiofrequency treatment that is applied to the face in order to restore the support of the local skin and correct its sagging. In a single session, it promotes immediate contraction and stimulation for collagen production, which occurs within the next six months.

Post-treatment: No downtime.

Protocol: 1 session.

Result: Up to 6 months after application.


Female > Facial Treatments

The only non-surgical facial treatment using ultrasound for lifting effect. Its action on the skin allows it to generate images that help to visualize the layers of tissues to be treated. The precision of the device stimulates cells to produce new collagen fibers. Result: This improves skin tone, which also gains firmness.

Post-treatment: Slight redness and swelling that subsides within hours.

Protocol: 1 session.

Result: Gradual, up to 3 months after session.


Female > Facial Treatments

Radiofrequency treatment with micro-needling. There are 36 microneedles in a tip that, when applied to the skin, stimulates the production of hyaluronic acid and releases energy capable of retracting collagen fibers and thus stimulating their production. These fibers act directly to support the skin, which reduces sagging, restoring volume to the face – and also help to fill in wrinkles, ridges and scars.

Post-treatment: No downtime

Protocol: 6 sessions, biweekly.

Result: Gradual, up to 30 days after the end of treatment.

Subscribe to receive health tips prepared especially by Dr. Otávio Macedo and his team!

    * All fields are mandatory