FIELD: cosmetology.
SUBSTANCE: invention relates to the field of cosmetology, dermatology and plastic surgery. A safe puncture point for the cannula guide needle is chosen. Zones with a shortage of soft tissue volume in the area of exposure are marked, in the direction of these zones, the marking of the intended vectors of the passage of the cannula, diverging in the form of rays from a safe puncture point, is applied. In one procedure, a complete correction of all involutional changes is carried out, namely, both the lacrimal and palpebromal grooves are corrected, with additional correction of the middle third of the face. At the same time, the volume deficit in the upper buccal region is assessed in the projection of the articulation of the zygomatic and maxillary bone, relative to the skin-zygomatic ligament, and a single safe and anatomically justified cannula puncture point for working with all these structures is determined taking into account the individual characteristics of the patient’s soft tissue structure, namely, the intersection of two lines is found: a line drawn through the lacrimal groove of the patient, and a line drawn through the outer edge of the iris. The marking of the cannula direction vectors from a single safe puncture point is applied: to the lacrimal groove, to the palpebromal groove, to the medial part of the deep suborbital fat pack SOOF and to the deep medial fat pack of the cheek DMC. Preparations based on hyaluronic acid are chosen based on their rheological properties: modulus of elasticity G', rigidity, hygroscopicity, as a result, when correcting the lacrimal and palpebromal sulcus, Teosyal Puresense Redensity 2 is used, having minimal hygroscopicity, modulus of elasticity G' is 69 Pa, minimal rigidity, degree of hyaluronic acid reticulation MoD is 4.6. When correcting medial SOOF, the drug Teosyal RHA4, which has a maximum modulus of elasticity G', 263.3 Pa, minimal rigidity, degree of hyaluronic acid reticulation MoD 4.0 is used. And when correcting DMC, the drug Teosyal Puresense Ultra Deep is used, which has a maximum modulus of elasticity G', 262 Pa, and maximum rigidity, the degree of hyaluronic acid reticulation MoD is 8.9.
EFFECT: method provides correction of the infraorbital area due to a differentiated approach to the selection of drugs, preserving the naturalness of the results obtained.
1 cl, 1 ex, 5 dwg
