When we first look into the face of a stranger, we involuntarily add age to him and even attribute character flaws if we see bags under the eyes, puffiness and a swollen contour, a double chin has formed. However, the cause of these phenomena is often swelling of the face, which can occur both due to some internal diseases, and due to microcirculation disorders in the dermis or individual characteristics of soft tissues in some areas of the face. Why it is important for a cosmetologist to determine this phenomenon and take it into account when prescribing procedures, read on estet-portal.com.
Some Causes of Facial Soft Tissue Edema
The patient who came for the procedures should be visually assessed for the presence of bags under the eyes, a second chin, pre-zygomatic edema, and pastosity of the skin. Any of these signs may indicate the possible presence of kidney or heart diseases, in which water-mineral metabolism is disturbed. Usually, such diseases are accompanied by other symptoms (including, for example, swelling of the arms and legs), so if there is even the slightest suspicion, the cosmetologist should ask and examine the patient in detail, and strongly recommend a consultation with a therapist.
If we are talking about physiological swelling of the soft tissues of the face, then the causes may be the features of fatty tissue, capillary atony, as well as some iatrogenic causes (for example, incorrect injection of hyaluronic fillers).
Impaired microcirculation. With a decrease in tone in arterioles and capillaries, congestion is observed in them, microcirculation is disturbed. As a result, the patient has a dull gray complexion, and at the same time, inflammatory and degenerative processes develop at the level of the capillaries of the dermis, due to which the natural aging of the skin is accelerated:
- cells are poorly renewed;
- the number of structural fibers decreases;
- skin loses its elasticity and firmness;
- rough nasolabial folds and vertical folds at the corners of the mouth are formed;
- the clarity of the lines of the oval of the face blurs.
Excessive weight, even a mild degree of arterial hypertension, endocrine and nervous diseases, & nbsp; problems with the gastrointestinal tract, impaired ovarian function. Successful treatment of these diseases & nbsp; leads to a decrease in swelling of the face and an improvement in the condition of the skin.
Fluid retention at the level of adipose tissue. In the periorbital zone and the area near the cheekbones, fatty tissue is much more loose and cellular than in other places. The dermis around the eyes is thin, therefore the skin is less elastic and generally more delicate, and there are noticeably more capillaries in the periorbital zone than in other areas of the face. With overstrain of the circular muscle of the eye and oculomotor muscles, the outflow of lymph and venous blood may be disturbed, which leads to persistent swelling.
Overstretching of the skin around the eyes with the formation of bags can occur in a few weeks and then persist for many years.
Edema in the cheekbone area is often associated with excess weight, when the gravitational displacement of the muscles in the middle third of the face begins, as well as with impaired lymph flow in this area. It should be noted that with excess body weight, even a slight violation of microcirculation causes the formation of chronic facial edema.
Why is it important to take facial swelling into account during procedures and what can be done to help the patient
The presence of preskeletal edema may be a reason to delay the introduction of hyaluronic fillers, as this can lead to aggravation of the manifestations of facial edema, give the effect of puffiness and accelerate the aging process.
Persistent disorders of microcirculation and lymph flow, which are manifested by swelling of the face, can cause complications after procedures – eg granuloma formation.
In case of a pronounced violation of microcirculation, the patient should be prescribed microcurrent exposure, recommend topical applications with cosmetics based on horse chestnut, centella asiatica, licorice. An immediate improvement in the skin condition and a decrease in vasospasm is usually noted with topical applications with niacinamide – this trace element allows you to achieve a stable venotonic effect.
For any manifestations of pastosity of the skin, cosmetic therapy should be recommended to eliminate microcirculation disorders, since it determines how quickly the aging processes of the facial skin will develop.
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