The area around the eyes - an indicator of chronological aging, and aging for the environmental impact.
The changes of anatomical, that occur in this area due to aging include thickening of the skin of the eyelids, and hypertrophy of the orbicular muscle of the eye, involved in the fatty deposits around the eyes, as well as prolapse of the forehead, eyebrows and the middle third of the face. The clinical signs of photoaging of the skin - the presence of wrinkles, age spots, reduction of elasticity. The weakness century is often the cause of senile ectropion and entropıona and can also lead to weakness of the medial and lateral kantalnogo of the tendon (the tendon of the corner eyelid).
For pull-up of the skin of the eyelids, and rejuvenation of the skin around the eyes, a series of dermatological treatments, such as topıchesk therapy, chemical peels, dermabrasion, botulinum toxin injections, wireless described the impact and laser resurfacing. All of these procedures have their own advantages and disadvantages.
SKIN TREATMENTS - 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% tretınoınov cream for 6 months, with a consequent increase of the epidermal thickness and morphing layer. The observed improvement in the structure of the skin, occurs through the synthesis of hyaluronic acid and compaction of the stratum corneum.
The most frequent problem of dry skin. Sometimes patients report a burning sensation and itching, redness immediately after application.
ALPHA-HYDROXY-ACIDS and PEELING SURFACE - one of the most popular ingredients in cosmetic products. They are able to influence the state of the skin at the molecular, cellular and at the tissue level. The most common ANA are glycolic, lactic, citric, malic, and tartaric. The highest concentrations of these acids are used for chemical peeling. The depth of the impact surface chemical peeling - by of the corneal layer and across the entire depth of the epidermis, depending on the concentration of acids. The point ingredient superficial chemical peels - glycolic acid at a concentration of 20-70%.
Usually, peeling is accompanied by a burning sensation, redness, and mild flaking. If the glycolic acid is used in the highest concentration, makes the skin more sensitive to uv rays.
TRICHLOROACETIC ACID and HALF PEELING is virtually universal, the agent of the peel, because thanks to the different degrees of concentration, it is possible to achieve the peeling the desired depth. During the median peeling occurs the destruction of the epidermis, papıllıar of the dermis and the top layer of the reticular dermis (if using trichloroacetic acid concentration 30-35%).
The application of trichloroacetic acid cause step frost-effect and erythema. After the procedure within the first 3-4 days in the field of peeling observed a moderate swelling, a scab, that in 3-4 days, it starts to disconnect and 7 day the skin is completely eliminated.
DEEP PEEL deep peels chemical exposure refers to phenol peeling. The depth of the impact - half net layer. Is considered to be one of the most aggressive procedures impact on the skin, improves the removal of deep lines and wrinkles, scars, and band of hyperpigmentation.
When this deep peeling treatment, which can be either complete or partial damage of the basement membrane, increases the risk of the formation of serious defects of the skin, such as fibrosis of the skin, scars, depigmentation. Reactions may occur and are common - for example, cardiac arrhythmia due to reabsorption of phenol.
Botulinum toxin INJECTIONS - the use of botulinum toxin in dermatology in the past was limited to the furrows, and then its use expanded procedures in the field of a 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 impact and helps to maintain the best condition of the skin. The purpose of this procedure is to decrease the motor activity of the muscles.
Side effects that have been observed: the degradation of the previously-existing hernias of the lower eyelid, temporary prolapse of the lateral part of the lower eyelid, and excess skin under the lateral part of the lower eyelid.
DERMABRASION - the process of rejuvenation of the skin, in which, for the smoothing of the skin using a wire, a pipe cleaner, or the diamond cutter, connected to the rotation tool that allows you to effectively remove the epidermis, and the top and middle of the skin, including the tops of the outbuildings. Re-epithelisation and repigmentation come from adjacent follicles of the hair and of the remaining structures.
The eyelid and the area around the eyes is almost impossible to manage with the help of dermabrasion, because for this technique, it is better to have a fixed and relatively constant, the surface of the skin on which you can work. Also, this procedure causes bleeding because of this, during the procedure, it is difficult to get a good view of the skin.
RADIO frequency - non-invasive non-surgical procedure for the correction the delicate skin of the lower eyelid. Creates heating the volume of the tissue, which leads to an immediate change of dermal collagen, reduce fibrotic walls, that extends from the dermis up to the hypodermis, and also stimulates recovery of the skin. In general, well tolerated. Between observed rare cases of erythema and swelling (sometimes long). Can also be hyperpigmentation, blistering, hypopigmentation and bleeding. Occasionally they can be scars and wounds.
With the development and clinical application of LASER TECHNOLOGY dermatology clinic has experienced a true revolution. At the beginning of the XXI century has been developed a procedure laser resurfacing of the skin with the CO2 laser, allows you to make total cleanliness of the epidermis and dermis of different thickness. Except also, when the laser resurfacing is going on the compression of the collagen due to thermal denaturation of collagen type I. it is believed that caused by exposure of the laser damage of the skin, stimulates neokollagenez.
The combination of vaporızat, compression of the collagen and the synthesis of new collagen determines the observed clinical improvement.
A couple of years ago in the laser technology has been presented photothermolysis fractional, that gave impetus to new applications of the CO2 laser. This laser system that produces the ranks of the micro-zones (MAZ) and thermal zones (MTZ) damages, without affecting the surrounding tissue. Because these MAZ and MTZ surrounded by intact tissue, the distance of migration of the keratinocytes is less, healing faster, and the risk of reduced side effects. Often side effects when fractional processes include mild erythema, swelling of the face, dry skin, formation of flakes, the individual surface damage of the skin, itching, and hyper pigmentation. There are data that the application during the process of flow of cold air reduces the level of discomfort.
AFTER the LASER SESSION in all patients was observed a significant improvement in terms of the pull-up of the skin of the eyelids, the elasticity of the skin, the texture of the skin, the disappearance of small lines and wrinkles in the eye area.
The fractional CO2-laser, the system provides a more rapid healing, reducing recovery time (rehabilitation period) and reduced the risk of side effects, but also the correspondence to the expectations of the patients. This laser corrects the elasticity of the skin is one of the most important factors in the aging process of the eyelids. In this case, may not reduce or eliminate the hernia of adipose tissue or muscle hypertrophy-century - for the correction of these problems is necessary for a surgical blepharoplasty. However, the fractional laser approach provides excellent results for most patients with moderate age of the skin, which are in agreement only on a non-invasive procedure on the eyelids and in the periorbital.
The rapid recovery of the tissue of the epidermis is due to the migration of keratinocytes and the exclusion of damaged cells at the boundaries of different zones. The migration of the keratinocytes takes place thanks to the presence of a "tank" partially differentiated cells with high regeneration and a high index, who are able to recover from the loss of tissue. When this horny layer of the epidermis acts as a natural bandage, which protects the fabric from external factors, while the effects of the procedure continue 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 fibers of the dermis. The damaged tissue of the dermis is in the columns to the residues of organic substances, that pass through the epidermis, the horny layer, and then exfoliate. After this phase, the proliferative phase, with the activation of fibroblasts and the synthesis of new fibers of type III collagen and dermal matrix. The last phase is characterized by a recovery of collagen, when more thin fibres of collagen type III replace the collagen fibres of type I.
Fast the healing process will allow patients to lead a normal life during the first week after the last session, as expressed side effects do not occur and there is no need to hide or wait for their demise.
The procedure with a fractional CO2 laser can be considered as an innovative technique for the lifting of the eyelid skin, reduce fine lines and wrinkles around the eyes, as well as the raising of the eyebrows, that provides a more youthful appearance. The procedure is safe, without serious side effects, with a small period of rehabilitation and a high level of satisfaction. Prediction of the results and the recovery time associated with the procedures of skin rejuvenation, remains largely unknown due to the large number of parties involved variables. A major advantage is the control erythema, possible thanks to the use of overlapping functions of the pulses. These aspects are important to reduce the period of "social isolation" as a result of a procedure.
Laser impact, which contributes not only to maintain the best condition of the skin around the eyes, but with laser technology, perhaps.