The second part of the International Congress for the Correction of Excess Fat on the Face and Body was opened by the guest of the event - a review of standard and innovative methods for fat removal was made by Klaus Hoffman , plastic surgeon, laser specialist, vice director of the Department of Dermatology at the Ruhr University.
Then Igor Rudenko (dermatologist, Center for Healthy Estetology, Kyiv, Scientific Director of Aesthetic Consilium Group, E3-Summit (Ukraine), IMCAS EEMC (Paris), member of the Scientific Committee of IMCAS Academy, member of EADV) spoke with the report "Injection lipolysis».
Dr. Rudenko noted that obesity – it is a disease and our health depends on the quality of the food we eat.
Local fat deposits are usually concentrated in the following areas: legs, abdomen, chin, face, back of the neck. It should be noted that the correction of fat deposits even in one area (for example, under the lower jaw) gives an excellent rejuvenating aesthetic effect.
The systemic lipolytics that have been used so far (such as caffeine, L-carnitine, phosphatidylcholine) have not given much local effect. Moreover, drugs such as deoxycholate can cause side effects – pain, itching, swelling.
Injection lipolysis – a modern and up-to-date method for reducing local fat deposits. Lipolitics of local action are of the greatest interest. While there is no possibility of selective destruction of fat cells, the search for the best lipolytics continues.
Report "Influence on adipose tissue to correct facial contours: best technologies = best results" done by Evgeny Shagov (Ph.D., dermatovenereologist, scientific director of Aesthetic Consilium Group, founder, chief physician of Shagov Aesthetic Medicine, medical director of Avantique Synergy, scientific director of e3-summit, Tbilisi International Forum "KOLKHIDA 2015", member of AAAAM (American Academy of Anti-Aging Medicine), ESLD (European Society for Laser Dermatology).
- I want to share my experience of face contour correction. Take the lower third of the face. It is customary to include the perioral region, the region of the chin and the lower jaw. Success aesthetic correction of the face largely depends on this area. In most patients, the emphasis would be on the chin angle, on the correction of jowls, platysma.
For a good result, you need to practice combining procedures. It's worth looking at the early photos to find out what has changed and think about what led to it.
It should be noted that in the lower part of the face, the volume of adipose tissue may increase with age. Bone tissue changes, tissue ptosis occurs, skin stretching and SMAS, platysma stretches. Having determined the reasons for the change in the face, we proceed to the choice of a correction method.
World statistics show a high level of demand for injectable correction with botulinum toxin preparations and fillers (especially those containing hyaluronic acid), as well as hardware procedures. Fillers are very good for correcting the lower jaw, but fillers should be in moderation. The SMAS lift works well with ultrasound as well as with Thermage, although you have to be careful not to overheat it.
Laser resurfacing does not change facial features, but certainly gives the face freshness. The quality of the skin changes perfectly, the severity of wrinkles decreases, but the geometry of the face is not corrected.
Thus, for facial correction we use: fillers, botulinum toxin therapy, injection lipolysis. Complementary procedures are ultrasonic SMAS lifting, monopolar RF, bipolar RF+IR, skin resurfacing / fractional laser remodeling.
We must always remember: the oval of the face does not change by itself, but in a complex of problems throughout the body. Therefore, lifestyle, nutrition, and physical activity should be adjusted.
Magdalina Al-Nagash (maxillofacial surgeon, specialist in aesthetic medicine, head physician of the Center for Laser and Hardware Cosmetology "NUCU Cosmetic" Ukraine, President of the All-Ukrainian Association of Applied Aesthetics Specialists, Kharkiv, member of ISD, spoke about her vision of facial correction techniques, USA, member of the DASIL Association, USA) in the report "Proportion and Chiaroscuro in Complex Facial Rejuvenation. Author's programs of the expert».
When you have a lot of practice after working with faces, you inevitably come to the conclusion that your own approach to many problems appears. We all strive to improve what is given by nature, and therefore a specialist beautician must understand the proportions of light and shadow. When using Meso-sculpt and Meso-eye, I suggest looking at the face in three projections, evaluating the anatomical components of the profile. But when correcting a face, you need to tell the patient the truth – sometimes a few injections are quite enough, but more often you still have to combine different methods and drugs in order to achieve the desired effect.
Maria Sergeeva (dermatocosmetologist, mesotherapist, anti-age medicine specialist, head physician of the Soul Spa Anti-Age clinic, member of the UADV association) presented a summary report "Possibilities of remodeling age-related changes in the soft tissues of the face in the concept of "full face" ; with the help of preparations, correction of difficult zones».
The more pronounced the metabolic syndrome, the more impoverished the microcirculatory bed, the more pronounced myodisbalance. Therefore, it is necessary to take into account both hypertrophic changes in the subcutaneous fat and the migration of fat packs when planning a face correction. The doctor must remember the need to take into account involutional changes in the bones of the skull, eliminate hemodynamic disturbances and myodibalance, remember about photo- and chronological damage to the epidermis and dermis. We must start the activity of the patient's own stem cells.
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