The area around the eyes is an indicator of chronological aging and aging as a result of exposure to the environment.
Change anatomical nature, occur in this region due to aging, include weakness skin of the eyelid, hypertrophy of circular muscle of the eye, protruding fat around the eye, and by tilting the forehead, the eyebrow and the middle third of the face. Clinical signs of photoaging of the skin - the presence of wrinkles, spots, and decreased elasticity. The weakness was is often the cause of senile of ectropion and entropıona and can also lead to weakness of the central and lateral kantalnogo of the tendon (tendon of the corner of the eye slit).
For skin tightening of the eyelids, and rejuvenation of the skin around the eyes, there are a number of dermatological procedures, such as topıchesk therapy, chemical peels, dermabrasion, injection of botulinum toxin, rf impact and the resurfacing laser. All of these procedures have advantages and disadvantages.
DERMATOLOGICAL PROCEDURES used today for skin rejuvenation around the eyes:
topıchesk THERAPY: tretinoin (retinoic acid) - the use of 0.05% and 0.1% tretınoınov cream in a period of 6 months, leads to an increase of the thickness of the epidermal and granular layer. The improvement observed in the texture of the skin, occurs with the synthesis of hyaluronic acid and compression of the horny layer.
The most common problem - dryness of the skin. Sometimes, the patients report the sensation of burning and itching, redness immediately after application.
ALPHA-HYDROXY-ACID of the SURFACE and the SHELLS are some of the most popular ingredients in cosmetic applications. They are able to influence the condition of your skin on a molecular, cellular level and tissue. The most common ANA are acid, lactic acid, citric acid, malic acid, wine list. High concentrations of these acids are used for chemical peeling. Surface depth of the impact of chemical peels - from the horny layer and in the entire depth of the epidermis, depending on the concentration of acids. The most popular is the ingredient surface chemical peels - glycolic acid in concentrations of 20-70%.
Usually, peeling is accompanied by a feeling of burning, redness and light peeling. If glycolic acid is used in higher concentrations, it makes the skin more sensitive to uv rays.
TRICHLOROACETIC ACID and MEANS of EXFOLIATION, is nearly universal in the peeling agent, since it is by means of different degrees of concentration can get the scrub to the desired depth. During the median peeling occurs the destruction of the epidermis, papıllıar the dermis and the upper reticular dermis (if you're using trichloroacetic acid at a concentration of 30 to 35%).
Application of trichloroacetic acid causes the passage of the frost lter and erythema. After the procedure, during the first 3-4 days in the area of exfoliation modest swelling, form a crust, which is 3-4 days it starts to peel and the 7-day skin totally clean.
DEEP PEEL deep peels chemical exposure refers to phenolic peeling. The depth of the impact - the liquid medium layer. It is considered one of the most aggressive procedures skin exposure, conducive to the removal of deep wrinkles, folds and wrinkles, scars, and age of hyper pigmentation.
When a deep peel, which is carried out with a view to partial or total corruption of the basal membrane, increase in the risk of the formation of irreversible skin imperfections such as skin fibrosis, scars, depigmentation. Can also occur a common reaction - for example, cardiac arrhythmia due to reabsorption of phenol.
The INJECTION of The botulinum toxin the use of botulinum toxin in dermatology previously limited the furrows, and then its use expanded to the procedures in the area of the forehead and wrinkles around the eyes. This procedure either before or after laser resurfacing of the skin around the eyes increases the effect of the laser impact and contributes to the maintenance of improved skin conditions. The goal of the procedure is to relieve the motor activities training to the muscles.
Side effects were observed: the state of deterioration of pre-existing hernias bottom of the century, temporary, leaning to the bottom side of the century, and also the excess skin under the side of the bottom part of the century.
DERMABRASION - the process of rejuvenation of the skin, which for the sanding of the skin is used wire brush or a diamond cutter, attached to the magical powers tool that allows you to effectively remove the epidermis, as well as the upper and middle dermis, including the upper portions of the appendices. Re-epithelialization and repigmentation occur from adjacent hair follicles, and other structures.
The eyelid and the area around the eyes is almost impossible to treat with dermabrasion, because this technique is better to have a property and for the surface of the skin where it can work. In addition, this procedure causes bleeding due to the fact that during the procedure difficult to get a good view of the skin.
Radio FREQUENCY - invasive, non-surgical procedure for the correction gentle with the skin bottom of the century. Creates a powerful sound and the heating of tissue that results in a snapshot of a change in dermal collagen, pulling up fibrotic partitions, going from the dermis and the hypodermis, and it also stimulates the skin recovery. In general it is well tolerated. Between the observed isolated cases of erythema and swelling (sometimes larger). Can also be hyperpigmentation, blistering, hypopigmentation and bleeding. Can occasionally be scars and wounds.
With the development and clinical application of LASER TECHNOLOGY for dermatology surgery has undergone a true revolution. At the beginning of the XXI century has been developed a procedure laser skin resurfacing with the CO2 laser, which allows to perform the cleaning of a whole, the epidermis, and the dermis of different thicknesses. In addition, when the laser milling, also occurs the contraction of the collagen, thanks to the thermal treatment of so-called denaturation of the collagen type I. it is believed that the caused by the impact of the laser dermal damage stimulates neokollagenez.
The combination of vaporızat, compression of collagen and the synthesis of a new collagen determines the observed clinical improvement.
A few years ago, laser technology was introduced fractional photothermolysis, which gave impetus to new applications of the CO2 laser. Is a laser system that produces the rows of micro-regions (MAZ) and zones thermal (MTZ) of the damage, so as to not affect the surrounding tissue. Because these MAZ and the MTZ surrounded by tissue intact, the distance of migration of keratinocytes less, healing is faster and the risk of side effects reduced. More often than the side effects when fractional processes include erythema, swelling of the face, dry skin, formation of scales, isolated superficial lesions of the skin, itching and hyperpigmentation. There is evidence that the application during the procedure of flow of cold air, reduces the level of discomfort.
AFTER the SESSION of LASER in all patients was observed a significant improvement in terms of deformation of the skin of the eyelids, the skin's elasticity, texture of skin, the extinction of small lines and wrinkles in the eye area.
Fractional CO2-laser, the system provides more rapid wound healing, decrease time of recovery (rehabilitation) and to reduce the risk of side effects, as well as compliance with the expectations of the patients. This laser corrects the elasticity of the skin - one of the most important factors for the aging century. However, it may not reduce or eliminate the herniated fat tissue or muscle hypertrophy age for correction of these problems is required, surgery blepharoplasty. However, fractional laser approach provides excellent results for most patients with little skin of the eyelids, which agree only in not invasive procedures on the eyelids and in the periorbital.
The rapid recovery of the tissue of the epidermis occurs with the migration of keratinocytes and displacement of damaged cells to the borders of the different areas. The migration of keratinocytes occurs through the presence of the "reservoir" partially cells differentiated with high regeneration and high-index, that are able to restore the loss of tissue. When you do this, the horny layer of the epidermis acts as a natural bandage that protects the fabric from external factors, while the effects of the procedure remain in the deeper dermis.
The acute phase occurs in the dermis during the release of a large number of pro-inflammatory cytokines and mediators, of moderate compression of the collagen fibers of the dermis. The wound tissue of the dermis will in the columns of residues of organic substances, that pass through the epidermis, the horny layer, and then exfoliate. After this phase comes the phase of proliferation by means of the attempt of fibroblasts and the synthesis of new collagen fibers of type III and skin matrix. The last phase is characterized by the recovery of collagen, when more thin fibres of collagen type III is replaced with collagen fibres of type I.
The rapid process of healing will allow patients to lead normal lives during the first week after the last session, since it expresses the side effects are not observed, and there is no need of that, to hide or wait for your disappearance.
Procedure using the fractional CO2 laser can be considered as an innovative technique to lift the skin of the eyelids, reduction of small lines and wrinkles near the eyes, as well as a raise of an eyebrow, which gives a more youthful appearance. The procedure is safe, without serious side effects, with a small period of rehabilitation and the highest level of satisfaction. The forecast results and time of rehabilitation related to the procedures of skin rejuvenation, remains largely unknown due to the large number of variables involved. A significant advantage is the control of erythema, possible through the use of a function of a superposition of pulses. These aspects are of vital importance to reduce the period of "social isolation" as a result of the procedure.
Laser impact not only promotes the maintenance of improved skin conditions around the eyes, but with the help of laser technology, it is possible to.