The area around the eyes indicates that chronological aging, or aging effects of the environment.
Changes in anatomical characters occurring in this region due to aging include weakness of the eyelid skin, hypertrophy of the circular muscle of the eye, protruding fat deposits near the eyes, drooping of the forehead, eyebrows, and the middle third of the face. Clinical signs of photoaging of the skin - wrinkles, age spots, decreases the flexibility. Weakness of the eyelids is often the cause of senile ectropion, entropıona and can also lead to the weakness of the middle and lateral kantalnogo tendons (tendons of the angle of the palpebral fissure).
Pull the skin of the eyelids and regenerate the skin around the eyes, a number of dermatological procedures, for example, topıchesk treatment, chemical peels, dermabrasion, botulinum toxin injections, radio frequency exposure, as well as laser resurfacing. These procedures have their advantages and disadvantages.
DERMATOLOGICAL PROCEDURES used today for skin rejuvenation around the eyes:
topıchesk THERAPY: tretinoin (retinoic acid) - the use of 0,05% - 0,1% tretınoınov cream for 6 months leads to an increase in epidermal thickness of granular layer. The improvement in the texture of the skin because of the hyaluronic acid synthesis, compaction of the stratum corneum.
The most common problem - dry skin. Sometimes the patients report burning, itching, redness at the application immediately after.
ALPHA-hydroxy-ACID face PEEL is one of the popular ingredients in cosmetic products. They also affect the condition of the skin, the molecular, cellular, and tissue level. The most common AHA or recommended preparations, lactic acid, citric acid, malic acid, tartaric acid. Higher concentrations of these acids are used in chemical peels. The depth effect of the surface chemical peels - the stratum corneum, the depth of the epidermis, depending on the concentration of acids. The most popular components, superficial chemical peels - glycolic acid concentration from 20 to 70%.
As a rule, peeling is accompanied by burning sensation, redness, light peeling. If glycolic acid is used in higher concentrations, it makes the skin more sensitive to UV-light.
Trichloroacetic acid the MEDIAN PEELING is almost universal agent peeling, because of the different concentrations available, the desired peeling depth. During a medium peel, the destruction, of the epidermis, papıllıar leather upper reticular dermis (when the trichloroacetic acid concentration of 30-35%).
The application of trichloroacetic acid going frost, erythema. After the procedure, during the first 3-4 days in the region of peel indicated moderate swelling, a wound, which is 3-4 days it starts to peel a day, 7 days the skin is completely clean.
The DEEP PEEL - deep peels chemical exposure relates to phenol peeling. The depth effect - the middle mesh layer. Considered one of the aggressive treatments effect on the skin, helps to remove deep folds, wrinkles, scars, age-related reactions.
The depth-peeling, which is carried out in partial or complete damage of the basal membrane, increased the formation of irreversible damage to the skin, such as skin fibrosis, scars, and color. Can also cause general reactions such as heart arrhythmia due to the absorption of the phenol.
INJECTIONS of botulinum toxin the use of botulinum toxin in dermatology previously limited grooves, then its use expanded procedures, the forehead, the wrinkles around the eyes. This procedure either before or after laser resurfacing the skin around the eyes, increases the effects of laser exposure, and contributes to the maintenance of the skin condition improve. The aim of the treatment is weakening of motor activity of the muscles.
Side effects have been observed: a deterioration of an existing hernia of the lower eyelid, temporary drooping of the lateral part of the lower eyelid, excess skin in the lateral part of the lower eyelid.
DERMABRASION is a process of skin rejuvenation in which the dermatologist uses a wire brush or a diamond cutter attached to the rotary tool, which allows you to effectively remove the skin of the upper, middle skin, including the upper part of the limbs. Re-epithelization, repigmentation happens in the adjacent hair follicle and the remaining subordinate structures.
The eyelids, area around the eyes is almost impossible to manage the dermabrasion, since this method is the best to have a specific, relatively hard surface skin on which to work. In fact, this procedure causes bleeding which during this procedure is difficult to obtain a good visualization of the skin.
Radio frequency non - invasive, non-surgical procedure to correct a weak lower eyelid skin. Creates volumetric heating of the tissue, which means that immediate changes in the skin collagen, tightening of the fibrous septa extending from the dermis to the hypodermis and stimulates the skin's recovery. Is usually well tolerated. Between observed isolated cases, erythema, edema (sometimes longer). Can hyper-pigmentation, blistering, hypopigmentation, bleeding. Occasionally scarring, ulcers.
The development and clinical application of LASER TECHNOLOGY in dermatological surgery experienced a real revolution. At the beginning of the XXI century has been developed, the procedure the laser skin resurfacing using the CO2 laser, which allows the cleaning of the skin, the dermis, different thickness. In addition to in addition, if the laser resurfacing is also a contraction of the collagen due to thermal denaturation of collagen type I. it is believed that exposure of the laser dermal damage stimulates neokollagenez.
The combination vaporızat, contraction, collagen synthesis, and new collagen leads to the observed clinical improvement.
A few years ago, laser technology submitted to fractional photothermolysis, which gave impetus to new applications of the CO2 laser. This is a laser system to produce a series of micro-zones (MAZ) heat zones (MTZ) damage, without the surrounding tissues. Since these MAZ, MTZ surrounded by intact tissue, the distance, the migration of epithelial cells is less, healing faster and the risk of side effects is reduced. Most of the side effects when batch processes, include mild redness, swelling of the face, dry skin, formation of scales, only superficial skin lesions, itching, hyper pigmentation. There is evidence that the use during the procedure cold air stream 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, wrinkles, the eye area.
The fractional CO2 laser system ensures faster healing, short recovery time (the rehabilitation period), and decrease the risk of side effects and compliance of patients. This laser improves the skin's elasticity, one of the most significant factor in the aging century. However, it does not reduce or eliminate the hernia, fatty tissue, or hypertrophy of the muscles of the eyelid - correction of these problems requires a surgical blepharoplasty. Nevertheless, fractional laser approach provides excellent results for most patients, weak eyelid skin, which accepts only the non-invasive procedures on the eyelids, periorbitalis region.
Quick return, the tissues of the skin occurs by the migration of epithelial cells, replacing damaged cells, to the borders of the different zones. The migration of epithelial cells due to the presence of the "tank" part in differentiated cells with high regeneration, high index, which is able to restore the lost tissue. Thus, the Horny layer of the epidermis acts as a natural bandage, protecting the tissue of the external factors, while the effects of the procedure continues to the deeper dermis.
The acute phase occurs in the skin during the release of a large amount of content of cytokines, mediators, moderate compression, the collagen fibers in the skin. Damaged tissue the dermis the columns to the residues of organic substances, which pass through the epidermis to the corneal layer, and then exfoliate. After this phase, the proliferative phase begins with the activation of fibroblasts, the synthesis of new collagen fibers of type III. dermal matrix. The last phase is characterized by the restoration of collagen, when more delicate collagen fibers type III collagen fibers are replaced by type.
A quick healing process and allows patients to a normal lifestyle after the first week of the last session, as pronounced adverse effects not observed, there is no need to hide them, or wait for the disappearance.
Procedure using a fractional CO2 laser can be considered as an innovative technique for lifting the eyelid skin, reducing fine lines, wrinkles around the eyes, and I raised my eyebrows, which is a youthful appearance. The procedure is safe, without serious side effects, which are a small rehabilitation period, and the high level of satisfaction. The forecast results of the rehabilitation procedures relating to the renewal of the skin remains largely unknown because of the large number of variables involved. A significant advantage of the control erythema, is possible using the overlay function of the pulse. These aspects are important to reduce the period of "social isolation" as a result of the procedure.
The laser treatment not only helps to maintain improvement in the skin around the eyes, but with the help of the laser technology, maybe.