Scar treatment after surgery
Today, patients are much more likely and more boldly turn to plastic surgeons than before. And it is right! Because there are situations where the cosmetologist is already powerless. The…

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Find and degrease
To find a quick method of dealing with what is commonly called excess fat is the goal of modern medicine, since mankind realized that a pair of fat folds is…

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The tooth wall broke off, what should I do?
Clients periodically contact the clinic with this question. The answer cannot be unambiguous, it all depends on the situation, the condition of the tooth, root canals, remaining in the whole…

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Rejuvenation of the skin around the eyes

The most common problem addressed to our center is the area around the eyes: a fine mesh of wrinkles, swelling, decreased skin turgor, crow’s feet. Unfortunately, this area is the most difficult for cosmetic correction. This article presents the structural features of the area around the eyes, as well as the most effective and safe procedures used in this area.

Features of the structure of the periorbital region
The skin of the periorbital region does not have subcutaneous fat, is intensively supplied with blood, which leads to an increased metabolism of the area and intensification of all processes, including wilting. Therefore, wrinkles appear very quickly around the eyes, even with a slight loss of turgor and elasticity.

The muscles in this zone are divided into two categories: oculomotor and facial. Given the importance of fast and accurate eye movement and focus, which occur continuously during wakefulness, muscle load can be considered very high. At the same time, the mimic muscles participate both in purely mimic movements (surprise, smile, anger, and many others), and in the oculomotor (raising the eyebrow when looking up and the like).

Rejuvenation of the skin around the eyes – before the procedure
Before the procedure
Rejuvenation of the skin around the eyes – after the procedure
After the procedure
Therefore, the mimic load on the region is extremely high, which, in turn, leads to increased mechanical stress on the skin. And considering that the skin here is very thin and does not have subcutaneous fat, facial wrinkles are formed on it early. In addition, the circular muscle of the eye is practically fused with the skin. With age, it acquires hypertonicity, which leads to the “corrugation” of the skin above it, as well as to rounding the cut of the eyes.

Fatty tissue
As already mentioned, the skin in this area does not have its own subcutaneous fat, therefore, this shock absorber is not protected from mechanical stress. But under the skin is periocular fatty tissue. Like any other adipose tissue, it is prone to swelling. Limited by the bone structures along the posterior and lateral surfaces, it swells forward with edema, so even a small edema in the periorbital region immediately manifests itself. If the fascia holding the periorbital tissue weakens, then hernias form. During edema, periorbital fatty tissue compresses the lymphatic vessels, which further aggravates the situation. Therefore, edema in the periorbital region is characterized by severity and resistance. Regular swelling and protrusion lead to stretching of the skin in this area.

Limitations of Procedures
Thin, edema-prone skin limits the intensity of peels in this area, and the proximity of the eyeball is the use of various hardware techniques.

High metabolism minimizes the effectiveness of mesotherapy in the face.

Thin skin and a tendency to edema limit the use of fillers: since on the one hand they can be seen through very thin skin, especially with facial expressions, and on the other hand, they can lead to the formation of temporary edema in this area. However, in the absence of a tendency to edema, the procedure for filling superficial wrinkles around the eyes gives excellent lasting results.

Procedures based on unstabilized native hyaluronic acid – facial biorevitalization and bioreparation, which are used to strengthen the skin of the eyelids, eliminate sagging and tone, can also give temporary edema. Therefore, the most preferred in the eye area are preparations based on hyaluronic acid ester, created according to ACP technology (for example, IAL-System ACP). This technology allows the formation of internal ether bonds between adjacent chains of hyaluronic acid without the use of foreign substances. The formed internal etheric link is unstable. After introduction into the skin, ACP ether intensively absorbs water, which it uses for hydrolysis of the ether bond. It is important that during hydrolysis, the volume of the drug does not increase (does not swell), that is, ACP ester consumes water for its own hydrolysis in large quantities from surrounding tissues, which does not allow edema to form. It can even reduce the swelling of this area, although the first two to three days are likely to be slightly pasty, associated with mechanical injury to the skin with a needle. The ester of hyaluronic acid also has a pronounced stimulation of the synthesis of its own collagen, and also restores the architectonics of the skin.

Botulinum toxin preparations act only on the muscle component of wrinkle formation, which leads to complete smoothing of the crow’s feet, but they do not directly affect the skin, and therefore the net of wrinkles under the eyes and horizontal wrinkles of the lower eyelid. To discuss the feasibility of Botox injections should consult with a specialist in detail.

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