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This all depends upon the level of damage present in the skin being treated.

Certain forms of facial massage and facial excercies can stimulate the facial muscles to tighten, tone, and increase in volume to help reverse sagging and loss of skin contour and some areas of skin fullness. The most effective form of face treatment which stimulates facial muscles is an electronic device which replicates the brains signal which tells muscles to contract. When applied to the skin these devices works at various frequencies and intensities and effectively excercise and develop both well used primary facial muscles and little used dormant/wasted muscles. These treatments are a very effective age-reversal therapy as not only do they treat underlying saggging and loss of firmness and structure of muscles, but they also treat the skin. The working of the muscles contributes to the revival of skin metabolism and energy which in turn improves blood flow, oxygenation and increases the speed of cellular turnover and replacement. Results from electo-muscular therapy especially in the hard to treat face area offer some of the most dramatic effects achieved with topical procedures.

So for circulation obviously muscle toning devices help, and the afore mentioned facial massage works in the same way but is less dramatic. However the pulling and massage of skin will help improve ciculation but great care must be taken not to damage the skin, as overzealous mechanical movement can cause shearing of the skin layers internally, and break down too much facial fat creating wasting.

As of 2010 DMAE is the only topical ingredient known to improve muscle and skins firmness tone and tautness. This works better when used in conjunction with electro-muscular therapy, and greatly depends upon how absorbant the skin is. The absorbancy is effected by the level of skin damage.

Many skincare products can improve skin circulation through many mechanisms. Ginseng has the effect of widening capillaries to deliver more blood, vitamin K can help reapair damaged leaky vessels to assist broken capillaries. Vitamin A can cause skin cell differentiation which in turn grows new vasculature through the skin remodelling process. Copper Peptides also do this. Menthol is an irritant, but is often used in small doses in skincare to induce a tingling glow, although this is an insidious form of skin irritation. If skin takes an allergic reaction to products it can allow too much blood to enter the skin creating a swollen red skin.Skin circulation is a complex subject.

When it comes to aged leathery ashen skin which is irresponsive to skin products, it often represents skin which is depleted of nourishment internally through skin damage, bad deit, smoking, alcohol, drugs, and lack of excercise. The best protocol in these cases is skin peels coupled with mesotherapy treatments and possibly electro-muscular therapy. Certain LED therapies can also assist improving skin circulation. Many laser treatments exist to tackle facial redens, and broken veins, birthmarks, or visible broken capillaries. Sclerotherapy injections are used to cure varicose veins. Some electric shock needle treaments can instantly collapse small broken capillaries so they dissapear.

AS FOR BONE : No skin cream, or aesthetic treatment is known to affect facial bone. During the teenage years certain hormone blocking medications have the effect of halting age-induced bone growth leaving the face devoid of adult contouring. Some rumours say Judy arland experimented with such things although this practice appears to be unheard of today. As for age-induced bone loss, incorporating the riet diet and supplementation which concentrates on bio-available calcium, phosphorus, high doses of Vitamin D (sometimes prescription strength), Vitamin A, Magnesium, and avoidance of fizzy drinks etc can all help slow bone loss and even replace lost bone. Many presecription treatment drugs exist to help correct bone loss in the elderly including woman with osteoporosis.

The dermal filler Radiesse is often employed to act as a harder structual filler which mimics bone in contour areas such as the nose, cheek bones, and chin and jaw. More dramatic changes can be achieved with cosmetic surgery to permanantly fix cheek/chin/jaw implants onto the skull to improve bone contour.

Hope this helps.

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