RU2388449C1 - Method of non-surgical face lifting - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention relates to medicine, cosmetology. Method includes carrying out of manual massage. Author's methods of rubbing, petrissage and effleurage with frequently varying tonic and relaxing movements are applied. Each movement performed for from 5 to 20 seconds. Massage is started from impact by fingers of both hands on anterior occipital muscle. Then by means of massage techniques processed is chin area, influencing on muscles, which lower mouth angle, lower labium, on mentalis and masticatory muscles. After that influence is applied on neck platysma, on greater pectoral muscle. Then mysticatory muscles are influenced by diametrical stroking with following circular petrissage in suborbital, cheekbone and cheek areas. After that impact is applied to parotid, masticatory and cheek bone areas. Then massage of suborbital area, nasolabial fold is performed. After that cheek bone area and cheek area are massaged. Then superior and inferior eyelids are massaged. There are 8-10 sessions per course, 1-2 times per week.

EFFECT: method can be applied as alternative method of operative elimination of face defects caused by skin aging.

3 ex, 45 dwg

Description

The invention relates to medical cosmetics and can be used as an alternative method for the prompt elimination of facial defects.

A known method of massage of the face and neck by vibrational exposure to the soft tissues of the face and neck (RF patent No. 2113837, BI 06/27/1998). The disadvantage of this method is not sufficiently resistant anti-aging effect.

Closest to the proposed is a method of plastic massage [Yu. Yu. Dribnokhod. The allowance for cosmetology. St. Petersburg, 2004. S. 286-287]. This massage has a deeper effect on the tissues and is used for aging face and neck skin, as well as for excessive subcutaneous fat. The method is a complex of certain, sequentially executed movements, which take place according to the following scheme. The fingertips capture a fold of skin along with subcutaneous tissue and, as it were, are pressed into the depth with a slightly vibrating hand. These movements are made in circles. With plastic massage, kneading the skin in place; it is not recommended to shift the skin in any direction. During the massage, it is necessary to squeeze the tissues as far as possible, but you can not use great force so as not to damage them.

The movements of the fingers that capture the skin are performed continuously in circles. Thus, you should process the entire face and then repeat these movements, but already more superficially. Movements are carried out only by the ends of the thumb and forefinger, and folds of skin should slip out from under the fingers. Plastic massage is done in various directions: from the tip of the nose to the nose, on the forehead and cheeks - along the skin lines. The movements during plastic massage should be quick and agile, gripping and squeezing the skin should be as short as possible.

The effect of plastic massage is explained by many reasons. Here, the sudden compression, gripping and kneading of the skin, the combination of kneading with vibrational movements, and finally, the speed of massage movements are important. Start a plastic massage with gentle and slow movements, gradually strengthening and accelerating them, and by the end of the session again weakening and slowing down. Massage lasts 6-8 minutes.

The disadvantages of the method must first include the low efficiency of exposure to skin mechanoreceptors. This is due to the fact that only skin mechanoreceptors are excited, reacting to the pressure exerted and the speed of exposure, while the acceleration receptors are not involved; part of the receptors is not activated because the movements occur in a strictly defined direction; the effect on activated receptors is not complete due to a limited set of techniques (there is no stimulus novelty factor); similar movements are performed for a long time; massage begins with gentle and slow movements, which gradually increase and accelerate, resulting in adaptation of the skin receptors and, accordingly, their extremely low excitation, which, ultimately, leads to extremely low massage results.

A new technical task is to increase efficiency by obtaining a more pronounced anti-aging effect.

To solve the problem in a method of non-surgical face lifting by massage in the first stage, a massage is started with intensive stimulation with circular movements of the first and second fingers of both hands of the frontooccipital muscle (m. Occipitofrontalis) for 20 seconds over the entire surface, at the second stage a slow , a deep shift of the surface of the skin on the fronto-occipital muscle (m. occipitofrontalis) with the first fingers of both hands at an angle of 5-10 degrees for 10 seconds, in the third stage, the second, third and fourth fingers of both hands perform w trimming longitudinal and transverse movements, constantly bending and unbending fingers in the second phalanges, for 15 seconds, in the fourth stage, the first finger of the left hand performs slow rolling movements on the second, third and fourth fingers of the right hand, for 10 seconds, in the fifth stage of the second , the third and fourth fingers of both hands at an angle of 80-90 degrees to the massaged surface produce frequent rotational movements clockwise on the entire surface of the frontooccipital muscle (m. occipitofrontalis) for 20 seconds, at the sixth stage, the second and third, or third and fourth fingers perform a concussion in the chin area, which includes the muscle lowering the corner of the mouth, the muscle lowering the lower lip and the chin muscle (m. depressor anquli oris, m. depressor labii inferioris, m. mentalis) in various directions, for 10 seconds, at the seventh stage, the second, third and fourth fingers of both hands at an angle of 80-90 degrees make slow rotational movements clockwise in the chin area, which includes the muscle, lowering angle of mouth, muscle, opus the lower lip (m. depressor anquli oris, m. depressor labii inferioris), for 5-10 seconds, at the eighth stage, the first fingers of the musculoskeletal are shifted towards each other in the chin in different directions for 15 seconds, at the ninth stage, grabbing a roller from the massaged tissue between the second and third fingers, they perform an intensive concussion of the muscle lowering the angle of the mouth, the muscle lowering the lower lip, chin, and chewing muscle (m. depressor anquli oris, m. depressor labii inferioris, m. mentalis and m. Masseter) for 15 seconds, at the tenth stage, the first and second fingers produce a smooth, slow kneading on the muscle lowering the angle of the mouth, the muscle lowering the lower lip, chin, and chewing muscle (m. Depressor anquli oris, m. Depressor labii inferioris, m. mentalis and m. masseter) in various directions, holding the platen of massaged tissue with the second and third fingers of the other hand, the movement is performed for 10 seconds, at the eleventh stage, the distal phalanges of the second and third fingers of both hands perform frequent superficial displacement of the subcutaneous muscle of the neck inin different directions, for 20 seconds over the entire surface of the subcutaneous muscle of the neck (platisma), at the twelfth stage, the first, second, third and fourth fingers of both hands shift the skin fold on the subcutaneous muscle of the neck (platisma) in different directions, constantly changing the angle of the fingers to the massaged surface, the movement is performed for 15 seconds, at the thirteenth stage, holding the third, fourth and fifth fingers of one hand holding the roller from the massaged tissue, the third and fourth fingers of the other hand perform frequent rolling movements eniya on the entire surface of the pectoralis major muscle (m. pectiralis major), for 15 seconds, at the fourteenth stage, gradually changing the load on the pectoralis major muscle (m. pectiralis major), first strongly shifting the skin fold with the first fingers, then the second and third, then the fourth and fifth fingers of both hands, perform a deep kneading for 20 seconds, at the fifteenth stage, deep kneading is carried out by the first, second, third and fourth fingers of the chewing muscle (m. Masseter) in different directions, while the movements of the fingers constantly follow each other, the reception is performed 3 times for 5 seconds on each side, at the sixteenth stage, grabbing the massed tissue roller with the first and second fingers of one hand, transverse hatching on the infraorbital, zygomatic and buccal regions (regio infraorbitalis, regio zygomatica and regio buccalis) with the second finger, and the longitudinal with the fifth, and the movement lasts 10 seconds on each side, at the seventeenth stage, smooth circular kneading of the infraorbital, zygomatic and cheek areas (regio infraorbitalis, regio zygomatica and regio buccalis) is carried out first with the first fingers of both hands, and after 10 seconds with the first and second fingers, another 5 seconds , at the eighteenth stage, simultaneous longitudinal first and second fingers of one hand and transverse by the third fourth fingers of the other hand are carried out kneading the infraorbital, zygomatic and buccal regions (regio infraorbiialis, regio zygomatica and regio buccalis) for 15 seconds on each side, at the nineteenth stage, holding with one hand, the skin fold on the buccal region (regio buccalis) and the parotid chewing region (regio parotideomasseterica), with the other hand perform a smooth twisting movement 5 times on each side, at the twentieth stage with the first and second fingers of both hands perform frequent pinching movements on the zygomatic region (regio zygomatica) for 10 seconds on each side, at the twenty-first stage, holding the skin fold on the infraorbital region with the first and second fingers of one hand, rolling movements along the first finger of the other hand the entire nasolabial fold, at the twenty-second stage, holding the skin fold on the zygomatic area (regio zygomatica) with the first and second fingers of one hand, shake this fold with the second and third fingers, 4 times for 5 seconds on each side, for two at the third stage, capturing the skin fold on the buccal region (regio buccalis), with the first fingers of both hands move it with translational movements from top to bottom, two times 10 seconds on each side, at the twenty-fourth stage, capturing the skin fold at the upper eyelid (palpebra superior) on the lateral side, with the second fingers of both hands they shift it to the medial side in one motion, 4 times on each side, at the twenty-fifth stage, frequent point pressure is applied by the second fingers of both hands on the upper eyelid (palpebra superior), for 15 seconds on each side,at the twenty-sixth stage, with the first fingers of both hands pinch the skin fold on the upper eyelid (palpebra superior), shift it in different directions, for 10 seconds on each side, at the twenty-seventh stage, capturing the skin fold on the lower eyelid (palpebra inferior) between the first and with the second fingers of one hand, perform hatching movements with the second finger of the other hand in different directions, for 15 seconds on each side, at the twenty-eighth stage, frequent point pressure is applied by the second fingers of both hands on the lower eyelid (palpebra inferior), for 15 seconds each hand, the course includes 8-10 sessions, 1-2 times a week.

The method is as follows.

Perform the method according to the claims, 8-10 sessions, 1-2 times a week.

The method is illustrated by drawings.

First step. Figure 1. Massage begins with intensive stimulation in a circular motion with the first and second fingers of both hands of the frontooccipital muscle (m. Occipitofrontalis) for 20 seconds over the entire surface.

Second phase. Figure 2. A slow, deep shear of the skin surface on the fronto-occipital muscle (m. Occipitofrontalis) is carried out with the first fingers of both hands at an angle of 5-10 degrees for 10 seconds.

The third stage. Figure 3-4. The second, third and fourth fingers of both hands perform hatching longitudinal and transverse movements, constantly bending and unbending fingers in the second phalanges, 15 seconds.

The fourth stage. Figure 5. The first finger of the left hand performs slow rolling movements on the second, third and fourth fingers of the right hand, 10 seconds.

The fifth stage. 6. The second, third and fourth fingers of both hands at an angle of 80-90 degrees to the massaged surface produce frequent rotational movements clockwise on the entire surface of the frontooccipital muscle (m. Occipitofrontalis) for 20 seconds.

Sixth stage. Fig.7-8. The second and third (third and fourth) fingers perform a concussion in the chin area, which includes m. depressor anquli oris, m. depressor labii inferioris, m. mentalis in various directions for 10 seconds.

Seventh stage. Fig.9. The second, third and fourth fingers of both hands at an angle of 80-90 degrees make slow rotational movements clockwise in the area of the chin, which includes m. depressor anquli oris, m. depressor labii inferioris. 5-10 seconds.

The eighth stage. Figure 10. The first fingers are sheared by the musculoskeletal roller towards each other in the chin area in different directions, 15 seconds.

The ninth stage. 11-12. Having seized between the second and third fingers a roller of massaged tissue, an intense concussion is performed on depressor anquli oris, m. depressor labii inferioris, m. mentalis and m. masseter for 15 seconds.

The tenth stage. Figs. 13-14-15. The first and second fingers produce a smooth, slow kneading m. depressor anquli oris, m. depressor labii inferioris, m. mentalis and m.masseter in various directions, holding the roller from the massaged tissue with the second and third fingers of the other hand, the movement is performed for 10 seconds.

Eleventh stage. Fig. 16-17. The distal phalanges of the second and third fingers of both hands perform frequent superficial displacement of the subcutaneous muscle of the neck in various directions, for 20 seconds over the entire surface of the platisma.

The twelfth stage. Fig. 18-19-20. The first, second, third and fourth fingers of both hands shift the skin folds on platisma in different directions, constantly changing the angle of inclination of the fingers to the massaged surface. The movement is performed for 15 seconds.

The thirteenth stage. Fig.21-22. Holding the roll of massaged tissue with the third, fourth, and fifth fingers of one hand, frequent rolling movements on the entire surface m are performed by the third and fourth fingers of the other hand. pectiralis major, for 15 seconds.

The fourteenth stage. Fig.23-24-25. Gradually, changing the load on m. pectiralis major, at first strongly shifting the skin fold with the first fingers, then the second and third, then the fourth and fifth fingers of both hands, perform deep kneading for 20 seconds.

Fifteenth stage. Fig.26-27. Make a deep kneading with the first, second, third and fourth fingers m. masseter in various directions. Finger movements constantly follow towards each other. Reception is performed 3 times for 5 seconds on each side.

The sixteenth stage. Fig.28-29. Having grabbed the roller from the massaged tissue with the first and second fingers of one hand, perform transverse hatching on regio infraorbitalis, regio zygomatica and regio buccalis with the second finger, and the longitudinal one with the fifth finger. The movement lasts 10 seconds on each side.

Seventeenth stage. Fig.30-31. Spend smooth circular kneading regio infraorbitalis, regio zygomatica and regio buccalis first with the first fingers of both hands, and after 10 seconds with the first and second fingers, another 5 seconds.

The eighteenth stage. Fig. 32-33. Simultaneous longitudinal first and second fingers of one hand and transverse to the third and fourth fingers of the other hand are held kneading regio infraorbitalis, regio zygomatica and regio buccalis for 15 seconds on each side.

The nineteenth stage. Fig. 34-35. Holding with one hand the skin fold on regio buccalis and regio parotideomasseterica (parotid chewing area), with the other hand perform a smooth twisting movement 5 times on each side.

Twentieth stage. Fig. 36. The first and second fingers of both hands perform frequent pinching movements on regio zygomatica, 10 seconds on each side.

The twenty first stage. Fig.37. Holding the skin fold on the regio infraorbitalis with the first and second fingers of one hand, rolling movements throughout the nasolabial fold are performed with the first finger of the other hand.

Twenty-second stage. Fig. 38. Holding the skin fold on the regio zygomatica with the first and second fingers of one hand, shake this fold with the second and third fingers, 4 times for 5 seconds on each side.

The twenty-third stage. Fig. 39. Having captured the skin fold on regio buccalis with the first fingers of both hands, move it with translational movements from top to bottom, two times 10 seconds on each side.

The twenty-fourth stage. Fig.40. Having captured the skin fold on palpebra superior from the lateral side with the second fingers of both hands, it is shifted to the medial side in one motion, 4 times on each side.

The twenty-fifth stage. Fig. 41. Frequent point pressure is applied with the second fingers of both hands on palpebra superior, for 15 seconds on each side.

The twenty-sixth stage. Fig. 42. The first fingers of both hands pinch the skin fold on the palpebra superior, shift it in different directions, for 10 seconds on each side.

The twenty-seventh stage. Fig. 43-44. Having captured the skin fold on the palpebra inferior between the first and second fingers of one hand, perform stroking movements with the second finger of the other hand in different directions, for 15 seconds on each side.

The twenty-eighth stage. Fig.45. Frequent point pressure is applied with the second fingers of both hands on the palpebra inferior, for about 15 seconds on each side.

The proposed method is based on the following principles.

1. The principle of contrast, that is, the constant alternation of hard and soft, slow and fast, strong and weak influences. According to the proposed methodology, the first thing they act on is mechanoreceptors. Some mechanoreceptors respond to speed, others respond to irritation, therefore, for maximum receptor-mediated excitation of cells, it is necessary that the effect is strong enough, lasts for a certain time and has a sufficiently high rate of rise and fall of the stimulus.

2. Strengthening the action of the stimulus by its novelty (principle of contrast. Continuous multidirectional stimulation). Novelty enhances the action of the stimulus and, due to this, helps to get a reaction to weak influences.

3. The principle of varying continuous and vibrational movements is realized in a constant change in the tilt of the fingers to the massaged surface, which gives additional irritation to various types of nerve receptors and, therefore, has an additional effect on muscle tissue. In this case, the maximum vibration speed is used to achieve a smooth tetanus state in the massed muscle. Vibration is also necessary to summarize the results of the simultaneous activation of spatially separated synapses, which gives a higher exciting postsynaptic potential. Synaptic potentials persist for a certain time, therefore, if a new synaptic excitation occurs before its discharge is complete, then the induced depolarization is added to the residual and, therefore, there is more excitation and a greater effect on muscle tissue.

4. The principle of deep relaxation consists in smooth, deep effects on the muscle in the stage of strong tension, which occurs after prolonged muscle stimulation, which further enhances contrast.

5. The principle of continuous multidirectional stimulation. It is known that the receptor is maximally excited only with a certain direction of the stimulus, while in another direction it is not excited or even inhibited. Thus, the fingers of a specialist constantly change the direction of movement, and the more often this is done, the higher the effect.

We give examples of the practical feasibility of the method.

Example 1. Dineva Katerina Alekseevna, 44 years old, store director. Objectively revealed changes in the face in the form of: an increase in nasolabial folds; hypertrophy of adipose tissue in the lower jaw. After 8 massage sessions, with a frequency of twice a week, there was a clear dynamics for the better: reduction of nasolabial folds by 82%; hypertrophy of adipose tissue in the lower jaw by 93%. During the session, the client did not feel any uncomfortable sensations. Katerina Alekseevna noted the radical difference in contrast massage from all the techniques tested by her earlier.

Example 2. Maletotova Irina Mikhailovna, 52 years old, cosmetologist. During examination revealed: the presence of horizontal folds in the forehead, having a wavy appearance; two vertical folds at the base of the nose; free drooping of the skin on the lower eyelids: age-related changes in the upper and lower lips, in the form of thin, deep vertical skin folds. After 10 massage sessions, with a frequency of twice a week, the following changes occurred: horizontal folds in the forehead area were smoothed out by 85%, a strong skin tightening on the lower eyelids, 81%, a decrease in age-related changes in the upper and lower lips 74%.

Example 3. Kovalenko Svetlana Igorevna, 43 years old, accountant. During examination revealed: the presence of deep fan-shaped folds in the area of the external corners of the eyes, sagging drooping of the upper eyelids, bags on the lower eyelids. After 8 massage sessions, with the frequency of two times a week, the following dynamics were revealed: a 60% decrease in deep fan-shaped folds in the area of the external corners of the eyes and deep nasolabial folds; overhanging of the upper eyelids by 67%, bags on the lower eyelids by 58%.

This study evaluates the effectiveness and safety of the proposed method of face lifting for non-invasive elimination of age-related changes in the face and neck. As a result of the application of the method, the tone not only of the facial skin, but also of the facial muscles, in which the phenomena of partial degeneration and atrophy are observed with age, increases.

Thus, as a result of the application of the proposed method, in contrast to the traditional, currently existing types of cosmetology massage, in which the main principle was a gentle effect on facial tissues, we can conclude that an active effect on facial tissues is necessary. For an effective impact, a constant reaction of quickly and slowly adapting receptors is necessary, which requires a frequent change of movements and variation of both the intensity and the angles of action on the tissues being worked out. The positive effect of this effect is clearly visible from the results of the application of the method. The duration of the course and the mode of its implementation are selected empirically, based on clinical observations of patients.

The present invention is an effective method of contrast cosmetic massage and can be used to smooth wrinkles, eliminate the main signs of aging and improve the overall appearance of the face and jaw area, remove excess adipose tissue, tighten muscles and smooth facial skin.

Claims (1)

A method of non-surgical face lifting by means of massage, characterized in that at the first stage a massage is started with intensive stimulation with circular movements of the first and second fingers of both hands of the frontooccipital muscle (m.occipitofrontalis) for 20 s over the entire surface, at the second stage a slow , deep shear of the skin surface on the fronto-occipital muscle (m.occipitofrontalis) with the first fingers of both hands at an angle of 5-10 ° for 10 s, in the third stage, the second, third and fourth fingers of both hands perform longitudinal and transverse hatching e movements, constantly bending and unbending fingers in the second phalanges, for 15 s, in the fourth stage, the first finger of the left hand performs slow rolling movements on the second, third and fourth fingers of the right hand for 10 s, in the fifth stage of the second, third and fourth the fingers of both hands, at an angle of 80-90 ° to the massaged surface, make frequent rotational movements clockwise on the entire surface of the frontooccipital muscle (m.occipitofrontalis) for 20 s, at the sixth stage, the second and third, or third and fourth fingers perform with cleavage in the chin area, which includes the muscle lowering the angle of the mouth, the muscle lowering the lower lip, and the chin muscle (m.depressor anquli oris, m.depressor labii inferioris, m.mentalis) in various directions for 10 s, at the seventh stage the second, third and fourth fingers of both hands, at an angle of 80-90 °, make slow, rotational clockwise movements in the chin area, which includes the muscle lowering the angle of the mouth, the muscle lowering the lower lip (m.depressor anquli oris, m.depressor labii inferioris), for 5-10 s, at the eighth stage, the first fingers shift to of the musculoskeletal roller towards each other in the chin area in different directions for 15 s, at the ninth stage, capturing the roller from the massaged tissue between the second and third fingers, they perform an intensive concussion of the muscle lowering the corner of the mouth, the muscle lowering the lower lip, the chin muscle and masticatory muscles (m.depressor anquli oris, m.depressor labii inferioris, m.mentalis and m.masseter) for 15 s, at the tenth stage, the first and second fingers produce a smooth, slow kneading on the muscle, lowering the corner of the mouth, muscle, lowering the lower lip, chin muscles e and masticatory muscle (m.depressor anquli oris, m.depressor labii inferioris, m.mentalis and m.masseter) in different directions, holding the roller from the massaged tissue with the second and third fingers of the other hand, the movement is performed for 10 s, at the eleventh stage, the distal phalanges of the second and third fingers of both hands perform frequent superficial displacement of the subcutaneous muscle of the neck in various directions, for 20 s over the entire surface of the subcutaneous muscle of the neck (m.platisma), in the twelfth stage, the first, second, third and fourth fingers of both hands perform skinfold displacement on the subcutaneous muscle of the neck (m.platisma) in various directions, constantly changing the angle of the fingers to the massaged surface, the movement is performed for 15 s, at the thirteenth stage, holding the roller from the massaged tissue with the third, fourth and fifth fingers of one hand, the third and fourth fingers of the other hand perform frequent rolling movements on the entire surface of the pectoralis major muscle (m.pectoralis major) for 15 s, at the fourteenth stage, gradually changing the load on the pectoralis major muscle (m.pectoralis major), at first strongly shifting the skin fold of the first fingers, then the second and third, then the fourth and fifth fingers of both hands perform deep kneading for 20 s, at the fifteenth stage, deep kneading is carried out with the first, second, third and fourth fingers of the masticatory muscle (m.masseter) in different directions, while the finger movements constantly follow each other, the reception is performed 3 times for 5 s on each side, at the sixteenth stage, grabbing the roller from the massaged tissue with the first and second fingers of one hand, transverse hatching on the infraorbital, zygomatic and the buccal areas (regio infraorbitalis, regio zygomatica and regio buccalis) with the second finger, and the longitudinal one with the fifth finger, and the movement lasts 10 seconds on each side, at the seventeenth stage, smooth circular kneading of the infraorbital, zygomatic and buccal areas (regio infraorbitalis, regio zygomatica and regio buccalis) first with the first fingers of both hands, and after 10 seconds with the first and second fingers for another 5 seconds, at the eighteenth stage, simultaneously longitudinal, with the first and second fingers of one hand, and transverse, with the third fourth fingers of the other hand, knead the infraorbital, zygomatic and u areas (regio infraorbitalis, regio zygomatica and regio buccalis) for 15 s on each side, at the nineteenth stage, holding with one hand the skin fold on the buccal area (regio buccalis) and the parotid chewing area (regio parotideomasseterica), with the other hand perform a smooth twisting movement 5 times on each side, at the twentieth stage with the first and second fingers of both hands, frequent pinching movements of 10 s on each side are performed on the zygomatic region (regio zygomatica) at the twenty-first stage, holding the skin fold on the first and second fingers of one hand on under the orbital region (regio infraorbitalis), with the first finger of the other hand, perform rolling movements along the entire nasolabial fold, at the twenty-second stage, holding the skin fold on the zygomatic region with the first and second fingers of one hand (regio zygomatica), shaking this fold with the second and third fingers 4 5 s on each side, at the twenty-third stage, capturing the skin fold on the buccal region (regio buccalis), the first fingers of both hands move it with translational movements from top to bottom, two times 10 s on each side, for twenty-fourth m stage, capturing the skin fold on the upper eyelid (palpebra superior) from the lateral side, with the second fingers of both hands move it to the medial side in one motion, 4 times on each side, at the twenty-fifth stage, frequent point pressure is applied by the second fingers of both hands on the upper century (palpebra superior) for about 15 s on each side, at the twenty-sixth stage, with the first fingers of both hands pinch the skin fold on the upper eyelid (palpebra superior), shift it in different directions, 10 s on each side, at the twenty-seventh stage, capturing skin fold on the lower eyelid (palpebra inferior) between the first and second fingers of one hand, perform stroking movements with the second finger of the other hand in different directions for 15 s on each side; at the twenty-eighth stage, frequent point pressure is applied by the second fingers of both hands on the lower eyelid (palpebra inferior ) for about 15 seconds on each side, the course includes 8-10 sessions, 1-2 times a week.

Images