RU2735816C1 - Method for complex correction of involutory changes of face and neck - Google Patents

Abstract

FIELD: medicine; cosmetology; dermatology; plastic surgery.

SUBSTANCE: skin lines are determined by palpation method, marking is performed, and intradermal CURACEN implant 4 ml is injected into found points of intersection of power lines. Procedure is performed three times with gap of 7–10 days. On 20–25th day after the beginning of the treatment, the power lines are again marked and under the point of their intersection with using a cannula, a filler is introduced, which is represented by hydroxyapatite of calcium or reticulated hyaluronic acid.

EFFECT: method is highly effective, enables correcting all areas of face and neck and at the same time takes into account available individual age changes in corrected areas, allows long-term preservation of the achieved result, safer procedures, better aesthetic effect, preserves naturalness during correction and reduces total amount of filler used during implantation.

3 cl, 4 dwg, 4 ex

Description

The invention relates to medicine, namely cosmetology, dermatology and plastic surgery.

A known method for correcting involutional changes in the skin of the face (patent No. 2379020, IPC A61H 23/00, A61H 7/00) by conducting vibration-plastic massage. With an early type of skin aging, the duration of the procedure is 5-7 minutes daily for a course of 7-10 procedures, with an average type of skin aging, the duration of the procedure is 7-10 minutes, two days in a row - a day break, for a course of 10 procedures, with a late type of aging the duration procedures are 10-12 minutes every other day for a course of 10-12 procedures.

The disadvantage of this method is that it is not effective enough, short-term and accompanied by a significant investment of time for the patient.

There is a known method of cosmetic massage for the formation of the cheekbone and oval of the face (patent No. 2471470, IPC A61H 23/00), which uses the original force effects according to a specially developed technique, consisting of 89 stages.

The disadvantage of this method is the long duration, energy consumption, multi-stage restoration work and the need for special training of a specialist.

A known method for eliminating defects of the face and neck (p. No. 2086222, IPC A61H 7/00, A61H 23/06, A61K 7/48) aimed at burning subcutaneous fat and reducing muscle mass, restoring the elasticity of the muscles and ligamentous apparatus of the soft tissues of the face and neck using high-speed spiral rubbing up to 200-250 movements per minute.

However, when implementing this method, oil-based suspension creams are used, which often disrupts skin respiration, can lead to the development of pustular diseases, and disrupt the natural metabolism of tissues.

There is a known method for correcting involutional changes in the chin region (patent No. 2611929, IPC A61K 8/73, A61M 5/00, A61Q 19/08), taken as a prototype, including marking a safe access point (retreating lateral to the corner of the mouth by 2 cm and further down 1 cm), marking areas with a deficit in the volume of soft tissues in the labio-chin region, marking in the direction of the proposed vectors of the cannula passage and injecting the filler through safe access points using linear retrograde or microbolus techniques in the direction of the cannula passage vectors.

The known method is not effective enough, it is used to correct only part of the face (chin area). When performing the method, the individual features of the architectonics of the face are not taken into account, and in the presence of ectopia of the fatty compartments of the cheek with gravitational-edematous morphotype of aging, with the introduction of the implant into the subcutaneous tissue and the fatty packet of the cheek (Bishat's lump), the appearance / development of an unwanted volume and / or long-term existing pastiness in the lower third of the face.

The objective of the claimed invention is to improve the efficiency of the method.

The problem is solved by the fact that according to the method of complex correction of involutional changes in the face and neck, including the production of marking in the areas undergoing correction, and the injection of linear-retrograde filler using a cannula, the force lines of the skin are determined by palpation, they are marked and at the found points the intersection of the field lines, the intradermal CURACEN implant is injected in a volume of 4 ml, the procedure is performed three times with an interval of 7-10 days, on the 20-25 day from the start of treatment, the field lines are marked again and a filler is injected under the points of their intersection. The CURACEN intradermal implant is injected with nano-needles. Calcium hydroxyapatite or reticulated hyaluronic acid is used as a filler.

The claimed invention is highly effective, allows for the correction of all areas of the face and neck, and at the same time takes into account the existing individual age-related changes in the corrected areas. In addition, the use of the claimed invention allows maintaining the achieved result for a long time, increases the safety of the procedure, improves the aesthetic result, maintains naturalness during the correction and reduces the total amount of filler used during implantation.

The essence of the invention is illustrated by illustrations, which show:

in fig. 1 (a.b.c) - marking of power lines;

in fig. 2 - indeterminate, unsystematic wrinkling;

in fig. 3 (a, b, c) - injection of the CURACEN preparation at the points of intersection of the lines of force;

in fig. 4 - marking of lines of force for filler injection

The method is carried out as follows. The zones of maximum disorganization of the connective tissue of the dermis (OMD) are determined by palpation. For this, the skin is squeezed with fingers, the hands are moved towards each other. If the correct thin lines, folding appear on the skin, they serve as a reference point for determining the lines of force (Fig. 1 a, b, c). The resulting lines of force are marked. Thus, the entire zone of the proposed correction is marked, the direction of the fingers changes during the formation of folds. Bone structures serve as a reference point on the face: the edge of the lower jaw, the zygomatic bone, the upper and lateral edges of the orbit, and k - folds are formed parallel to the bone structures, perpendicularly and at an angle of 45 degrees. On the neck, the reference point is the cartilage of the larynx and m. sternoclaidomastoideus. Mark the lines of force of deformation of the skin. If the direction of the force does not coincide with the direction of the lines of critical mechanical stress (deformation), then an indefinite, unsystematic wrinkling appears on the skin, and ordered folds parallel to each other do not appear (Fig. 2).

Next, intradermal injection of the placental preparation CURACEN is carried out at the intersection points of the lines of force (areas of maximum disorganization of the connective tissue - OMD) using 34Gx4 nano-needles in the amount of 4 milliliters per procedure. The procedure is performed three times with an interval of 7-10 days. In total, three procedures of intradermal administration of the CURACEN preparation are carried out (Fig. 3 a. B. C).

On the 20-25th day from the start of treatment, the field lines are marked again and the filler is injected under the points of their intersection strictly subdermally, in the linear-retrograde technique using a large-diameter cannula until the optimal level of correction is achieved, determined visually by the doctor during the procedure. The CURACEN intradermal implant is injected with nano-needles. As a filler that locally increases the viscoelastic properties of the dermis in the implantation zones, calcium hydroxyapatite or reticulated hyaluronic acid is used. In order to minimize the traumatic effect and reduce the risk of post-traumatic hematomas, the filler is implanted using a 22Gx50 / 22Gx70 cannula under the pre-marked areas (Fig. 3). The depth of implantation is standardized by directing the blunt end of the cannula towards the skin surface. In contrast to the usual filler injection using a cannula, the maximum amount of the drug is implanted not along its entire "route", but only under the area of maximum disorganization (PMD) at the intersection of the lines of force (Fig. 4).

Example # 1

Patient A with fine wrinkled morphotype of aging was treated with the placental preparation CURACEN at the points of intersection of the lines of force using 34Gx4 nano-needles in an amount of 4 milliliters (2 ampoules of 2 milliliters) per procedure. The procedure was performed three times with an interval of 7 days. In total, three procedures of intradermal injection of the CURACEN preparation were carried out. 20 days after the start of treatment, the zones of maximum disorganization of the connective tissue of the dermis (OMD) were determined by palpation and the field lines were marked (Fig. 1 a, b, c). A 1 ml hyaluronic acid filler was implanted using a 22Gx50 cannula until the optimal level of correction was achieved, as determined visually by the physician during the procedure, under the pre-marked areas at the intersections of the lines of force. As a result, the involutionally changed areas of the perioral region were corrected, taking into account the existing individual age-related changes in the corrected areas. The use of this method increased the safety of the procedure (there were no bruises, swelling and soreness during the manipulation), the obtained aesthetic result was completely satisfactory for the patient (the depth of wrinkles decreased), the naturalness of facial expressions was preserved and a smaller amount of hyaluronic acid filler (1 ml) was required, used during implantation.

Example No. 2

Patient B with fine wrinkled aging morphotype was treated with the placental preparation CURACEN at the points of intersection of the lines of force using 34Gx4 nano-needles in an amount of 4 milliliters (2 ampoules of 2 milliliters) per procedure. The procedure was performed three times with an interval of 10 days. In total, three procedures of intradermal injection of the CURACEN preparation were carried out. 23 days after the start of treatment, the zones of maximum disorganization of the connective tissue of the dermis (OMD) were determined by palpation and the field lines were marked (Fig. 1). A 1.5 ml calcium hydroxyapatite filler was implanted using a 22Gx70 cannula until the optimal correction level was achieved, as determined visually by the physician during the procedure, under the pre-marked areas at the intersections of the lines of force. As a result, all involutionally changed areas of the face were corrected, while taking into account the existing individual age-related changes in the areas being corrected. The use of this method increased the safety of the procedure (there were no bruises and swelling during the manipulations), the obtained aesthetic result completely satisfied the patient (the skin tone increased, the complexion improved, the depth of wrinkles decreased) and a smaller amount of calcium hydroxyapatite filler (1.5 ml) was required used during implantation.

Example No. 3

A patient with a gravitational morphotype was treated with the placental preparation CURACEN at the points of intersection of the field lines using 34Gx4 nano-needles in an amount of 4 milliliters (2 ampoules of 2 milliliters) per procedure. The procedure was performed three times with an interval of 1, 7 and 10 days. In total, three procedures of intradermal injection of the CURACEN preparation were carried out. In 25 days after the start of treatment, the zones of maximum disorganization of the connective tissue of the dermis (OMD) were determined by palpation and the field lines were marked. A 2 ml hyaluronic acid filler was implanted using a 22Gx50 cannula until the optimal correction level was achieved, as determined visually by the physician during the procedure, under the pre-marked areas at the intersection of the lines of force. As a result, the involutionally altered areas of the perioral region were corrected, taking into account the existing individual age-related changes in the corrected zones. The use of this method increased the safety of the procedure (there were no bruises, swelling and soreness during the manipulation), the obtained aesthetic result completely satisfied the patient (the depth of wrinkles decreased), the naturalness of facial expressions was preserved, optimal correction of deep labial-marginal grooves and nasolabial folds was achieved.

Example No. 4

Patient D with gravitational morphotype was treated with the placental preparation CURACEN at the intersection of the field lines using 34Gx4 nano-needles in an amount of 4 milliliters (2 ampoules of 2 milliliters) per procedure. The procedure was performed three times with an interval of 10 days. In total, three procedures of intradermal injection of the CURACEN preparation were carried out. 22 days after the start of treatment, the zones of maximum disorganization of the connective tissue of the dermis (OMD) were determined by palpation and the field lines were marked (Fig. 1). A 3.0 milliliter calcium hydroxyapatite filler was implanted using a 22Gx70 cannula until the optimal level of correction was achieved, as determined visually by the physician during the procedure, under the pre-marked areas at the intersections of the lines of force. As a result, all involutionally changed areas of the face and neck were corrected, taking into account the existing individual age-related changes in the areas being corrected. The use of this method increased the safety of the procedure (there were no bruises, swelling and soreness during the manipulation), the obtained aesthetic result completely satisfied the patient (the skin tone of the face and neck increased, the complexion improved, the depth of wrinkles decreased) and optimal correction was achieved in the face and neck.

Claims (3)

1. A method of complex correction of involutional changes in the face and neck, including marking in the areas undergoing correction, injection linear-retrograde filler injection using a cannula, characterized in that by palpation, the lines of force of the skin are determined, they are marked and at the points of intersection of the lines of force lines, the intradermal CURACEN implant in a volume of 4 ml is injected, the procedure is performed three times with an interval of 7-10 days, on the 20-25 day from the start of treatment, the field lines are again marked and a filler is injected under the points of their intersection. 2. The method according to claim 1, characterized in that the injection of the CURACEN intradermal implant is carried out with nano-needles. 3. The method according to claim 1, characterized in that calcium hydroxyapatite or reticulated hyaluronic acid is used as the filler.

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