Effective approaches: correction of static wrinkles in the corners of the eyes

, including the appearance of wrinkles in the corners of the eyes, is associated with:

• loss of body fat;
• changes in bone tissue;
• deteriorating skin quality.
In youth, a layer of fat located under and above the orbicularis oculi and zygoma muscles hides their movements and transmits muscle activity to the skin.

With age, as the adipose tissue is depleted, muscle activity increasingly affects the skin –

wrinkles appear, which are only noticeable during mimic movements.

Telegram! Deeper

that are also visible at rest are called static and are accompanied by a decrease in skin quality and thickness.

Photo 1: patient, 51 years old, before and after correction of static wrinkles in the corners of the eyes (assessed using the VISIA system , consultation, new skin care regimen with iS Clinical Youth Eye Complex, Firming Complex, Cleansing Complex, Super Serum, Extreme Protect SPF 30, monthly treatments HydraFacial), photo Sherina Balaratnam  Changes in bone volume in the temporal and orbital regions also affect the periorbital area as the skeletal support of the overlying tissues is weakened.

around the eyes can also be influenced by lifestyle features of the patient, such as:

• smoking;
• malnutrition;
• environmental pollution;
• frequent use of smartphones;
• the habit of squinting;
• lack of adequate SPF protection or skincare
• her.
Patient consultation and evaluation of crow's feet

Because lifestyle factors affect the severity of wrinkles at the corners of the eyes, it is important to discuss this issue at the consultation stage. Before correction, determine

(static or dynamic) and degree of crow's feet. To do this, use the

(Crow's Feet Grading Scale) from 0 to 4, where 0 – complete absence of wrinkles, and 4 – deepest wrinkles. The assessment is carried out at rest and at the moment of maximum contraction of the orbicular muscle of the eye.

Deep lateral canthal wrinkles, which are also visualized at rest, are called static and are accompanied by a decrease in the quality and thickness of the skin.

A

is performed to assess turgor and skin quality.          Leading experts use

VISIA. It allows you to determine the severity of not only wrinkles, but also

and skin hydration – important factors to consider when drawing up a plan for crow's feet correction. An integral part of the preparation for the procedure is

. Photos of the target zone at rest and during movement of the mimic muscles must be taken before the

correction. Approaches to the correction of static wrinkles in the corners of the eyes

Each doctor has his own approach to the correction of static wrinkles in the corners of the eyes. However, all experts agree that

to be solved:

• skin quality improvement;
• reduced muscle mobility, or a combination thereof.

– An essential element of any anti-aging plan that includes daily applications of SPF at any time of the year. The gold standard for crow's feet correction remains

– professionals choose it to eliminate all types of wrinkles in the corners of the eyes in 99% of cases.

Botox Injections® in different age periods: when and what we correct However, deep static crow's feet, which involve skin degradation, require

, for example with:

• botulinum toxin;
• radiofrequency lifting.
Specialists work with lateral canthal wrinkles in the following sequence.

botulinum toxin
1. to reduce muscle cravings. Light dermal filler injections (
Teosyal
2. Redensity II or Juvéderm Volite). The doctor uses
controlled microinjection technique

and believes that special devices such as

Teosyal Pen or Juvapen make it easier and more safe work in this area – they allow precise control of the amount and depth of drug administration. Botulinum toxin remains the gold standard for crow's feet correction – professionals choose it to eliminate all types of wrinkles in the corners of the eyes in 99% of cases.

Dr. Partridge:

Injections of

Botulinum Toxin

.
1. After 2 weeks, the need for further correction is determined, which is carried out using:

skinboosters

that improve skin quality and hydration (for less pronounced wrinkles);
• radiofrequency lifting
(e.g.
• Exilis Elite) or laser therapy RevLite that stimulate fibroblasts and synthesis of collagen and elastin (with deeper wrinkles in older patients); radiofrequency lifting on the apparatus
• Morpheus, which provides stimulation of the dermis and elimination of skin laxity (for patients aged 40–50 years); Plasma technology on a
• Plexr that provides excellent results but is limited by a 7-10 day recovery period.

Comprehensive approach to rejuvenation of the periorbital zone: correction of the nasolacrimal trough and ptosis of the upper eyelid

Dr. Shah Desai:

Unlike his colleagues, Dr. Shah-Dessai prefers to eliminate the problem of sagging skin

first, and only then proceed with the injection correction of crow's feet. According to the doctor, volumization with sagging skin is ineffective. Therefore, the algorithm for correcting wrinkles in the corners of the eyes is as follows:

Hardware procedures (

Tixel

1. , Morpheus) based on RF energy and microneedling. Dermal fillers, biorevitalizants and HA-based mesotherapy preparations that improve the structure and water balance of the skin (skinboosters,
2. Viscoderm, Redensity II, RHA I).
Dr. Balarantam:

The doctor also first works on skin quality

, and only after that proceeds to eliminate wrinkles in the corners of the eyes using injection techniques.

The doctor will definitely recommend a good skin care regimen

and

lifestyle correction to the patient. Often the sequence looks like this:

Non-invasive procedure

Hydrafacial

1. Perk (exfoliation + skin hydration). Fractional rejuvenation procedure EndyMed
2. 3DEEP (creation of superficial microchannels and stimulation of collagen). Laser therapy
3. PicoSure (elimination of pigmentation and improvement of skin texture at the epidermal level, without disturbing tissue integrity). Injections of dermal fillers
into the temporal, lateral zygomatic and periorbital areas to restore skin support (according to MD Codes techniques, fillers from the
4. Juvéderm Vycross). Botulinum toxin injections (since muscle behavior changes after filler injections –
5. myomodulation effect). Proper skin care tailored to individual characteristics
plays an important role in maintaining the results of the correction of static wrinkles in the corners of the eyes.

Patient attention should be paid to:

hydration;

food;

• sunscreens;
• healthy lifestyle.
According to
• magazine Aesthetics
.

   

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