The area around the eyes is indicative of chronological aging and aging as a result of exposure to the environment.
Changes in the anatomy of nature, occur in this area, because aging include weakness of the eyelid skin, hypertrophy of the circular muscle of the eye, protruding of fat near the eyes and drooping of the forehead, eyebrows and the middle third of the face. Clinical symptoms of photoaging of the skin - wrinkles, age spots, decrease in elasticity. Weakness on the eyelids is often the cause of senile ectropion and entropıona and can also lead to weakness of the medial and lateral kantalnogo tendons (tendons, angle, palpebral fissure).
Pull the skin of the eyelids and rejuvenate the skin around the eyes, there are many dermatological procedures, such as topıchesk treatment, chemical peels, dermabrasion, botulinum toxin injections, radio frequency exposure, and laser resurfacing. All of these methods have their own advantages and disadvantages.
DERMATOLOGY PROCEDURES, which are currently used for skin rejuvenation around the eyes:
topıchesk TREATMENT: tretinoin (retinoic acid) - the use of 0.05% and 0.1% tretınoınov cream for 6 months leads to an increase in epidermal thickness and granular layer. Improve the visible texture of the skin is due to hyaluronic acid synthesis and compaction of the stratum corneum.
The most common problem - dry skin. Sometimes patients report a burning sensation and itching, redness immediately after use.
ALPHA-hydroxy-ACID face peels are one of the most popular ingredients in cosmetic products. They can affect the skin condition at the molecular, cellular and tissue level. The most common AHA acids are glycolic, lactic, citric acid, malic acid, tartaric acid. The highest concentrations of these acids used in chemical peels. The depth of the affected superficial chemical peels - the stratum corneum and the depth of the epidermis, depending on the concentration of acids. The most popular ingredients superficial chemical peels - glycolic acid is from 20 to 70%.
As a rule, peeling is accompanied by a burning sensation, redness and light peeling. If glycolic acid is used in higher concentrations, it makes the skin more sensitive to UV light.
Trichloroacetic acid and the MEDIAN PEELING is almost universal agent, peeling, because different concentrations can be used to achieve the desired peeling depth. During a medium peel, is the destruction of the epidermis, papıllıar the dermis and the upper reticular dermis (if used trichloroacetic acid to a concentration of 30-35%).
The application of trichloroacetic acid passes through the frost and redness. After the procedure, during the first 3-4 days region of peel indicated moderate swelling, a scab, which is 3-4 days to start to peel, and 7 day the skin is completely removed.
DEEP PEEL - deep chemical peels exposure to the concerns of phenol peeling. The depth of the impact - middle-mesh layer. Considered one of the most aggressive treatments effects on the skin, helps to eliminate deep wrinkles and fine lines, scarring and age-related hyperpigmentation.
In deep peeling, which is performed by partial or complete damage of basal membrane, increased risk of the formation of irreversible defects of the skin, such as skin fibrosis, scars, depigmentation. Can also cause General reaction of, for example, heart rhythm disorders, because of the resorption of phenol.
Botulinum toxin the use of botulinum toxin in dermatology was previously limited to career, so its use has expanded to the procedures of the forehead and wrinkles around the eyes. This procedure before or after laser resurfacing the skin around the eyes enhances the effect of laser exposure and contributing to the maintenance of improved skin condition. The goal of treatment is to weaken the motor activity of the muscles.
Side effects that have been observed: a deterioration of pre-existing hernia of the lower eyelid, temporary drooping of the lateral part of the lower eyelid, and excess skin below the lateral part of the lower eyelid.
DERMABRASION is a process of skin rejuvenation with skin resurfacing using a wire brush or a diamond cutter to stick to the rotating tool, which allows you to effectively remove the epidermis and upper and middle dermis, including the upper part of the appendages. Re-epithelialization and repigmentation occurs adjacent the hair follicle and the remaining subordinate structures.
The eyelids and area around the eyes is almost impossible to treat with dermabrasion, since this technique, it is best to have a fixed and relatively hard surface skin, which work. In addition, this procedure causes bleeding which during this operation is difficult to obtain good visualization of the skin.
Radio FREQUENCY non - invasive, non-surgical procedure, to correct a weak lower eyelid skin. Create a volume heating of the tissue, which leads to immediate change in skin collagen tightening fiber breakage extends to the dermis the hypodermis and stimulates skin recovery. In general, well tolerated. Among them is observed in individual cases - redness and swelling (sometimes longer). Can also be hyperpigmentation, blistering, hypopigmentation and bleeding. Sometimes there may be scarring and ulcers.
With the development and clinical application of LASER TECHNOLOGY in dermatology surgery has experienced a real revolution. At the beginning of the xxi century has been developed the procedure of laser skin resurfacing using the CO2 laser, which allows cleaning of the epidermis and dermis of different thickness. In addition, in addition, when the laser resurfacing is also a contraction of the collagen, due to the thermal denaturation of collagen type I. it is believed that because of the exposure to the laser skin damage stimulates neokollagenez.
The combination of vaporızat, contraction and collagen synthesis of new collagen leads to the observed clinical improvement.
Several years ago, laser technology was submitted to fractional photothermolysis, which will give impetus to new applications of CO2 laser. This is a laser system, which produces a series of micro-zones (MAZ) and thermal zones (MTZ) damage without affecting the surrounding tissue. Because these MAZ and MTZ is surrounded by intact tissue, the distance of migration of keratinocytes is less, to accelerate healing and the risk of side effects is reduced. Most often side effects when a fraction of the processes are slight redness, swelling of the face, dryness of skin, formation of scales, one superficial skin lesions, itching and hyperpigmentation. There is evidence that the use during the procedure cold air flow to reduce the level of discomfort.
AFTER the LASER SESSION, all patients showed significant improvement in tightening of the eyelid skin, skin elasticity, skin texture, disappearance of fine lines and wrinkles in the eye area.
Fractional CO2 laser system offers faster healing, short recovery time (during rehabilitation) and to reduce the risk of side effects, as well as meeting the expectations of patients. This laser repair the skin's flexibility is one of the most significant factors in the aging century. However, he can't reduce or eliminate the hernia of fatty tissue or hypertrophy of the muscles of the eyelids - correction of these problems requires a surgical blepharoplasty. However, the fractional laser approach provides excellent results for most patients with weak eyelid skin, which are only suitable for non-invasive eyelid and periorbital area.
The quick recovery of the tissues of the epidermis occurs the migration of keratinocytes and defective cells in the borders of the different regions. The migration of keratinocytes due to the presence of the "tank" is partially differentiated cells with a high regenerative capacity and high index, which is able to restore lost tissue. Thus, the Horny layer of the epidermis acts as a natural bandage, which protects the tissue from external factors, while the effects of the procedure continue deeper into the dermis.
The acute phase occurs in the dermis during the release of large amounts of anti-inflammatory cytokines and neurotransmitters, moderate compression of the collagen fibers of the dermis. The damaged tissue of the dermis is getting the columns to the residues of organic substances that pass through the epidermis to the corneal layer, and then exfoliate. After this stage, the proliferative stage begins with activation of fibroblasts and the synthesis of new collagen fibers type III and skin matrix. The last stage is characterized by the restoration of collagen, when more delicate collagen fibers type III collagen fibers are replaced by type I.
Rapid healing allows the patient can live a normal life in the first week after the last session, such as pronounced side effects were not observed, and no need to hide them, or to expect their disappearance.
Procedure using a fractional CO2 laser can be considered to be innovative technology to lift the eyelid skin, reduce the appearance of fine lines and wrinkles around the eyes and raise the eyebrows, giving a more youthful appearance. The procedure is safe without serious side effects, a small rehabilitation period and high satisfaction. The forecast results and the time rehabilitation procedures related to the rejuvenation of the skin is still largely unknown, due to the large number of variables. A significant advantage is the control of redness, possible by using the overlay function pulses. These aspects are very important to reduce the period of "social isolation" as a result of the procedure.
The Laser treatment not only contributes to the maintenance of improved skin condition around the eyes, but with the help of laser technology, maybe.