RU2576084C1 - Method for prevention and elimination of changes in skin caused by aging - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: invention relates to medicine, cosmetology and concerns prevention and elimination of changes in face skin during ageing. Method comprises following sequence of procedures in one session: chemical or mechanical polishing, which is selected in accordance with existing patient changes, further hardware impact with microcurrents with a frequency of 0.3 Hz, current of 400 mcA, with an asymmetric bipolar pulse shape, repeating shape of physiological nerve pulse. Method then includes exposure to an apparatus, providing ultrasonic treatment in combination with local dynamic massage, with exposure in each of two modes of operation of apparatus on each side of face, frequency of 10 MHz, penetration depth of 3 mm. Further, method includes 7-12 epicenter lymphotropic injections, chosen according to individual changes in skin of particular patient. A month later, session is repeated, which includes entire sequence of said procedures. Exposure to ultrasound and microcurrent is selected depending on age.

EFFECT: method provides synergistic increase in positive effect of relief of muscle spasms of face and neck, reducing fibrosis of connective tissue of said region, normalisation of condition of central nervous system, lymphatic drainage and blood supply to said areas of body.

1 cl, 1 ex

Description

The invention relates to medicine, cosmetology and relates to the general healing of the body, prevention and slowing down the aging process, in particular, its manifestations on the face and neck.

The problem of overcoming aging, in particular, of the skin, especially of the face, is very relevant. Increased demand gives rise to a large number of offers of cosmetologists and representatives of related specialties to solve this problem: traditional, folk remedies, synthetic preparations of the pharmaceutical industry, many means of hardware exposure to the body in order to reduce the manifestation of signs of aging that have already arisen, or to prevent their early appearance.

However, many available on the market remedies, as well as ways to combat aging, are ineffective, and some, causing a short-term positive effect, further only aggravate the manifestations of aging.

This is due to the fact that at present, in fact, there are no accurate, objective data that reflect the real causes of changes in the body with age, and there are only separate theories. The author of this invention is closest to the view of N. Osminina on the mechanisms of skin aging and, accordingly, the possibility of etiopathogenetic effects on these mechanisms. It is described in detail in the books of N. Osminina, “Resurrection of the Face or Ordinary Miracle,” “Anatomy of the Aging of the Face or Myths in Cosmetology,” and a number of other publications.

The skin first takes on the “blows” of the environment, but is practically devoid of help “from the inside”. They provide its nutrition, saturate only capillaries with nutrients and microelements.

Nicotine - the strongest vascular poison, constricting blood vessels and capillaries, deprives the skin of oxygen and other nutrients. It is important to maintain capillaries in working condition, protect from atrophy, analyzing the possible consequences of various anti-aging recipes.

Unfortunately, with age, capillaries cease to fulfill the functions of nourishing and moisturizing the skin. By age, they are thinning, their diameter is decreasing. It is difficult to restore them, the main "home" methods are turpentine baths A.S. Zalmanova and vacuum therapy (banks), "hardware" - Biomechanical stimulation prof. V.T. Nazarova.

White and yellow turpentine emulsions developed by Zalmanov help to remove spasms from capillaries and remove “toxins” from them (yellow), restore the elasticity of their walls and improve their muscular work (white emulsion). The well-known bathhouse is also well-suited for removing “slag” from capillaries, and for improving their muscular properties, cold and hot contrasting dousing or baths.

Opening by Professor V.T. The Nazarov phenomenon of biomechanical vibration of cells led to the creation of special devices for capillary therapy. While acting along the muscle fibers, we simulate and enhance natural vibration, increasing the pumping function of the muscle, opening the capillaries and improving the elasticity of their walls.

Electrical signals from the brain go to each organ and muscle (to ensure their functions) and have a specific physiological pulse shape (asymmetric bipolar signal). The electrical signal of any electrical appliance has its own pulse shape, usually it is indicated in the passport of the device or on its panel. However, it differs from the shape of our physiological signal, which has the form of a bipolar asymmetric impulse. It is important to understand that muscles respond to any form of electrical signal. And there is only one reaction - the muscle is temporarily shortened, spasmodic, creating a short-term cosmetic effect - lifting. But if you often irritate the muscle with an electric current, after a while it stops responding to this irritation and to the electrical signals of the native nervous system.

Of all the myostimulants known to date, only a few do not kill, but restore nerves. Such equipment sends a signal to the muscle that is identical to our physiological signal, the pulse shape of which approaches the “action potential” generated by the axon in the Ranvier interception. Such an electrical signal reaches the interception of Ranvier unchanged, despite the different resistance of the underlying tissues. Miostimulants, giving "non-physiological" currents, lead to muscle atrophy, imbalance of our native electrical system, introducing its own interference.

Equipment with a waveform identical to physiological can increase muscle volume, strength, endurance, because in this case, the muscles react to its impulses in the same way as during natural physical exertion. Working with such equipment with muscles is similar to training in the gym, it can also train the muscles of the face, changing its features in the same way as we change the shape of the body, training on simulators. It is able to rejuvenate the nervous system, because it restores even the muscles damaged by the disease (paresis, paralysis) or old age.

But even the best muscle stimulator does not work on its own. It all depends on the specialist, his knowledge, ability to evaluate the face of the client, create an individual scheme for him, taking into account his personal hyper- and hypotonic muscles. It is impossible to do without knowledge of the biomechanics of the face, otherwise, the same negative effect can occur as with total facial gymnastics, only much faster.

One of the few harmless and quite effective are Japanese massage techniques ZOGAN (or ASAHI), which are osteopathic in nature (i.e., work with muscles and facial bones). But if the defects of the face due to age or birth injuries are too large, the stretching techniques used in Asahi and some other osteopathic techniques are not enough to work with such muscles. To restore a face whose muscles have long been in hypertonicity, you must first relax them.

These techniques also have osteopathic roots, i.e. work through the fascia, both with the muscles and with the bones of the skull.

The possibilities of the sculptural fitness complex allow you to:

1. To reduce or get rid of facial wrinkles on the forehead, nose bridge, etc.

2. Remove or reduce nasolabial folds, sagging ("bulldogs").

3. Raise eyebrows.

4. Enlarge the eyes, reduce swelling of the eyelids.

5. Reduce the bags above and below the eyes.

6. Raise the cheekbones.

7. Tighten the oval of the face.

8. Correct the shape of the face - reduce too round or round too long.

9. Improve the symmetry of the face - the level of eyebrows, eyes, lips, jaw.

10. Increase the fullness of the lips, improve their color.

11. Reduce the second chin, tighten saggy.

12. To lengthen the neck, improve its shape, skin quality, reduce the depth of transverse wrinkles.

13. Reduce or remove the withers.

14. To restore the texture of the skin, its elasticity, smoothness and color.

15. Improve blood supply, normalize venous and lymphatic outflows.

16. Restore muscle elasticity.

17. Restore mental balance.

Methods of exposure aimed at the correction of the above disorders or their prevention should be strictly based on the mechanics, pathogenesis of these disorders, both the skin and all underlying tissues - fatty tissue, fascia, muscles, capillaries, nerves and bones.

This dictates the harsh need for a differentiated, individual approach to each person, whether it is face fitness methods or hardware influences.

In the vast majority of cases, the cause of age-related deformations of the face lies in the biomechanics of our muscles, in blocks, injuries of bone and intraosseous, in trauma of intrauterine development and / or pathological birth.

Only the balanced work of all the muscles attached to the jaw arch, and thereby providing good blood supply, is able to return to normal shape, mass, volume.

In this regard, we will negatively recall Botox. Any paralysis of the muscle by trauma or a chemical agent always leads to bone resorption, "secondary osteoporosis" that occurs in the bone in the absence of work of nearby muscles. In this regard, the upper and central parts of the face, where botulinum is most often administered, become the most vulnerable. The consequences of "secondary osteoporosis" in case of bone fractures are only partially reversible, and the main factor in the restoration of calcium in the bones is given to the active work of muscles.

Nasal sponges, found in young years, have exclusively hypertonicity. After 25 years, having reached his osseous attachment, he returns along the second circle to the place of his origin, forming a severe spasm - “hyper-hyper”. Those. age-related nasolabial folds are usually complex in nature: their upper part is in hypertonicity, and the lower part is in the "hyper-hyper." In these places, as in pockets, lymph and tissue fluid begin to flow. Lymph nodes in the thickness of these tissues cease to cope with the work.

Stretched under the pressure of all the abiding fluid, the skin begins to lose its tone - to look more porous and saggy.

There is a need to remove excess fluid from these stagnant places by constantly conducting lymphatic drainage. But it helps only symptomatically, because it works not with the cause, but with the effect.

The most popular lymphatic drainage, which is recommended by cosmetologists, is lymphatic drainage of the face of Elena Zemskova, whose main advantage is the theoretical correctness of its conduct.

The key to the effectiveness of any lymphatic drainage is to "empty the tanks." Its essence is preliminary preparation - “devastation” of the previous place for the subsequent promotion of lymph. Then she herself seeks to get there, accelerating her course.

But, in addition to the external lymph nodes, there are deep ones that are not palpable. Therefore, of course, the treatment of the entire myofascial package, which limits lymphatic drainage, is of paramount importance.

Techniques for working with him can be imagined as restoring a twisted hose for the passage of lymph. Suitable for these purposes: vibrational resonance stimulation of lymphatic drainage on the neck ("Osteopathic treatment of internal organs". Yu Chikurov), work with aponeurosis in places that are intended for lymphatic drainage. Many muscles attach to these places, including coming from the neck (sublingual, deep neck muscles, sternocleidomias, etc.).

The origins of craniosacral therapy lie in the work with cerebrospinal fluid, fluid media. Only much later did specialists begin to work with bone structures.

Cosmetology, in this regard, could offer little to the client. So, when lymphatic drainage massages are often not taken into account either the state of the lymph nodes that blocked the outflow of fluids, or the muscle blocks themselves that need to be defocused. Lymph, venous and tissue fluid cannot circulate freely in a state of blockages - muscle congestion. Any fluid needs a clear passage. Everything that has stagnated decays. These are the pockets with which our face is often completely (or partially) covered.

The human lymphatic system is one of the most sensitive.

Poor ecology, unhealthy diet and constant stressful situations lead to the fact that the lymph flow slows down significantly. Lymph is a fairly cold and viscous fluid, so a sedentary lifestyle, in the first place, helps to slow down its current.

Contraction of the lymphatic vessels themselves, the pulsation of adjacent blood trunks, in some cases, the reduction of veins, help push lymph from the bottom up. The function of the pumps is performed by muscle pumps (foot, ankle, calf, femoral, etc.). The inferior activity of muscle pumps causes a weakening of the lymphatic current, difficulty in removing toxins from the body.

Therefore, the main aid to its normal current is the active movement of skeletal muscles, which strengthens the lymph flow tenfold.

Usually, in cases of poor lymphatic drainage, doctors prescribe lymphatic drainage massage, which restores the drainage functions of the lymphatic system, eliminates muscle cramps and has a relaxing effect. The lymph flow accelerates, and organs and tissues are more quickly released from the final decay products, harmful toxins, and receive more oxygen and nutrients.

Muscle strain can disrupt the flow of lymph. This will lead to pasty face, the formation of "pockets", stretching of the skin, sagging nasolabial folds, lowering the oval part, "brule", chin, etc.

So, we summarize:

1. Helps the movement of lymph work of muscles located in the vicinity of the lymphatic ducts.

2. Lymphatic edema is the result of lymphostasis, provoked by a general decrease in activity (sedentary lifestyle), muscle spasm that blocks the free flow of lymph and the deterioration of the contractile functions of the lymph nodes, which leads to a weakening of their filtering properties.

It is impossible to massage the lymph nodes themselves, since they are instantly thrombosed. Use massage along the lymphatic vessels. Light kneading is used in many oriental massage techniques. This helps the nodes to free themselves from intoxication, restore contractility.

Other methods for restoring the contractility of the lymph nodes themselves - for example, manipulations to move the cutaneous-subcutaneous folds of the Kibler (method of OG Safonicheva). This technique is called skin-fascial soft-tissue manual therapy. With the help of this, they are trying to restore the drainage functions of the lymphatic system, activate the channels associated with excretory organs: kidneys, bladder, intestines, and also provide a relaxing effect and eliminate muscle cramps.

First of all, it is necessary to establish the movement of the entire lymphatic system. This requires muscle effort, i.e. playing sports. A visit to a specialist in craniosacral therapy will help solve the problems of muscle and bone deformities. It is necessary to establish the lymphatic system not only of the body, but also of the face. After all, muscle and bone deformities are initially going on. Lymphatic ducts are pinched. Toxins accumulate. As a result, ptosis of the face is formed.

Receptions for the correction of statics, lengthening of the cervical spine are necessary so that the muscular frame of the face on which the skin is stretched does not lose innervation, and, therefore, shape and volume. In addition, the correct statics of the spine, and in particular, the cervical spine, is extremely important for stabilizing the results and leveling the forces of gravity in order to protect the face from gravity sagging and wrinkles.

Only capillaries can provide the skin with "internal" nutrition, saturate with a full set of nutrients and microelements. By rehabilitating the capillary network, we allow the nerve signal to travel from the spine to its final destination, the muscle. But the capillaries cannot carry food to the skin if larger vessels that are pinched by muscle blocks do not work. Removing these spasms and blocks with manual techniques, we release the vessels from pressure and restore the vascular system. But in order for blood through the vessels to penetrate the skin, it is necessary to regenerate the capillary network atrophied by inaction, which is possible using, for example, vacuum can massage techniques in the restoration complex.

As for the hardware effects, these are physical effects, each of which has long been studied, and nature has not yet created anything new, or scientists have not yet discovered. Basically, they all work only with the skin: they contribute to a deeper penetration of the cream, activate blood circulation (electro- and iontophoresis, ultra-phonophoresis, electrostimulation, galvanic microcurrents, magneto- and electromagnetotherapy), or do skin resurfacing using a laser, ultrasound.

The effect of the shock wave of the ultrasound used for peeling evens the skin by destroying the fibrous structures of the dermis. But the same shock effect will weaken the skeleton functions of the dermis, causing further sagging. Under the influence of ultrasound on the skin, microvibration of cells occurs, which leads to disruption of the structure of mitochondria, reduces protein synthesis and leads to many other negative consequences. The effect of temporary skin tightening when exposed to ultrasound is explained by the action of its shock wave. In response, the skin shrinks from stress, waiting for another blow. And when he departs, he will “pull off” in the literal meaning of this word.

The impact of photo and laser devices is designed to increase the amount of collagen in the skin, for which they use collagen fibers to heat up to 55 degrees, as a result of which they collapse into non-viable collagen that is not able to perform the functions of the main skin moisturizer. Such trauma leads to the fact that the skin in an emergency order tries to produce new collagen. For some time, a double layer of collagen was in the skin, which, according to the plan of the developers, should give a visual improvement in the appearance of the face.

However, having passed the stage of collagen accumulation and temporary stabilization, the skin begins to closely fuse with the underlying tissues. One of the best plastic surgeons in Moscow, Vladimir Tapia-Fernandez, noted in an interview how much more difficult it is to work with skin that has lost its physiological properties as a result of such procedures, and, accordingly, to predict the result of operations.

Any technology aimed at heating collagen, in any case, will lead to such consequences - thickening of the skin, especially in conditions of poor lymphatic drainage.

As for mesotherapy, despite the 52-year experience of its use, most specialists are inclined to ban it in cosmetology - too many complications arise after it. Mesotherapy is not a harmless local “bumps”, but intradermal injections that introduce a long list of ingredients into the human body, constantly replenished thanks to the efforts of pharmacists. All of them are drugs and, disrupting the balance in the body, can lead to many complications, such as necrosis and skin abscesses, panniculitis, systemic lupus erythematosus, urticaria, psoriasis, sporotrichosis, mycobacterial infection, etc. (N. Polonskaya, candidate of medical sciences , Associate Professor, Department of Skin and Sexually Transmitted Diseases, Faculty of Medical Sciences, Russian State Medical University, Head Physician, Optimed Corporation of Aesthetic Medicine, Moscow)

The retention of moisture with the help of the introduced hyaluronic acid affects the change in the interstitial pressure of the connective tissue, which normally has a negative value. During aging, a change in pressure gradually occurs in the dermis, and edema develops. In the presence of exogenous metabolites of hyaluronic acid, swelling progresses. Arteriovenous capillary shunts are blocked, terminal lymphatic capillaries are compressed and trophic and metabolic disorders naturally develop. A positive result of the first stage (tissue hydration and smoothing of wrinkles) can turn into a negative one in a few weeks (acceleration of natural biological aging, a decrease in the tension of local immunity, a slowdown in regeneration and a decrease in oxygen tension in the tissues). Hyaluronic acid-based fillers are much safer, they are administered strictly locally and once (T. Orasmäe, cosmetologist, director of the cosmetology training center for cosmetologists “Academie Meder”, France).

As for botulinum injections, it is a poison of neuroparalytic action. Studies show that with repeated use, the botulinum toxin can accumulate in the body, block neurons. And since they prick it into the facial muscles of the face, this is a zone of increased risk of the corresponding negative effects. According to studies (University of Wisconsin-Madison, USA), immediately after Botox injections, the understanding of the oral text is impaired. According to study leader David Havas, subjects needed more time after the procedure to formulate thoughts or comprehend the phrases they said.

Clients dissatisfied with the hardware "special effects" switch to "heavy artillery", and when this is not enough, they decide on the most radical method - plastic surgery, exposing themselves to risk, pain and stress. Unfortunately, the result, even without complications of the operations performed, is often lower than expected or short-lived. After the initial take-off, which led to the renewal of tissues, it is necessary to maintain their vital activity. But after all, a person continues to age biologically - the worn-out mechanisms of blood circulation and nervous regulation, designed to provide the functions of new structures, are not able to maintain youth for a long time in a separate area of the body.

Thus, taking into account the currently existing shortcomings of anti-aging agents used in cosmetology, the author sets the task of developing a comprehensive method of exposure, taking into account the whole complex of changes developing during aging in the body, including changes in the surface layers of the skin, fiber, fascia, muscles, bones, blood capillaries, the lymphatic system, in particular, the face and neck, as well as the entire pathogenesis of these changes, which would ensure the release of muscle spasms of the face and neck, reducing Whether preventing fibrotic connective tissue in the art, additional normalization CNS conditions provide a good lymphatic drainage effect and blood flow data areas of the body.

This is ensured by the complex application of several hardware techniques in a specific sequence, where each subsequent technique improves and deepens the positive effect of using the previous one, with strict regard for the pathogenesis of the occurrence of changes associated with aging.

A method is proposed for the prevention and elimination of changes in facial skin caused by aging, which includes the use of hardware-based skin exposure techniques and is characterized in that the following sequence of procedures is used during one session:

grinding, the type of which is chemical or mechanical, is selected in accordance with the patient's changes,

further hardware exposure to microcurrents with a frequency of 0.3 Hz, a current of 400 μA, with an asymmetric bipolar pulse shape - repeating the shape of a physiological nerve pulse,

then - the impact of the apparatus, providing an ultrasound effect in combination with local dynamic massage, (otherwise it is not clear what further the apparatus is meant and what its modes are !!!)

with an exposure of 5 minutes in each of these two modes of operation of the device on each side of the face, with a frequency of 10 MHz, a penetration depth of up to 3 mm,

followed by 7-12 epicentral lymphotropic injections of the drug, selected in accordance with the individual changes in the skin of a particular patient,

with a repetition of the session, including the entire sequence of the above procedures, in a month; while exposure to microcurrent and ultrasound is selected depending on age:

- from 23 to 35 years 5 minutes,

- from 36 to 42 years 10 minutes,

- from 42 to 55 years 15 minutes,

- more than 55 years 20 minutes.

The technical result of the invention is a synergistically increased positive effect of relieving muscle spasms of the face and neck, reducing fibrous changes in the connective tissue of this area, normalizing the state of the central nervous system, lymphatic drainage and blood supply to these areas of the body.

This is achieved by applying a strict sequence of cosmetic procedures in one session, which includes the following sequence:

1) Grinding the skin.

2) Hardware exposure to microcurrent.

3) Ultrasonic exposure with local dynamic massage.

4) Multiple epicentral lymphotropic injections.

Modern cosmetology offers dozens of types of face resurfacing, from fruit and chemical peels to dermabrasion and diamond resurfacing procedures to restore the skin to a well-groomed appearance.

During chemical peeling, a chemical solution is applied to the face, the substances that make up the peeling help to remove the upper layer of cells, after which the skin is renewed, it becomes cleaner, softer and fresher. As a rule, the chemical peeling procedure takes no more than an hour, does not cause discomfort, is quite simple. Variations of chemical constituents are selected individually depending on the type of skin and its condition.

Alpha hydroacids are one of the most popular components of soft peels. Glycolic acid is more commonly used. This does not require anesthesia, does not cause discomfort and, as a rule, is used to eliminate fine wrinkles, improve complexion, give the skin softness and freshness.

Salicylic acid - the most popular beta hydroxy acid in cosmetology, is often a part of acne treatment products, so peeling with salicylic acid is widely used to polish acne prone skin. Compared to glycolic, salicylic acid has a more powerful and deeper effect, respectively, such a peeling allows you to achieve a more significant and lasting effect. Despite the deeper effect, it does not require anesthesia and a long recovery period.

Jessner peeling is a combination of certain ingredients and is a gentle polish, but has a deeper effect than alpha and beta hydroxy acid peeling. Jessner peeling uses a combination of lactic and salicylic acid and resorcinol, the latter often acts as an independent anti-acne drug or disinfectant. Jessner peeling is used to polish problem skin without anesthesia, the recovery period takes about a week.

Trichloroacetic acid is a typical component in medium-intensity peels, it is widely used in the fight against the effects of sunburn, with fine wrinkles and acne scars. With minimal risk, it can achieve significant results. In most cases, it is performed without anesthesia, but on the next day or two, painkillers may be needed to eliminate the burning sensation that often appears after the procedure. The recovery period takes 1-2 weeks, this peeling has a deeper and more noticeable effect than the more gentle types of peeling.

Phenol can also provide deep skin resurfacing and amazing results. In addition to eliminating minor flaws, with the help of phenol, you can get rid of precancerous neoplasms and deep wrinkles. This peeling works at deeper levels, so it will take an hour or two to complete the procedure, the procedure is performed under local anesthesia, followed by painkillers. It may take about a month to fully restore the skin after phenolic peeling, but the result will exceed all expectations and will last much longer than the effect of peeling of a less deep exposure.

Thus, the optimal choice of chemical peeling depends on the individual condition of the skin and the problems that the client wants to solve by grinding.

The mechanical types of face resurfacing include microdermabrasion. A non-invasive procedure is carried out in cosmetic clinics to eliminate the effects of sunburn, resurfacing skin prone to the formation of acne and blackheads, allows you to fight scars, small wrinkles, keratosis, enlarged pores, non-inflammatory whiteheads, and improves the tone and complexion.

The standard microdermabrasion procedure is performed with a hand tool at high speed, while the smallest alumina crystals are sprayed over the skin surface, while the suction system along with the crystals removes dirt and keratinized skin particles from the skin surface.

An innovative diamond face grinding system uses a removable diamond tip. Diamond polishing is ideal for treating the skin around the eyes or mouth, eliminating the ingress of aluminum crystals into the digestive tract. The size and rigidity of the nozzle are selected individually, based on the type of skin and the depth of exposure. The tip of the nozzle is made of real diamond chips, the dead cells that are removed from the surface of the skin are absorbed into a special filter. Many cosmetologists prefer to work with diamond nozzles, as they facilitate the management of the device and do not irritate the skin.

After deep grinding, the skin dries and stretches. In order for the skin to become soft and tender again, it is necessary to saturate it regularly with moisture. After dermabrasion, often redness, which disappears after a few hours, as well as a tingling sensation and burning sensation. Within 5-7 days after the procedure, it is recommended to avoid exposure to the sun.

Thus, the grinding procedure, anticipating the subsequent proposed effects, provides an individually suitable, deep cleansing of the skin of the face and neck, as well as its slight irritation, which provides a rush of blood to the surface layers of the skin, which helps to increase the effect and accelerate its manifestation from the subsequent applied procedures.

Further, during the session, the cosmetologist suggests exposure to microcurrents. Microcurrent therapy devices are very popular. The electrotherapy procedure consists in the application of low currents, which stimulate physiological processes in the skin, eliminate signs of aging, and increase its elasticity and firmness. The procedure requires special skills, the microcurrent therapy apparatus is professionally used in almost all salons and cosmetology clinics.

Such devices have many advantages with a minimum of disadvantages and restrictions on use. They not only tighten the skin, but also improve microcirculation, lymphatic drainage, stimulate metabolic processes in the skin, eliminating edema, normalizing trophism, and oxygen exchange. The skin looks young, fresh. Due to the fact that microcurrents eliminate the spasm of facial muscles, the problem of small and large wrinkles is solved. This procedure is also indispensable in the complex treatment of acne, problem skin. It normalizes the functioning of the sebaceous glands, eliminates inflammatory processes, and can solve pigmentation problems.

Professional microcurrent therapy devices must meet the following requirements:

- have a range of generated frequencies from 0.1 to 300 Hz;

- have frequency interference (primary and secondary frequencies).

All other characteristics are less important and affect only the price.

Microcurrent therapy is a method of influencing the human body with weak electrical impulses. Their mild effect prevents skin aging, the procedure is useful for both young and old people, completely safe and harmless. Microcurrent devices will not damage the muscles and will not aggravate wrinkles. The effect can be observed after the first procedure. For several days, it is difficult not to notice the improvement in complexion, the extraordinary smoothness and softness of the skin.

The microcurrent apparatus has a positive effect on the processes of cell metabolism, restores blood microcirculation, the activity of damaged cells, removes toxins, and promotes collagen synthesis. Microcurrent therapy also helps to moisturize the skin, give the face a matte shade, and normalize the secretion of the sebaceous glands.

Microcurrent therapy can relieve people suffering from swelling of the face, bags under the eyes in a short time, since the effect of microcurrents gives a lymphatic drainage effect. With the help of microcurrent therapy, it is possible to improve microcirculation in the muscles, which leads to restoration of tone in weakened muscles. Tissue restoration continues for several weeks, which is an undoubted advantage of this therapy.

The present invention provides, advantageously, the use of a Quantum slim care microcurrent therapy apparatus. Use a regimen aimed at relieving muscle spasms - levators and depressors.

This apparatus uses alternating pulse current with the widest range of physical characteristics presented in this category of equipment. Individually, for each patient, the following parameters are regulated: the frequency and current strength, the shape of the acting wave, the time of contraction and relaxation of the muscles, the rate of rise and fall of the pulse. Thanks to this, it is possible to create various multifunctional programs for the selection of individual treatment for a particular patient.

The device is designed to carry out procedures on the body and face. It presents sequential lymphatic drainage, myostimulation, myolifting, electrolysis, microcurrent lifting.

A feature of the device is the use of exclusively alternating current stimulation, which significantly increases the effectiveness of the procedures, reduces time costs and increases patient comfort.

Computer software allows the specialist to individually select a set of measures to reduce the volume of problem areas, reduce body weight, improve muscle tone and elasticity of aging skin, relieve pain associated with muscle strain after physical exertion or as a result of functional disorders in osteochondrosis of various localization.

Thus, the Quantum is the only device in the world that allows two types of procedures to be performed simultaneously. For example, lymphatic drainage in combination with microcurrent lifting. The technical parameters of the Quantum cosmetology combine allow its use in physiotherapy, as well as during rehabilitation measures in therapy, surgery and neurology.

For the purposes of the present invention, we use a frequency of exposure of 0.3 Hz, a current strength of 400 μA, exposure depending on age:

- from 23 to 35 years 5 minutes,

- from 36 to 42 years 10 minutes,

- from 42 to 55 years 15 minutes,

- more than 55 years 20 minutes.

Exposure to microcurrent immediately after the grinding procedure, at the same session, provides an additional, enhanced, potentiated improvement of lymphatic drainage of cleansed skin, and removal of muscle spasms.

After exposure to microcurrents, an apparatus is used that provides both ultrasound exposure and local dynamic massage (LDM), for example, Sonoskin LDM.

2 modes of exposure are used - normal and LDM-mode pressure, with the exposure of each mode on one side, the duration, as with exposure to microcurrents, depends on age.

Sonoskin-LDM is a device for rejuvenation and lifting that copes with a wide range of cosmetic problems, providing lifting, rejuvenation, reducing cellulite, providing figure modeling, eliminating wrinkles, scars, stretch marks, rehabilitation after cosmetic operations.

The Sonoskin-LDM device combines two technologies:

- LDM local dynamic micromassage

- 10 MHz ultrasound

Local dynamic micromassage is an innovative technology that uses ultrasonic waves with different and rapidly changing frequencies, resulting in intense local massage.

Sonoskin - LDM - the first cosmetic device that can emit waves with a frequency of 10 MHz, with a penetration depth of about 3 mm, which is due to its effect directly on the skin. High frequency ultrasound waves enhanced by LDM technology contribute to the distribution of moisture in the connective tissue and also activate the formation of collagen and elastin. This technique can be used for patients who do not have contraindications to ultrasound procedures.

In general, ultrasonic waves with frequencies of 1 MHz and 3 MHz are traditionally used in cosmetology. They penetrate the body by 3 cm and 1 cm, respectively, working not with the skin, but with deeper layers. However, Sonoskin was the first cosmetic device that acts directly on the skin.

LDM (Local Dynamic Micromassage) is a technology where one emitter operates at two frequencies of 100-1000 / s that change quickly. As a result, pulsation occurs, micromassage - at the cellular level. LDM narrows blood vessels and pores of the skin, has a lymphatic drainage effect, reduces swelling, and relieves irritation caused by, among other things, previous resurfacing.

Ultrasonic waves change the structure of the collagen network, help moisture to be retained in the connective tissue. Massage tightens collagen fibers, stimulates the production of endogenous collagen and prevents it from collapsing.

SMAS facelift is a term previously owned by plastic surgery. SMAS is a superficial muscle-aponeurotic layer. It is located directly under the skin and, like a pie, consists of 2 layers:

- surface: fiber elastin and collagen,

- deep: our facial muscles.

Together they form a powerful frame, which provides a clear oval face.

With age, the collagen and elastin fibers in this "cake" stretch, and under the influence of gravity, the entire SMAS drops, nasolabial folds, bags under the eyes, a fuzzy oval, a second chin, eyebrows drop ... Of course, you can cut off the "extra" - tighten the skin. But Launched SMAS will again quickly stretch the skin.

At the same time, surgical intervention is always associated with additional risks - a long and painful rehabilitation period, possible changes in appearance, nervous strain, and risks of anesthesia. Non-surgical SMAS lifting on the device is the optimal solution for patients who want to look young, but do not decide on plastic surgery, have tried a lot in cosmetology, but want a more pronounced result. Ultrasonic SMAS has no analogues, it is safe, it acts on the deeper layers of the eye, allows you to tighten the delicate areas of the eyes, neck, eyebrows, areas with thin skin, lifts the cheeks and corners of the lips, removes fatty bags under the eyes, restores the oval of the face, shows the effect of rejuvenation on the skin any type of aging, it takes only 1-1.5 hours, does not require rehabilitation, in 9 out of 10 patients the procedure is performed once, there is no need for skin cooling, it provides three-dimensional lifting: it “works” not only with deep SMAS, but also with subcutaneous Irova fiber and the skin - rejuvenation and tightening is at all possible levels, improves the quality of the skin, provides immediate effect, which increases a few months, good workmanship SMAS face ensures you fit and blooming skin.

Indications for ultrasonic SMAS can be: age-related changes associated with ptosis, loss of clarity of the oval of the face, sagging soft tissues under the chin, in the neck, drooping cheeks and corners of the lips, ptosis of the upper eyelid and drooping eyebrows. Contraindications: pregnancy and lactation, diabetes mellitus, systemic diseases of the connective tissue (scleroderma, systemic lupus erythematosus, etc.), common infectious diseases and skin lesions at the sites of the intended treatment, the presence of metal implants in the face and neck (dental implants, crowns, "golden threads" are not a contraindication).

On cleansed face skin using a special ruler, markup is carried out. A gel is applied to the skin to slip the ultrasonic nozzle. The doctor applies the ultrasonic nozzle strictly in accordance with the marked markings. The procedure is carried out at least at two levels of ultrasonic exposure by two different sensors. During exposure to the corresponding layer of soft tissues, dashed lines parallel to each other are formed, consisting of points of thermocoagulation, while the points are the same in size. This creates a grid of thermocoagulation points.

The total time of such a procedure takes 40-50 minutes. In accordance with the protocol of the procedure, one half of the face is first processed, after which the doctor gives the patient a mirror, and the patient sees the result of a powerful lifting on the treated half of the face.

The ultrasonic SMAS face lifting procedure is performed once.

During the procedure, intense heat and tingling are felt. Immediately after the procedure, skin tension is felt. Mild swelling may occur within two to three days. Then within 2-3 weeks the treated soft tissues will be a little painful, as after intense physical activity. After this, the lifting effect will increase within 2-4 months.

After the procedure, it is not recommended: wash with hot water for an hour after the procedure, visit the bathhouse and sauna for 2 days. Avoid the use of exfoliating products for a week after the procedure or until the sensitivity of the treated areas is restored.

Ultrasonic SMAS lifting affects the dense deep layers of tissue under the skin. The process can also be carried out by the apparatus of Altera Systems, USA.

Thus, prepared skin becomes most susceptible to subsequent lymphotropic administration of individually selected drugs, which are designed to enhance and consolidate the effects of all previous effects.

Spend 7-12 epicentral lymphotropic injections.

Epicenter therapy with lymphotropic administration of drugs as close as possible to the lesion, combined with effects on the functions of the lymphatic system, make it possible to increase the flow of the drug into the pathological focus (inflammation, tumor, degenerative process, etc.). The indicated effect allows the use of lower doses of drugs introduced into the body.

The importance of the lymphatic system in maintaining homeostasis was highlighted in the work of MD, prof. Levina Yu.M. (1972-2008) and his students. The method of lymphotropic therapy, based on the humoral connection of certain subcutaneous zones and skin with certain organs and tissues of the body, is described in detail in the articles and monographs of Levin Yu.M. They are based on X-ray, pharmacodynamic, experimental, morphological data, tested in hospitals, sanatoriums, outpatient clinics, in manufacturing, in child care facilities.

The role of this system in humoral interstitial transport is difficult to overestimate; for some organs, the lymphatic system is the main drainage and cesspooling or sewer factor that ensures functioning, especially in extreme conditions. It is also the main system for the capture and metabolism of macromolecular substances that enter and leave the organs, a system of regional humoral metabolism (tissue - lymph - tissue, cell - interstitial space - cell).

These features are taken as the basis for endolymphatic, intranodular, paranodular and lymphotropic therapy, or, as the author calls it, epicentral therapy. Lymphotropic drug therapy includes the following methods of drug administration:

1. Surgical (traumatic) method with lymphovascular injection. It is carried out by surgical isolation of the lymphatic vessel, its puncture or catheterization. The widespread introduction of this method is hindered by the trauma associated with the allocation, puncture and catheterization of lymphatic vessels; the need for possession of microsurgical equipment; the need for special equipment.

2. Atraumatic method with intranodular administration. It is carried out by puncture or catheterization of the lymph node. For this purpose, the superficial lymph node of the inguinal region is more often used. Even if part of the drug is outside the node, its concentration in the lymph will be much higher than with conventional methods of administration.

Paranodular therapy. It is carried out by introducing drugs into the surrounding lymph node tissue. It has proven to be an effective way to saturate the lymphatic system (LS) with a drug.

Lymphotropic therapy. It is based on the ability of some drugs to increase the flow of drugs into the drug when it is injected into the tissue. Used by specialists of various clinical disciplines.

Depending on the goal and task, different methods of lymphotropic therapy are chosen: either endolymphatic administration (directly into the cannulated vessel) or lymphotropic (into the organ parenchyma), each has its own advantages and disadvantages, indications and technique.

Endolymphatic therapy allows you to:

- create a high concentration of drugs (antitumor, antibiotics, immunomodulators, proteolysis inhibitors, analgesics, etc.) in drugs that, when administered normally, do not penetrate the lymphatic system sufficiently, are quickly inactivated or removed,

- increase the concentration and duration of action of the drug in the tissues of the pathological focus;

- reduce the toxic effect of the drug substance;

- increase the passage of the drug into the brain tissue;

- strengthen the analgesic effect of the drug.

When carrying out the lymphotropic technique, injections of drugs are carried out in special zones of Yuryin - the maximum representation of the lymphatic vessels and nodes associated with a particular organ: 1. Temporal zone - the area of the facial skull; 2. The zone of the mastoid process - the area of the brain skull; 3. The submandibular zone - the region of the upper respiratory tract, the oral cavity. 4. The upper sternum zone - the region of the lower respiratory tract, mediastinum, lungs. 5. Lower sternum - lungs, pleura. 6. The umbilical area - epigastrium, mesogastrium, liver. 7. Inguinal zone - hypogastrium, pelvic organs; 8. Thigh - pelvic organs, genitals, soft tissues. 9. Drumstick - almost the entire area of the thoracic duct.

It should be borne in mind that in large vessels, the lymphodynamics are unidirectional, due to the locking function of the valve apparatus, and in small vessels and interstitial space, the fluid (lymph) can move in any direction. Depending on the disease, its stage, in order to achieve the desired result, appropriate drugs are administered lymphotropically: antibiotics, immunomodulators, cytostatics, etc. As a guide drug (to increase the permeability of lymphatic vessels), heparin or longidase is used. As a block preparation (determines the time and region of “depression” or stimulation of segment lymphatic flow), different concentrations of anesthetics are used.

Indications for lymphotropic therapy:

- acute and chronic inflammatory diseases of the ENT organs, eyes, lungs, bronchi, gastrointestinal tract, kidneys and urinary tract, soft tissues and joints

- cerebrovascular accident, migraine

- peptic ulcer

- impaired liver function, hepatitis of various etiologies, cirrhosis

- gynecological and urological diseases

- sexually transmitted diseases

- viral infections

- immunodeficiency states.

Contraindications to lymphotropic therapy:

- an allergic reaction to the administration of the drug

- severe pain on the introduction of the drug

- individual characteristics of the patient.

The claimed method with the achievement of the above technical result is as follows.

First, they carry out the procedure of polishing the skin of the face and neck, for which individually, depending on the client’s problems in this area, they select the type of grinding, the use of the appropriate preparation or mechanical grinding.

Next, the microcurrent exposure procedure is carried out in the mode: frequency 0.3 Hz, current strength 400 μA, asymmetric bipolar pulse shape - repeating the shape of a physiological nerve pulse, exposure: from 23 to 35 years 5 minutes, from 36 to 42 years 10 minutes, from 42 up to 55 years 15 min, more than 55 years 20 min.

Then they are affected by an ultrasound therapy apparatus in combination with local dynamic massage, i.e. The device is used in these two modes.

Parameters of the ultrasound used: frequency 10 MHz, penetration depth 3 mm; exposure for each of the two modes, as when exposed to microcurrents, depends on age - on each side of the face.

Lymphotropic method refers to indirect en lymphatic methods of drug administration. It is based on a preliminary injection into the tissue of a high molecular weight drug with a lymphotropic effect and the ability to direct the drug introduced after it through the same needle, including low molecular weight, mainly in drugs. These substances are called endolymphatic conductors or drug preparations with lymphotropic activity (a drug with hyaluronidase activity of lidase, an anticoagulant heparin). Upon receipt of the drug in the drug, its presence in the blood remains in the therapeutic dose for a day, which is accompanied by an increase in the concentration in the lesion compared to standard methods of administration. This allows you to reduce both daily and single dose of the drug. There is evidence of an increase in the effectiveness of treatment of purulent-inflammatory diseases of the head and neck using lymphotropic therapy. Thus, it has been shown that, with the lymphotropic administration of drugs, saturation of drugs with antibiotics, immunomodulators, solcoseryl, non-steroidal anti-inflammatory drugs or glucocorticosteroids leads to a more rapid regression of the clinical picture of the disease, and helps to optimize the regeneration of purulent foci by enhancing bactericidal activity of lymph, stimulating local and general immunity.

The mesotherapeutic introduction of microvolumes of cocktails based on hyaluronic acid, vitamin-mineral components, amino acids, peptide preparations, coenzymes, antioxidants, plant and cell extracts, and classical mono drugs for solving aesthetic is a generally recognized method of eliminating aesthetic shortcomings and correcting age-related changes in skin and soft tissues in cosmetology. problems of the soft tissues of the face and body (age-related changes in the skin, cellulite, local fat deposits, hair treatments and other x problems available for mesotherapy correction method). The introduction is carried out by injection in the classical technique of papules, the linear administration technique and the nappage technique.

The components of the drugs operate in a small radius. The disadvantage of mesotherapy is pain during administration, local reactions at the points of injection and hematoma. This technique is relatively painless, reduces the risk of developing local reactive reactions (with the exception of drug allergy, which is less common with lymphotropic injections than with standard methods of administration).

The lymphotropic method of mesotherapy is as follows.

The injection is carried out into soft tissues into areas of large representation of the lymph nodes of the region of interest (for example, if the region of interest is the face, then the injection is performed under the mastoid process). Injection can be performed, for example, with a 30 G. needle. An anesthetic, for example, 0.1-0.5 ml of a 0.25% solution of novocaine, which provides anesthesia and expansion of regional lymphatic vessels, is initially administered. Then an endolymphatic conductor is inserted through the same needle. The choice of a conductor preparation depends on the composition of the mesotherapy cocktail. If a cocktail of hyaluronic acid is used, a dose of 0.5 ml of heparin (2,500 units) is used. If the cocktail does not contain hyaluronic acid, 16 units of lidase in 1 ml of 0.25% novocaine are used as a conductor preparation.

For lidase intolerance (allergic tendency), eparin is used.

After the introduction of the drug-guide, the needle remains in place for about 5 minutes, after which a mesotherapy cocktail in the volume of 0.1-0.5 ml is very slowly introduced through the syringe or with the help of a dispenser. The rate of administration of 0.1 ml per minute. After the end of the first procedure, if necessary (for example, when injecting on the face), repeat from the opposite side.

The duration of the procedure does not exceed 15 minutes.

Examples of the method.

A clinical evaluation of the effectiveness of the claimed method, in fact, was carried out for almost 10 years of the author. During this time, the following statistically significant results were obtained.

In order to detect a synergistic, physiologically justified effect of skin rejuvenation due to a certain sequence of cosmetic procedures, patients aged 23 to 58 years (238 women) were divided into 9 groups according to the volume and sequence of cosmetic treatments:

1 - grinding + microcurrents (24 people)

2 - grinding + ultrasound with LDM (28 people)

3 - grinding + lymphotropic injections of individually indicated preparations (25 people)

4 - group subjected to the claimed sequence of effects (30 people)

5 - grinding + microcurrents + ultrasound (29 people)

6 - microcurrents + ultrasound (21 people)

7 - ultrasound + lymphotropic injection (22 people)

8 - microcurrents + lymphotropic injections (27 people)

9 - control (without exposure) (32 people).

Patients of each group before the session and a week after it (group 9 without sessions) assessed the condition of the skin of the face using computer diagnostics using the SOFT PLUS apparatus (Callegari, Italy) according to four most important parameters: humidity, elasticity, fat content, and level of content melanin, and also - according to EMG - the electrical activity of muscles, which characterizes the presence of hyper or hypotonic muscles of the face and neck.

Before the session, a decrease in hydration was recorded in 75.7% of the total number of patients in all groups, in 56.5% - a decrease in elasticity, in 80.7% - a decrease in fat content, in 34.6% - an increase in the level of melanin above 3 UE, spasm of the muscles of the face and neck according to EMG - in 96.4%.

After the session (except for control group 9), the number of patients with reduced hydration decreased in the groups:

1 - up to 70.6%

2 - up to 65.2%

3 - up to 60.1%

4 - up to 50.4%

5 - up to 62.3%

6 - up to 65.7%

7 - up to 71.2%

8 - up to 68.4%

9 - without significant changes.

The number of patients with a decrease in elasticity after exposure to a session of cosmetic procedures (group 9 - the session was not performed) in groups decreased:

1 - up to 53.4%

2 - up to 52.1%

3 - up to 50.2%

4 - up to 32.1%

5 - up to 40.8%

6 - up to 51.3%

7 - up to 52.3%

8 - up to 53.7%

9 - without significant changes.

The number of patients with a decrease in skin fat content in this area after a session of cosmetic procedures (group 9 - the session was not performed) decreased in groups:

1 - up to 75.4%

2 - up to 77.2%

3 - up to 79.1%

4 - up to 43.2%

5 - up to 78.8%

6 - up to 77.3%

7 - up to 79.3%

8 - up to 75.1%

9 - without significant changes.

Moreover, the number of patients after the session in all groups (except 9) with an increased content of melanin in the skin decreased:

1 - up to 33.4%

2 - up to 30.2%

3 - up to 31.3%

4 - up to 26.2%

5 - up to 33.1% o

6 - up to 31.2%

7 - up to 30.3%

8 - up to 34.1%

9 - without significant changes.

According to EMG, the tone of the muscles of the face and neck (cramping) was normalized after a session of cosmetic procedures (except group 9) in the following number of patients from the groups:

1 - 80.2%

2 - 88.3%

3 - 91.1%

4 - 96.2%

5 - 90.8%

6 - 91.3%

7 - 92.1%

8 - 91.2%

9 - without significant changes.

After a repeated session of the proposed procedures carried out a month later, the percentage of effect did not significantly change in patients of groups 1-3, 5-8 (no sessions were performed in group 9). In group 4, exposed to a certain sequence of procedures proposed in the claimed method, the number of patients with normal muscle tone of the face and neck was 98.8%. According to the degree of improvement of the remaining control indicators above, the number of patients in group 4 also increased.

The technical result of the invention is a synergistically increased positive effect of relieving muscle spasms of the face and neck, reducing fibrous changes in the connective tissue of this area, normalizing the state of the central nervous system, including due to a lethargic state during microcurrent exposure, improving lymphatic drainage and blood supply to these areas of the body, which Objectively expressed by the above effects: improved moisture, elasticity, oily skin, melanin content in it, and correction of spasm and corresponding muscles, according to EMG.

Thus, it is the proposed sequence of cosmetic instrumental effects (experimental group of women 4), selected on the basis of the individual physiology of a particular patient, the pathogenesis of aging processes of the skin of the face and neck that allows you to get a synergistically enhanced positive effect to improve the main indicators of the skin condition, as in terms of correction already existing changes, and in terms of prevention - in people of a fairly young age, up to 30 years.

In addition, it should be noted that all patients noted painlessness, good tolerance of the procedures. No inflammatory or other adverse reactions at the sites of application of the procedures were noted.

Claims (1)

A method for the prevention and elimination of changes in the skin of the face caused by aging, including the implementation of hardware methods of exposure to the skin, characterized in that the following sequence of procedures is used during one session:
grinding, the type of which is chemical or mechanical, is selected in accordance with the patient's changes,
further hardware exposure to microcurrents with a frequency of 0.3 Hz, a current strength of 400 μA, with an asymmetric bipolar pulse shape, repeating the shape of a physiological nerve pulse,
then - the impact of the apparatus, providing an ultrasonic effect in combination with local dynamic massage,
with exposure in each of these two modes of operation of the device on each side of the face, with a frequency of 10 MHz, a penetration depth of up to 3 mm,
followed by 7-12 epicentral lymphotropic injections of the drug, selected in accordance with the individual changes in the skin of a particular patient,
with a repetition of the session, including the entire sequence of the above procedures, in a month;
while exposure to microcurrent and ultrasound is selected depending on age:
- from 23 to 35 years 5 minutes,
- from 36 to 42 years 10 minutes,
- from 42 to 55 years 15 minutes,
- more than 55 years 20 minutes.