RU2275898C1 - Method for cosmetic rehabilitation of skin tissues in post-operating and other posttraumatic conditions (variants) - Google Patents

Abstract

FIELD: cosmetology, esthetic surgery, applied biopharmacology.

SUBSTANCE: invention relates to medicative and cosmetic agents, and uses of biologically active substances based on natural biological complexes. Claimed method includes application of Mirralgin balm having analgesic, anti-inflammation and resolving action, Reventon balm, having vessel restorative action, for edema reducing and microcirculation improving. In process of blepharoplastic eye boundary bandage microemulsion having recovery and animative action on eaves skin is applied, and in process of facelifting cream mask having bactericide, vessel restorative and recovering action, and enhancing of local immunity is applied. Mirralgin balm and Reventon balm treatment is carried out sequentially or alternatively. In another embodiment after skin cleaning and treatment of damaged zone with anti-septic agent Bacteriophage gel, which disinfects skin surface, prevents biofilm forming, accelerates cicatrizing process is applied, then posttraumatic zone is treated with cleaning milk, toned up with tonic lotion and cream mask having bactericide, vessel restorative and recovering action, and enhancing of local immunity is applied.

EFFECT: method for skin structure recovering without skin trauma.

4 cl, 7 ex, 1 tbl

Description

The invention relates to cosmetology, aesthetic surgery, medical and cosmetic products, applied biopharmacology, as well as the use of biologically active substances based on natural biological complexes for medical and cosmetic purposes.

The restoration of the skin, its qualitative characteristics in the postoperative period, after various traumatic events (trauma, accident, catastrophe, burns, mesotherapy, sex change surgery, etc.) is very important.

Achieving a positive result after an aesthetic operation for tissues has a rehabilitation period. For aesthetic surgery, people with different types and conditions of the skin decide. Fading skin, for example, is characterized by a deterioration in the blood supply to the dermis and a decrease in biosynthesis, therefore the recovery period is longer (Hernandez E., Margolina A., Petrukhina A. Lipid barrier of the skin and cosmetics. Publishing project "Department", M., 2003). Relatively young skin can have a broken lipid barrier and reduced local immunity, so its restoration can be accompanied by infection. The skin condition after an aesthetic operation is characterized by an inflammatory process: edema, hyperemia, pain, fever, secretion of mediators, is often accompanied by infection, insufficient regeneration rate, scarring, persistent erythema, pigmentation disorders, etc. (Finger M.A., Ivanov A. A., Severin S.E. Intercellular Interactions (Moscow: Medicine, 2003).

A known method of restoring skin on the face, in which a positive result is achieved by the introduction of epidermal acid vitamin A (US patent No. 4603146, publ. 1986).

The disadvantage of this method is the low efficiency and duration of the process, as well as the subsequent restoration of the skin after mesotherapy.

Closest to the technical nature of the present invention is a method of treating cosmetic defects of the skin of the face, including applying funds (RF patent No. 21114414, BI No. 19, 1998).

The disadvantages of the known method of skin rehabilitation in the postoperative period is that it uses a tool containing phenol, which is toxic to patients and requires subsequent tissue repair, as well as the inability to use this method in a gentle mode of tissue rehabilitation.

The objective of the invention is to create an effective method of rehabilitation of skin tissue in the postoperative period of aesthetic operations or other post-traumatic conditions.

As a result of the use of the present invention, a sparing effect on skin tissue is achieved during the rehabilitation period after aesthetic operations or other post-traumatic conditions, the risk of skin complications in the early postoperative period is reduced, the rehabilitation period is significantly reduced, the clinical effect of aesthetic surgery is significantly improved by the use of effective medical and cosmetic products Mirra-M company containing biologically active substances based on natural biological complexes against the background of light massage in lasticheskoy postoperative rehabilitation after surgery skin care, and reduce swelling, redness, pain and hematoma, restoring the protective functions of the skin tissues, stimulates the regeneration and repair, has a bactericidal and resolving action, ensuring a more rapid elimination of traumatic events.

Using the proposed method, the skin structure is restored, its qualitative characteristics are not injuring the skin, and its subsequent restoration is not required.

The above result is achieved by the fact that in the method of cosmetic rehabilitation of skin tissue in the postoperative period and other post-traumatic conditions, including the use of medical and cosmetic products, from 2 to 4 days after cleansing the skin and treating the damaged area with an antiseptic agent, Mirralgin balm is used, which has analgesic, anti-inflammatory and resolving effect 3-4 times a day with light massage movements for 5 minutes, then, as the hematomas resolve, from 4 to 10 days, Rhuben balm is applied it has a vasoconstrictive effect that helps to reduce edema and improves microcirculation, 2-4 times a day with light massage movements for 5 minutes until completely absorbed, while in accordance with the nature of the traumatic state of the tissue, the eye contour bandage microemulsion is applied during blephoplasty, possessing a restorative, revitalizing effect on the skin of the eyelids, light massage in circular movements, and with facelift, apply the Uma cream mask, which has a bactericidal, vasoconstrictive, regenerating effect viyom and increasing local immunity.

During facelift, in addition to the treatment with the Uma cream mask mask, a massage is performed on the skin of the face, neck and décolleté, starting from the back of the neck, passing to the skin of the face, neck and décolleté, alternating movements, stroking, rubbing and kneading, and the massage is carried out after removing the seams in gentle mode.

Processing with Mirralgin balm is carried out alternately with Reventon balm, first Mirralgin balm, then Reventon balm.

In another embodiment, in the method of cosmetic rehabilitation of skin tissues in the postoperative period and other post-traumatic conditions, including the use of medical cosmetics, from 1 to 6 days after cleansing the damaged area, Bacteriophage gel is applied, which disinfects the surface of the skin, prevents the formation of biofilms, thereby accelerating the healing process, 10-15 minutes before the disappearance of hematomas and edema and removal of the inflammatory process, then apply Reventon balm, which has a vasoconstrictive effect, to reduce edema and improve microcirculation, 2-4 times a day for 5 minutes until completely absorbed by light massage movements, while in accordance with the nature of the traumatic condition, during face surgery, from the 7th to the 14th day, the post-traumatic area is cleaned with a cleansing milk, Then they tone it with tonic lotion, and then apply the cream mask “Uma”, which has a bactericidal, vasoconstrictive, regenerating effect and increases local immunity.

During face surgery, in addition to the treatment with the cream mask “Uma”, the face, neck and décolleté are treated with a massage, starting from the back of the neck, passing onto the skin of the face, neck and décolleté, alternating movements, stroking, rubbing and kneading, and the massage is carried out after removal of seams in the sparing mode.

Treatment with Bacteriophage gel is carried out alternately with Reventon balm, first with Bacteriophage gel, then with Reventon balm.

The method of cosmetic rehabilitation of skin tissue in the postoperative period and other post-traumatic conditions is as follows.

On the 2nd to 4th day after cleansing the skin and treating the damaged area with an antiseptic, apply Mirralgin balm, which has an analgesic, anti-inflammatory and absorbable effect, containing an emulsion complex of grape and milk thistle oil, licorice root extract, a complex of polyunsaturated fatty acids based on fish oil and vitamin F , essential oils of cloves, cypress, monard, mint, tea tree, sage, eucalyptus, beta-carotene, 3-4 times a day with light massage movements for 5 minutes. Then, as the hematomas resolve, from 4 to 10 days, Reventon balm is applied, which has a vasoconstrictive effect that helps to reduce edema and improves microcirculation, containing extracts of arnica, horse chestnut, licorice, sweet clover, a complex of essential oils, 2-4 times a day with light massage movements 5 minutes until completely absorbed.

In accordance with the nature of the traumatic state, for example, with blephoroplasty, an “Eye contour bandage” is additionally applied, which has a revitalizing (restoring, revitalizing) effect on the skin of the eyelids, light massage circular movements, containing homogenized salmon caviar, a complex of vegetable and essential oils, and lungs massage circular movements.

For facelift, a Uma cream mask is applied, which has a regenerating effect, containing grape oil, milk thistle, essential oils of monarda, lavender, geranium, tea tree, beta-carotene, ascorbyl palmitate, homogenized sturgeon caviar, vitamin F.

When applying the Uma cream mask to the skin of the face, neck and décolleté, the Uma cream mask is massaged, starting from the back of the neck, passing onto the skin of the face, neck and décolleté, alternating movements, stroking, rubbing and kneading, and massage carried out after removal of the seams in a gentle mode.

Processing with Mirralgin balm and Reventon balm can be carried out alternately, first with Mirralgin balm, then with Reventon balm.

In another embodiment of the method, after cleaning the damaged area from day 1 to 6, a Bacteriophage gel is applied to it, which disinfects the skin surface, prevents the formation of a biofilm, thereby accelerating the healing process, containing bacteriophages in the form of a purified concentrate, carbopol, sodium benzoate, sweet clover extracts, yarrow, clover, licorice, lavender essential oil, cloves, myrrh, water, in the form of applications for 10-15 minutes. Bacteriophage gel is applied daily until the inflammatory processes, hematomas and edema disappear completely. Then apply Reventon balm for 5 minutes until completely absorbed by light massage movements. In accordance with the nature of the traumatic condition, face surgery from day 7 to day 14 cleanses the post-traumatic area with cotton swabs with a cleansing milk containing linden flower extract, cetnol, emulgin, vitamin E, perfume composition, caton, then tones it with tonic lotion containing grains of bubbly fucus (sea oak), sugar kelp concentrate, chitosan, citric acid and a caton with a pH of 6.0, and then apply a cream mask "Uma" and massage on the cream mask "Uma", starting from the back surface of the neck turning onto the skin face, neck and décolleté, alternating movements, stroking, rubbing and kneading, and massage is carried out in a gentle manner after removing the seams.

Treatment with Bacteriophage gel is carried out alternately with Reventon balm, first with Bacteriophage gel, then with Reventon balm.

The amount of agent for treating the damaged area is selected depending on the area of the treated surface.

For the rehabilitation of tissues in the early postoperative period and for various post-traumatic events, the following means of the MIRRA-M company are used.

Transdermal balm "Mirralgin" - for the prevention of non-specific inflammation and pain, has analgesic and absorbable effects due to the complex of essential oils on the hematoma area. It includes an emulsion complex of grape and milk thistle oil, licorice root extract, a complex of polyunsaturated fatty acids based on fish oil and vitamin F, essential oils of cloves, cypress, monarda, peppermint, tea tree, sage, eucalyptus, beta-carotene Balm, promotes skin restoration.

Reventon balm - contains extracts of arnica, horse chestnut, licorice, clover, a complex of essential oils. The balm has a vasoconstrictive, reparative and anti-inflammatory effect, helps to restore the qualitative characteristics of skin tissues, reduce edema and improve microcirculation.

Cream mask “Uma” - contains grape oil, milk thistle, essential oils of monarda, lavender, geranium, tea tree, beta-carotene, ascorbyl palmitate, homogenized sturgeon caviar, vitamin F. The cream mask has a bactericidal, vaso-strengthening, regenerating effect and increases local immunity, (RF patent No. 2232587, registered 20.07.04).

Microemulsion “Eye contour bandage” - contains homogenized salmon caviar, a complex of vegetable and essential oils. The microemulsion has a revitalizing effect (restores, revitalizes the skin of the eyelids, eliminates puffiness, provides nutrition and skin protection (RF patent No. 2232587, registered July 20, 04).

Bacteriophage gel - a gel dosage form of a medical immunobiological preparation with bacteriophages, containing bacteriophages in the form of a purified concentrate, carbopol, sodium benzoate, extracts of clover, yarrow, clover, licorice, lavender essential oil, cloves, myrrh, water, the effect of anti-inflammatory therapy is achieved thanks to the application and fixing the gel for a certain time on the surface of the skin, which makes it possible for prolonged action. Bacteriophage gel provides uniform distribution of phage particles, increasing the effectiveness of treatment, even distribution of phage particles, increasing the effectiveness of treatment, has a bactericidal effect. Biofag gel disinfects the surface of the skin, prevents the formation of biofilms, accelerating the healing process, effective in anti-inflammatory therapy (RF patent No. 2156133, BI No. 26, 2000).

Means of the Mirra-M company have pronounced biological activity, which is determined by the following components:

- active transport system - microemulsions with a particle size of 0.06 microns and microcapsules with a particle size of 0.02 microns, capable of carrying biologically active substances of various nature in deep layers of the skin;

- physiologically useful, skin-absorbable, lipid mixtures that make up microemulsions and microcapsules;

- a wide range of biologically active substances (essential and vegetable oils, extracts of 60 plants, biotechnology products, seafood, etc.), balanced and selected into a cosmetic product without heat treatment (cold emulsification);

- the use of destructed water (without hydroassociates), repeatedly increasing the effectiveness of biologically active substances.

Mirra-M cosmetics products not only improve the appearance of the skin, contribute to improved microcirculation, reduce inflammatory and allergic reactions, reduce pain, improve repair and regeneration, reduce swelling, hyperemia and infiltration, eliminate dryness, etc. The reparative and anti-inflammatory properties of Mirra-M balms - Mirralgin, Reventon was evaluated in 2000 at the Novosibirsk Regional Center for Allergodermatosis and Municipal Children's Clinical Hospital No. 1 (Review on the results of testing Mirra-M products No. Г.55 / 87 from 02.28.00, the Ministry of the Russian Federation for Physical Culture, Sports and Tourism). The anti-inflammatory effect was studied in a study of the dynamics of the migration of leukocytes into the area of the “skin window” (according to Rebuk modified by D. Mayansky). At the same time, there was a decrease in the content of eosinophils in the area of the “skin window” and an increase in the yield of mononuclear leukocytes, indicating a decrease in the activity of inflammation and stimulation of reparative processes in the skin. With the use of balm, the content of macrophages in the late phase of the “skin window” increased from 11.4% to 29.3%, which indicated an increase in the functional activity of macrophages and stimulation of reparative processes in the skin. to stimulate epithelization, reduce the activity of allergic inflammation, relieve itchy skin.

Even with the most successful result of the operation, post-traumatic phenomena cause physical and psychological discomfort for the patient. The appearance of hematomas, edema, infiltrates, an increase in the sensitivity of the skin (even if this was warned in advance), alarm the patient. The main objective of this stage is the speedy tissue repair. Therefore, the early postoperative period should solve the following problems:

- adequate analgesia of damaged tissues with a maximum dose reduction of analgesics;

- restoration of microcirculation of the operated or post-traumatic zone, improvement of tissue trophism, removal of edema;

- rapid resorption of infiltrates, normalization of vascular wall permeability, reduction of inflammation;

- activation of the regenerative forces of the body, improving metabolism and plastic processes;

- restoration of immunity at the tissue level and at the level of the whole organism.

The choice of means and the sequence of their application depends on the severity of post-traumatic phenomena and the area of their localization.

Examples of specific performance of the method.

In the method of cosmetic rehabilitation of skin tissues in the early and distant postoperative period, in case of post-traumatic skin conditions using MIRRA-M products, the schemes shown in the examples are used.

Example 1. Liposuction.

After the operation, the damaged area is treated with a solution of antiseptic furracilin. From day 2 to 4, the Mirralgin balm is sequentially applied to the post-traumatic zone in an amount of 5 ml 3-4 times a day with light massage movements for 5 minutes, then after resorption of the hematomas from day 4 to 10, Reventon balm is applied in an amount of 10 ml 2- 4 times a day with light massage movements for 5 minutes until completely absorbed. Until the 10-15th day, the same procedures are carried out before applying compression underwear.

Example 2. Lipoxation.

After the operation, the damaged area is treated with a 0.5% alcohol solution of chlorhexidine. On the 2-3rd day, first apply Mirralgin balm in an amount of 5 ml, and then Reventon in an amount of 10 ml per each liposuction zone 2-4 times a day with light massage movements until completely absorbed. Until the 10-15th day, the same procedures are carried out before applying compression underwear.

Example 3. Surgery blepharoplasty.

After the operation, the surgical area is treated with an antiseptic solution of furcilin. On the 2-3rd day, Mirralgin balm 3 ml is applied to the skin around the eyes 3-4 times a day with light massage movements along the massage lines for 3-5 minutes until completely absorbed, then from 4-10 days Reventon balm from 5 ml , then, as the hematomas resolve and remove the edema, the eye contour bandage microemulsion is applied with light massage movements to the skin around the eyes in an amount of 0.5 ml.

The use of the drug continues according to the scheme until the skin of the eyelids is completely restored.

Example 4. Facelift.

After the operation, the surgical area is treated on day 2-3 with a 0.5% alcohol solution of chlorhexidine, dry crusts are removed, and Mirralgin and Reventon balms are applied alternately in an amount of 5 ml or more on the temporal, zygomatic, parotid, anterior neck, the posterior cervical zone with light massage movements for 5 minutes until the cream is completely absorbed 2-4 times a day. On days 4-5, the same as on days 2 and 3. Additionally applied cream mask "Uma" in an amount of 5 ml.

On the 6-14th day after the stitches are removed, the same as on days 2 and 3, an “Uma” cream mask is additionally applied to the entire surface of the face and neck and a massage with lymphatic drainage elements is applied, and when applying the “Uma” cream mask the skin of the face, neck and décolleté is massaged using the “Uma” cream mask, starting from the back of the neck, passing onto the skin of the face, neck and décolleté, alternating movements, stroking, rubbing and kneading in a gentle mode.

The use of funds continues according to the scheme until the skin is completely restored.

Example 5. The operation on the face.

On the 1-3rd day after the operation, Bacteriophage gel is applied to the area of surgical intervention in the form of applications for 10-15 minutes before removing the inflammatory process. The amount of the product is calculated depending on the damage zone from 0.5 to 5 ml. On 4-6 days, apply Reventon balm in an amount of 5 ml 3-4 times a day for 5 minutes with light massage movements. Then, from the 7th to the 14th day after the operation, the post-traumatic zone is cleaned with cotton swabs with milk cleansing in an amount of 5 ml per procedure. After that, they tone it with tonic lotion with a pH of 6.0., While maintaining the pH balance of the skin. From the 7th to the 14th day, apply the Uma cream mask in an amount of 5 ml and perform a light massage on the cream mask with lymphatic drainage elements in a gentle mode. On a cream mask "Uma" massage is carried out, starting from the back of the neck moving to the skin of the face, neck and décolleté, alternating movements, stroking, rubbing and kneading, and the massage is carried out in a gentle manner.

This procedure is carried out daily until the skin is completely restored.

Example 6

Facial surgery.

On the 1-6th day after the operation, the area of surgical intervention, and Bacteriophage gel and Reventon balm are applied alternately. First, Bacteriophage gel is applied in the form of applications for 10-15 minutes in an amount of 1.5 ml, then Reventon balm is applied in an amount of 5 ml 2-4 times a day for 5 minutes with light massage movements. Then, on the 7th to the 14th day after the operation, the post-traumatic zone is cleaned with a cleansing milk in an amount of 5 ml per procedure. After they tone it with tonic lotion with a pH of 6.0, while maintaining the pH balance of the skin. From the 7th to the 14th day, the Uma cream mask is applied in an amount of 5 ml or more. After the seams are removed, a light massage is performed on the “Uma” cream mask on the skin of the face, neck and décolleté; massage is performed, starting from the back of the neck, passing to the skin of the face, neck and décolleté, alternating movements, stroking, rubbing and kneading.

Example 7. Injury to the tissues of the skin of the face and neck (bruise, cuts, etc.).

On the 2-3rd day after treatment of the damaged area with a 0.5% alcohol solution of chlorhexidine, first apply Mirralgin balm in an amount of 5 ml, then from 4th to 10th day apply Reventon balm in an amount of 5 ml with light massage movements for 5 minutes until the balm is completely absorbed 3-4 times a day. Additionally applied cream mask "Uma" in an amount of 5 ml.

In total, over 3 years according to these nosologies, 900 patients were operated on, of which 710 people (the main group) underwent a post-operative rehabilitation program using Mirra-Lux cosmetics, the remaining 190 patients did not use this cosmetics in the postoperative period for one reason or another - control group. The table shows the results of rehabilitation skin care in the early postoperative period.

Evaluation of the effectiveness of the proposed method was carried out on the basis of the Department of Plastic and Reconstructive Surgery of the Chelyabinsk Regional Hospital No. 1.

The results of the rehabilitation period were assessed by the degree of reduction of the inflammatory reaction by local tissues and the general condition of the body: the degree of reduction of edema, reduction of hyperemia, hematoma, and pain reduction. The result was considered excellent when the improvement in all of the above signs occurred on 3-4 days, good - if the improvement came on 2-3 signs or for 5-6 days.

In almost all cases, patients who underwent a rehabilitation program using cosmetic products of Mirra-M Company experienced a decrease in edema, pain, and bruising for 3-4 days, which was regarded as an excellent result. Negative effects of funds were not observed. In the control group, a decrease in edema and pain was observed in a period of 5 or more days. The results are shown in the table.

The proposed method of cosmetic tissue rehabilitation can be used in plastic surgery, reconstructive microsurgery in the early and distant postoperative periods in patients to conduct patients with different types of operations (facelift, blepharoplasty, liposuction, etc.), in tissue rehabilitation in post-traumatic events, with mesotherapy, during sex reassignment operations, etc. using medical and cosmetic products of the Mirra-M company.

Evaluation results when using the method of cosmetic tissue rehabilitation in the postoperative period and other post-traumatic conditions.

Operation Patient group Number of people results ex. the choir. Liposuction of the face, neck Main group 192 190 2 Control group 41 0 41 Body liposuction Main group 164 161 3 Control group 42 0 42 Blepharoplasty Main group 121 120 one Control group 38 one 37 Facelift Main group 124 121 3 Control group 34 0 34 Blepharoplasty + facelift Main group 119 117 2 Control group 35 0 35 Injury Main group 12 7 5 Control group 5 one four

Claims (4)

1. A method of cosmetic rehabilitation of skin tissue in the postoperative period and other post-traumatic conditions, including the use of therapeutic and cosmetic products, characterized in that after the damage, the skin is cleaned, the damaged area is treated with an antiseptic and the Mirralgin and Reventon balms are applied sequentially or alternately, with sequential applying balms from 2 to 4 days, apply Mirralgin balm, which has an analgesic, anti-inflammatory and absorbable effect, 3-4 times a day Reventon balm is applied with light massage movements for 5 minutes, and as the hematomas resolve from 4 to 10 days, it has a vasoconstrictive effect that helps to reduce edema and improves microcirculation, 2-4 times a day with light massage movements for 5 minutes until completely absorbed, and in the case of treatment of alternate use, Mirralgin balm is first applied, then Reventon balm by the above methods, and in accordance with the nature of the traumatic state of the tissue, bleem is additionally applied with microem lsiyu "Eye-band circuit" having a reducing, revitalizing effect on the skin of eyelids, light massaging in circular motions, and for facelift additionally applied cream mask "Mind", having bactericidal, sosudoukreplyayuschim, regenerating action. 2. The method according to claim 1, characterized in that when face lifting, in addition to processing the cream with a mask “Uma” on the skin of the face, neck and decollete after removing the sutures, massage is performed in a gentle manner, starting from the back of the neck, passing to the skin of the face, neck and decollete, alternating movements, stroking, rubbing and kneading. 3. A method of cosmetic rehabilitation of skin tissues in the postoperative period and other post-traumatic conditions, including the use of therapeutic and cosmetic products, characterized in that after the damage the skin is cleaned and Bacteriophage gel and Reventon balm are applied sequentially or in turn, while applying successively with 1 Bacteriophage gel is applied on day 6, which disinfects the surface of the skin, prevents the formation of biofilms, thereby accelerating the healing process, for 10-15 minutes until the hematomas disappear and edema and removal of the inflammatory process, then Reventon balm, which has a vasoconstrictive effect that helps to reduce edema and improve microcirculation, 2-4 times a day for 5 minutes until completely absorbed by light massage movements, and in case of treatment with alternate use, Bacteriophage gel is applied first, then Reventon balm with the above methods, and in accordance with the nature of the traumatic condition during surgery on the face from day 7 to day 14, the post-traumatic area is additionally cleansed with cleansing milk, then tone it with tonic lotion, and then apply a cream mask "Uma", which has a bactericidal, vasoconstrictive, regenerating effect. 4. The method according to claim 4, characterized in that during surgery on the face, in addition to processing the cream-mask "Mind" on the skin of the face, neck and décolleté, massage is performed starting from the back of the neck, passing to the skin of the face, neck and décolleté, alternating movements, stroking, rubbing and kneading, and massage is carried out after removing the seams in a gentle mode.