International anti-age congress in Monaco AMWC (2014) attracted the attention of the estet-portal.com team with the report of Luigi Polla "Wrinkles under the eyes - anatomy and physiopathology", dedicated to the problem of hernia sacs as a result of the aging process among representatives of various ethnic group.
Today, Luigi Polla creates injectables and has his own brand of skin care products. Introduced the use of laser technology in Europe, opening his own practice in 1986.
Wrinkles under the eyes - anatomy and physiopathology
Compared to the rest of the face, the periorbital area is characterized by very thin skin connected to muscles and bounded by fascia and ligaments, as well as small "pads" of subcutaneous fat. It is these pads that cause a lot of questions and dissatisfaction!
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In the process of aging, the middle part of the face begins to "settle". At the same time, previously harmonious and smooth lines of the eye contour are violated. These changes cause raised areas that separate from the midface and are called molar sacs.
Moreover, degeneration of facial expressions and dermis will create deep wrinkles (nasolacrimal grooves), which give the face a special expression of sadness. Not for nothing they are called nasolacrimal, looking at such a person it seems that he cried a lot. This is an exceptionally erroneous visual effect.
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Sun exposure is also dangerous! It provokes the appearance of pigmentation. Violation of the functional state of the liver can be expressed in the appearance of vascular damage (telangiectasia).
All these changes lead to the fact that the eye contour will have a "tired" look.
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To date, the most rapid aging of the periorbital region is observed in representatives of the Caucasian race due to extremely thin skin.
Western (lighter) skin types are more prone to developing dark circles under the eyes, fine lines and pigmentation as they age.
At the same time, people with oriental (darker) skin will be prone to hernial sacs, edema, keratosis, and xanthelasma.
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All these changes are due to anatomical differences in the epidermis.
Exclusive facial rejuvenation technique with fillers from Lugia Polla
Conclusions
- For the correct correction of this area, it is necessary to use combined therapy with hyaluronic acid preparations and botulinum therapy;
- procedures should only be started after assessing the anatomical and genetic features
- only a cannula should be used to inject hyaluronic acid
- inform patients that the effect is temporary and requires further correction.
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