Your aging pattern, skin problems & hormones, all fit together. This is important in order to make a medical treatment plan.
As we grow older, our bodies change from a growing pattern to a maintenance pattern. This applies to our hormonal balance, weight management, metabolism, skin regeration, healing and recovery. The skin is the largest organ, and is one of the first to show visible signs of any internal changes. These signs are in the form of change in colour (pigmentation), thickness, dryness and temperature. Aging changes like these naturally occur:

• Skin becomes rougher due to slowing of the skin regeneration cycle.
• Skin develops lesions such as age spots (keratoses)
• Skin becomes slack and saggy, due to the loss of the elastic tissue (elastin) in the skin with age-related loss of estrogen and testosterone.
• Skin becomes more translucent, and blood vessels become easily visible. This is caused by thinning of the epidermis (surface layer of the skin) and the dermis.
• Skin diseases of aging come to the fore – rosacea becomes evident.
• Skin becomes fragile. This is due to flattening of the area where the epidermis and underlying dermis come together.
• Skin bruises easily due to thinning of blood vessel walls .

Changes beneath the surface of the skin also result in changes in appearance with age.

Hollowing: the young contour of temples and cheeks are formed by healthy fat pads beneath the skin. These fat pads shrink and separate with age. Skin appears looser, eyes sunken and temple hollowing gives a “skeletal” appearance.

In middle age, bone thickness starts reducing in the lower face. This makes skin look puckered, especially around the mouth and chin. Cheeks sag below the jawline, causing jowling. In peri-menopausal and post-menopausal state, these changes occur rapidly and aging is accelerated.

Changes in body fat distribution and utilisation of food is altered with aging and hormonal deficit. Hence we develop the “middle-age spread”, stubborn fat deposits, and cellulite.

The medical aesthetic patient today has a wide knowledge of all these factors and understands that for sustainable and safe outcomes, all these factors need to addressed and managed. At Reverse Time, the ethos of treatment is to offer safe non-surgical options that address the spectrum of causes and effects of aging, after a comprehensive consultation to identify what is relevant to you.