The area around the eyes is an indicator of chronological aging and aging as a result of exposure to the environment.
Changes in the anatomical characters that appear in this region due to the aging include weakness of the eyelid skin, hypertrophy of the circular muscles of the eye, protruding fat deposits near the eyes and drooping of the forehead, eyebrows and in the middle third of the face. Clinical signs of photoaging of the skin - wrinkles, age spots, reduction of elasticity. Weakness of the eyelids is often the cause of senile ectropion and entropıona and can also cause weakness of the medial and lateral kantalnogo kit (kit angle of the palpebral fissure).
Pull the eyelid skin and rejuvenate the skin around your eyes, there are a number of dermatological procedures, such as topıchesk therapy, chemical peels, dermabrasion, botulinum toxin injections, radio frequency exposure, and laser resurfacing. All of these procedures have their own advantages and disadvantages.
DERMATOLOGICAL PROCEDURES that are used today for skin rejuvenation around the eye:
topıchesk THERAPY: tretinoin (retinoic acid) - the use of 0.05% and 0.1% tretınoınov cream for 6 months leads to an increase in epidermal thickness and granular layer. The improvement seen in the texture of the skin is due to hyaluronic acid synthesis and compaction in stratum corneum.
The most common problem - dry skin. Sometimes patients report burning and itching, redness immediately after application.
ALPHA-hydroxy ACID face PEELS are one of the popular ingredients in cosmetic products. You can affect the condition of the skin, at the molecular, cellular and tissue level. The most common AHA, glycolic, lactic, citric, malic, tartaric. Higher concentrations of these acids used for chemical peels. The depth of influence of surface chemical peels - from the stratum corneum and the depth of the epidermis, depending on the concentration of the acid. The most popular ingredient in superficial chemical peels - glycolic acid in a concentration of 20-70%.
As a rule, scrub accompanied by a burning sensation, redness and light peeling. If glycolic acid is used in higher concentrations, it makes the skin more sensitive to UV light.
TRICHLOROACETIC ACID and the MEDIAN PEELING is almost the universal means of exfoliation, due to the different concentrations can be achieved the desired peeling depth. During a medium peel, is the destruction of the epidermis, papıllıar the dermis and the upper reticular dermis (if you are using the trichloroacetic acid in a concentration of 30-35%).
The use of trichloroacetic acid is past the frost and erythema. After the procedure, in the first 3-4 days in the region of peel indicated moderate swelling, a scab, which is 3-4 days starts to peel, and 7 day, the skin is completely cleared.
DEEP PEEL - deep chemical peels exposure concerns phenol peeling. The depth of the impact on the middle mesh layer. Considered one of the most aggressive forms of treatment effects on the skin, helps remove deep wrinkles and wrinkles, scars and age-related hyperpigmentation.
In deep peeling, which is carried out with partial or complete damage of basal membrane, an increased risk for the occurrence of irreversible damage to the skin, such as skin fibrosis, scars, depigmentation. Can also cause General reaction of, for example, cardiac arrhythmias due to resorption of phenol.
INJECTIONS of botulinum toxin the use of botulinum toxin in dermatology has been limited to the grooves, then its use has expanded to the procedures in the forehead and wrinkles around the eyes. This process before or after the laser resurfacing of the skin around the eye, enhance the effect of laser exposure and contributes to the maintenance of improved skin condition. The goal of treatment is weakening of motor activity of the muscles.
Side effects that have been observed: a deterioration of the already existing hernia lower eyelids temporarily drooping of the lateral part of lower eyelids, and excess skin in the lateral part of the lower eyelid.
Dermabrasion is a procedure of skin rejuvenation in which the skin resurfacing uses a wire brush or a diamond cutter attached to the rotating tool, which allows you to effectively remove the epidermis and upper and middle dermis, including the upper part of the appendages. Re-epithelialization and repigmentation occurs from the adjacent hair follicle and the remaining subordinate structures.
Eyelids and area around the eyes is almost impossible to treat with dermabrasion, because for this technique, it is best to have a fixed and relatively hard surface skin, which work. In addition, this procedure causes bleeding, which in the course of this process, it is difficult to obtain good visualization of the skin.
Radio FREQUENCY non-invasive non-surgical procedure for getting rid of the weak lower eyelid skin. Creates volumetric heating of the tissue, which leads to immediate changes in the dermal collagen tightening of the fibrous septa extending from the dermis to the hypodermis and stimulates the dermal recovery. Generally well tolerated. Among the observed cases - erythema and edema (sometimes more). You can also hyperpigmentation, blistering, hypopigmentation and bleeding. Occasionally there may be scarring and ulcers.
With the development and clinical application of LASER TECHNOLOGY in dermatological surgery has experienced a real revolution. In the beginning of the XX century has been developed the process of laser skin resurfacing using the CO2 laser, which allows to clean the epidermis and dermis of different thickness. In addition to in addition, when the laser resurfacing is also a contraction of the collagen due to thermal denaturation of collagen type I. it is believed to be due to exposure to the laser in contact with the skin damage encourages neokollagenez.
The combination of the vaporızat, contraction and collagen synthesis of new collagen, which leads to the observed clinical improvement.
A few years ago, laser technology has been submitted in partial photothermolysis, which gave impetus to new applications of CO2 laser. This is a laser system that produces a series of micro-zones (MAZ) and thermal zones (MTZ) damage that does not affect the surrounding tissue. Of these, MAZ and MTZ surrounded by undamaged tissue, the distance of migration of keratinocytes is less, healing faster and the risk of side effects is reduced. Most often the side effects in the case of partial processes, which are mild-moderate, swelling of the face, dryness of the skin, formation of scales, the one-surface lesions on the skin, itching and hyperpigmentation. There is evidence that the use during the procedure cold air flow to reduce the level of discomfort.
AFTER the LASER SESSION, all patients showed significant improvement in terms of tightening the eyelid skin, the skin, the elasticity, the texture of the skin, disappearance of fine lines and wrinkles in the eye area.
The fractional CO2 laser system allows for faster healing, short recovery time (rehabilitation period) and reduce the risk of adverse effects, as well as meeting the expectations of patients. This laser corrects skin elasticity is one of the most important factors in the ageing century. However, we do not reduce or eliminate the hernia of fatty tissue or hypertrophy of the muscles of the eyelids - to address these problems is needed for a surgical blepharoplasty. Nevertheless, the fractional laser approach provides excellent results for most patients with weak eyelid skin, which agree only to the non-invasive procedures on the eyelids and periorbital region.
Rapid recovery of tissue from the epidermis, caused by the migration of keratinocytes and the replacement of damaged cells, to the borders of the different areas. Migration of keratinocytes is due to the presence of the "tank", which is partially differentiated cells with a high regenerative and high index, which is able to restore the lost tissue. Thus, the Horny layer of the epidermis, acts as a natural bandage, protecting the tissue from external factors while the effects of the procedure continues in the deeper dermis.
In the acute stage occurs in the dermis during the release of large amounts of proinflammatory cytokines and mediators, moderate compression of collagen fibres in the dermis. Damaged tissue into the dermis, which is going on in the columns to the residues of organic substances, which penetrate through the epidermis to the corneal layer, and then peeling. After this phase, the proliferative phase begins with activation of fibroblasts and the synthesis of new collagen fibers of type III and in contact with the skin matrix. The last stage is characterized by rebuilding collagen, when more delicate collagen fibers type III collagen fibers are replaced by type I.
Fast healing will allow patients to lead a normal lifestyle, in the first week after the last session, as pronounced adverse effects are not observed, and there is no need to hide them or wait for their disappearance.
The process with the fractional CO2 laser can be considered as an innovative technique to remove the skin of the eyelid, reducing fine lines and wrinkles around the eyes and lifting the brows, providing a more youthful appearance. The procedure is safe, without serious side effects, with a small rehabilitation period and a high level of customer satisfaction. The forecasting results and time of the rehabilitation, and related procedures for rejuvenation of the skin remains largely unknown due to the large number of variables involved. The big advantage is the control of erythema, possible with the help of transparencies with the function pulses. These aspects are of crucial importance for the reduction of the period of "social isolation" as a result of the procedure.
Laser treatment not only promotes the maintenance of improved skin condition around the eyes, but with the help of laser technology, may.