RU2797274C1 - Method of correcting age-related changes in the periorbital region of the face - Google Patents

Abstract

FIELD: medicine, cosmetology.

SUBSTANCE: complex method of correcting age-related changes in the skin and subcutaneous structures around the eyes has been developed that combines elements of manual operation, massage techniques and facial muscle gymnastics. Exposure to the skin and subcutaneous structures is performed sequentially in six stages. At the first stage, manual therapy techniques relax the muscles of the cervical and upper thoracic spine. At the second stage, with the help of massage techniques, the area of the aponeurosis of the head is affected. At the third stage, with the help of massage techniques, the parotid-masticatory and temporal regions are affected. At the fourth stage, with the help of massage techniques, the circular muscle of the eyes is affected. At the fifth stage, gymnastics is performed for the circular muscle of the eyes. At the sixth stage, lymphatic drainage of the area around the eyes is performed.

EFFECT: method provides obtaining a more stable aesthetic effect by strengthening the muscular frame of the area around the eyes, improving blood circulation and lymphatic outflow, as well as increasing turgor and skin tone.

1 cl, 3 ex

Description

The invention relates to medicine, namely to cosmetology, and can be used to correct age-related changes in the area around the eyes, as well as for general facial rejuvenation.

The leading mechanism of skin aging is atrophy. Atrophic and dystrophic changes during skin aging occur as a result of genetically determined changes in cells caused by a decrease in metabolism, weakening of the immune system, impaired microcirculation and neurohumoral regulation. The muscles of the face, which have a ligamentous apparatus, change their shape and position - they contract and fall down or tighten. Especially strong age-related changes are reflected in the skin and muscles in the area around the eyes (periorbital region).

Tissue changes in the periorbital region of the face are often not an age-related pathology, as they occur at any age. Any swelling of the tissues of the eyelids that occurs during diseases contributes to the stretching of the skin, weakening its connections with the underlying structures and the appearance of sagging and skin folds. This clinical picture progresses with the development of age-related degenerative changes in the skin of the face and subcutaneous structures. The direction of the resulting wrinkles and folds is almost always parallel to the direction of the fibers of the circular muscle of the eye.

The epidermal layer in the periorbital region is very thin, about 0.5 mm, which is almost four times less than in any part of the face. In addition, the skin around the eyes has practically no subcutaneous fat, sebaceous and sweat glands. Collagen fibers in this area form a sparse mesh structure that breaks down quickly and slowly regenerates. All this contributes to the early formation of wrinkles.

Approaches and possibilities for correcting age-related changes in the skin of the face, in particular in the periorbital region, can be very diverse: nourishing masks, massage, hardware stimulation of the skin and muscles of the face, as well as plastic surgery, the disadvantages of which are the presence of a recovery period and the patient's psychological fear of this procedure.

Of the modern methods of correcting age-related changes in the skin and subcutaneous structures of the face, in particular, in the periorbital region, contouring with the help of special fillers based on hyaluronic acid, botulinum therapy by injecting botulinum toxin into the periorbital region of the face, mesotherapy, biorevitalization around the eyes, as well as laser thermal lifting (IPL), which is a hardware procedure in which the deep layers of the skin (up to 7 mm) are heated to the required temperature using a laser beam. All of these methods have serious limitations and contraindications, as well as long-term preparation and rehabilitation.

An urgent task remains the development of non-invasive and non-destructive techniques that allow improving the condition of the skin and subcutaneous structures in the periorbital region of the face in a short time.

There are various ways to correct aesthetic defects of the skin of the face, including in the periorbital region, using massage.

For example, a massage method for aesthetic correction of facial skin is known, which includes exposure to all areas of the face by uniform pressing with the fingertips with pushing the skin-muscle tissue, facilitating the movement of the facial muscles for their tension and simultaneously controlling the patient's arbitrary tension of the ear muscles. This method can cause arbitrary tension of the ear muscles, which can lead to increased tension of the entire area of the occipital muscles and head aponeurosis (patent RU 2316303 C1, publ. 10.02.2008). The method is uncomfortable for the client, often contributes to the thinning of the subcutaneous fat layer and therefore is not suitable for all skin types.

A well-known technique is vibration-plastic massage (including volumetric deep pressure with vibration and without vibration), carried out by the palmar side of the nail phalanx of the finger and the lateral (outer) side of the finger, also directed deep into the tissues, but the fingers are placed perpendicular to the direction of the massage lines and across wrinkles and folds (patent RU 2379020 C1, published on January 10, 2009).

This technique is aimed at improving the condition of the skin, while the causes of age-related deformation of the face are in all layers of the facial tissues, which are not affected during this massage.

A known method of rejuvenation of the face and neck, including elements of manual and reflexology and massage techniques. A helical traction of the head is carried out to the right and to the left with a cruciform capture from behind. Then they massage sequentially in layers from the inside to the outside, acting sequentially on the bones, muscles and skin. At the same time, they begin with a force pressing effect on the bones in the direction from the chin up and to the sides with the study of the jaw joints and places of muscle attachment. Next, muscles are massaged during their motor load, and then the skin is massaged with its stretching, alternately with point pressure of biologically active points of the face, temporal and occipital regions. Next, a smoothing facial skin massage is performed with a roller and a tonic effect with a needle bundle. The procedure is completed with a relaxing massage (patent RU 2174829 C1, publ. 20.10.2001).

The disadvantage of this method is its general nature, when individually detected effects in tissues are not worked out. Also, this method is not suitable for persons with a thin subcutaneous fat layer.

There is a method of non-surgical face lifting by using the author's techniques of rubbing, kneading and stroking with frequently changing tonic and relaxing movements (patent RU 2388449 C1, publ. 10.05.2010).

The disadvantages of this type of massage is that the active variation of the intensity of exposure to the tissues being worked out in order to constantly respond to quickly and slowly adapting receptors increases the risk of getting a spasm of the lymph nodes. In addition, the method is time-consuming and highly labor-intensive and includes 28 steps.

There is a known method for eliminating wrinkles in various areas of the face, which consists in stretching the muscles with hands or fingers using 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 pliability of the tissues appears, then stretched again tissue, 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 suppleness, thereby completing the procedure (patent RU 2295325 C1 , published 20.03.2007).

However, osteopathic massage techniques are based mainly on classical massage methods (for example, point-vibration massage technique), which are aimed primarily at 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 and other facial dysfunctions.

Closest to the claimed method - the prototype, is a method for correcting involutional changes in the skin of the face, including the effect of massage techniques on the folds and / or wrinkles, while the effect is carried out in any sequence as follows: capture and lift the skin with subcutaneous fat in the area folds and/or wrinkles requiring correction, and carry out reciprocating movements along the axis and/or across the fold; one or more fingers perform digital compression of the crease and/or wrinkle area requiring correction, exercising the same or variable pressure; fingers roll a roller formed from skin with subcutaneous fat adjacent to a fold and / or wrinkle that requires correction. Massage techniques are performed at least once a week for no more than 30 minutes on the entire face, with a course of 8-10 sessions. Additionally, acupuncture, exercises for mimic muscles and cosmetic care procedures are carried out (patent RU 2643414 C1, publ. 01.02.2018).

The disadvantages of the known method include the duration and its high labor intensity, insufficient durability of the aesthetic result, due to the fact that no attention is paid to the deep study of the head aponeurosis area, the parotid-masticatory and temporal areas, as well as the elements of the lymphatic system, which, in turn, leads to to the aggravation of persistent age-related changes in the face, neck and head, which are difficult to eliminate even after several massage sessions, as well as to impaired blood circulation and lymphatic drainage, which leads to early withering of all facial muscles.

The objective of the invention is to create a simple and publicly available method that does not require large material costs, reduces muscle hypotrophy, improves venous and lymphatic outflow and provides smoothing of wrinkles in the periorbital region of the face.

EFFECT: simplification of the method, obtaining a more stable aesthetic effect by strengthening the muscular frame of the area around the eyes, improving blood circulation and lymphatic outflow, as well as increasing turgor and skin tone.

This task is achieved by the claimed complex method for correcting age-related changes in the skin and subcutaneous structures around the eyes, combining elements of manual work, massage techniques and gymnastics of the facial muscles and neck muscles, which consists in the following.

A client who applied with the problem of age-related skin changes in the area around the eyes or for their prevention undergoes diagnostics, which allows to determine an individual work plan, for which the state of posture and neck statics is assessed, the state of the orbicular muscle of the eye is tested visually and by palpation. Then the client is asked to perform special exercises involving the phases of contraction and relaxation of the circular muscle of the eye, which also allow assessing its condition. Palpation determines the presence or absence of hypertrophied fat packages, the degree of ptosis of the upper eyelid. Areas of skin creases (wrinkles) that require correction are revealed.

They collect the anamnesis of the client, clarify complaints and wishes. The client is explained the features of the procedure and informed about contraindications. Next, the state of the area around the client's eyes is recorded on the camera before the start of the session in order to assess the dynamics of the results obtained. Next, go directly to the procedure itself. The impact is carried out in 6 stages.

At the first stage, the cervico-collar zone and the clavicle region are affected using manual correction techniques, which allows increasing the mobility of the cervical region, providing relaxation of the muscles of the back of the neck (trapezius muscle, sternocleidomastoid muscle) and freeing the area of localization of the elements of the lymphatic system .

Perform, in particular, the following methods of manual correction:

- with the thumb, middle and index fingers of two hands, grab the maximum amount of tissue in the back of the neck (2-7 cervical vertebrae) and along the shoulder line (from the 7th cervical vertebra to the shoulder joints) in a pinch, hold it for a few seconds and release , thus achieving persistent hyperemia in the massaged area, which means warming up the tissues and readiness for stretching movements;

- the thumbs are placed on the back of the neck at the level of the 2nd thoracic vertebrae, exerting pressure on the tissues, stretching the arms along the spine in different directions (up and down);

- thumbs are placed at the level of the 7th cervical vertebra and, applying pressure deep into the tissue, stretch the muscle towards the shoulder joints;

- the sternocleidomastoid (GCS) muscle is pressed with the index and middle fingers at the point of its attachment to the mastoid process;

- grab the GCS muscle with the index and thumb of one hand as close as possible to the place of attachment to the mastoid process, with the index and thumb of the other hand as close as possible to the collarbone, holding the muscle in the grip, bring the hands together towards each other for 15-30 seconds, then release and press muscle along the entire length with circular massaging movements from the mastoid process to the clavicle area.

At the second stage, the area of the aponeurosis of the head is affected, performing deep mechanical massage techniques aimed at eliminating fibrous adhesions and restoring normal blood flow and lymph flow in the head area.

Perform, in particular, the following massage techniques:

- set the right hand (the base of the palm) on the scalp, in order to have support, and press the scalp with your fingers.

- three fingers of the right hand (index, middle and ring fingers) are placed with pads between the hair and, applying pressure with the fingers in the tissue, begin to shift them in different directions until they stop, each time increasing the amplitude of movement; then move the hand to the adjacent part of the head. At each site, the impact is carried out for at least 30 seconds.

At the third stage, the parotid-masticatory and temporal regions (muscles, fascia, ligaments, subcutaneous fat layer) are affected by kneading, twisting massage of the skin and subcutaneous structures, coupled with its stretching.

In particular, perform the following massage techniques:

- fingers (index and middle) of two hands are taken to the maximum grip of deep subcutaneous tissues, carrying out the compression phase for 4-7 seconds, after which they perform figure-of-eight finger movements, in the grip of which there are tissues. Next, the technique is repeated in the adjacent area until the work is completed on the entire parotid-masticatory and temporal region;

- three fingers (index, middle and ring fingers) are placed on the metopes of attachment of the temporal muscle to the zygomatic bone and tightly press the tissues against the temporal and sphenoid bones, then, without reducing the pressure, stretch the temporal muscle along its fibers slowly (0.5 cm per second ), moving the skin fold back and up (toward the top of the head).

At the fourth stage, the circular muscle of the eyes is affected in order to reduce the depth of mimic wrinkles around the eyes and provide lifting of the eyebrow and upper eyelid.

In particular, perform the following massage techniques:

- fingers (ring and index) are placed on the area of the eyelids so that there is a bone base (orbit of the eye) under them and pressure is applied;

- perform slow circular low-amplitude movements (2-3 mm in diameter) with pressure on the upper and lower orbits of the eye; when working with the upper eyelid, circular massage movements are supplemented by pulling the eyebrow upwards with the fingers of the other hand;

- the circular muscle of the eye is stretched with the middle fingers of two hands in the direction from the inner corner of the eye to the temporal bone in small sections (5-10 mm), stretching the orbital ligament.

At this stage, a small amount of massage oil or cream is used.

At the fifth stage, the client performs gymnastics for the muscles of the eyelids, alternately tensing and relaxing the circular muscle of the eye (for example, wide opening and tightly closing the eyelids, performing movements with the eyeballs, trying not to involve neighboring muscles in the work: the frontal, temporal, proud muscles and wrinkling eyebrows ).

The following exercises can be performed, without limitation, performed in the sequence indicated:

- alternating wide opening of the eyes, and then tight closing of the eyelids with effort;

- movement of the eyeballs in four opposite directions, performed with closed eyelids;

- keeping the eyebrows in a raised position without the participation of the frontal muscle while squinting the eyelids;

- upward movement of the eyeballs with the eyes open while holding the lower eyelids with the index fingers.

Each exercise is performed 10 to 30 times until tired.

At the sixth stage, lymphatic drainage of the area around the eyes is carried out, for which classic massage movements are carried out along the massage lines using oil or cream.

Recommendations for the procedure: the total duration of the procedure is 45-60 minutes; procedures are performed in a course of 4-8 procedures, not more often than 1 time in 5-7 days. In addition, the client is recommended to independently perform exercises for the area around the eyes for 3-5 minutes daily.

The observation was carried out for a group of 25 people, aged 40 to 72 years. The course of procedures, according to the claimed method, was performed for 45-60 minutes a day, once a week with a course of 4-8 procedures. The result was the strengthening of the muscular frame of the area around the eyes, improved blood circulation, while wrinkles around the eyes, as well as turgor and skin tone, were significantly reduced. To a large extent, the problem of the posture of the upper eyelid was solved, the "bags" under the eyes were significantly reduced.

The defining differences of the proposed method from the prototype is that the effect on the skin and muscles is performed in a certain sequence in six stages, while:

- at the first stage, using manual therapy, the muscles of the cervical and upper thoracic spine are relaxed using manual correction techniques, which allows you to restore the correct position of the neck, increase the mobility of the cervical region, ensure relaxation of the muscles of the back of the neck and free the area of the suboccipital lymph nodes;

- at the second stage, using massage techniques, the aponeurosis area of the head is affected, which allows eliminating fibrous adhesions and restoring normal blood flow and lymph flow in the head area;

- at the third stage, using massage techniques, the parotid-masticatory and temporal regions are affected, which allows eliminating fibrous adhesions, freeing the region of the parotid lymph nodes, and providing lifting of the upper part of the face by relaxing the temporal muscle and redistributing the tissues of the temporal region;

- at the fourth stage, using massage techniques, the circular muscle of the eyes is affected, which makes it possible to reduce the depth of mimic wrinkles around the eyes and provide lifting of the eyebrow and upper eyelid;

- at the fifth stage, gymnastics is performed for the circular muscle of the eyes, alternately tensing and relaxing the circular muscle of the eye, which improves the function of the circular muscle of the eye, eliminates its hypertonicity, providing an improvement in tissue trophism in this area; also at this stage, the excessive involvement of the circular muscle of the eye in mimic movements is eliminated, due to the training of the isolated work of the circular muscle of the eye;

- at the sixth stage, lymphatic drainage of the area around the eyes is performed using classical massage techniques, which allows for lifting the upper eyelid and reducing eyelid swelling.

Unlike existing massage techniques, this method involves complex work: first, muscle relaxation is performed using massage techniques, then techniques are used that work with abnormal collagen remodeling (elimination of tissue "flooding"). Further, the patient independently activates the work of the corresponding muscle groups through isothermal and isotonic contraction in order to provide them with a normal tone.

The method is based on the physiological connection of the circular muscle of the eye with the muscle of the forehead, the back of the head and, as a result, with the aponeurosis of the scalp (fronto-occipital muscle). The result of using the proposed method is to restore the balance of muscle tone, strengthen the ligamentous-muscular apparatus of the periorbital region of the face, improve tissue trophism and, as a result, accelerate lymph flow. Increased blood flow helps to improve the nutrition of the skin from the inside through the capillaries, and thus improve the quality and tone of the skin.

The invention is illustrated by the following examples of specific execution of the method.

Example 1

Client K., 57 years old. Objectively: there are age-related changes in the form of bags under the eyes, swelling of the eyelids, pronounced ptosis of the upper eyelid, reduced eyelid skin turgor.

The patient underwent correction of age-related changes in the area around the eyes by the claimed method.

Before the procedure, the client's complaints and wishes were clarified, with the help of special tests, the state of posture and neck statics was assessed, for which:

1). Anthropometric measurements were made with a centimeter tape: the length of the anterior surface of the neck, the length of the back of the neck from the seventh cervical vertebra to the point of the base of the skull and compared the values. It was determined that the back surface of the neck is smaller than the front.

2). They asked the client to stand against the wall so that the heels, middle of the lower leg, buttocks, shoulder blades were tightly pressed, and the head touched the wall with the occipital bone. We visually assessed the amount of tissues that are collected under the chin, found out the client’s feelings (how comfortable it is for him to be in this position) in order to compare these indicators after the course of correction.

3). We asked the client to take a step away from the wall and recorded how she does it on a video camera. A violation of posture was diagnosed, since the client first tore off the body at the points of contact of the occipital bone and shoulder blades, and only then took a step away from the wall. Visually assessed the degree of violation of posture.

Next, the state of the circular muscle of the eye was tested visually and by palpation. Then the client performed facial movements, including a smile, squinting, wide opening of the eyes, suggesting phases of contraction and relaxation of the orbicular muscle of the eye, which made it possible to identify areas of skin creases (wrinkles) requiring correction. Palpation determined the presence of hypertrophied fat pads, revealed a significant degree of ptosis of the upper eyelid, explained the features and sequence of the stages of the procedure. Then the state of the area around the client's eyes was recorded on the camera before the start of the session.

Next, we moved on to the procedure itself. The impact was carried out during 6 stages.

At the first stage, the cervical-collar zone and the clavicle area were affected by manual correction techniques aimed at increasing the mobility of the cervical region, relaxing the muscles of the back of the neck and freeing the area of localization of the elements of the lymphatic system. The following techniques were performed: they captured the maximum amount of tissues in the back of the neck (2-7 cervical vertebrae) and along the line of the shoulders (from the 7th cervical vertebra to the shoulder joints) in a pinch, held it for several seconds and released; with thumbs, pressure was applied to the tissue at the level of 2 thoracic vertebrae on the back of the neck, then arms were extended along the spine in different directions (up and down); with thumbs, pressure was applied deep into the tissue at the level of the 7th cervical vertebra, then the muscle was pulled towards the shoulder joints.

At the second stage, the area of the aponeurosis of the head was affected with the help of deep mechanical massage techniques aimed at eliminating fibrous adhesions and restoring normal blood flow and lymph flow in the head area. The pressure was applied with the pads of the three fingers of the right hand on the aponeurosis of the head, then the tissues were displaced in different directions to the stop, each time increasing the amplitude of movement; then the hand was moved to the neighboring area of the head and the impact was carried out for at least 30 seconds.

At the third stage, the parotid-masticatory and temporal regions (muscles, fascia, ligaments, subcutaneous fat layer) were affected, for which the deep subcutaneous tissues were captured with the fingers (index and middle) of two hands, performing a compression phase for 4-7 seconds, after which was performed by eight-shaped movements of the fingers, in the grip of which there are tissues.

At the fourth stage, an impact was made on the orbicular muscle of the eyes, aimed at reducing the depth of mimic wrinkles around the eyes and providing lifting of the eyebrow and upper eyelid, using a small amount of massage oil. In particular, slow circular low-amplitude movements (2-3 mm in diameter) were performed with pressure on the bone base around the eye (the area of the upper and lower eyelids and the outer edge of the eye). When working with the upper eyelid, circular massage movements were supplemented by pulling the eyebrow upwards with the fingers of the other hand.

At the fifth stage, under the guidance of an instructor, the client performed gymnastics for the muscles of the eyes, alternately tensing and relaxing the circular muscle of the eye (opening wide and tightly closing the eyelids, performing movements with the eyeballs, trying not to involve neighboring muscles in the work: the frontal, temporal, proud muscles and wrinkling eyebrow ).

At the sixth stage, lymphatic drainage of the area around the eyes was performed, for which the following massage techniques were performed:

- with the pads of the index and middle fingers of both hands, several circular movements (7-8) were made from the outer corner of the eye towards the temporal region;

then, in a circular motion, applying slight pressure with the same fingers, we passed along the lower orbit of the eye from the temple towards the nose, and then along the upper orbit in the opposite direction - from the nose to the temporal region (these movements were repeated at least 3 times);

- with the pads of four fingers, lightly pressed on the area of the lower eyelid for several seconds, then the same was done on the upper eyelid (with eyes closed);

- with the index and middle fingers, patting movements were made from the temple to the nose along the lower orbit and from the nose to the temple along the upper orbit.

After carrying out eight procedures, for 60 minutes each, with a frequency of 1 time in 5-7 days, according to the proposed method, a clear positive trend was noted: the depth of wrinkles around the eyes significantly decreased, the upper eyelids tightened, the bags on the lower eyelids decreased in size, the look became more open and relaxed.

Example 2

Patient M., 49 years old. Examination revealed: the skin on the lower eyelids hangs freely over the lower orbit, forming large folds, wrinkles in the area of the outer corners of the eyes, severe ptosis of the upper eyelid.

The patient underwent correction of age-related changes in the area around the eyes by the claimed method, similarly to example 1.

After 6 procedures, for 45 minutes each, with a frequency of 1 time in 7 days, there was a pronounced skin tightening on the lower eyelids, a decrease in swelling and overhanging of the upper eyelid, wrinkles and folds under the eyes and in the outer corners of the eyes were significantly smoothed out.

Example 3

Patient C, 32 years old. On examination revealed: ptosis of the upper eyelid, slight general swelling of the upper and lower eyelids.

The patient underwent correction of age-related changes in the area around the eyes by the claimed method, similarly to example 1.

After carrying out four procedures, within 60 minutes each, with a frequency of 1 time in 5 days, the upper eyelid has significantly risen, puffiness has gone, the look has become more open.

The proposed method allows you to restore the balance of muscle tone in the area around the eyes, increase blood flow, improve tissue trophism and, as a result, accelerate lymph flow. Increased blood flow helps to improve the nutrition of the skin from the inside through the capillaries, which means to improve turgor and skin tone.

The use of this method will eliminate cosmetic imperfections in the periorbital region of the face without the use of special cosmetic and chemical products and tools, specifically increase microcirculation in the skin, which improves skin elasticity and turgor, enhances collagen production.

Claims (2)

1. A method for correcting age-related skin changes in the periorbital region of the face, including assessing the condition of the skin and subcutaneous structures and performing massage techniques focused on the area of folds and / or wrinkles, characterized in that the effect on the skin and muscles is performed sequentially in six stages, while on at the first stage, the cervical-collar zone and the clavicle region are affected using manual correction techniques: with the thumb, middle and index fingers of two hands, tissues are captured in the region of the back of the neck at the level of 2-7 cervical vertebrae and along the shoulder line from the 7th cervical vertebrae to the shoulder joints in a pinch that is held and released; then the thumbs are placed on the back of the neck at the level of the 2nd thoracic vertebrae, exercising pressure in the tissues, stretching the arms up and down along the spine; then the thumbs are placed at the level of the 7th cervical vertebra and, applying pressure deep into the tissue, they are pulled towards the shoulder joints; sternocleidomastoid (GCS) muscle, they are pressed with the index and middle fingers at the place of its attachment to the mastoid process, the GCS muscle is grasped with the index and thumb of one hand at the place of attachment to the mastoid process, with the index and thumb of the other hand - to the collarbone, holding the muscle in the grip, bring the hands together towards each other, then release and press the muscle along the entire length with circular massaging movements from the mastoid process to the clavicle area; at the second stage, the area of the aponeurosis of the head is affected, while the following massage techniques are performed: the base of the palm of the right hand is placed on the scalp, and the fingers press on the scalp, while the index, middle and ring fingers of the right hand are placed with pads between the hair and , exercising pressure with fingers in the tissue, they begin to shift them in different directions until they stop, each time increasing the amplitude of movement; then the hand is moved to the adjacent section of the head, while in each section the impact is carried out for at least 30 seconds; at the third stage, the parotid-masticatory and temporal regions are affected, performing a kneading, twisting massage of the skin and subcutaneous structures with its stretching, while performing the following massage techniques: what perform the figure-of-eight movements of the fingers, in the capture of which there are tissues, then repeat the technique in the neighboring area until they complete the work on the entire parotid-chewing and temporal region; then the index, middle and ring fingers are placed at the place of attachment of the temporal muscle to the zygomatic bone and press the tissues against the temporal and sphenoid bones, then the temporal muscle is pulled along its fibers at a speed of 0.5 cm per second, moving the skin fold back and up towards the top of the head ; at the fourth stage, the effect on the circular muscle of the eyes is performed, while the following massage techniques are performed: the ring and index fingers are placed on the eyelid area so that there is a bone base of the orbit of the eye under them, and pressure is applied; perform circular movements; when working with the upper eyelid, circular massage movements are supplemented by pulling the eyebrow upwards with the fingers of the other hand; the circular muscle of the eye is stretched with the middle fingers of two hands in the direction from the inner corner of the eye to the temporal bone, while at this stage massage oil or cream is used; at the fifth stage - the client performs gymnastics for the muscles of the eyelids, alternately tensing and relaxing the circular muscle of the eye, opening and closing the eyelids, performing movements with the eyeballs; at the sixth stage, massage movements of the area around the eyes are carried out. 2. The method according to p. 1, characterized in that the procedures are performed within 45-60 minutes, with a frequency of 1 time in 5-7 days, a course of 4-8 procedures.