FUTURE OF AESTHETICS, PLASTIC SURGERY and ANTI-AGING
Aesthetic plastic surgery has changed tremendously in the last two decades. It is a constantly evolving field, from new surgical techniques to non-surgical options that reduce the need for surgery. As our technology develops, we also develop as aesthetic and plastic surgeons.
Regarding facial procedures, non-surgical options have also started to appear in the last fifteen years. Botulinum toxin injections have become indispensable in rejuvenating the upper face without surgery. Hyaluronic acid and similar fillers also work as anti-aging miracles and the natural appearance is preserved. Of course, if someone is really showing signs of aging, a facelift is still the best option. However, for most patients, other non-surgical procedures are sufficient and more economical than surgery.
Lasers represent another area of aesthetic plastic surgery that has advanced at an astonishing rate over the past decade. While CO2, erbium, nd-yag lasers are still standard, Fraxel laser and light systems (IPL) have become very popular in the last few years due to their precision and softness compared to older lasers.
Stem cell research and plastic surgery are other major areas of development. Stem cells obtained from fats can be used in soft tissue augmentation procedures and to facilitate the healing of difficult wounds. By producing fibroplast, the amount of collagen can be increased. Another area that has started to be used is breast augmentation.
As you can see, the developments in plastic surgery in recent years are exciting and will continue to be an inspiring field in the years to come.
I look forward to the next developments! Here are my predictions and dreams;
Stem cells: Adipose tissue was found to contain one type of important stem cells. Thus, our oils can be the key to regeneration processes in many areas. Currently, stem cells derived from fat are used to improve the results of fat grafting, which is aesthetic. It can be of great benefit for applications in plastic surgery. An excellent example is the use of stem cells, which are stitched into a breast-shaped matrix, as breasts, instead of breast tissue removed by mastectomy. There are many projects for the regeneration of other organs using stem cells. In cosmetic applications, the process of “facial rejuvenation with stem cells” has obvious benefits in my opinion.
The beauty of stem cells: A stem cell is a gracefully blank slate – it has the potential to become nerve, muscle, retina. Or breast tissue, hair follicle, elastin. Researchers are starting to tap into the programmable potential of these cells to treat cancer, stroke, heart disease. Science will inevitably adapt this more and more to the cosmetic industry.
Wound healing without scarring: Imagine a world where burn or trauma survivors and surgery patients can heal without scarring. The magnitude of this problem is hard to ignore when we consider the number of childhood burns. The result is not only deformity, but also functional disability from contractures. A very obvious clue was obtained from injured fetuses that healed without scarring. In this case, the biochemicals involved have been newly identified. Transforming growth factors are known as “type beta” or TGFβ. Experiments have shown promising results in improving scarring with injection of these compounds.
Developments in limbs such as artificial hands and feet: The concept of Regenerative medicine in bionic limbs is starting to take root. Bio-interfaces are being developed for robot arms and legs. This interesting piece here is the interface between the body and the artificial limb. Thus, by detecting the nerves and stimuli that go to the hand, it can perform many of the functions of the natural hand with cerebral control. Other exciting things include artificial retinas for blindness.
Resetting cell clocks : Every cell in our body must be replaced at some point, and it does this by dividing cells. There is a limit to how many times a cell divides. The health of our skin and every organ in our body is affected as cells age and reach the limit of division. But an enzyme called telomerase can prolong the healthy lifespan of our cells and potentially ours. In the coming years, if the telomerase enzyme can be taken into the cell, there will be great progress in anti-aging.
Sirtuin activators for prolonging the lifespan: We know of sirtuin enzymes that significantly prolong the conversion metabolic life. This is one of the important steps to prolong life. There are doubts over the resveratrol in wine, which is thought to activate them. We really need to find activators of sirtuins that work in humans. It shouldn’t be too far.
Non-invasive body shaping : What could be better than body contouring without surgery? High-intensity focused ultrasound (HIFU) is used in the technology, which focuses on bursting a specific layer of fat and passes through the skin. Fat cells are destroyed and absorbed by the body in a few weeks. The capabilities of HIFU are newly discovered, but only a few applications are currently used. It uses HIFU to the more superficial layer under the skin for sagging and tightening treatment. It is one of the areas where I expect rapid development in the coming years.
Fighting fat without incision: A few inches from your hips. Do you want to get rid of fat but are you afraid of liposuction? Machines that use ultrasonic energy to break down fat cells for the liver to metabolize are much talked about among experts.
Another new body sculpting option is a machine that uses severe cold to destroy fat cells. These techniques are still in the early stages but will be perfected in the next decade and will be able to remove fat without surgery. A big caveat: These devices are not designed to remove large volumes of fat, emphasizing that they may be most effective in small areas of localized fat. The recovery time of these non-invasive procedures is shorter than liposuction but still takes time. In order to apply it in one area, the patient has to come to the doctor at most six times.
Another method of getting rid of fat is to dissolve and destroy it by injecting chemicals, enzymes and vitamin compounds that help the body metabolize fat. Still, more information needs to be known about the side effects and stability of the process. For example, if you inject the product into the buttocks, how much will the buttock shrink and how smooth will it become?
Experts using machines or injections say it’s still unclear how much fat the body can metabolize.
genetic engineering: The human genome project has enabled the mapping of all the genes in our DNA, with those responsible for some of the hereditary diseases identified. Replacing abnormal or damaged genes and combining them into a clean copy is no longer so impossible. Of course, there is a dark side to this too, design dolls and designed athletes are also possible.
Painless surgery: Pain is something that no one likes in general and that we do not want to feel at all, especially during surgery. Narcotic drugs have been the mainstay of post-surgical pain management since poppy was first discovered, but the side effects are too numerous and it is more logical to prevent pain than to hide it. One way is to inject drugs instead of surgery or use a delivery system that is delivered slowly over a few days. We know of a new drug that, once approved and widely used, could revolutionize surgical pain management. After the injection of this drug, our patients expect pain-free days for three days, thanks to its slow release.
Smart pills: Pills that make you smart. Technically, there are already pills that support this. But we will encounter much more advanced ones in the future. Pills that become more selective, providing memory support or job-specific improvement.
Relaxing the muscles without injection :Until this time, Botulinum toxin was the only one in relaxing uncomfortable facial features.
One of the product experts is very excited about the gel form of botulinum toxin. This product is currently in clinical trials and is being studied for crow’s feet and underarm sweating. If it goes well, it can be approved in two years. But its overall effectiveness and whether it can be used on other parts of the face have yet to be determined.
In another device with muscle relaxant effect, it works by cooling the muscle, not by a drug. Currently, it can be used between forehead and eyebrow, its effectiveness lasts for 3 months. Work continues for other regions.
Natural support for skin regeneration: Currently there is nothing but this method where a doctor can inject you something natural for anti-aging. Platelet-rich fibrin matrix (PRP), once used for injured athletes, is now used by experts as a tool to correct imperfections such as scars and acne scars. Of course, its most common use was anti-aging. A small tube of blood taken from your body is centrifuged to gently separate the platelets from the substances in it. These intact platelets can then be easily injected into the target areas in a 10-minute process. With this application, we stimulate the production of collagen.
Breast lift with your own bra: Our colleagues are working on an implantable inner bra made of silicone or synthetic mesh. It is thought to prevent the gradual sagging seen in all breasts. Since the breast aesthetic procedure is constantly on the list of the most popular surgical procedures, there may be a great demand for this method.
More effective sun protection: The sun has so many effects on our skin: blemishes, wrinkles, not to mention potential cancers. The best protection against this damage is sunscreen. And soon it will become even stronger. Within a few years, a recommendation could be approved that sunscreens should specify the SPF value (which simply means protection from UVB rays) and UVA protection level. The new rules will ensure that sunscreen manufacturers provide adequate protection against UVA rays. When the proposed guidelines come into effect, they could also approve green light Tinosorb, a sunscreen ingredient that absorbs the broad spectrum of UVA and UVB rays.
Better skin without going to the doctor: The past years have brought us effective home laser hair removal options. In the very near future, intense pulsed light machines that destroy pigment, soften lines and treat acne will take their place next to our toothbrushes in our bathrooms. First: home skin rejuvenating lasers will be available in the coming years. The tool will gradually improve pallor and fine lines with each treatment.
Less white hair, no dye: Researchers are looking for a “solution” for gray hair and are getting closer. A study published last year showed that gray hair is caused by hydrogen peroxide and other molecules that form as we age. The absence of an enzyme called catalase causes these molecules to build up, but a biotech company thinks it has found a chemical compound that regenerates calatase and therefore gives hair its original colour. The company is trying to integrate the ingredient into serums and leave-in conditioners.
The Paris-based hair biology research group has also recently found a gene pair that can determine the lifespan of cells that give hair its color. He is trying to develop a process that will prevent and stop these color-giving cells from decreasing over time, or at least slow down the whitening process.
Thicker hair: Currently there are several handheld lasers for hair growth. But scientists are investigating more powerful ways to thicken hair with light. After a short time you can sit under the red light emitting diode, which promotes more advanced hair growth. Light increases blood circulation to stimulate hair follicles.
Hair transplantation will also develop. Today, it is possible to remove the hair from the skin where the hair is dense and transfer it to the thinned areas. This is a technique that is not very suitable for women who experience thinning everywhere or for men with very reduced hair. In the next decade, doctors hope to take just one hair follicle and use it to grow hair in the lab. It will provide us with the opportunity to use them in the desired amount without risking other areas.
A brighter smile, faster: In ten years, in-office teeth whitening will take five to ten minutes, not 45 minutes. The peroxide will remain the active ingredient in the process, but the chemical systems currently being developed will help it work faster. This improvement can make the teeth whitening process faster at home as well. And if your teeth are crooked, spaced or stained, veneers will become a much simpler process in the next five years.
Remember, Botox was originally developed to treat muscle spasms of the eye, and hyaluronic acid in facial fillers has also been used to lubricate the joints.
I see a future where we look better, healthier, smarter.
Kiss. Dr. Ulvi Guner
Aesthetics, Plastic Surgery Specialist