Correction of age-related changes is one of the most common requests of patients who turn to aesthetic medicine specialists. Indeed, signs of aging inevitably appear on the face of every person, and the desire to eliminate them, and to preserve youth and beauty for as long as possible, is absolutely natural and understandable. But not every patient is ready to go under the knife of a plastic surgeon for the sake of youth. Fortunately, aesthetic medicine today offers worthy alternatives to surgical techniques. Candidate of Medical Sciences, dermatologist, cosmetologist (Russia, Moscow) spoke about the unique and effective combination of techniques offered by MERZ in an exclusive interview for estet-portal.com,

Tatyana Yakovlevna, tell our readers about your unique technique "5 steps to the ideal lower third of the face"?

This technique is rooted in the past, in many years of experience, because, as we started working with this or that drug, the question always arose about the possibility of combining techniques to obtain the best result, and to intensify clinical success in correcting various areas, including the most problematic area of ​​the lower third of the face. We know that the Slavic type of aging, unfortunately, in its main characteristic, refers to the edematous-deformation type of aging. And the first clinical manifestation of aging in this type is the deformation of the lower third of the face. The demand for this technique is huge. Therefore, a large number of patients, our experiments, the ability to safely combine techniques from the entire MERZ portfolio, which also now includes the method of non-surgical ultrasonic lifting Ulthera System "Altera System", provides great opportunities for effective non-surgical correction, coupled with the absence of a rehabilitation period, which is especially attractive for patients leading an active social lifestyle. Now we can really share this experience and talk about it as the most effective for the correction of our patients.

What are the features of the combination of the Ulthera System method "Altera System" with injections of the drug Radiesse "Radies"?

Indeed, the combination of these methods is difficult to overestimate.

Ulthera System Method is currently the only one certified worldwide, including all FDA approvals, for use in the non-surgical SMAS facelift.

Everything else is analogues, gross fakes, therefore, non-surgical ultrasonic lifting all over the world implies only the use of the Ulthera System "Altera System" device. Indeed, this is the only device that, excluding a complete rehabilitation period, allows you to achieve an excellent effect of a non-surgical facelift, and different groups of patients find their priorities in this method. It must be said that we also achieve a good clinical response in older patients, and male patients constitute the main cohort of those patients for whom this is a complete alternative to surgical intervention. Young patients, in terms of preventing age-related changes, gravitational ptosis, are also a large group of patients for preventive manipulations. And the drug Radiesse "Radies" - the only drug with proven effectiveness, in terms of the synthesis of absolutely physiological collagen of the first and third types, has also been used by us for a long time in everyday clinical practice. We know that this drug is the safest, according to all clinical studies, and unsurpassed effective in obtaining quality skin tightening and non-surgical lifting. Therefore, the joint and sequential application of these two methods, first the Ulthera System "Altera System", and then the introduction of the Radiesse "Radies", which is permissible on the same day, to maximize the intensification of the result of the correction of gravitational ptosis,

According to your observations, do doctors willingly agree to combine the Ulthera System "Altera System" with injections of the drug Radiesse "Radies"?

Of course! Indeed, if the technique is declared as a technique of action potentiation - everyone agrees unambiguously. And the results that we see do not allow us to doubt the effectiveness of these methods. Indeed, we observe potentiation. And we have a huge group of patients injected with Radiesse only. for many years. With the method of Ulthera System «Altera System» we have also been working in our clinic for more than 6 years, that is, the accumulated experience allows us to say about the isolated effectiveness of this technique. But the results that we can get with a combination of techniques is really a big breakthrough, and an absolute innovation in non-surgical facelift.

Not so long ago, a presentation of the innovative drug Xeomin "Xeomin" took place in Ukraine. from MERZ. Can you share your experience with this drug in the full face technique?

Firstly, I congratulate you on this valuable acquisition, which opens up wide opportunities for interaction, within the MERZ portfolio, with both the Ulthera System Altera System method and Radiesse Radiesse. in one procedure. Using Xeomin «Xeomin», we make the botulinum therapy procedure as safe as possible. Now we can work with such complex groups of patients as age-related, edematous, and young patients, in whom the main focus of botulinum therapy is, first of all, prevention. We can talk about pure botulinum therapy, because, indeed, the only drug that is devoid of additional protein loads is Xeomin "Xeomin", certified in many countries of the world,

Working with Xeomin "Xeomin" in the full face technique opens up for us unlimited possibilities of non-surgical face lifting.

We can be sure that working with relatively high dosages and working at flexible intervals will help us prevent age-related changes, including changes in facial bone structures. We can get excellent natural correction results, while maintaining the individual facial expressions of patients, and we can guarantee long-term effective botulinum therapy, due to the complete absence of immunogenic potential in this toxin.

And what problems can a combination of injection methods solve: botulinum therapy with Xeomin «Xeomin» and contour plastics with filler Radiesse «Radies»?

For young patients with a tendency to deformation type of aging, timely botulinum therapy is necessary in the full face technique, and the simultaneous administration of injections of the Radiesse "Radies" drug, which will participate in maintaining active collagen synthesis and will prevent the development of dermatoporosis of one of the stages of age-related changes in the skin of the face. If we keep the subcutaneous fat in good condition, and, accordingly, we potentiate the action of drugs by their combined use, we can guarantee our young patients an excellent, powerful prevention of aging. For patients of the middle age group, it is impossible to overestimate the importance of the joint, complex effect of both botulinum therapy and Radiesse "Radies".

We know that Radiesse has a unique ability: it is the only filler, the introduction of which is not accompanied by the development of puffiness.

This filler is indeed absolutely non-hydrophilic, and here we can guarantee the absence of pastosity even in patients with edematous type of aging. We neutralize the risk of puffiness development in male patients, on whose faces even minimal additional pastiness will be perceived as a sign of feminization, which does not compliment us as specialists. And a one-time exposure with Xeomin "Xeomin", which also has minimal diffusion, guarantees us an absolutely natural result, which is now a parameter of high-quality and fashionable correction. Frozen faces are not in fashion now, those trends that were popular at the beginning of the 2000s, fortunately, have lost their meaning, and now we can talk about the natural look and natural correction of age-related changes. AND, indeed, both the drug Radiesse "Radies" and the drug Xeomin "Xeomin" guarantee us a natural process of aesthetic correction in our patients. Age-related patients are a group that is quite difficult to correct, unfortunately, we can not achieve a full response in all patients with the help of hardware techniques, due to some blunting of the rhythm of collagen fiber synthesis. But the use of Xeomin «Xeomin», and the introduction of a filler with a stimulating property Radiesse «Radies» gives us unique opportunities for sparing, beautiful, high-quality correction, not associated with a long period of rehabilitation, in patients of the older age group. Thus, it is precisely this unique combination of techniques that the implementation of which is now possible by doctors in Ukraine, guarantees us a beautiful, high-quality, and natural result. And what could be better?

What are the most important nuances of the combined use of drugs from the MERZ portfolio, and the Ulthera System methodology "Altera System"? must remember every specialist to get the best result?

Based on our own experience, from the experience of Russian doctors, and my own experience of working in a clinic with a large number of patients, we can say that we achieve a very good result with the help of simultaneous administration in one procedure and Radiesse « Radies", and Xeomin "Xeomin", and a combination of this complex with the Ulthera System "Altera System" technique is possible. The first stage is the method of Ulthera System «Altera System». On the same day, it is possible to perform vector lifting with the help of the Radiesse "Radies" preparation, the use of the Radiesse "Radies" preparation in breeding, immediately after the procedure Ulthera System "Altera System", and the use of botulinum toxin Xeomin "Xeomin" in full face technique, for non-surgical face lifting. That is, you and I are carrying out a strike on gravitational ptosis in three directions. Indeed, the potentiation of action on the eyes, and the effect will not keep you waiting.

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