Wrinkly And Fat Knees
The knees are an area of the body that is subject to changes both over time and at younger ages due to genetic factors, which although only constitute an aesthetic problem, often affect us psychologically and our self-confidence. The conditions that can affect the knees are the accumulation of fat, which makes them look bulky and swollen, and the appearance of “wrinkles” above them, where the skin presents folds, giving it a looser and older appearance.
But what are the causes of the problem? Can the knees be both “wrinkled and fat” at the same time?
Yes, they can, as the causes involved in the two conditions do not overlap.
What Causes The Appearance Of "Wrinkles" Above The Knees?
Skin aging: as we age, the skin produces less collagen and elastin, the two main proteins that give the skin elasticity and firmness. The result is that the skin loses its volume and wrinkles form. This natural process is called intrinsic aging and extrinsic factors are added to and exacerbated by it. For example, ultraviolet (UV) radiation breaks down collagen and elastin fibers, accelerating the natural course of aging.
Movement: regular movements, from walking and climbing stairs to kneeling, stretch and compress the skin in the area. The more movement occurs, the more the skin’s elasticity is compromised and contributes to the formation of wrinkles.
What Are The Treatment Options?
Sculptra is the first FDA-approved biostimulant used to smooth deep wrinkles and reverse the volume loss that occurs as we age. Its main ingredient is poly-L-lactic acid (PLLA), a biocompatible synthetic polymer that adds volume and stimulates the production of new collagen by dermal fibroblasts. Thanks to this biostimulant potential, the duration of the effect can reach up to 2 years. It is an ideal treatment for the appearance of wrinkled skin around the knees by offering a natural restoration of the volume that has been lost.
Over time, PLLA polymers in the skin break down through non-enzymatic hydrolysis into lactic acid monomers, which are then metabolized to carbon dioxide and water or incorporated into glucose and eliminated naturally by the body. At the same time, the produced collagen fibers remain.
Method Of Application
This is an injectable treatment, relatively painless, which is carried out with the help of a cannula or needle. Post treatment the area is massaged, which must be continued at home. The 5-5-5 rule is recommended: massage for 5 days, 5 times a day, for 5 minutes. Slight swelling may be observed in the area, which subsides within 1-2 days.
The recommended dosage is 1 vial for each decade of life after the age of 30 (e.g. 3 sessions for patients aged 35-40, 4 sessions for patients aged 40-45, etc.). The quantities may vary depending on the severity of the problem and the patient’s response to the treatment.
The protocol begins with an average of 3 sessions, every 4-6 weeks, with 1 vial per session to achieve the desired result.
After completing the protocol, it is recommended to have 1-2 repeat sessions per year to maintain the result.
Combination Treatments With Sculptra
- Ραδιοσυχνότητα με μικροβελόνες (Potenza): μια συσκευή που συνδυάζει δύο τεχνολογίες με αποδεδειγμένη αποτελεσματικότητα, τον μικροβελονισμό (microneedling) και τις ραδιοσυχνότητες. Με τη βοήθεια των μικροβελονών, η διπολική ενέργεια των ραδιοσυχνοτήτων παρέχεται απευθείας στα βαθύτερα στρώματα του δέρματος και διεγείρει το σχηματισμό κολλαγόνου ενώ παράλληλα συσφίγγει το δέρμα. Συνήθως εφαρμόζονται 2-3 συνεδρίες σε μεσοδιάστημα 4 εβδομάδων.
Όταν το Sculptra συνδυάζεται με συσκευές λέιζερ/ενέργειας, θα πρέπει να υπάρχει διάστημα 2 εβδομάδων μεταξύ των θεραπειών. - Μικροδερμοαπόξεση: αφαιρεί το εξωτερικό στρώμα του δέρματος, ενθαρρύνοντας την ανανέωση της επιφάνειας τους
- Περιποίηση δέρματος:
Ενυδάτωση δέρματος: η τακτική χρήση ενυδατικής κρέμας καθώς και η κατανάλωση επαρκούς ποσότητας νερού σκοπό έχει να διατηρεί το δέρμα ενυδατωμένο και ελαστικό
Απολέπιση: απομακρύνει τα νεκρά κύτταρα από την επιδερμίδα
Κατάλληλη αντιγηραντική θεραπεία: τα ρετινοειδή ή τα πεπτίδια μπορούν να ενθαρρύνουν το δέρμα στην παραγωγή περισσότερου κολλαγόνου, το οποίο σταδιακά θα βελτιώσει την υφή του δέρματος
Αντηλιακή προστασία: το αντηλιακό βοηθά στην ελαχιστοποίηση των βλαβών που προκαλούνται από την υπεριώδη ακτινοβολία
What Causes Fat Accumulation Above The Knees?
Fat accumulation in the knees can be the result of:
- weight gain
- genetic predisposition
- aging
- hormonal changes
Gaining extra weight leads to the accumulation of fat, which is stored in various parts of the body, including the knees. The areas that are mainly affected are the inner and upper surfaces of the knee. On the other hand, someone can eat properly and exercise sufficiently and still not be able to get rid of excess fat in this area. In this case, genetic factors seem to play a decisive role, leading to the storage of fat in unwanted areas. This natural variation means that someone can have excess fat in the knees without having large fat deposits in other parts of the body.
As the body ages, there is a redistribution of fat deposits, with the knees and thighs being most often affected. Women often experience this phenomenon more intensely, especially during periods of hormonal changes, such as pregnancy and menopause. In addition, aging can be accompanied by reduced levels of physical activity, leading to further fat accumulation around the knee and thigh area.
What Are The Treatment Options?
PBSerum HA 2.0 is a revolutionary, innovative product line that uses recombinant enzyme technology. Specifically, it combines high molecular weight hyaluronic acid with the enzymes lipase, collagenase and lyase. It is an injectable treatment that aims to dissolve fat cells in the area where it is applied. More specifically, its active ingredients are:
Collagenase GH PB220: anti-fibrotic action
Promotes the regeneration and reorganization of collagen fibers in the dermis, improving the texture and appearance of the skin, while increasing its elasticity and tone with a strong firming effect.
Lipase PB500: lipolytic action
Activates lipid metabolism within the fat cell, reducing excessive volume and local fat without damaging the tissue. It eliminates excess sebum at the surface level, leaving the skin clean, improving its appearance and texture, while facilitating the absorption of active ingredients.
Lyase PB72K
Increases tissue permeability and the penetration of collagenase and lipase. It also decomposes molecules responsible for fluid and toxin retention, reducing body volume and improving the appearance of the skin.
Method Of Application
Combination Treatments With Pb serum
Radiofrequency Therapy (Evolvex)
Combines the action of radiofrequency and dynamic muscle contraction. Radiofrequency heats the tissues in depth, destroying fatty tissue, tones the skin and improves its appearance. Electromuscular stimulation leads to muscle tissue growth and muscle tone, resulting in skin tightening, fat and cellulite reduction.
Equipment
Before and After
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