RU2744997C1 - Method of facial rejuvenation by manual plastic surgery of the face, neck, shoulders, upper back and upper third of the chest - Google Patents

Abstract

FIELD: medicine.

SUBSTANCE: method relates to medicine, namely to cosmetology, and can be used to correct age-related changes in the skin of the face and neck, relieve tension in the muscles of the face and head, as well as for general rejuvenation of the face. They massage the neck areas without the use of auxiliary cosmetics, relaxing the muscles in the area of ​​the clavicle, shoulders and upper back, as well as the head and face with similar movements. Massage procedures begin with the upper third of the chest in the supine position of the patient, head to the doctor. Next, the palms stretch the pectoralis major muscle from its attachment point to the clavicle and humerus. Then, with both hands, the large pectoral muscles are pulled from the place of their attachment to the clavicles and sternum, after which the shoulder joints are massaged. The next step is to massage the trapezius muscles, after which they massage the back of the neck, then facial massage, and finally, buccal massage.

EFFECT: method provides a deeper manual effect on the tissues of the face, neck and upper third of the chest, which makes it possible to more effectively relieve muscle spasms, establish lymph and venous outflow, evenly distribute tissues on the face and ensure facial rejuvenation.

6 cl, 3 ex, 29 dwg

Description

The claimed invention relates to medicine, namely to cosmetology and can be used to correct age-related changes in the skin of the face and neck, relieve tension in the muscles of the face and head, as well as for general rejuvenation of the face.

There is a known method for eliminating wrinkles on the body and / or on the face, which consists in stretching the muscles with hands or fingers by means of an osteopathic technique until resistance to further stretching is felt, then the stretched position of the muscles is delayed until a feeling of relaxation and tissue compliance appears, then the tissue is stretched again, repeating the procedure until the tissue reaches the stretching limit, after which palpation is carried out and along the line of muscle fibers with light twisting movements clockwise and counterclockwise continue to stretch the tissue until it reaches a feeling of complete relaxation and compliance, thereby completing the procedure (see . RU, 2295325 C1, class A61H 1/00, publ. 20.03.2007).

A known method of performing massage for the correction and prevention of involutional changes in the skin of the face using massage techniques based on the capture and lifting of the skin and the implementation of reciprocating movements along the axis and / or across the fold (see RU, 2643414 C1, CL A61H 7/00 , publ. 02/01/2018).

There is a known method of rejuvenating the face and neck, which consists in massage of the neck and upper back with relaxation of the upper portion of the trapezius muscle, followed by processing of the suboval zone using the "split-reception", namely: first, the tissues are rubbed against each other, then deep palpation of the facial tissues is performed and kneading them, relaxing the muscles of the mouth and chin, then they process the lateral sides of the face, relax the upper third of the face, carry out interoral relaxation of the muscles of the face, process the mandibular arch and, at the final stage, perform additional relaxation of the muscles of the upper part of the face (see RU, 2563593 C2, class A61H 7/00, publ. 09/20/2015).

The disadvantages of existing methods for correcting age-related changes in the skin of the face and neck, as well as relieving tension in the muscles of the face and head, include the fact that, despite generally good external results aimed at general rejuvenation of the face and neck, during the procedure, the massage specialist pays insufficient attention to both finding the cause of the appearance of age-related changes, and a deeper study of the tendon helmet, areas of the auricle, including pumping of the lymph nodes under the earlobe and the study of the base of the skull, which, in turn, leads to the aggravation of persistent age-related changes in the face, neck and heads, which are difficult to eliminate even after several massage sessions, as well as impaired blood circulation and lymph drainage, which leads to early fading of all facial muscles, causing a person psychological and aesthetic discomfort, even with regular maintenance procedures.

In addition, osteopathic massage techniques are based mainly on the methods of classical massage (for example, point-vibration massage technique), which are aimed primarily at the external improvement of the patient's skin condition, and not at a deep study of all layers of muscles and tissues of the face, neck and head, which leads to insufficient study of the causes of age-related deterioration, does not completely eliminate the hypertonicity of the facial muscles, fatty hypertrophy, edema, ptosis, "flew", "double chin" and other facial dysfunctions.

The closest analogue is the method of myofascial massage of the face and head for correcting age-related changes and relieving muscle tension (patent RU2685805, publ .: 04/23/2019), characterized in that a primary examination of the face and neck is carried out within three minutes in order to detect limitations of mobility and additionally, defects are detected: painful tissue compaction, fatty hypertrophy of the face and neck, as well as the presence of asymmetry of the face and spasmodic muscles, at the end of the examination, video recording of the condition of the patient's facial skin and identified defects is carried out, then neck massage is performed with hands or fingers without the use of auxiliary cosmetics, for which with delays stretch the patient's neck, and then release it, sequentially relaxing the muscles in the area of the clavicle, shoulders and upper back with similar movements, then, for four minutes, with bent fingers, in the position of the head on the side, relieve tension and restrictions in spiral movements tendon muscle mobility head helmet in two directions: the first direction is the ear-clavicle, the second is the back of the head-scapula with subsequent processing of the right and left sides of the head, then they position the head straight and for fifteen minutes prepare for a facial massage through the lymphatic drainage procedure in which the face is clasped with the whole hand, deepened into the tissue and stretched in depth, stretching the spasmodic tissues and muscles of the face with uniform movements of the fingers at least 15 times until a state of softness and elasticity is achieved, then they return to the muscles of the tendon helmet, rework them at least 15 times , further, they perform manipulations with the face, for which, they conditionally divide the face into four zones, namely: the first zone is the chin and the angle of the lower jaw, the second is from the wings of the nose to the upper jaw, the third is under the eyes, the fourth is the zone of the temples and forehead , and with thumbs tightening and tightening the fabric, work each zone at least 15 times until a feeling of relaxation is achieved and plasticity of the tissues, after which they collect the hair to the crown, hold it in a bundle for 15 seconds and carry out stretching in different directions, then release the venous sinuses on the back of the head from tension by stretching the skin in directions from oneself and toward oneself, bringing the tissues to a state softness and plasticity, then they return again to the muscles of the tendon helmet and work them out at least 15 times, then the condition of the submandibular zone of the face and subcutaneous fat is corrected, for which a roller is formed from the middle of the chin and, by means of twisting, passing the roller diagonally, advance it to earlobes and to the hairline, determine the zones of greatest tension and limitation of muscle mobility around the area of the auricle and temporal muscle, relieve the identified sources of tension by pulsating finger pressure with tension, tightening the temples and forehead areas with repeated finger movements at least 15 times on the right and left sides of the head until the sensation of m softness and plasticity, then with the terminal phalanges of the third and fourth fingers, repeating the procedure 5-6 times, they process the lateral surfaces of the neck on the left and right sides along the movement of the lymph from top to bottom, then divide the face into three conditional zones, namely: the first passes from the temple to the lower lip, the second passes from the temple to the corners of the mouth, the third passes from the temple to the wings of the nose and for twenty minutes with the thumbs located parallel to each other, by means of mechanical twisting of the tissue, the muscles are pulled to the places of their attachment, passing each zone at least 15 times and determining the zones of tissue tension and the presence of fibrous areas, lifting the muscle tissue into a fold and holding it in a raised state in different directions for 15 seconds, then the area around the eyes is compacted and transferred to the second half of the face through the forehead, the study of which is carried out by twists of the fabric, then tighten the area of the temples and forehead with tension, repeating the procedure at least 15 times, reached th myofascial relaxation of the facial muscles, then, within seven minutes, the tension is removed from the upper and central parts of the face by alternately smoothing the following muscles with the thumbs: the periobital, frontal, circular muscles of the eye and temporal, then they move to the muscles of the eyebrows, forehead and nose, exercising twisting the skin along the eyebrows and the wing part of the nasal muscle and repeating the procedure until the tissues under the hands reach a state of softness, then work out the circular muscles of the mouth by twisting the muscle roller from the corner of the mouth to the temple, working out the zygomatic muscles, then repeat the procedure on the second side of the face in for 3-5 times, at the final stage of myofascial massage, the condition of the facial muscles on the left and right sides is assessed and their compaction is carried out by pressing on the oval of the face, achieving uniformity of the tissues under the arms, then for three minutes the auricles are kneaded with light smoothing movements from the center to the periphery, carry out video recording the obtained result, then twist the hair into a tourniquet and twist it 3 times, thus completing the procedure of myofascial massage of the patient's face and head.

The prototype presents a method for aesthetic face correction and elimination of age-related changes by improving the massage technique without the use of invasive procedures, improving the general tone of the skin and muscles, relieving tension in the muscles of the head and neck, correcting the face contour for any age-related changes.

The technical problem of the prototype is that a deep massage in the known method is carried out only in relation to the muscles of the back and neck, without affecting the tissues of the anterior part of the sternum and neck. Also, do not use the technique of buccal massage.

Thus, the prototype method allows for a deep effect only on the tissues of the face, the back of the neck and the back of the upper third of the chest, and this limits the ability to relieve muscle spasms, establish lymph and venous outflow, evenly distribute tissues on the face, if spasms, and also violations of lymph and venous outflows are located in front of the neck and upper sternum.

In addition, the failure to use the buccal massage technique limits the possibility of relieving muscle spasms, adjusting the lymph and venous outflow from the muscles inside the oral cavity.

Also, the method claimed in the prototype is carried out 3 times a week and does not allow developing muscle memory.

The objective of the claimed invention is to eliminate these technical problems.

The technical result of the invention is the possibility, for more rare massage courses, in comparison with the prototype, to provide a deeper manual effect on the tissues of the face, neck and upper third of the chest, which makes it possible to more effectively relieve muscle spasms, establish lymph and venous outflow, evenly distribute tissues on the face and ensure facial rejuvenation.

The specified technical result is achieved due to the fact that the claimed method of facial rejuvenation by manual plastic surgery of the face, neck, shoulders, upper back and upper third of the chest, in which massage is performed on the neck areas without the use of auxiliary cosmetics, relaxing similar movements of the muscles in the area of the collarbone, shoulders and upper back, as well as the head and face, characterized in that massage procedures begin from the upper third of the chest with the patient in the supine position, head to the doctor; palms stretch the pectoralis major muscle from its attachment point to the clavicle and humerus; then, with both hands, the pectoralis major muscles are pulled from the place of their attachment to the clavicle and sternum; after that, the shoulder joints are massaged, then the trapezius muscles are massaged, and then the back of the neck is massaged, then the facial massage, and then the buccal massage.

Massage of the shoulder joints is carried out in the following stages:

- the scapula is grasped by the palm, the lower angle of the scapula is at the base of the palm, while the other palm grasps the head of the humerus and rotational movements are made in the shoulder joint;

- after that, the head of the humerus is clasped with the palm, the base of the palm is at the point of attachment to the bone of the pectoralis major muscle;

- produce smooth pressure on the muscle attachment site to stretch it.

Massage of the trapezius muscles is carried out in the following stages:

- hands are brought under the patient's back, at the level of 2-3 thoracic vertebrae, fingers are smoothly immersed in muscle tissue and extended cranially;

- then the thumbs plunge into the muscle tissue at the level of the 7th cervical vertebra and stretch the muscle towards the shoulder joints;

- by pressing the thumbs, the place of attachment of the trapezius muscle to the clavicle is worked out.

The back of the neck massage is performed in the following stages:

- fingers at the level of the 7th cervical vertebra are immersed in the tissues of the trapezius muscle and stretch the tissues parallel to the spine towards the attachment of the muscle to the occipital bone;

- by the method of smooth pressing of the fingers, the place of attachment of the muscle to the occipital bones is worked out;

- grasp the sternocleidomastoid muscle with two hands and smoothly, without excessive pressure on the tissue, stretches it from the periphery to the center;

- work out the attachment points of the muscle to the mastoid processes, the clavicle.

Facial massage is carried out in the following stages:

- put fingers under the chin, hold them along the lower edge of the lower jaw to the corners, relaxing the maxillary-hyoid, hypoglossal-lingual muscles;

- the jaw-hyoid muscle is stretched with a finger, the anterior abdomen of the digastric muscle from the place of attachment of the muscles to the lower jaw;

- the seam of the jaw-hyoid muscle is being worked out;

- the muscle that lowers the corner of the mouth and part of the platysma that passes to the face is captured, the muscles are pulled away from the lower jaw;

- the large and small zygomatic muscles are captured, smoothly stretched from the center to the periphery, then the zygomatic muscles are pulled away from the zygomatic bone;

- the corner of the mouth is captured and pulled, stretching the large and small zygomatic muscles; muscle of laughter; muscle lifting the corner of the mouth; the muscle that lifts the upper lip; muscle lifting the upper lip and wing of the nose; the muscle that lowers the lower lip; the muscle that lowers the corner of the mouth; circular muscle of the mouth; buccal muscle;

- the muscle of laughter is captured and stretched from the center to the periphery;

- the bases of the palm are placed in the place of attachment of the chewing muscle to the zygomatic arch and stretch it along the muscle fibers to the place of attachment to the lower jaw;

- the index fingers are placed at the inner corners of the eyes, and by smooth pressing along the nasal bones from top to bottom, the muscle that lifts the upper lip and wing of the nose is stretched;

- the temporal muscle is stretched from the attachment point to the frontal bone;

- through the napkin, the muscle is captured, wrinkling the eyebrow and with both hands stretched from the center to the periphery;

- the circular muscle of the eye is captured from above (orbital part) and smoothly stretched in the plane of the frontal bone;

- then, with the fingers, the circular muscle of the eye is stretched from the outer corner of the eye towards the temporal bone;

- the circular muscle of the eye is captured from below (orbital part) and smoothly pulled down;

- the orbital ligament is stretched;

- with the base of the palms in the direction from the nasal bones to the frontal bones, the muscle of the proud is stretched;

- the frontal abdomen of the frontal-occipital muscle is stretched with the fingers towards the back of the head;

- the frontal-occipital aponeurosis is being worked out;

- the occipital abdomen is punctured with the fingers.

Buccal massage is carried out in the following stages:

- they put the thumb into the patient's mouth, find the place of attachment of the masseter muscle to the lower jaw and relax the muscle by smooth pressure in the upper-lateral direction from the bone;

- capture the muscle that lowers the lower lip and chin muscle and pulls it away from the bone;

- find the attachment points to the upper jaw of the muscle that lifts the corner of the mouth and the muscle that lifts the upper lip and pulls it away from the bone with smooth pressure;

- the thumbs and forefingers of both hands grasp the soft tissues of the chin, stretch upward and rotate outward;

- the index fingers are at the attachment point of the muscles that raise the angle of the mouth from the side of the oral cavity, the thumbs are placed at the attachment point from the side of the skin, the middle fingers are at the corners of the mouth from the side of the oral cavity, at the same time the tissues stretch down, up and out.

Implementation of the invention

Manual plastic is a method of deep manual impact on the tissues of the face, neck and upper third of the chest, allowing to relieve muscle spasms, establish lymph and venous outflow, evenly distribute tissues on the face. Thanks to this, the face is rejuvenated.

The specialist begins to work with the upper third of the chest. The position of the patient is supine, head to the doctor. The palms stretch the pectoralis major muscle from its attachment point to the clavicle and humerus. Then, with both hands, the pectoralis major muscles are pulled from the place of their attachment to the clavicle and sternum. Work with the shoulder joint. The scapula is captured by the palm, the lower angle of the scapula is located at the base of the palm, while the other palm grasps the head of the humerus and rotational movements are made in the shoulder joint. After that, the palm grasps the head of the humerus, the base of the palm - at the point of attachment to the bone of the pectoralis major muscle. Smooth pressure is produced on the muscle attachment site to stretch it. Work with the trapezius muscles. Hands are put under the patient's back, at the level of 2-3 thoracic vertebrae, fingers are smoothly immersed in muscle tissue and extended cranially. Then the thumbs plunge into the muscle tissue at the level of the 7th cervical vertebra and stretch the muscle towards the shoulder joints. By pressing the thumbs, the place of attachment of the trapezius muscle to the clavicle is worked out.

Neck work. The fingers at the level of the 7th cervical vertebra are immersed in the tissues of the trapezius muscle and stretch the tissues parallel to the spine towards the attachment of the muscle to the occipital bone. By the method of smooth pressing of the fingers, the place of attachment of the muscle to the occipital bones is worked out. The specialist grasps the sternocleidomastoid muscle with two hands and smoothly, without excessive pressure on the tissue, stretches it from the periphery to the center. Works on the attachment points of the muscle to the mastoid processes, the clavicle.

Working with the face. The doctor puts his fingers under the chin, draws them along the lower edge of the lower jaw to the corners, relaxing the maxillary-hyoid, hyoid-lingual muscles. The jaw-hyoid muscle is stretched with a finger, the anterior abdomen of the digastric muscle from the place of attachment of the muscles to the lower jaw. The seam of the jaw-hyoid muscle is being worked on. The muscle that lowers the corner of the mouth and part of the platysma that passes to the face is captured, the muscles are pulled in the direction from the lower jaw. The large and small zygomatic muscles are captured, smoothly stretched from the center to the periphery. Then the zygomatic muscles are pulled away from the zygomatic bone. The corner of the mouth is captured and pulled, stretching the large and small zygomatic muscles; muscle of laughter; muscle lifting the corner of the mouth; the muscle that lifts the upper lip; muscle lifting the upper lip and wing of the nose; the muscle that lowers the lower lip; the muscle that lowers the corner of the mouth; circular muscle of the mouth; buccal muscle. The laugh muscle is captured and stretched from the center to the periphery. The bases of the palm are placed in the place of attachment of the chewing muscle to the zygomatic arch and stretch it along the muscle fibers to the point of attachment to the lower jaw. The index fingers are placed at the inner corners of the eyes, and by smooth pressure along the nasal bones from top to bottom, the muscle that lifts the upper lip and wing of the nose is stretched. The temporalis muscle is stretched from the attachment point to the frontal bone. Through the napkin, the muscle is grasped, wrinkling the eyebrow and stretched with both hands from the center to the periphery. The circular muscle of the eye is captured from above (orbital part) and smoothly stretched in the plane of the frontal bone. Then, with the fingers, the circular muscle of the eye is stretched from the outer corner of the eye towards the temporal bone. The circular muscle of the eye is captured from below (orbital part) and smoothly pulled down. The orbital ligament is stretched. With the base of the palms in the direction from the nasal bones to the frontal bones, the muscle of the proud is stretched. Fingers stretch the frontal abdomen of the frontal-occipital muscle towards the back of the head. The frontal-occipital aponeurosis is being worked on. The occipital abdomen is punctured with the fingers.

Buccal massage technique. A gloved specialist puts his thumb into the patient's mouth, finds the place of attachment of the masseter muscle to the lower jaw and relaxes the muscle by gentle pressure in the upper-lateral direction from the bone. Grips the muscle that lowers the lower lip and chin muscle and pulls it away from the bone. The doctor finds the places of attachment to the upper jaw of the muscle that lifts the corner of the mouth and the muscle that lifts the upper lip and pulls it away from the bone with gentle pressure. The thumbs and forefingers of both hands grasp the soft tissues of the chin, pull upward and rotate outward. The index fingers are located at the place of attachment of the muscles that raise the corner of the mouth from the side of the oral cavity, the thumbs are placed on the place of attachment from the side of the skin, the middle fingers are at the corners of the mouth from the side of the oral cavity, at the same time the tissues stretch down, up and out.

The described technique of manual plastic surgery of the face provides a method of deep manual impact on the tissues of the face, neck and upper third of the chest, allowing to relieve muscle spasms, establish lymph and venous outflow, and evenly distribute tissues on the face. The result is a young face, the disappearance of a double chin, smoothing of wrinkles, where the claimed method is implemented:

- without injections and apparatus;

-with the cause of age-related changes, and not disguise;

- complex work with both face and body;

- with a predictable effect;

- with minor contraindications (usually contraindicated only for pregnant women and serious illnesses).

Manual facelift is a natural method of rejuvenation based on working with the root cause of changes on the face, such as: spasm of muscles, fascia, tendons.

It is shown to everyone after 25 years of age as prevention, since the first hypertonicities appear.

The procedure is performed once every 5-7 days in order to develop muscle memory, because the muscles of the face do not have a fascial sheath.

Contraindications:

ABSOLUTE

1. Oncology.

2. Diabetes mellitus, decompensated.

3. Hypertension in the stage of decompensation.

4. Mental illness, epilepsy.

5. Pregnancy, first 3 months.

6. Craniotomy.

7. Operated hernias and protrusions.

8. Hematological diseases (blood), other than anemia.

9. Exacerbation of chronic diseases, including those accompanied by an increase in temperature.

10. Herpes in the acute stage.

11. Skin diseases (dermatitis, eczema, furunculosis, etc.).

12. Autoimmune diseases.

RELATIVE

1. Pregnancy after 3 months. (the presence of uterine tone, high / low blood pressure, lay on the preservation).

2. Operations on the face, you can start MPL after 6 months.

3. Tooth extraction and after implantation - after 2 weeks.

4. Diseases of the thyroid gland (hypo / hyperthyroidism).

5. Acne disease.

6. Compensated hypertension.

7. Compensated diabetes mellitus.

Pathogenesis of age-related changes

1. Wrinkles in the décolleté area form a spasm of the pectoralis major muscle.

2. Ring-shaped wrinkles on the neck. In their formation plays a role - posture, head position, sternocleidomastoid muscle, rectus dorsi, spinal muscles of the neck.

3. Second chin - the spasmodic digastric muscle pulls the hyoid bone anteriorly, along with the underlying tissues. Spasm of the jaw-hyoid muscle, back and neck muscles.

4. Flews - a spasm of the chewing muscle, the border along the chin ligament, the lower jaw is pulled up to the temporal bone, a free space is formed where lymph-stagnation flows.

5. Puppet wrinkles - muscle spasm, lowering the corner of the mouth, lower lip.

6. Purse wrinkles - spasm of the circular muscle of the mouth.

7. Nasolabial folds - spasmodic muscle lifting the wing of the nose and upper lip, the entire zygomatic group of muscles

8. Descent of the tip of the nose - the muscle that lifts the upper lip and bridge of the nose is spasmodic. Enlargement of the tip of the nose due to edema of the cartilage tissue.

9. Nasolacrimal groove - zygomatic ligament, infraorbital ligament plus - swelling of adipose tissue, plus - muscle attachment spasm.

10. Crow's feet - temporal muscle spasm.

11. Transverse wrinkle on the bridge of the nose - muscle spasm of Gorddetsov, longitudinal wrinkle - muscle spasm wrinkling the eyebrow.

12. Transverse forehead wrinkles - spasm of the frontal-occipital muscle, including aponeurosis.

13. Hyperpigmentation - the reason, in the absence of nutrition, blood supply, which further leads to fibrosis and pigmentation.

The method of manual plastic surgery of the face is implemented by the following stage massage steps, reflected in the schematic drawings.

1. Chest from shoulder to chest (see Fig. 1).

2. Stretch the chest down (see Fig. 2).

3. We work out the clavicle (see Fig. 3).

4. We work out the shoulder blades and the shoulder joint (see Fig. 4).

5. We work out the tendon part of the trapezius muscle of the back, in the region of the 7th cervical vertebra and stretch the fascia (see Fig. 5).

6. Stretch the shoulder of the trapezius muscle (see Fig. 6).

7. Stretch the rectus muscles of the neck with rotation of the head inward (see Fig. 7).

8. Stretch the neck with a napkin (see Fig. 8).

9. Development of muscle attachments on the skull (see Fig. 9).

10. We work with the sternocleidomastoid muscle (GCS) (see Fig. 10).

11. Trachea (see Fig. 11).

12. Stretch the submandibular, supra- and hyoid muscles (see Fig. 12).

13. Zone of the double chin (if any) (see Fig. 13).

14. Chin ligament (see Fig. 14).

15. Stretch the zygomatic muscle group and the muscle that lifts the upper lip and wing of the nose (see Fig. 15).

16. Stretch the chin muscles, attachment points (see Fig. 16).

17. Modiolus (see Fig. 17).

18. We work with the area of the nose, its cartilaginous part, the muscles that lift the upper lip and wing of the nose and the nasal muscle (see Fig. 18).

19. Stretch the chewing muscles (see Fig. 19).

20. We work out the muscles and their attachment points through the mucous membrane of the oral cavity (see Fig. 20 (A, B, C, D, E)).

21. Stretch the lower part of the circular muscle of the eye (see Fig. 21).

22. Lacrimal bone (see Fig. 22).

23. Stretch the upper part of the circular muscle of the eye (see Fig. 23).

24. We work with the puckering eyebrow muscle (see Fig. 24).

25. Stretch the frontal abdomen of the frontal-occipital muscle (see Fig. 25).

26. Stretch the temporalis muscle (see Fig. 26).

27. Purposefully rub the wrinkles on the forehead (see Fig. 27).

28. Stretch the occipital abdomen of the frontal-occipital muscle and the aponeurosis (see Fig. 28).

29. We wash (see Fig. 29).

A detailed algorithm for the procedure for manual plastic surgery of the face is as follows.

Stage I. Preparation:

1. Lay the sheet.

2. Ask to undress to the waist.

3. Remove the elastic, hairpins, chains, etc.

4. We place the patient so that the edge of the head is on the edge of the table.

5. Cover with a blanket.

6. Pour warm water with oil into the container for washing.

7. We wash our hands and treat them with a disinfectant solution.

8. We wash the patient's face with napkins.

9. Apply oil to your hands, rub, warming your hands.

Stage II. Upper shoulder girdle.

1. The pectoralis major muscle - we stretch the muscle fiber in the course, taking the shoulder downwards. The space is freed up for the normal functioning of the thoracic lymphatic ducts. By stretching b. pectoral muscle wrinkles in the decollete area are smoothed.

2. The area of the shoulder blades and shoulder joint. We put our hand under the scapula so that the angle of the scapula is in the palm of the hand, then we grasp the joint with the second hand and rotate it outward.

3. Trapezius muscle - we stretch the brachial part of the trapezius muscle along the fiber to the head of the humerus with one hand, and with the other we fix its attachment point to the skull. Then we do the same on the other side.

4. Working with the tendon part of the trapezius muscle - we fix ourselves in the area of the 7th cervical vertebra with our fingers, go with our fingers into the depths of the muscles and stretch in all directions where compaction is felt.

5. Work with the spinal muscles, which are attached to the skull. The back of the neck and from the 7th cervical vertebra we go into the depths of the spinal muscles and go up to the skull, feeling the existing seals and working them along the entire length, rotating the head anteriorly. Next, we create a pretension of the neck, fixing one hand under the neck, holding the chin with the other.

Thereby:

- we restore the correct body axis;

- we give access for the outflow of lymph from the head and neck;

- headaches associated with spasmodic muscles go away.

6. We work with the trachea area. With soft fingers, we stand around the trachea, hug it on both sides and stretch it along the length.

7. Sternocleidomastoid muscle. We grab the muscle with the fingers of both hands, carefully work out the lymph nodes under it, ending the movement by stretching the muscle along the fibers.

8. Chin area. From the central part of the chin region we go to the posterior surface of the lower jaw, working out the attachments of the hyoid muscle group. Next, we take the soft tissues of the chin region, knead, stretch and move the tissue to the parotid region, working out the rollers of the parotid zone.

9. Chin ligament. We grab it at the place of attachment to the lower jaw, we press it, pulling it away from the bone. Further, without lowering our hands, we go to the fatty body of the cheeks, gently knead it.

10. Zygomatic muscle group. We go deep into the tissue in the projection of the zygomatic muscles, capturing the entire conglomerate, targeting the attachment points to the zygomatic bone.

11. Chin muscles. From the attachment point to the lower jaw, we stretch, we stretch the attachment points of the two chin muscles and the muscle that lowers the lower lip and the corner of the mouth down. Aiming at the places of greatest spasm.

12. Nose. We drive off the liquid from the tip of the nose to the bridge of the nose. Stretch the nasal muscle along the muscle fiber. We put the index fingers on both sides of the bridge of the nose and go down to the wings of the nose, going along the zygomatic bone to the temple, with force slowly stretching the muscle that lifts the upper lip and wing of the nose.

13. We work through the oral mucosa. We put on gloves, we take 2 clean napkins.

- We go into the oral cavity with the thumbs of the opposite hand and stand in the corner between the zygomatic bone, the lower jaw and the fascia of the masseter muscle. We pull the muscle from the place of attachment to the bone.

- We go down along the masticatory muscle, to the angle of the lower jaw, making pretension, get up to the attachment point and pull it down and outward.

- Next, we go along the lower jaw to the chin, pulling the tissue down. We stand on the chin muscles and give pressure.

- We pass to the zygomatic region. We stand on the zygomatic bone and pull the muscle attachment points up and out.

- We take a napkin, stretch it in width, collecting it with an accordion, with the index and middle fingers of both hands, we put it into the oral cavity. With the index finger from the inside, with the thumb from the outside, we fix the muscle at the level of the base of the nasolabial fold. As the patient exhales, we begin to pull it parallel to the body, without releasing the tension, we pull from the bone to ourselves, stretch it to the sides. We take off our gloves.

14. Chewing muscles. We stand under the zygomatic bone with the base of both hands on the chewing muscle and as the woman exhales, we stretch it along the fiber to the angle of the lower jaw, 2-3 times.

15. The circular muscle of the eye. We put the napkin with an even edge towards the eye under the ciliary edge. With free thumbs of both hands, stand on the lower eyelid, move the lower eyelid to the zygomatic bone. We grab the fold of the zygomatic muscles with the index fingers, rotating the thumbs inward (towards ourselves), pull it. We fixed the stretched lower part of the circular muscle of the eye on the zygomatic bone with the pads of the fingers, lingered, with the other hand we stretch the muscle down and out. We repeat the same with the other eye.

16. Lacrimal bone. Through the napkin, we grasp the inner corner of the eye, in the projection of the lacrimal bone, with the index fingers of both hands. We made a crease from the muscles wrinkling the eyebrow, pulled it out and fixed it.

17. The orbicular muscle of the eye (lower part) and the muscles of the eyebrow area. They put a napkin on the upper eyelid, pushed the fold to the frontal bone, grabbed the eyebrow and stretched it towards ourselves, fixed it, stood up and stretched it with the pads of the fingers of the other hand. We stood with the base of the thumb at the beginning of the eyebrow and stretched it over the eyebrow. Next, we worked with our thumbs on the Gordetsov muscle.

18. Frontal-occipital muscle (frontal abdomen). We stand with our fingers or the base of the hand on the eyebrows and stretch along the muscle fiber to the scalp. Use your thumbs to target wrinkles on your forehead.

19. Frontal-occipital muscle (occipital abdomen). We work out the occipital muscle with our fingers. We pull back the hair, we press through the whole head.

20. We wash the patient.

The high efficiency of using the proposed method of manual facial massage for correcting age-related changes and relieving muscle tension is confirmed by the following clinical examples.

Example 1. Patient K., age 43 years. I applied for a manual facelift procedure for existing age-related changes in the form of: the presence of deep wrinkles in the neck, nasolabial area, around the eyes, near the ear, forehead, a general dull complexion, the appearance of a "double chin", looseness of the skin of the face and neck.

The procedure for manual plastic surgery of the patient's face and neck was carried out according to the steps described in the invention.

The rejuvenation procedure was carried out once every 7 days for 5 sessions. After the completed course, a recommendation was given to undergo a maintenance course once a month for the next 3 months. As a result of the course of massage, the patient's skin acquired a "live", blooming appearance, the oval of the face was significantly tightened, deep wrinkles in the nasolabial area, around the eyes, on the forehead were smoothed out and the total number of fine and mimic wrinkles decreased, tension from the muscles of the head was relieved, and deep sagging skin under the mandibular space.

Example 2. Patient C. Age 52 years old, presented with an abundance of deep wrinkles in the neck, forehead, dull complexion, puffiness, cramps in the shoulders, migraine, bags under the eyes, complaints of insomnia due to nervousness.

The procedure for manual plastic surgery of the patient's face and neck was carried out according to the steps described in the invention.

The rejuvenation procedure was carried out once every 6 days for 7 sessions. After the completed course, a recommendation was given to undergo a maintenance course once a month for the next 3 months. As a result of the massage course, the patient's skin acquired a "lively", blooming appearance, the oval of the face was significantly tightened, deep wrinkles in the nasolabial area, around the eyes, on the forehead were smoothed out, bags under the eyes decreased, fine and mimic wrinkles became less pronounced, tension was relieved muscles of the head, complaints of spasms in the shoulders, migraine and insomnia stopped, swelling decreased.

Example 3. Patient Y., 57 years old, complained of neck aches and pain in the back of the head, progressive stoop, the presence of tension in the head and face, had an abundance of deep wrinkles in the face, neck and forehead, severe wrinkles near the eyes at the temples , laxity of the neck.

The procedure for manual plastic surgery of the patient's face and neck was carried out according to the steps described in the invention.

The rejuvenation procedure was carried out once every 5 days for 10 sessions. After the completed course, a recommendation was given to undergo a maintenance course once a month for the next 3 months. As a result of the massage course, the patient's skin acquired a more "lively" appearance, the oval of the face was significantly tightened, deep pronounced wrinkles in the eye area near the temples were smoothed, wrinkles in the face, neck and forehead areas became less pronounced, neck flabbiness became less pronounced, tension was relieved from the head and face, complaints of an ache in the neck and pain in the back of the head stopped.

Claims (40)

1. A method of facial rejuvenation by manual plastic surgery of the face, neck, shoulders, upper back and upper third of the chest, in which a massage effect is performed on the neck areas without the use of auxiliary cosmetics, relaxing the muscles in the area of the clavicle, shoulders and upper back with similar movements , as well as the head and face, characterized in that massage procedures begin from the upper third of the chest with the patient in the supine position, head to the doctor; palms stretch the pectoralis major muscle from its attachment point to the clavicle and humerus; then, with both hands, the pectoralis major muscles are pulled from the place of their attachment to the clavicle and sternum; after that, the shoulder joints are massaged, then the trapezius muscles are massaged, and then the back of the neck is massaged, then the facial massage, and then the buccal massage. 2. The method according to claim 1, characterized in that the massage of the shoulder joints is carried out in the following steps: - the scapula is grasped by the palm, the lower angle of the scapula is at the base of the palm, while the other palm grasps the head of the humerus and rotational movements are made in the shoulder joint; - after that, the head of the humerus is clasped with the palm, the base of the palm is at the point of attachment to the bone of the pectoralis major muscle; - produce smooth pressure on the muscle attachment site to stretch it. 3. The method according to claim 1, characterized in that the massage of the trapezius muscles is carried out in the following steps: - hands are brought under the patient's back, at the level of 2-3 thoracic vertebrae, fingers are smoothly immersed in muscle tissue and extended cranially; - then the thumbs plunge into the muscle tissue at the level of the 7th cervical vertebra and stretch the muscle towards the shoulder joints; - by pressing the thumbs, the place of attachment of the trapezius muscle to the clavicle is worked out. 4. The method according to claim 1, characterized in that the massage of the back of the neck is performed in the following steps: - fingers at the level of the 7th cervical vertebra are immersed in the tissues of the trapezius muscle and stretch the tissues parallel to the spine towards the attachment of the muscle to the occipital bone; - by the method of smooth pressing of the fingers, the place of attachment of the muscle to the occipital bones is worked out; - grasp the sternocleidomastoid muscle with two hands and smoothly, without excessive pressure on the tissue, stretches it from the periphery to the center; - work out the attachment points of the muscle to the mastoid processes, the clavicle. 5. The method according to claim 1, characterized in that the facial massage is carried out in the following steps: - put fingers under the chin, hold them along the lower edge of the lower jaw to the corners, relaxing the maxillary-hyoid, hypoglossal-lingual muscles; - the jaw-hyoid muscle is stretched with a finger, the anterior abdomen of the digastric muscle from the place of attachment of the muscles to the lower jaw; - the seam of the jaw-hyoid muscle is being worked out; - the muscle that lowers the corner of the mouth and part of the platysma that passes to the face is captured, the muscles are pulled away from the lower jaw; - the large and small zygomatic muscles are captured, smoothly stretched from the center to the periphery, then the zygomatic muscles are pulled away from the zygomatic bone; - the corner of the mouth is captured and pulled, stretching the large and small zygomatic muscles; muscle of laughter; muscle lifting the corner of the mouth; the muscle that lifts the upper lip; muscle lifting the upper lip and wing of the nose; the muscle that lowers the lower lip; the muscle that lowers the corner of the mouth; circular muscle of the mouth; buccal muscle; - the muscle of laughter is captured and stretched from the center to the periphery; - the bases of the palm are placed in the place of attachment of the chewing muscle to the zygomatic arch and stretch it along the muscle fibers to the place of attachment to the lower jaw; - the index fingers are placed at the inner corners of the eyes, and by smooth pressing along the nasal bones from top to bottom, the muscle that lifts the upper lip and wing of the nose is stretched; - the temporal muscle is stretched from the attachment point to the frontal bone; - through the napkin, the muscle is captured, wrinkling the eyebrow and with both hands stretched from the center to the periphery; - the circular muscle of the eye is captured from above and smoothly stretched in the plane of the frontal bone; - then, with the fingers, the circular muscle of the eye is stretched from the outer corner of the eye towards the temporal bone; - the circular muscle of the eye is captured from below and smoothly pulled down; - the orbital ligament is stretched; - with the base of the palms in the direction from the nasal bones to the frontal bones, the muscle of the proud is stretched; - the frontal abdomen of the frontal-occipital muscle is stretched with the fingers towards the back of the head; - the frontal-occipital aponeurosis is being worked out; - the occipital abdomen is punctured with the fingers. 6. The method according to claim 1, characterized in that the buccal massage is carried out in the following steps: - put the thumb into the patient's mouth, find the place of attachment of the masseter muscle to the lower jaw and relax the muscle by smooth pressure in the upper-lateral direction from the bone; - capture the muscle that lowers the lower lip and chin muscle and pulls it away from the bone; - find the attachment points to the upper jaw of the muscle that lifts the corner of the mouth and the muscle that lifts the upper lip and pulls it away from the bone with smooth pressure; - the thumbs and forefingers of both hands grasp the soft tissues of the chin, stretch upward and rotate outward; - the index fingers are at the attachment point of the muscles that raise the angle of the mouth from the side of the oral cavity, the thumbs are placed at the attachment point from the side of the skin, the middle fingers are at the corners of the mouth from the side of the oral cavity, at the same time the tissues stretch down, up and out.

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