Maintaining clear, youthful facial contours is one of the key goals of aesthetic medicine. As we age, the anatomical structures of the face gradually change, and the tissues may begin to shift downward. ANACOSMA specialists use modern diagnostic and correction methods to develop a personalised treatment plan based on the severity of age-related changes.
What Is Ptosis, and Why Does Facial Skin Sag?
Facial ptosis is the gradual downward displacement of soft tissues under the influence of gravity. Plastic surgeons and dermatologists identify several main factors that contribute to its development:
- A gradual loss of skin firmness and elasticity.
- Weakening of the facial muscle framework.
- Displacement of the subcutaneous fat compartments.
The first changes may become noticeable as early as the age of 25–30. The rate at which they develop depends on genetic predisposition, facial ageing pattern, skin condition and collagen production. Over time, the facial ligaments become less effective at holding the tissues in their original position, causing the contours of the face to gradually change.
How Does Facial Ptosis Develop?
Age-related changes usually progress gradually from the upper to the lower areas of the face. During a consultation, the doctor evaluates their severity and determines the stage of ptosis.
- Stage I — early. The upper eyelids may begin to droop, the eyebrows may slightly descend, and nasolabial folds and tear troughs may become more noticeable. The eyes can appear more tired.
- Stage II — moderate. The tissues of the midface shift downward, the outer corners of the eyes may droop, and the nasolabial folds become more pronounced. Jowls may appear along the lower jaw, and a double chin may begin to form. The facial contour gradually loses definition.
- Stage III — advanced. The facial structure changes considerably, with pronounced folds, deep creases and a significant amount of excess tissue.
Top Treatments for Facial Ptosis at ANACOSMA
ANACOSMA specialists develop an individual anti-ageing strategy based on the stage of ptosis, skin quality and facial anatomy. At stages I and II, a combination of non-surgical treatments may be recommended.
Radiesse Vector Lift
This is an injectable technique in which Radiesse is administered along specific facial vectors. It helps restore lost volume and stimulates the production of the patient’s own collagen. The product gradually biodegrades, while the newly formed collagen fibres help maintain the density and firmness of the tissues.
Anatomical Thread Lift
This technique may be recommended when displaced soft tissues need to be repositioned while preserving the patient’s individual facial features. The doctor makes small punctures, including in the temporal area concealed by the hair.
Depending on the severity of the changes, either mesothreads or Aptos lifting threads may be used. The procedure takes approximately one hour, while the recovery period usually lasts up to 14 days.
Ultherapy with the Ulthera System
Ultherapy is an FDA-cleared non-surgical ultrasound lifting technology. Focused ultrasound energy is delivered at predetermined depths, including the superficial musculoaponeurotic system (SMAS), stimulating the production of new collagen fibres.
Usually, only one treatment session is required. The result develops gradually over approximately three months and may last for up to two years, depending on the patient’s individual characteristics.
At ANACOSMA, the treatment is performed exclusively using the original Ulthera System, which provides real-time ultrasound imaging of the tissues. The procedure has certain contraindications and limitations, so the final decision regarding treatment is made by the doctor after a consultation.
At stage III ptosis, aesthetic treatments generally play a supportive role. For more significant correction, a plastic surgeon may recommend surgery.
How to Slow Down Facial Ageing and the Development of Ptosis
To slow down age-related changes, it is important to combine professional skincare, individually selected aesthetic treatments and healthy everyday habits.
Professional Glow Solution Treatment
Glow Solution is a non-injectable hydradermabrasion treatment. The protocol combines professional Babor skincare products, low-frequency Trim Ultrasound and pulsed massage. The treatment is designed to cleanse and hydrate the skin while improving its overall condition.
Doctors also recommend:
- maintaining a regular sleep schedule;
- paying attention to posture and managing stress;
- staying properly hydrated;
- following a balanced diet;
- avoiding significant fluctuations in body weight;
- using appropriate at-home skincare and sunscreen regularly.
Consistent at-home care and professionally selected treatments can help maintain skin quality and slow down visible age-related changes. An ANACOSMA specialist develops an individual correction plan after a personal consultation.