The area of the neck and décolleté is of great importance in the overall aesthetic portrait of the patient. Thinner skin, a large number of blood vessels and a high level of skin aging make it difficult to perform aesthetic procedures in this area and explain the longer rehabilitation. The article on estet-portal.com describes a technique for the combined use of botulinum toxin, hyaluronic acid and sodium succinate to correct age-related changes in the area neckline.
- Physiology of aging of the decollete zone
- Combination treatment: redermaneurolifting
- Overview of Redermaneurolifting technique for correction of age-related changes in the décolleté area
- Conclusion
Physiology of aging of the decollete zone
In general, the mechanism of skin aging in the décolleté area can be compared with chronic inflammation. The aging process in the décolleté area is characterized by an increased level of pro-inflammatory cytokines IL-1, IL-6, IL-18 and TNF-alpha, as well as the presence of matrix metalloproteinases that destroy the dermal matrix.
Rejuvenation of the neck area.
From this point of view, the management of the aging process is a regulated process that can be influenced. Therefore, specialists are faced with the task of reducing the number of pro-inflammatory cytokines.
When working with the décolleté area, it must be understood that in order to achieve optimal results, specialists must set a course comparable in volume to what is required for the face.
This doubles the cost of the procedures and requires double the amount of pain. Not every patient is ready for this mentally and physically. The most common set of complaints about the décolleté area presented by patients includes vertical wrinkles, decreased turgor and elasticity, hyperpigmentation.
Combined treatment: redermaneurolifting
The combined technique of rejuvenation of the décolleté area consists of the simultaneous use of botulinum toxin, hyaluronic acid and sodium succinate, which is called "redermaneurolifting". Redermaneurolifting is aimed at combating various links in the pathogenesis of aging:
- Botulinum toxin promotes gentle relaxation of skin myofibrils, affecting the reduction of wrinkles in the décolleté area, as a result of wearing tight clothing and skin deformation during sleep.
Correction of the décolleté zone.
- High molecular weight hyaluronic acid interacts with CD-44 receptors, which leads to the formation of an antagonist ligand of pro-inflammatory cytokines, and activates mediators that reduce inflammatory responses: arg-1, IL-10, Mrk-1. It also helps to reduce the concentration of matrix metalloproteinase 9, which breaks down collagen and elastin. In addition, hyaluronic acid increases moisture in the dermis, resulting in increased elasticity, evened skin texture and tone, restored intercellular matrix and reduced the process of chronic inflammation of the dermis.
- Sodium succinate eliminates the energy deficit of fibroblasts and reduces the content of matrix metalloproteinase 2, which destroys elastin and extracellular matrix proteins.
As a consequence, the architecture of the dermis is restored and collagen synthesis is restored due to the activation of fibroblasts.
When in contact with the skin, succinate reversely blocks tyrosinase, the enzyme responsible for the synthesis of melanin pigment.
As a result, the chain of melanin formation is destroyed, and the intensity of pigmentation decreases: the pigment passes from dark oxidized melanin to a lighter restored one - pheomelanin. Accordingly, the manifestation of pigment intensity becomes less noticeable, and skin color is more even.
Overview of Redermaneurolifting technique for correction of age-related changes in the décolleté area
The purpose of the study is to review the effectiveness of the technology of combined use of botulinum toxin, hyaluronic acid and sodium succinate for delicate decollete correction.
Materials and methods:
The study involved 23 volunteers (35 - 55 years old) with various age-related changes in the decollete and neck area of 2 - 3 levels on the Glogau scale. The injections were performed intradermally, micropapully with a 30 G needle according to the specific markings. During the procedure, 40-50 UN (international units) of botulinum toxin (500 Un) and 1 ml of hyaluronic acid and sodium succinate were used. All ingredients of the composition were mixed in one syringe. The procedure was carried out once, but can also be repeated after 3-4 months. The results of the procedures were recorded after 2 weeks on the Antera 3 D device.
How to take care of the décolleté area.
Redermaneurolifting results:
When comparing photos on the Antera 3D device before and after, 2 weeks after the procedure, there is a noticeable improvement in skin texture by more than 20%, a decrease in wrinkle depth by more than 25%. These figures can be considered quite highthem in terms of the effectiveness of the procedure.
Conclusion
The redermaneurolifting technique can be successfully used for quick and delicate correction of age-related changes in the décolleté area. Also, this method can be supplemented with a hyaluronic acid-based filler for a more pronounced correction effect. Redermaneurolifting can also be successfully used in the forehead and eyebrows to achieve a natural and delicate result of age-related correction.
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