Ilya Meskhi: Without knowledge of the processes occurring in the cell, it is impossible to adequately carry out corrective procedures

Aesthetic cosmetology differs from other areas of medicine in the rapid accumulation of new knowledge, which forces the cosmetologist to constantly revise the concept of corrective interventions. The understanding of the biochemical processes occurring in skin cells and the possibility of influencing them with the help of procedures and cosmetics comes to the fore.

What knowledge will help a modern cosmetologist achieve optimal results, how to apply them correctly in practice – Ilya Meskhi, Doctor of Medical Sciences, professor, specialist in minimally invasive interventions and injection cosmetology, answered questions for readers of estet-portal.com.

Why not to do without knowledge of the anatomy of the face and biochemical processes occurring in the skin

To a greater or lesser extent, a modern cosmetologist works with fillers, performing contouring. In fact, this procedure is a minimally invasive surgery and, like any surgical procedure, is associated with high risks. Surgery is based on clinical anatomy, a deep knowledge of which is a guarantor of safety. Knowledge of anatomy helps to obtain optimal results with minimal risks, as well as avoiding unnecessary procedures.

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Regarding biochemistry, if by the end of the 20th century, a good doctor had to know anatomy, physiology and pathophysiology in order to correctly prescribe treatment, then today two disciplines have come to the fore: biochemistry and molecular biology, which allow us to understand the processes occurring inside the cell.

Without knowledge of these processes, a modern doctor cannot adequately conduct treatment and procedures. Moreover, all modern scientific articles in rapidly developing medicine cannot be read and understood without in-depth knowledge of biochemistry and molecular biology.

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What anatomical knowledge about the face and neck area will help a beautician to perform procedures more effectively?

The beautician must know the layered anatomy of the head and neck, which is, in fact, the most complex anatomical part of the human body. The difficulty lies in the fact that this anatomical area is still being studied, and as knowledge grows, the concepts of interventions change. On the head and neck there are different anatomical variations in the location of important nerves and vessels, which requires a clear understanding of this feature in order to avoid damage to the elements.

Is it possible to influence the biochemical processes in the skin with the help of active cosmetic substances?

Perhaps, and this is the biggest challenge not only in cosmetology, but also in medicine. We have just begun to understand the processes that take place inside the cell, and we are taking the first cautious steps towards correcting these processes.  Great progress in bioengineering gives us the opportunity to obtain “pure” substances, which is an absolute breakthrough in modern medicine.

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The problem is that the introduction of this substance does not always repeat the biochemical path that it goes through in its physiological presence. Almost all scientific articles in modern medicine are devoted to this problem. It should be noted that there are positive results, and this indicates that we are moving in the right direction.

What is the essence of cellular immunity in relation to the skin, how does it affect its appearance and can it be strengthened?

Immunology – one of the youngest and fastest growing disciplines in medicine. Most of the processes occurring in the body are to a greater or lesser extent related to the immune system, including the aging process. The skin, being a barrier between the external and internal environment, doubly “uses” immune processes.

"Strengthen" immunity – slightly wrong word, it would be more correct to say – correct the immune response. There are many substances that affect the immune response, but the complexity of the immune process itself does not allow us to accurately predict the effect of a particular substance.

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How can a beautician apply knowledge of the biochemical processes that take place in the skin?

Recently, the skin has been recognized as a human organ, and the largest in area. More biochemical processes take place in it than in the heart. This is due to its complex layered structure, as well as direct interaction with the environment. To understand the processes occurring in the skin, one must have basic knowledge, such as: apoptosis, intercellular signaling systems, all types of metabolism, the inflammation process and the autoimmune response. This is just a small list of processes, without understanding which we will not delve into the processes of aging. The appearance of the skin directly depends on the internal state of a person.

Thanks to the technological breakthrough, the processes occurring inside the cell are becoming more understandable to us, and methods for correcting these processes will become more accessible over time.

Therefore, to be successful, a doctor already today needs to familiarize himself with the existing information, since knowledge of anatomy and physiology alone will not allow him to be successful. Today, there are a lot of products on the market that supposedly rely on evidence-based medicine.

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Manufacturers demonstrate various biochemical processes that they claim occur when using the proposed product. In order for a practicing cosmetologist to be able to understand and make the right choice among a large number of drugs offered, he must himself understand all the basic processes occurring in the cell. Then his choice will be justified, and the result of the intervention – optimal.

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Hyalual Ilya Meskhi answered the questions of estet-portal.com readers.