People are accustomed to taking care of their facial skin and very often forget that in fact the “passport of beauty” is the area of the neck, décolleté and hands. The skin in these areas does not have a pronounced subcutaneous fatty tissue and requires deep hydration, filling and nutrition. Doctor cosmetologist-dermatologist Anton Leonov, owner of the Leonov Clinic, Allergan trainer, talks on estet-portal.com about the culture of youthfulness of the hands, neck and décolleté, about injections in these areas and their specifics, and also shares his personal experience on how to correctly combine hardware, injection and thread techniques to prolong skin youth.
- Correction of delicate areas: techniques and their combinations
- How to improve the quality of the skin of the neck, décolleté and hands
Correction of delicate zones: techniques and their combinations
A. L.: Correction of the skin of the neck, décolleté and hands should be started the sooner the better. Especially if we notice age-related changes – reduction of elasticity and turgor, appearance of pigmentation. This needs to be monitored in advance. Among the reasons that contribute to the appearance of dry hands, we, doctors, have the first reason — this is work with gloves.
How can fillers help if the patient has very dry hand skin
A. L.: First of all, you should start caring for the skin of your hands by moisturizing the skin with creams, and not start immediately with biorevitalization. Other causes of dry skin are all kinds of diseases, ranging from banal avitaminosis to endocrine pathologies. Our body – a large structure in which everything is interconnected.
If we want to repaint the whole car, but start painting only one door, it will not bring any effect as a whole.
A. L .: I am for doing procedures in a complex that will be combined with each other. This is not only a mono biorevitalization procedure or Juvéderm Volite. These are all kinds of hardware techniques. Combinations of procedures will give us a competent effect.
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A. L: It is impossible to prevent the appearance of pigmentation on the skin. We can improve, we can compensate, but pigmentation – this is an ongoing yearly issue that needs to be monitored. The patient cannot guarantee us that he will never be exposed to the sun again. We have a large arsenal of all kinds of creams, devices, injections to correct this problem.
A. L.: The problem of pigment spots starts with a general examination. We must correctly collect an anamnesis: find out from the patient what happened to him and when. Next, you need to draw up a clear treatment plan and build on it. There are a number of procedures that we use as a protocol. I really like RF microneedle lifting in combination with Juvéderm Volite in 2-3 weeks, through the plasma therapy procedure. Plasma therapy starts the processes, and Juvéderm Volite increases and accelerates them.
Relationship between hormones and pigmentation: types of age spots
A. L: This is not a mono procedure. This is the main protocol. Next, I connect the rest of the hardware techniques, let's say IPL. I also have a moisturizing complex along with Juvéderm. We have patients who can pull the budget or not. Then we begin to maneuver between various creams and devices. There are some great peels out there that do the trick. At one time, in the absence of devices, my favorite protocol was PRXT therapy + Juvéderm Volite. I have been working on it since 2017. The protocol was aimed not only at the treatment of pigmentation, but also at moisturizing, onstructuring of the skin.
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A. L.: The so-called «rings of Venus» – this is the problem of the current generation, since at home in front of the phone we all lie the same way. Everyone forgets about posture: the back should be straight. You need to work with the neck a lot, for a long time and hard. If we're talking about the face, we've done contours, placed accents. We have bones that we hooked on and pulled up. We cannot do this on the neck, since the nearest bone in this area – this is the spine, which will not give us any effect. It is necessary to monitor turgor and elasticity. It is very important to understand genetics and phenotype. There are patients who have this problem according to the genetic code, while others – Hand rejuvenation with fillers
You need to take care of your neck all your adult life, as it is the first to age. All fillings require a fairly frequent trip to the beautician: it will not be from 1 procedure and not from 1 ml. In my practice, I useat least 2 ml per neck area: 1 ml – this is the filling of rings, 1 ml – hydration and study of all skin structures. If we prescribe Juvéderm Volite 2 syringes for a year to the face area, then to the neck area – 2 syringes for six months. Also, for correction in this area, we add all kinds of hardware techniques. Possibilities of redermalization of the neck and décolleté area
At the moment I don't combineJuvéderm Volite with other treatments at the same time. I first do a hardware procedure and after a week, when the acute period of rehabilitation has passed, I add biorevitalization. Immediately after the procedure, you can add polynucleotides, plasma therapy. If this is an age patient, I do not promise mountains of gold. The first step could even be surgery for a true lifting, and then I'll step in. How to improve the quality of the skin of the neck, décolleté and hands
A. L.:
Toimprove the quality of the skin, it is very important to choose the right cosmetic care. My must-have treatment is Juvéderm Volite by Allergan. This is a light filler that we can work with not only to improve the quality of the skin, but also to minimally increase the volume of the lips, moisturize them, and correct the nasolacrimal trough. Bioreparation with polynucleotides against skin aging
A conventional biorevitalizant in its structure – it is a very lighthyaluronic acid that is little cross-linked. Roughly speaking, she went in, worked and left. Juvéderm Volite works for quite a long time, as it has a predominance of short hyaluronic acid chains over long ones. This is VYCROSS technology: due to it, hyaluronic acid copes with the activation of processes in the skin longer and better.
A. L.:This drug is injected
without papules. It is injected at the junction of the dermis, since it is there that fibroblasts live and the processes of stimulation of collagen.
A. L.:
Based on the protocol, in my practice I use2 syringes for 1 zone. If the patient cannot afford it, then the effect will be for 9 months. We can also inject 1 syringe in one procedure and after 2-3 months we add a second one, then the result will be quite long. For the correction of creases in the chest area, hardware, thread and injection techniques
work very well. My favorite — these are thread techniques +Juvéderm Volite. The thread gives us elasticity, less contraction of tissues, and the filler – humidification. The area of the neck, décolleté and hands
can be confidently considered the very “passport of beauty”, which always gives out biological age. Patients should understand that early correction of age-related changes using a combination of various cosmetic techniques and timely competent skin care in these areas will help to qualitatively prevent and compensate for age-related changes.More interesting stuff on our YouTube-channel
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