The area around the eyes is an indicator of chronological aging and aging as a result of the exposure of the environment.
The anatomical change of the nature that occur in this area due to aging, including weakness of the skin of the eyelid, hypertrophy of circular muscles of the eyes, which act on the fat deposits around the eyes, as well as the suppression of the forehead, the eyebrows, and the middle third of the face. The clinical signs of photoaging of the skin - the presence of wrinkles, age spots, diminished elasticity. The weakness of the eyelids is often the cause of the ectropion and entropıona and can also lead to the weakness of the middle and lateral kantalnogo of the tendons (tendon of the corner of the eye the gap).
To reaffirm the skin of the eyelids, and rejuvenation of the skin around the eyes, there are a number of dermatological procedures, such as topıchesk therapy, chemical peelings, dermabrasion, injections of botulinum toxin, radio-frequency impact and laser resurfacing. All of these procedures have their advantages and disadvantages.
DERMATOLOGICAL PROCEDURES that are used today for the rejuvenation of the skin around the eyes:
topıchesk THERAPY: tretinoin (or retinoic acid) - the use of 0.05% and 0.1% tretınoınov the cream in a term of 6 months, leads to an increase in the thickness of epidermal and granular layer. The improvement seen in the texture of the skin, occurs through the synthesis of hyaluronic acid and compaction of the stratum corneum.
The most common problem of dryness of the skin. Sometimes, the patients reported a burning sensation and itching, rubefaccin immediately after application.
The ALPHA-HYDROXY-ACIDS and PEELS are some of the most popular ingredients in cosmetic products. They are able to influence the state of the skin at the molecular, cellular and fabric level. The most common ann are glycolic, lactic, citric, Apple, tartaric acid. The highest concentrations of these acids are used for chemical exfoliation. The depth of the impact of surface water chemical peels of the corneal layer and throughout the depth of the epidermis, in function of the concentration of acids. The most popular ingredient superficial chemical peels - glycolic acid in a concentration of 20-70%.
As a general rule, exfoliation, followed by a burning sensation, redness and light peeling. If glycolic acid is used in a higher concentration, it makes the skin more sensitive to uv rays.
TRIHLORUKSUSNAYA ACID and INTERMEDIATE the PEELING is almost universal agent for the exfoliation, because thanks to the different concentration can be reached to the exfoliation of the desired depth. During the middle, the exfoliation is the destruction of the epidermis, papıllıar of the dermis and the upper layer reticular dermis (if used trihloruksusnaya acid in a concentration of 30% to 35%).
The application of trichloroacetic acid causes passes frost-effect and erythema. After the procedure, during the first 3-4 days in the field of exfoliation is celebrated moderate edema that forms the cortex, that in 3-4 days begins the take-off and 7 day the skin is cleaned completely.
A DEEP PEEL a deep chemical peel refers to phenolic peeling. The depth of the exposure - in the middle of the mesh layer. It is considered one of the most aggressive of the procedures of the exposure to the skin, favorable to the elimination of deep wrinkles and folds, scars, and age of the hyperpigmentation.
With a deep peel, which is performed with the part or the total damage of the basement membrane, increases the risk of formation of the irreversible defects of the skin, such as fibrosis of the skin, scars, depigmentation. You can also see the general reaction - for example, cardiac arrhythmia due to the reabsorption of phenol.
INJECTIONS of botulinum toxin - the use of botulinum toxin in dermatology previously limited to grooves and, below, its use has been extended procedures in the area of the forehead and the wrinkles around the eyes. This procedure before or after a laser grinding of the skin around the eyes increases the effect of laser impact and contributes to the improvement of the condition of the skin. The aim of the treatment consists in the reduction of the motor activity of the muscles.
The side effects that have been observed: the deterioration of the state's pre-existing hernia of the lower eyelid, temporary omission of the lateral part of the lower eyelid, as well as the excess skin below the lateral portion of the lower eyelid.
DERMABRASION is the process of rejuvenation of the skin, to the polishing of the skin using a wire brush, or diamond cutter, which are attached to an instrument that allows you to effectively remove the epidermis, as well as the top and middle of the dermis, including the upper parts of appendices. The Re-epithelialization and repigmentation occur adjacent to the hair follicles and of the remaining provisions of the structures.
The eyelid and the area around the eyes is almost impossible to handle with the help of the dermabrasion, since this technique is better to be motionless and on a hard surface of the skin in which you can work. In addition, this procedure causes the bleeding so that during the procedure, it is difficult to obtain a good visualization of the skin.
RADIO frequency - non-invasive non-surgical procedure for the correction of the weak skin of the lower eyelid. Creates an envelope of tissue heating, which causes an instantaneous change in skin collagen, pulling up fibrous septa extending from the dermis to the hypodermis, and it also stimulates the skin recovery. In general it is well tolerated. Between the observed isolated - erythema and swelling (sometimes more). Can also be hyperpigmentation, blistering, hypopigmentation and bleeding. From time to time may be scars and ulcers.
With the development and clinical application of LASER TECHNOLOGY, dermatologic surgery has experienced a real revolution. At the beginning of the TWENTY-first century, a procedure was developed for laser polishing of the skin with the CO2 laser is, which allows you to perform the complete cleaning of the epidermis, as well as in the dermis of different thicknesses. In addition to in addition, when the laser polishing also produces the compression of collagen thanks to thermal denaturation of collagen type I. it is Considered that the caused by exposure of the cutaneous laser damage stimulates neokollagenez.
The combination of vaporızat, compression of collagen and the new collagen synthesis conditions observed clinical improvement.
Some years ago, the laser technology has been introduced fractional photothermolysis, which gave impetus to new applications of the CO2 laser. It is a laser system that produces a series of micro-zones (maz) and thermal zone (mtz) the damage, without affecting the surrounding tissue. Given that these maz and the minsk tractor factory are surrounded by undamaged tissue, the distance of migration of keratinocytes less, healing is faster and the risk of side effects reduced. Often side effects of fractional processes include moderate erythema, swelling of the face, dryness of skin, formation of scales, route maps, the superficial lesions of the skin, itching and patches of hyperpigmentation. There is also evidence that the use during the procedure cold air stream reduces the level of discomfort.
AFTER the SESSION of LASER in all patients we observed a significant improvement in terms of pulling of the eyelid skin, the elasticity of the skin, the texture of the skin, the disappearance of small lines and wrinkles in the eye contour.
Fractional CO2-laser system, more rapid healing, shorter time of recovery (rehabilitation) and a lower risk of side effects, as well as the fulfilment of the expectations of the patients. This laser corrects the elasticity of the skin is one of the most important factors in the aging of the eyelids. However, you can not reduce or eliminate the herniation of fat or hypertrophy of the muscles of the eyelids - for the correction of these problems it is necessary to blepharoplasty surgery. However, fractional laser approach provides excellent results for most patients with weak skin of the eyelids, which agree only in non-invasive procedures on the eyelids and in the periorbital area.
Faster recovery of the tissues of the epidermis occurs due to the migration of keratinocytes and the replacement of damaged cells at the borders of the different areas. The migration of keratinocytes occurs due to the presence of "deposit" partially differentiated cells with a high regeneration and high-index, that are able to restore the loss of tissue. To the east of the horny layer of the epidermis, acts as a natural bandage, which protects the tissue of the external factors, while the effects of the procedures continue in the deeper dermis.
The acute phase occurs in the dermis, at the time of the release of large amounts of inflammatory cytokines and mediators, moderate compression of the collagen fibers of the dermis. Damaged tissue of the dermis is collected in the columns of the organic residues of the substances passing through the epidermis the horny layer, and then exfoliate. After this phase, begins the proliferative phase results in the of fibroblasts and the synthesis of new fibers of type III collagen and dermal matrix. The last phase is characterized by the recovery of collagen, when more thin fibers of collagen type III is replaced by the collagen fibres of type I.
Quick the healing process allows patients to lead a normal life during the first week after the last session, since it expresses the side effects have not been observed, and it is not necessary that, in order to hide or wait for your demise.
The procedure with the use of fractional CO2 laser can be considered as an innovative technique for the lifting of the eyelid skin, reduction of fine lines and wrinkles around the eyes, as well as the lifting of the eyebrows, which provides a more youthful appearance. The procedure is safe, without serious side effects, with a small period of rehabilitation and the high level of satisfaction. The prediction of the results and the time of rehabilitation, in relation with the procedures of skin rejuvenation, remains largely unknown by the large number of variables involved. The great advantage is the control of erythema, possible thanks to the use of the function of a superposition of pulses. These aspects are of vital importance to reduce the period of the "social exclusion" in the outcome of a procedure.
Laser impact contributes not only to the maintenance of the improvement of the condition of the skin around the eyes, but with the help of the laser technology, it is possible to.