The area around the eyes - this is an indicator of chronological aging and aging impact of the environment.
Changes to the anatomical nature, occurring in this area due to aging, include weakness of the eyelid skin, hypertrophy of the circular muscles of the eyes, protruding fatty deposits around the eyes, as well as ptosis of the forehead, eyebrows and the middle third of the face. Clinical signs of photoaging of the skin - the availability of wrinkles, age spots, decrease in elasticity. The weakness of the age is often the cause of senile ectropion and entropıona and can also lead to weakness of the medial and lateral kantalnogo tendon (the tendon corner of the eye slits).
For the pull-up the eyelid skin and skin rejuvenation around the eyes, is a series of dermatological treatments, such as topıchesk therapy, chemical peels, dermabrasion, injections of botulinum toxin, radio frequency impact and laser resurfacing. All of these procedures have their advantages and disadvantages.
DERMATOLOGICAL treatment - used today for skin rejuvenation around the eyes:
topıchesk THERAPY: tretinoin (retinoic acid) - the use of 0.05% and 0.1% tretınoınov the cream for 6 months leads to an increase in the thickness of epidermis and granular layer. The improvement observed in the structure of the skin, is due to the synthesis of hyaluronic acid and seal the stratum corneum.
The most common problem - dry skin. Sometimes patients indicate a feeling of burning and itching, redness immediately after application.
ALPHA-HYDROXY-ACIDS and SUPERFICIAL PEELING - one of the most popular ingredients in cosmetic products. They are able to affect the condition of the skin at the molecular, cellular and tissue level. The most common ANA are glycolic, lactic, citric, malic, wine. Higher concentrations of these acids are used for chemical peels. The depth of exposure of the surface chemical peeling - from the stratum corneum and to the entire depth of the epidermis, depending on the concentration of the acid. The most popular components of the surface chemical peeling - glycolic acid in a concentration of 20-70%.
As usual, scrub accompanied by a feeling of burning, redness, and easy peeling. If glycolic acid is used in much higher concentration, it makes the skin more sensitive to ultraviolet.
TRICHLOROACETIC ACID and MEDIUM PEELS - it is almost a universal remedy for peeling, because different concentrations can be achieved peeling the desired depth. At medium peeling is the destruction of the epidermis, papıllıar of the dermis and upper layers of the reticular dermis (if used trichloroacetic acid at a concentration of 30 to 35%).
The use of trichloroacetic acid causes passing through the frost effect and erythema. After the treatment is during the first 3-4 days in the region of peel noted mild swelling, forming a crust, which is the 3-4 day starts to peel and on the 7th day, the skin is completely cleansed.
DEEP PEELS - deep peels chemical effects include phenolic peels. The depth of the exposure - in the middle of the net layer. It is considered one of the most aggressive practices, effects on the skin, helps to eliminate deep wrinkles and folds, scars and age-related hyperpigmentation.
During a deep peel, which takes place with partial or total damage of the basement membrane, increases the risk of permanent skin defects, such as fibrosis of the skin, scars, depigmentation. Also one can observe a general reaction - for example, cardiac arrhythmias due to resorption of phenol.
INJECTION of Botulinum toxin - the use of botulinum toxin in dermatology previously limited the groove, then its use has grown to the procedures in the area on the forehead and wrinkles around the eyes. This procedure before or after the laser resurfacing of the skin around the eyes increases the effect of the laser action and contributes to the maintenance of improved skin condition. The goal of treatment lies in the weakening of motor activity of the muscles.
Side effects that have been observed: worsening of a previously existing hernia of the lower eyelid, temporary ptosis of the lateral part of the lower eyelid, as well as excess skin under the lateral parts of the lower eyelid.
DERMABRASION - the process of skin rejuvenation in which for grinding the skin uses a wire brush or a diamond cutter, attached to the rotary tool, which allows you to effectively remove the epidermis, and also the upper and middle declining extent into the dermis, including the upper part of the pendants. Re-epithelialization and repigmentation come from around the hair follicles and the remaining paranasal structures.
The eyelid and area around the eyes is almost impossible to handle with the help of dermabrasion, because for this technique it is better to have a firm and relatively hard surface skin on which it is possible to work. In addition, this procedure causes bleeding, because of what in the course of the proceedings it is difficult to obtain good visualization of the skin.
Radio FREQUENCY - non-invasive non-surgical procedure for the correction of the weak skin of the lower eyelid. Creates a spatial heating of the tissue, which leads to an immediate change in the dermal collagen, the pulling up of fibrous partitions, nt from the dermis, into the hypoderm, and also stimulates the dermal recovery. Generally well-tolerated. Between observed individual cases - erythema and edema (sometimes longer). They can also be hyperpigmentation, education blisters, hypopigmentation and bleeding. Sometimes they can be scars and ulcers.
With the development and clinical application of LASER TECHNOLOGY to dermatological surgery is experiencing a real revolution. At the beginning of the XXI century has been developed procedure, laser skin resurfacing using the CO2 laser, which allows you to perform cleaning of only the epidermis, but also in the dermis of different thickness. In addition to the in addition, when the laser grinding also occurs compression of collagen due to thermal denaturation of type I collagen. it is Believed that due to the influence of the laser dermal damage stimulates the neokollagenez.
The combination of vaporızat, compression of collagen and the synthesis of new collagen determines the observed clinical improvement.
A few years ago, laser technology was introduced fractional photothermolysis, that gave impetus to the new application of laser CO2. It's a laser system that produces a series of micro-zones (MAZ) and thermal zones (MTZ) of the damage without affecting the surrounding tissue. Because these MAZ and MTZ surrounded by intact tissue, the distance of migration of keratinocytes less, heal faster, and the risk of side effects is reduced. The most commonly side effects with the fractional processes include mild erythema, swelling of the face, dry skin, education scales, isolated superficial damage to the skin, itching and hyperpigmentation. There is evidence that the use during the management of the flow of cold air reduces the level of discomfort.
AFTER the LASER SESSION, all patients significant improvements were recorded in terms of the pull-up eyelid skin, the elasticity of the skin, the texture of the skin, disappearance of fine lines and wrinkles in the area around the eyes.
Fractional CO2-laser system provides faster healing, short recovery time (rehabilitation period) and reduced the risk of side effects, and also matching the expectations of patients. This laser corrects the elasticity of the skin - one of the most important factors in the aging eyelid. In this, he can't reduce or remove the herniated fat fiber or hypertrophy of the muscles of the eyelids - for the correction of these problems is the need for a surgical eyelids. However, the fractional laser approach provides excellent results for most patients with weak skin of the eyelids, which agree only to the non-invasive treatment of the eyelids and periorbital area.
Rapid restoration of the tissue of the epidermis occurs due to the migration of keratinocytes and expelling damaged cells to the borders of the different zones. Migration of keratinocytes is due to the presence of a "reservoir" of the partially differentiated cells with a high regeneration and high index, which are able to restore the loss of tissue. In this case the stratum corneum of the epidermis acts as a natural shoe covers, protecting the fabric against external factors, while the effects of the treatments take place in the deeper dermis.
The acute phase takes place in the dermis in the release of large amounts of pro-inflammatory cytokines and neurotransmitters, a slight compression of the collagen fibers in the dermis. Damaged tissue of the dermis will be in the columns to the residues of organic substances, which pass through the epidermis to the stratum corneum, and then exfoliate. After this stage comes the proliferative phase with the involvement of fibroblasts and synthesis of new collagen fibers of type III and the dermal matrix. The last stage is characterized by rebuilding collagen, when more than a thin collagen fibers type III is replaced by collagen fibers type I.
A quick process of healing will allow patients to lead a normal way of life during the first week after the last session, because the expressed side effects are not observed and there is no need to hide, or wait for their disappearance.
Procedure using a fractional CO2 laser can be considered an innovative technique for facelift eyelid skin, reduction of small lines and wrinkles around the eyes, but also a raised eyebrow, that provides a more youthful appearance. The procedure is safe, without serious adverse effects, with a small period of rehabilitation and a high level of satisfaction. Anticipating the results, and the time of rehabilitation, related to the procedures for rejuvenation of the skin, remains largely unknown because of the large number of participating variables. A considerable advantage - this is a control erythema, possible thanks to the use of the feature overlap of the pulses. These aspects are important for the reduction of the period of "social isolation", as a result of treatment.
Laser exposure not only contributes to the maintenance of the improved condition of the skin around the eyes, but also with the help of laser technology, it is possible.