TREATMENTS IN THE AREA AROUND THE EYES
FROM AGING TO THE OPHTHALMIC AREA TO THE REHABILITATION OF A YOUNG LOOK
In our daily lives, our facial expressions largely include the area around the eyes. Over time and as the limit of elasticity of the skin is exceeded, permanent wrinkles are installed which are now visible and at rest, ie when the face is expressionless.. Heredity plays a key role as people with thin and dry skin will develop expressive calm wrinkles much faster. (the skin elasticity limit is very low) but our DNA also determines the anatomy of the area (eg people with strong periocular muscles or strong muscles in the middle eyebrow area will deal with periocular wrinkles faster).
Heredity also plays a major role in their appearance "Dark circles" which employ too many patients and in most cases are families (are observed in many family members), while other factors are considered secondary (daily skin care habits, exposure to the sun).
In the anatomical changes that occur as we grow older the loss of tumor in the periocular area and especially in the area of the lower eyelid groove, inside and under the eye called "Valley of Tears the tear trough» because there the tears run parallel to our nose. Tumor loss is due to the gradual loss of adipose tissue and while it does not contain pigment it gives the image of "dark circles" due to shading
Tumor loss is also observed in the temporal area which affects as it causes drooping of the eyebrow tail. Also the reduction of skin moisture and elasticity levels will lead to the appearance of fine wrinkles which first become visible under the eyes where the skin is thinner ,but also wrinkles around the eyes in the area known as "Goose foot".
Daily skin care with anti-aging creams, Whitening or moisturizing creams for the eye area also play an important role in the outcome of aging in the eye area.
Finally the sun exposure , especially without precaution (sunglasses, sunscreens) enhances the aging process of the skin all over the face (photoaging) but especially in the periocular area where the skin is more sensitive
Even diet and smoking play a role in premature aging of the skin in general and the periocular area in particular..
VOTOX APPLICATION for correction of goose foot and fine wrinkles under the eye
Botulinum toxin is the treatment of choice for correcting wrinkles around the eyes in the area known as "Goose foot". When we have time to intervene in time before these wrinkles become very deep (because as long as we postpone the treatment and the function of the expressive muscles of the area is prolonged, these wrinkles deepen) recovery is complete only with the application of botulinum toxin. If they are too deep we will have an improvement 50-70% with the application of botulinum toxin and if we want an even better result we should supplement with the application of hyaluronic acid.
APPLICATION OF HYALURONIC FOR CORRECTION in the periocular area.
Tumor loss in this area is mainly due to fat loss. Fat is what fills the ocular cavity, supports and maintains firm skin in the area. This loss becomes especially evident in the area inside and under the eye called the "tear trough".. Tumor loss results in the appearance of fine wrinkles, appearance or worsening of "dark circles" but also the creation of a "bag" in the area under the eye (here we have to make a differential diagnosis with the cases where the bag is due to lymphatic stasis and fluid retention or to some persons in the accumulation of fat in the area)
Also the shape of the ocular cavity changes as we get older as absorption and retraction of the bones of the orbit area occurs which gives the impression that the eye enters backwards. (unfortunately we can not intervene in these bone changes).
The placement of injectable hyaluronic acid in the area helps to restore the tumor that has been lost with immediate correction of fine wrinkles and his «tear trough». It also significantly reduces the appearance of "black circles" and "bags»In the area under the eye
Also the correction with special hyaluronic acid and the adding volume to the cheekbone area ("Apples") significantly corrects the fine wrinkles of the eyelids , while there is at the same time the benefit of the correction of the nasopharyngeal groove and the fall observed in the contour of the lower jaw.
In addition, if the wrinkles in the area of the "goose foot" are very deep and the application of botulinum toxin can not offer a complete correction, the additional correction with hyaluronic acid offers the maximum possible result.
APPLICATION of botulinum toxin for eyebrow straightening
By applying botulinum toxin to the area of the mediastinum (between the eyebrows) In addition to correcting the two vertical wrinkles known as "frown wrinkles", we also achieve the correction of of central degree (head) of the eyebrow. By applying botulinum toxin to finish (tail) of the eyebrow we succeed in rectifying this area. End with minor corrections in the upper part of the forehead in addition to the treatment of horizontal wrinkles ("Denial wrinkles") we also succeed in correcting it central "eyebrow body". To further improve the shape of the eyebrow we can correct it tumor loss of the temple area using a special hyaluronic acid. Finally, a special application on the forehead threads PDO can also contribute to eyebrow straightening
APPLICATION OF AUTOLOGY MESSOTHERAPY PRP in the periocular area for anti-aging and treatment of dark circles
PRP treatment (Platelet Rich Plasma) is based on the use of the patient's own growth factors that are released from the platelets contained in the blood. Growth factors stimulate skin fibroblasts to produce collagen and elastin, thereby tightening the skin as well as thicker and better skin.. It also activates skin cells to produce endogenous hyaluronic acid which retains water molecules offering hydration to the skin. In addition, they reactivate the adult inactive stem cells in the area, activate the proliferation of cells in the area resulting in better perspiration of the area
PRP treatment is injectable but can accompany and complement a minimally invasive microtrauma procedure performed on the periocular area. (microneedling, fractional laser CO2, νηματα PDO, plexi) giving even better results in the application (due to growth factors) and offering much faster recovery times.
APPLICATION FRACTIONAL LASER CO2 in the periocular area for anti-aging and elimination of fine wrinkles
The fractional CO2 laser in fractional use makes a selective scan of the entire surface of the skin which we want to improve by creating "microthermal healing zones". Stimulates collagen production and at the same time is a very powerful stimulus for skin renewal. New skin is achieved, of better quality, with fewer imperfections and signs of aging such as wrinkles.
In addition, it is advantageous as a treatment over medium and deep chemical peels because it has a much shorter recovery time. On the contrary, deep chemical peels have a much longer recovery time, greater inconvenience to the patient while the result immediately after application is often frightening.
This treatment is enhanced as a result and has faster recovery times when combined in the same session with autologous mesotherapy prp which is injected in the same area
APPLICATION PLEXR in excess upper eyelid skin for "non-surgical eyelid surgery"
Non-surgical eyelid surgery can be used to rejuvenate and instantly tighten the skin around the eye area, improving the appearance of the skin, shrinking unsightly "bags" and lifting and "opening" the eye. It is a suitable treatment for people with excess skin on the eyelids who want to avoid eyelid surgery.
"Plasma" eyelid treatment works by creating a series of micro-injury zones (tiny dots on the skin), which cause an immediate contraction and tightening of the skin fibers to create a lifting (lifting), remodeling (remodeling) and refreshing (rejuvenation) action. The effect of plasma technology is limited to the surface cells of the skin called "keratinocytes", without damaging the underlying tissues.
This treatment is enhanced as a result and has faster recovery times when combined in the same session with autologous mesotherapy prp which is injected in the same area
As with any treatment, You should consult your doctor thoroughly to see if this is the right solution for you..
YARN APPLICATION PDO in the periocular area
In this application use fully absorbable single strands or screw PDO yarns, short with a very thin needle, due to the fact that the skin of the area is very thin with very rich vascularity. These threads are placed in such a way as to form a grid that supports the periocular area which is constantly under the influence of forces from the muscles during expressiveness.. In addition, these threads through the process of "foreign body reaction" cause the skin to produce its own collagen and elastic fibers which surround the thread that was placed and strengthen it.. This strengthens the initial anatomical support of the area from the threads.
H thread application PDO support grid in periocular area offers important additional improvement as well longer duration of effect in the initial application of botulinum toxin and hyaluronic acid.
also, we apply the support threads as monotherapy in cases where they do not wish to apply botulinum toxin or hyaluronic acid, so we offer with the threads significant anatomical support in the area.
With a special application on the forehead, PDO threads can also contribute to eyebrow straightening
The application of threads can be combined with application autologous PRP mesotherapy which significantly enhances the therapeutic effect.
TREATMENT OF BLACK CIRCLES
The problem of "dark circles" (is medically called primary periocular hyperpigmentation) is mainly due to hereditary factors and is more common in people with very thin skin almost transparent skin on the lower eyelids, without enough subcutaneous fat in combination with increased subcutaneous vascularity. The result is to distinguish the subcutaneous vascular network , giving a dark blue-purple hue to the skin which translates to a damaged, "Sleepless", sad or aged face. Of course when one does not get enough sleep, the problem is getting worse, because there is no good perspiration in the area. The same happens on the days of the "period". So we suggest adequate sleep (ideally the patient should sleep with the head slightly raised to facilitate lymph-fluid drainage from the lower eyelid area) and proper diet (avoid salt, foods rich in antioxidants and adequate water intake) , smoking cessation, reasonable use of alcohol in combination with the therapeutic interventions we can do to help:
Autologous mesotherapy PRP: PRP therapy is based on the use of growth factors of the patient himself which are released from the platelets contained in the blood. Growth factors stimulate skin fibroblasts to produce collagen and elastin, thus offering skin firmness and a thicker and better quality. It also activates skin cells to produce endogenous hyaluronic acid which retains water molecules offering hydration to the skin. The thicker and quality skin makes the skin vessels less visible resulting in an improvement in the image of dark circles. PRP treatment is injectable but can accompany and complement a minimally invasive microtrauma procedure performed on the periocular area. (microneedling, fractional laser CO2, νηματα PDO, plexi) giving even better results in the application (due to growth factors) and offering much faster recovery times.
Heterologous mesotherapy: Mesotherapy is an effective way to remove dark circles from the eyes. Improves skin texture so we inject substances such as caffeine and ginko biloba, which offer hydration and soften the dark tone. In another treatment protocol we use vitamin C in combination with DMAE and hydrating hyaluronic acid. Integrated protocols require 4-6 therapeutic sessions. It is advisable to precede a counseling session to decide which protocol is most appropriate for each patient.
Hydrating hyaluronic acid: A very effective treatment is the use of injectable hyaluronic acid in the area of the lower eyelids. This moisturizes the skin, which thickens and increases the distance of the skin from the vessels of the area thus changing the shading of the lower eyelid. The result is usually impressive, but at least three treatment sessions are required.
Frax–Peel: This combined application is everything,what is new in the field of peeling. The minor injury created by microneedling (microacupuncture of the skin) creates "gateways" for chemical peeling which achieves a much better penetration into the skin. So we can use milder peels which are completely safe, have very controlled exfoliation and very little skin irritation after application , can be done even in summer months and do not have recovery-recovery time which with this combined application penetrate deeper and have a much better result compared to what very strong chemical peels have. The peels we use are usually citrate (comes from lemon) or the combination citrate-mandelic (comes from bitter almond)
APPLICATION OF WHITENING THERAPEUTIC CREAMS
These creams contain bleach with hydroquinone being the strongest of them all (however, it is irritating to the skin and its use should be avoided during the sunny months). Other bleaches are azelaic acid, cosic acid and may also contain vitamin C.. The whitening action contributes significantly to the treatment of dark circles. The use of whitening cream may precede minimally invasive microtrauma treatments (microneedling, fractional laser CO2, νηματα PDO, plexi) preparing the area for treatment and then its use continues in the intervals of invasive treatments. We start reusing the cream when the irritation from the invasive treatment has passed (after 5-7 days). When there is sunshine, you should use sunscreen in the morning
There are cases where dark circles are due to dermatological diseases . One chronic atopic eczema in the eyelid area causes itching and repeated rubbing on the thin skin of the area causes hyperpigmentation due to pigment deposition (hemoglobin which is released by the injured capillaries of the skin, when we rub our eyes). The same causes a irritating or allergic contact dermatitis in the area of the eyelids which is usually due to cosmetics (to emphasize the importance of removing makeup every night with specialized makeup remover products). In these cases, our main concern is the treatment of the dermatological condition that causes the problem and the improvement of the aesthetic problem will follow.
Other pathological causes include anemias , Hormonal changes - premenstrual syndrome or menopause (which are manifested by edema ,that is, swelling of the eyelids). The eye allergies (eg conjunctivitis) As well as dry eye cause increased friction in the area by the patient resulting in pigment deposition. Also diseases related to the nose such as chronic allergic rhinitis, sinusitis, crooked diaphragm cause chronic congestion due to poor drainage of tears in the nose resulting in venous stenosis and eyelids appear swollen and black from lack of oxygenation. In all these cases the main goal is to address the primary pathogen.
APPLICATION OF ANTI-AGING CREAM
These creams contain topical retinoids (retinol, adapaleni, tretinoin, tazarotene) which are derivatives of vitamin A. with proven value in skin rejuvenation and anti-aging. Another alternative is the creams they contain fruit acids (ΑΗΑ, ΒΗΑ) which cause a mild peeling by rejuvenating the skin in the area.
Other useful ingredients are Vitamin C which offers shine, Vitamin K. to fight dark circles, the coenzyme Q10 which has antioxidant activity, hyaluronic acid which moisturizes, the caffeine to stimulate and stimulate the microcirculation, aloe for soothing action, chamomile for anti-inflammatory action, gingo biloba to enhance microcirculation.
Before minimally invasive microtrauma treatments (microneedling, fractional laser CO2, νηματα PDO, plexi) discontinue treatment with retinoid or acid fruit creams. We start reusing the cream when the irritation from the invasive treatment has passed (after 5-7 days).
When there is sunshine, you should use sunscreen in the morning
APPLICATION OF AUTOLOGIC ANTI-AGING CREAM with epifactor and PRP technologies
THE EPIfactor® is a biotype of the epidermal growth factor. It is a protein with the main property of activating fibroblasts. Fibroblasts produce collagen and elastin offering skin regeneration and firming. In this cream are incorporated and survive the growth factors of the patient himself that we receive with the procedure of autologous PRP mesotherapy. The growth factors of PRP further activate the skin fibroblasts and also the skin cells to produce their own endogenous hyaluronic acid which retains water and offers deep hydration to the skin.
The application of the autologous cream is recommended in the intervals of the injectable treatments in order to enhance and prolong the results of the applications of botulinum toxin., hyaluronic acid, threads and autologous PRP mesotherapy.