The area around the eyes is an indicator of chronological aging, and aging due to environmental exposure.
The anatomical changes of nature occur in this area due to ageing, which include the weakness of the skin of the eyelids, of the hypertrophy of the circular muscle of the eye, protrusion of the fat around the eyes, as well as the failure of the forehead, the eyebrows, and the middle third of the face. The clinical signs of photoaging of the skin - the presence of wrinkles, age spots, loss of elasticity. The weakness of the eyelids is often the cause senile ectropion and entropıona and can also lead to a weakness in the medial and lateral kantalnogo tendon (tendon of the inner canthus).
For the tightening of the skin of the eyelids, and rejuvenation of the skin around the eyes, a range of skin care, such as topıchesk therapy, chemical peels, dermabrasion, botulinum toxin injections, radio, impact, and laser resurfacing. All of these procedures have their advantages and disadvantages.
PROCEDURES SKIN - used to this day for the rejuvenation of the skin around the eyes:
topıchesk THERAPY: tretinoin (retinoic acid) - the use of 0.05% and 0.1% tretınoınov the cream in a period of 6 months leads to an increase in the epidermal thickness and granular layer. The observed improvement in the texture of the skin, occurs through the synthesis of hyaluronic acid and the compaction of the stratum corneum.
The problem more often - the dryness of the skin. Sometimes, patients report a burning sensation and itching, redness immediately after application.
The ALPHA-HYDROXY ACIDS and chemical PEELS SUPERFICIAL are among the most popular ingredients in the cosmetic products. They are able to have an impact on the condition of the skin molecular, cellular and tissue level. The most common ANA are glycolic, lactic, citric, malic, tartaric. Higher concentrations of these acids are used for chemical peels. The depth of the impact of surface water the chemical peels of the corneal layer and throughout the depth of the epidermis, in function of the concentration of the acid. The most popular is the ingredient of surface chemical peels - glycolic acid at a concentration of 20 to 70%.
Generally, exfoliation is accompanied with a burning sensation, redness, and easy of peeling. If glycolic acid is used in higher concentrations, it makes the skin more sensitive to uv light.
TRIHLORUKSUSNAYA ACID and MEDIUM PEELING is near-universal to the agent for the exfoliation, because, thanks to the various concentrations may achieve the exfoliation the desired depth. In the median time of exfoliation results in the destruction of the epidermis, papıllıar of the dermis and the top layer of the reticular dermis (if you use trihloruksusnaya acid at the concentration of 30% to 35%).
The application of the trichloroacetic acid causes from frost-effect and erythema. After the procedure, in a period of first 3-4 days in the area of exfoliation, mild swelling, crusting occurs, which is the 3-4 day starts to peel off and 7 day, the skin is completely cleaned.
Deeper PEELS to deeper chemical peels apply the phenol peeling. The depth of the impact of the mid-layer. Considered one of the most aggressive procedures-effects on the skin, favourable to the removal of deep lines and wrinkles, scars, and age of hyperpigmentation.
During a deep chemical peel treatment, which takes partial or total damage of the basement membrane, increases the risk of formation of defects irreversible damage of the skin, such as fibrosis of the skin, scars, depigmentation. You can also notice the general reactions - for example, the cardiac arrhythmia in the absorption of phenol.
The INJECTION of botulinum toxin the use of botulinum toxin in dermatology previously limited to the ditches, and then its use has broadened to procedures at the level of the 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 influence of the laser and helps maintain the improvement of the condition of the skin. The purpose of the procedure lies in the weakening of motor activity of the muscles.
The side effects that have been observed: the deterioration of the state a pre-existing hernia of the lower eyelid, temporary omission of the lateral part of the lower eyelid, and excess skin in the lateral part of the lower eyelid.
DERMABRASION - the process of rejuvenation of the skin, which for the resurfacing of the skin is used, coiled brush or diamond fraise attached to the rotary tool, which allows you to remove the epidermis, as well as the top and middle of the dermis, including the upper parts of the appendices. The re-epithelialization and repigmentation from adjacent hair follicles, and the rest of the structures.
The lower eyelid and the area around the eyes is almost impossible to treat using the dermabrasion, because for this technique, it is better to have stable and relatively strong surface of the skin, on which you can work. In addition, this procedure causes bleeding in the time of the procedure is difficult to obtain a good visualization of the skin.
The radio FREQUENCY - non-invasive non-surgical procedure for the correction of the weakness of the skin of the lower eyelid. Creates volumetric tissue heating, which causes an immediate change in the collagen, pulling up fibrous septae, stretching of the dermis up to the hypodermis, as well as stimulate the skin restoration. In general, well tolerated. Among observed in rare cases, the rash and the pockets (sometimes longer). Can also be hyperpigmentation, blistering, hypopigmentation and bleeding. From time to time may be scars and ulcers.
With the development and clinical application of LASER TECHNOLOGY to dermatological surgery has experienced a real revolution. At the beginning of the TWENTY-first century has been developed a procedure, laser skin resurfacing using a CO2 laser, allowing the cleaning of the epidermis and dermis of different thicknesses. With the exception in addition, when the laser resurfacing password compress the collagen due to a treatment of thermal denaturation of collagen type I. it is believed that caused by the influence of the laser skin damage stimulates neokollagenez.
The combination of vaporızat, the compression of collagen and the synthesis of new collagen conditions observed clinical improvement.
There are several years in the laser technology has been introduced fractional photothermolysis, which gave impetus to new applications of CO2 laser. It is a laser system that generates the ranks of the micro-zones (MAZ) and zones (DOLE) damage, without affecting the surrounding tissue. Because these MAZ and MTZ are surrounded by undamaged tissue, the distance of migration of keratinocytes less, healing is faster, and the risk of side effects reduced. Most often, the side effects of the factious process include moderate erythema, swelling of the face, dryness of the skin, education scales, isolated from superficial damage of the skin, itching and hyperpigmentation. There are data that the application during the procedure of flow of the cold air, reduces the level of discomfort.
AFTER the LASER SESSION, all patients, we observed a significant improvement in terms of tightening the skin of the eyelids, of the elasticity of the skin, the texture of the skin, the disappearance of small lines and wrinkles of the eye contour.
Tiny CO2-laser system provides a more rapid healing, reduction of recovery time (rehabilitation period) and reduces 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 in aging of the eyelids. It may not reduce or eliminate a hernia or skin of the hypertrophy of the muscles of the eyelid for correction of these problems requires surgery blepharoplasty. However, fractional laser approach provides excellent results for most patients with a low skin of the eyelids, which are in agreement that on-treatment non-invasive on the eyelids and peri-orbital.
Quick recovery of the tissues of the epidermis occurs due to the migration of keratinocytes and to evict the damaged cells at the borders of different areas. The migration of keratinocytes occurs through the presence of a "reservoir" of partially differentiated cells of high regeneration and high-index, that are able to restore the loss of tissue. When this horny layer of the epidermis acts as a natural jockstrap, which protects the fabric from external factors, while the effects of the procedure continue to occur in the deeper dermis of the skin.
The acute phase occurs in the dermis at the exit of a large number of pro-inflammatory cytokines and mediators, moderate compression of the collagen fibers of the dermis. The injured tissue is the dermis will in the columns of the residues of organic substances that pass through the epidermis in the stratum corneum, and exfoliate. After this phase, it happens proliferative phase with the involvement of fibroblasts and the synthesis of new collagen fibers of type III and can be of the matrix. The last phase is characterized by the restoration of collagen when it is the most subtle fibres of collagen type III is replaced by collagen fibres of type I.
To speed up the healing process allows patients to lead a normal life during the first week after the last session, because the side effects are not observed and it is not necessary to hide or wait for their demise.
The procedure using the CO2 laser can be considered as a technical innovation for the lifting of the eyelid skin, reduce small lines and wrinkles around the eyes, as well as raising of the eyebrows, which provides a more youthful appearance. The procedure is safe, without serious side effects, with a small period of rehabilitation and high level of satisfaction. The forecast results and the time of the rehabilitation related to the procedures of skin rejuvenation, remains largely unknown due to the large number of variables involved. A significant advantage - it is the control of the erythema, possible thanks to the use of the merge function of the pulses. These aspects are essential for the reduction of the period of "social exclusion" as a result of the procedure.
Laser impact not only helps to maintain the improvement of the condition of the skin around the eyes, but with the help of the laser technology, may be.