The area around the eyes is an indicator of chronological aging and aging as a consequence of exposure to the environment.
Anatomical changes of character that occur in this region due to aging include weakness of the skin of the eyelid, hypertrophy of the circular muscle of the eye, where the fat deposits near the eyes, and the fall of the forehead, the eyebrows and the middle third of the face. Clinical signs of photoaging of the skin and wrinkles, age spots, decrease in elasticity. Weakness of the eyelids is often the cause of senile ectropion and entropıona and it can also lead to weakness of the medial and lateral kantalnogo tendons (tendons of the angle of the palpebral fissure).
To pull the skin of the eyelids and rejuvenate the skin around the eyes, there are a number of dermatological procedures such as topıchesk therapy, chemical peels, dermabrasion, botulinum toxin injections, exposure of radiofrequency and laser rejuvenation. All 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 (retinoic acid) - the use of 0.05% and 0.1% of tretınoınov cream 6 months leads to an increase in epidermal thickness and a layer of granular. The improvement seen in the texture of the skin because of the hyaluronic acid synthesis and compaction of the stratum corneum.
The most common problem - dry skin. Sometimes patients report a feeling of burning and itching, redness immediately after application.
ALPHA-hydroxy-ACID face PEELS are one of the most popular ingredients in cosmetic products. Can affect the condition of the skin at the molecular, cellular and tissue level. The most common AHA's are glycolic, lactic, citric, malic, tartaric. Higher concentrations of these acids are used for chemical peels. The depth of the influence of chemical peels superficial - from the stratum corneum and the depth of the epidermis, depending on the concentration of acids. The most popular ingredient superficial peels - glycolic acid in a concentration of 20-70%.
As a general rule, peeling is accompanied by burning sensation, redness and light peeling. If glycolic acid is used in higher concentrations, it makes the skin more sensitive to UV rays.
Trichloroacetic ACID, and the AVERAGE PEELING is almost universal agent for the peel, because different concentrations can be achieved the desired peeling depth. During a medium peel, is the destruction of the epidermis, papıllıar dermis and the upper reticular dermis (if using trichloroacetic acid at a concentration of 30-35%).
The application of trichloroacetic acid is no frost and erythema. After the intervention, during the first 3-4 days in the region of peel indicated moderate swelling, a scab, which is 3-4 days it starts to peel, and 7 days the skin is completely cleared.
DEEP PEEL - deep peels chemical exposure concerns phenol peeling. The depth of the impact of the middle mesh layer. Considered one of the most aggressive treatments effects on the skin, help to eliminate deep wrinkles and folds, scars and age-related hyperpigmentation.
To peeling depth, which is carried out with total or partial damage of the basement membrane, an increase in the risk of formation of irreversible defects of the skin, such as skin fibrosis, scars, depigmentation. Can also cause General reaction - for example, cardiac arrhythmias due to re-absorption of phenol.
INJECTIONS of botulinum toxin the use of botulinum toxin in dermatology, had previously been limited to grooves, then its use has been extended to procedures in the forehead and wrinkles around the eyes. This procedure before or after laser resurfacing of the skin around the eyes, enhances the effect of the laser exposure and contributes to the maintenance to improve the condition of the skin. The aim of the treatment is weakening of motor activity of the muscles.
The side effects have been observed: a deterioration of pre-existing hernia of the lower eyelid, temporary fall of the side of the lower eyelid, and excess skin below the left side of the lower eyelid.
DERMABRASION is a process of skin rejuvenation in which the rejuvenation of the skin using a brush or a diamond cut attached to the rotation of the tool, which allows you to effectively remove the epidermis and upper and middle dermis, including the upper part of the appendices. Re-epithelialization and repigmentation occurs from the same hair follicle and the remaining subordinate to the structures.
The eyelid and area around the eyes, it is almost impossible to treat with dermabrasion, since for this technique it is better to have a fixed and relatively hard surface of the skin on which to work. In addition, this procedure causes bleeding in this procedure it is difficult to get a good view of the skin.
Radio FREQUENCY non-invasive non-surgical intervention to correct a bad lower eyelid skin. Creates volumetric heating of the tissue, which leads to immediate change in the dermal collagen tightening the septa fibrous and extends from the dermis to the hypodermis and stimulates the dermis of recovery. In General, well tolerated. Between observed isolated cases - erythema and edema (sometimes more). You can also hyperpigmentation, blistering, hypopigmentation and bleeding. Occasionally there may be healing of wounds and ulcers.
With the development and clinical application of LASER TECHNOLOGY in dermatological surgery has experienced a real revolution. At the beginning of the twenty-first century has developed the procedure of laser skin resurfacing using a CO2 laser, allowing the cleaning of the epidermis and the dermis of different thickness. In addition, when the laser resurfacing is also a contraction of collagen due to thermal denaturation of collagen type I. it is believed to be due to exposure to the laser dermal damage stimulates neokollagenez.
The combination of vaporızat, the contraction and the synthesis of new collagen leads to the observed clinical improvement.
A few years ago, laser technology was subjected to fractional photothermolysis, which was to give impetus to new applications of the CO2 laser. This is a laser system that produces a series of micro-zones (MAZ) and thermal zones (MTZ) damage without affecting the surrounding tissue. From these MAZ and MTZ surrounded by tissue intact, the distance of migration of keratinocytes is less, healing faster and the risk of side effects is reduced. Most often side effects when fractional processes include mild erythema, swelling of the face, dryness of the skin, formation of scales, usually superficial injuries of the skin, itching and hyperpigmentation. There is No evidence that the use during the procedure cold air stream reduces the level of discomfort.
AFTER the LASER SESSION, all patients showed a significant improvement in terms of tightening of the skin of the eyelids, the elasticity of the skin, the skin texture, the disappearance of fine lines and wrinkles in the eye area.
The CO2 laser fractional system provides faster healing, short recovery time (the rehabilitation period) and reduce the 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 significant factors in the ageing of the century. However, you can't reduce or remove the herniated fatty tissue or hypertrophy of the muscles of the eyelids. - for the correction of these problems requires a surgical surgery. However, fractional laser approach provides excellent results for the majority of patients with weakened skin of the eyelids, which coincide only in non-invasive procedures of the eyelids and periorbital region.
Quick recovery to the tissue of the epidermis occurs by migration of keratinocytes and the replacement of damaged cells by the boundaries of the different zones. Migration of keratinocytes it is due to the presence of the "tank" is partially differentiated cells with high regenerative and the high index, which is able to restore the lost tissue. Therefore, 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.
The acute phase occurs in the dermis during the release of large amounts of proinflammatory cytokines and mediators, moderate compression of the collagen fibres of the dermis. The damaged tissue of the dermis is to go to the column of waste organic substances, which pass through the epidermis to the horny layer, and then exfoliate. After this phase, the phase proliferative begins with the activation of fibroblasts and the synthesis of new fibers of collagen type III and matrix dermal. The last phase is characterized by the restoration of collagen, when more delicate fibers of collagen type III collagen fibers are replaced by type I.
A quick healing process allows patients to lead a normal lifestyle in the first week after the last session, as it is pronounced adverse effects are not observed and there is no need to hide them or wait for its disappearance.
Procedure with laser CO2 fractional can be considered as an innovative technique for the lifting of the eyelid skin, reduction of fine lines and wrinkles around the eyes and raising of eyebrows, providing a more youthful appearance. The procedure is safe, without serious side effects, with a small rehabilitation period and a high level of satisfaction. The forecast of results and the time of rehabilitation related to the procedures of rejuvenation of the skin remains unknown due to the large number of variables involved. A significant advantage is the control of the erythema, possible through the use of the overlay of the function pulses. These aspects are essential for the reduction of the period of "social isolation" as a result of the procedure.
The laser treatment not only promotes the maintenance to improve the condition of the skin around the eyes, but with the help of the laser technology, perhaps.