Mr Nizar Hamadeh
Otolaryngology / ENT

When should you go beyond anti-ageing products?

Written by: Mr Nizar Hamadeh

Published: 14/06/2019 | Updated: 17/06/2019

Edited by: Nicholas Howley

We have a wider choice of anti-ageing products than ever, promising to keep your skin young or even reverse the signs of ageing. But what can they realistically achieve, and when is it time to look at other options such as surgery? We asked highly experienced facial plastic surgeon Mr Nizar Hamadeh to explain what you should do in your 20s, 30s, and 40s:

There is a wide range of “anti-ageing” products on the market. Despite the name, these products will not stop your skin from ageing: skin is an organ that always ages with time. The role of anti-ageing products is to help your skin age well – and stay healthy.

What products to use

When it comes to helping your skin age well, the two vital products you should use are sunscreen and moisturisers.

Sunscreen is the first product that you should use. It protects and prevents skin from being damaged by sun which would lead to more wrinkles and may lead later into skin cancer. Use sunscreen whenever you are exposed to high UV rays and apply it from childhood.

Moisturiser is equally important, but you won’t normally need to use it until your mid-20s. With age the skin becomes drier, so by the end of your 40s your skin glands will start to produce less oil than before meaning you should use stronger moisturisers over time.

Other ways to look after your skin

It’s important to recognise that anti-ageing products are only a part of the story.

To have healthy skin means you need a healthy body. Sleep well, eat healthy, minimise your stress and stay away from smoking.

It’s also important to get the right nutrition. Antioxidants such as vitamin A, C and E are helpful in keeping your skin stay healthy and fresh, and you can start using them in your 30s. The more we age, the stronger effect we need and more frequently we need to use them

When to have surgery

These remedies will work in your 20s and 30s, but in the 40s your skin becomes less elastic and the key issue becomes excess skin. This is the kind of problem that no anti-ageing product can solve. Many will start to have the following issues:

sagging skin
jowls
loss of jawline definition
loss of volume in the mid-face
more pronounced naso-labial folds
appearance of marionette lines.

In particular, the neck will start to look less tense and start to accumulate skin under the chin. With time it goes down beyond the hyoid bone to the thyroid cartilage. Gradually we may develop “turkey neck” and others might develop platisma bands. All these signs of ageing will be more prominent as we increase with age.

Once we have excess skin the most efficient treatment is to remove the skin by having a facelift, necklift or combined surgery.

A well-done face lift will correct most of these ageing signs and takes you back 10 years. On your neck the effect of neck lift can take you back 20 or even 30 years. Here are some examples:

**To the left:** Before facelift | **To the right:** After surgery

There is no other treatment that can give you such a good result and can make you look that young. Other treatments such as thread lift, fillers, botox, lasers, and peeling can help certain patients – but not all.

To avoid the high cost and risks of repeat treatment, seek professional advice from a highly qualified physician that practices both surgical and non-surgical or mini-invasive procedures. They can advise you on which procedures would be most helpful to you.

By Mr Nizar Hamadeh

Otolaryngology / ENT in London

Mr. Nizar Hamadeh is a highly experienced facial plastic surgeon with private practices in both Birmingham and London. He has performed thousands of facial surgeries after his graduation and has fourteen years of experience practicing internationally in Brussels, Paris, Los Angeles, Spain, Ireland, and the UK. His areas of expertise are face and neck aesthetic and reconstructive surgery, rhinoplasty, blepharoplasty, brow lifts, lip surgery, and facial implants. Mr. Hamadeh completed...

By Mr Nizar Hamadeh
Otolaryngology / ENT

Mr. Nizar Hamadeh is a highly experienced facial plastic surgeon with private practices in both Birmingham and London. He has performed thousands of facial surgeries after his graduation and has fourteen years of experience practicing internationally in Brussels, Paris, Los Angeles, Spain, Ireland, and the UK. His areas of expertise are face and neck aesthetic and reconstructive surgery, rhinoplasty, blepharoplasty, brow lifts, lip surgery, and facial implants.

Mr. Hamadeh completed his medical degree in 1997, after which he trained in otolaryngology and head and neck in different hospitals in Paris and Brussels. He attained an ENT degree from the University Libre of Brussels in 2004 and was awarded several sub-specialty degrees and certificates thereafter from Belgium, France, the UK, and Spain.

After his ENT degree, Mr. Hamadeh became a consultant at Villeneuve St Georges Hospital in Paris and went on to establish his own practice in 2008 in Paris. Mr. Hamadeh has four years’ experience in public hospitals and four years in private sector in France and the UK as a full-time facial plastic consultant performing cosmetic and reconstructive surgery and has worked for the NHS as a consultant in Leeds and Leicester. He has also established an independent practice in Beirut, Lebanon.

He has attended numerous seminars and taught junior doctors and nurses to strengthen his work and is a valued member of numerous organisations from the British Association of Otorhinolaryngology to the European Academy of Facial Plastic Surgery.