The age of 45 is a very special age for women; first of all, physiologically you are very close to menopause, or in some cases have already entered menopause, and with the decline in estrogen levels, a series of changes occur in the body. The rapid decline in both physical strength and energy will make you feel more deeply embarrassed about being “overwhelmed”. Worse still, you will find that aging is unstoppable – skin dullness, wrinkles become uncontrollable, triangle eyes, bags under the eyes, lines, “cheeks”, sunken temples and cheeks, sagging of the whole face – you have to sadly. –Makes you sad to admit that I am really getting old! As a professional doctor, what rejuvenation advice can you give to women around 45 years old who are struggling with aging? A positive mindset, regular physical exercise, good lifestyle habits, regular skin care and active rejuvenation treatments will help you adapt to the changes of aging faster and “looking good” will be the best reward for your positive attitude. Some people say that 40 is a merciless killing knife that shatters all the passions and dreams of youth. When people reach forty, on the one hand, their own physical functions continue to decline, while the next generation around them and relentlessly repeatedly staged the story of “the wave after the Yangtze River pushes the wave before it”, people in middle age, can not help themselves, anxiety and fear seems to have become the main color of life. How to face these anxieties and fears? A positive mindset is especially important. The old saying is that when you are fifty, you know your destiny. In this struggling age, you have to adjust your inner state. If your heart is sunny, your surroundings will be full of sunshine; if your heart is bleak, the world will be gray and gloomy. Your generosity and kindness will make people around you feel your positive energy all the time, and a caring relationship will greatly increase your happiness. In addition, at this age, it is time to learn to “choose and give up”. You should no longer hope to change society, even your friends and family or even your loved ones, you cannot change them. Since aging is inevitable, why not keep a smile on your face and let yourself grow old gracefully and healthily. A sunny heart and a graceful life will gradually dissolve your fear of aging and make everyone around you appreciate your “charm”. As 45 is the age when your skin is gradually aging, your main focus may be on anti-aging skin in addition to daily skin management. There are many topical anti-aging ingredients that are effective when used consistently. It can be broadly divided into three categories: vitamin class, nutritional ingredients, and biological agents. The vitamin class of ingredients is the most commonly used, mostly with antioxidant properties. For example, vitamin A, vitamin C, vitamin E and their derivatives are powerful antioxidant and anti-free radical ingredients that have anti-aging effects to delay the onset of wrinkles. I especially recommend vitamin A and its derivatives, which are recognized as topical anti-aging ingredients. Nutritional ingredients such as coenzyme Q1Q, and many plant extracts are very good. Biologics are also now starting to become a potent ingredient in antioxidants, with some peptides in addition to some cell growth factors, and of course, some topical substances with Botox-like effects. To prevent or minimize the development of wrinkles, cosmetics containing retinoids are recommended. Green tea has also been shown to be beneficial to the skin as an antioxidant, but the majority of products contain so little green tea that they are almost worthless. Large doses of green tea can turn brown, so it is more recommended to be a brown product with a high green tea content. Ascorbic acid or vitamin C is another important antioxidant in the skin. L-vitamin C penetrates the skin more easily and the improvement in skin quality from topical L-vitamin C is to be expected. Another important must for you is to “moisturize”! AHAs such as hydroxyglycolic acid and lactic acid will help hydrate your skin and improve its texture, making it look more radiant. If your skin itself is problematic, such as dry skin, oily skin, combination skin, sensitive skin, pigmented skin, or wrinkled skin. These problems should be corrected or controlled in a timely manner, otherwise they will get worse and gradually transition to a state of skin disease. We will talk about the treatment of problem skin later. At this age, maintaining a good shape is another key to rejuvenation. A good body is more attractive than a pretty face, and a good body is the strongest “calling card” for a successful life. Weight loss is the best test of your willpower and determination, and exercise is the only way to lose weight. Exercise not only burns calories, but also promotes metabolism, and of course regular exercise over the years will help you maintain your figure. At the same time, the endorphins produced after exercise will make you full and happy, wear a Walkman or go exercise with friends, take this step, you will enjoy the happiness brought to you by exercise, your life will never be the same. At the age of 45, aging is a confusion that cannot be avoided. If you want to retain your youth as much as possible, you will have to rely on the help of medical aesthetics. It is important to set reasonable rejuvenation goals. As a professional facial rejuvenator, I can tell you responsibly that the current rejuvenation treatment options can indeed, but only, help you to look as good as you did 5 years ago, and with subsequent rejuvenation maintenance treatments, you can keep it for another 3 to 5 years. Simply put, if you choose the right medical aesthetic treatment, congratulations, you will still look the same in 10 years and receive the admiring glances of your peers with a smile. So what medical aesthetic advice can I give to you at this age? First of all, I highly recommend regular Botox injections. With more than 30 million clinical uses worldwide and long-term follow-up reports of 30 years of continuous use in a single individual, Botox is recognized by all rejuvenation doctors worldwide for its safety and is the most trusted rejuvenation solution at critical times. In addition we will have to deal with facial sunkenness and sagging caused by volume loss. Proper soft tissue volume replenishment is of great importance to restore facial rejuvenation. Autologous fat grafting is definitely the best solution for volume problems. A single fat graft can be definitively exchanged for permanent volume improvement, along with a long term improvement in skin skin texture, and it is also the safest as an autologous tissue graft, so when you find yourself with volume loss in your face, consider fat grafting first. However, fat, as a flexible soft tissue filler, has limited facial lifting ability. In contrast, filling or injection of artificial materials in the periosteal plane can effectively improve the anterior convexity of key support areas, and the increased anterior convexity can effectively antagonize the downward movement of soft tissues and achieve an overall facial lift. Therefore injectable materials (e.g. hyaluronic acid) filling in the periosteal plane. By adding volume to the bony projections of important facial support points such as the arch of the eyebrows, the bridge of the nose, the temples, the chin, and the zygomatic prominence, the overall convexity of these areas can be altered to achieve an overall lift of the face. In short, fat is used to supplement the lack of volume, and a small amount of hyaluronic acid is used to lift the face. Of course, for moderate to severe facial sagging, relying on hyaluronic acid alone seems to be difficult to achieve, and this is where a physical suspension of the midface or a minimally invasive lift with small incisions would have better results. Phototherapy is also a very safe and effective adjunctive option, and I prefer to recommend the application of radiofrequency technology and ultrasonic knife. Radiofrequency treatment, also known as electrophoresis or electromagnetic wave facelift, is a non-invasive skin tightening solution. The hot “Thermage”, “Plasmapheresis”, “Golden Microneedle” and “Thermage “This is the same technology that is used in the market. The main role of radio frequency is to target the dermis layer of the skin, with dermal tightening and promote the role of dermal thickening. However, for some more serious facial sagging, you can also try the application of ultrasonic knife. Ultrasonic knife focuses energy on the subcutaneous SMAS fascia, and the thermal effect produced has the function of deep contraction and skin lifting. Of course the effect of photoelectric treatment is hardly comparable to the efficacy of surgery, but it is less invasive, requires no recovery period, and can be an important maintenance tool after surgical treatment for facial rejuvenation in this age group. Well, that’s all for today. For those of you who are “struggling with aging” I have given you the following medical recommendations that I hope will be helpful. Medical advice for rejuvenation in the mature stage: 1. Use Botox regularly to reduce power wrinkles; 2. Fat grafting will effectively improve facial volume loss, but supraperiosteal injections of hyaluronic acid can enhance localized foreshortening for an overall facial lift; 3.