A New Era Begins in Anti-Aging Treatments

Describing the trends and tendencies in the world of antiaging, Holistic Medicine Doctor Deniz Heppekcan says that the importance of the holistic approach in medical aesthetics is increasing. Stating that we will start to hear the philosophy of ‘Bio-hacking’ a lot in the coming days, Heppekcan said, “The medical world is working to improve the body’s ability to work at peak performance and extend the life of the person. In short, the concepts of regenerative medicine and regenerative aesthetics will continue to grow like an avalanche,” she says.


Deniz Heppekcan

When does the aging process begin, what changes occur in the skin?

Rather than asking when the aging process begins, it would be more descriptive to start with the questions of how it begins and how it develops. Skin aging, or more accurately ‘facial aging’, occurs in all layers anatomically, from inside to outside. Some of the problems related to facial aging are changes in bone tissue; especially bone loss and wear, changes in soft tissue; Downward and inward displacement of fat pads due to gravity, increase or decrease in size, loosening of facial muscles and suspensory ligaments of the face, and finally, decrease in collagen production, which causes the deterioration of our skin quality, and photoaging, which develops due to sun (UV) exposure as an environmental factor. It occurs due to. Blemishes due to collagen loss and UV damage on the skin, the appearance of capillaries, visible pores, and the formation of thin accordion lines cause the aging process to appear worse.

Should antiaging treatment start with the aging process?

Starting all antiaging treatments before the effects of the process become apparent, as the name suggests, allows the person to age naturally and looking much better. Anti-aging practices should be carried out both internally and externally. In other words, both our mental state and our general physical health; Our performance and energy, and finally our skin quality and antiaging treatment for the face should be perceived holistically.

What is your perspective on aging, coming of age, antiaging?

I think ‘getting older’ is a perfect thing, because it is actually about our mental and spiritual side. For example, when I look back at my 20s and 30s, I can see myself as having progressed. In addition, I see the concept of ‘getting old’ as a sad, frightening disease process in which people give up their own capacities. Because in the normal course of aging, we not only lose the harmonious and balanced facial and skin features we had in youth, but this also affects our self-esteem and can lead to our emotions being misunderstood by others through negative expressions (sad, tired or angry appearance) that become evident on our face.

You say, “Let me decide how to stay young, let me know how to stay young.” Can you elaborate on this a little?

As I just said, I am expressing my perspective that I think getting older and getting older are two different things. Our age, as a number, is nothing more than a situation that expresses our experience and wisdom, and therefore I do not find it right to associate it with aging. That’s why I say let your age be up to you, because only you need the wisdom that comes with your age, and I suggest you leave it to my knowledge and experience to decide what to do to avoid getting old. In short, I argue that people’s age is a concept independent of their old age.

Which transactions, which were performed frequently before, have evolved into which transactions? How were the contents of the transactions shaped and changed?

Compared to previous years, the application methods, regions and layers of filling applications have changed, or rather developed. We now have the knowledge of anatomical application to lift the face up rather than inflating it. This allows us to guarantee much more natural results with fillers. The practice of improving skin quality with collagen stimulants is at the forefront. Mesotherapy that improves skin quality, youth vaccination applications and botulinum toxin, that is, botox, which we treat wrinkles, which never loses its popularity in every period. In addition, the use of energy-based devices (EBD) used for skin rejuvenation and to solve skin problems has become more widespread.

In your opinion, what is the future of medical aesthetics practices? Where is the sector evolving towards?

With the pandemic, there has been a huge change in the perception of health all over the world. I think, especially as physicians, before our duty to treat people when their health deteriorates, we should guide them on how to holistically protect their health before it deteriorates. Every physician should realize this and educate the community around him and raise awareness. We have now realized that no health system in the world can fully bear the burden and is not sufficient. I argue that medical education around the world should change towards preventive medicine and regenerative medicine. Medical aesthetics has more benefits than we expect in terms of making the person feel confident and happy, maintaining their self-esteem, and making it easier to cope with the psychological, emotional and social effects of aging. At this point, the concept of ‘Neuro-glow’ comes into play, meaning that the relationship between how we look and how we feel now becomes more understandable.

Globally, the market volume of non-surgical aesthetic applications is around 60 billion dollars and is thought to triple by 2030. The concepts of stopping and reversing aging, rather than delaying it, have come to the fore. There will be a greater shift towards Regenerative Regenerative Aesthetics. Because after the bad aesthetic examples we have all seen, the importance of the concepts of skin quality, collagen loss, cell renewal and tissue healing has been understood. I think new injectable treatments will be added that are more sustainable, more natural, biodegradable and compatible with our immune system.

What kind of approach do people who come to you encounter?

I am a physician who wants to help and support people feel happy and look good. My most important satisfaction is that the patients I set out with and who consult me ​​have increased self-confidence, are confident in themselves, and are happy with the person they see in the mirror. I always aim to achieve natural but satisfying results. For these reasons, the treatment plan I recommend to everyone is different.

In our face-to-face meetings, I first listen to my patients, ask questions to find out what they feel uncomfortable about when they look in the mirror, and inquire deeply about their general medical history. I balance their expectations with the reality of what kind of goal we can achieve and in what time with non-surgical antiaging applications. I make long-term plans that require order. I thoroughly understand the negative characteristics they want to change and the characteristics they never want to change, and I make explanations in plain language, away from medical terms. I take a holistic view, including overall health, nutritional status, and supplement needs. During our meeting, I explain the devices, products or medications I will use in the treatments I plan, give them information brochures in case they forget, and even ask them to take photos.

At the end of the consultation, I want to make sure that I inform the patient thoroughly before accepting and starting the treatment. It is not always possible for people to choose correctly who to trust, trust is something that is created over time and moment by moment. We know that communication between doctor and patient increases the patient’s treatment success in all areas of health. For this reason, the patient-physician meeting is the most important step in meeting my clients.

No matter what antiaging application I use, there are points that I am very meticulous about, these are; To ensure that the person does not feel unnecessary pain, to work in a way that minimizes bruising and swelling, to explain the procedure and feelings step by step, to respect the facial anatomy and to avoid complications by adhering to safe injection techniques.

With what thoughts do antiaging treatment clients come to you, what do they generally know about the subject and what do they want?

There are patient groups who consult with different thoughts and wishes. Some people want to be the best of their age without changing at all, I call them the ‘aging in secret’ group. I am also in this group. Some come with the expectation of change, usually consisting of people who focus on a significant asymmetry in the face. Some are waiting for transformation, they are change patients who want to look more beautiful and have more feminine or masculine facial features. In addition to all these, we also have another group of patients who are interested in their internal health and for whom we plan intravenous antioxidant-antiaging treatment. My consulting patients are generally people who have access to informative content and have higher awareness because they follow me on social media. I also have patients who seek support due to the complications they experience at an external center. I aim to explain misinformation and beliefs during the consultation in detail and replace them with the correct ones. Almost 80-90 percent of my patients have concerns about turning into someone else with the procedures, being artificial, and swelling (pillow face appearance).

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