The combined use of a fermentoterapiya and carboxytherapy at complications of planimetric plasticity of area of a brush in cosmetology

Abstract

Background. In recent years, cosmetology has become increasingly popular procedures for the introduction of various fillers to correct age-related changes in the hands (visualization of veins and tendons) to compensate for the amount of fat lost with age in the back of the hand. At the same time, the number of complications after contouring the hand area is also increasing, due to non-compliance with the insertion technique, ignorance of the anatomical features of the corrected area, and a number of other factors.

Aims: to study the effectiveness of a combined method that includes a course of collalizine diadinamophoresis in combination with injection carboxytherapy for the correction of complications that occurred on the back of the hand when injecting fillers based on calcium hydroxyapatite.

Methods. There were 28 women under observation, with an average age of 41.5 ± 4.6 years, with a complication after administration of a drug based on calcium hydroxyapatite on the back of the hand. Were allocated to 3 groups that received a course of carboxytherapy, the rate of diadynamophoresis collalizine and their combination.

Results. The use of a combined course of collalizine diadinamophoresis with injectable carboxytherapy provides a pronounced analgesic effect, stabilizes the psychoemotional state and gives a pronounced effect of reducing the thickness of the dermis and increasing the dermis density coefficient, especially in the early stages of observation, which is probably due to a decrease in intra-dermal edema that occurs as a reaction to a filler injected either too deeply or in large quantities. In addition, this combined technique significantly accelerates both the biodegradation of the previously introduced filler, and affects pathological fibrosis around calcium hydroxyapatite crystals.

Conclusions. The combined use of collazine diadinamophoresis and injective carboxytherapy locally on lesions with complications in the form of edema, contouring and local neuropathic manifestations that occur when injecting fillers based on calcium hydroxyapatite to the back of the hand is a highly effective method of treatment, which is confirmed by relieving clinical symptoms and improving the quality of life of patients.

Keywords

calcium hydroxyapatite, neuropathy, diadynamophoresis collalizine, injection carboxytherapy, complications of fillers

References

[1] Jakubietz RG, Jakubietz MG, Kloss DF, Gruenert JG. Defining the basic aesthetics of the hand. Aesthet Plast Surg. 2005;29(6):546-551. doi: 10.1007/s00266-005-0100-6.

[2] Jakubietz R.G., Jakubietz M.G., Kloss D.F., Gruenert J.G. Defining the basic aesthetics of the hand // Aesthet Plast Surg. 2005. Vol. 29. N 6. P. 546-551. doi: 10.1007/s00266-005-0100-6.

[3] Bains RD, Thorpe H, Southern S. Hand aging: patients’ opinions. Plast Reconstr Surg. 2006;117(7):2212-2218. doi: 10.1097/01.prs.0000218712.66333.97.

[4] Bains R.D., Thorpe H., Southern S. Hand aging: patients’ opinions // Plast Reconstr Surg. 2006. Vol. 117. N 7. P. 2212-2218. doi: 10.1097/01.prs.0000218712.66333.97.

[5] Jakubietz RG, Kloss DF, Gruenert JG, Jakubietz MG. The aging hand. A study to evaluate thechronological ageing process of the hand. Plast Reconstr Aesth Surg. 2008;61(6):681-686. doi: 10.1016/j.bjps.2007.12.028.

[6] Jakubietz R.G., Kloss D.F., Gruenert J.G., Jakubietz M.G. The aging hand. A study to evaluate thechronological ageing process of the hand // Plast Reconstr Aesth Surg. 2008. Vol. 61. N 6. P. 681-686. doi: 10.1016/j.bjps.2007.12.028.

[7] Jakubietz RG, Grunert JG, Kloss DF, et al. [Aging and the appearance of the hand. (In German)]. Hautarzt. 2009;60(3):217-220. doi: 10.1007/s00105-008-1696-7.

[8] Jakubietz R.G., Grunert J.G., Kloss D.F., et al. [Aging and the appearance of the hand. (In German)] // Hautarzt. 2009. Vol. 60. N 3. P. 217-220. doi: 10.1007/s00105-008-1696-7.

[9] Bidic M, Hataf DA, Rohrich RJ. Dorsal hand anatomy relevant to volumetric rejuvenation. Plast Reconstr Surg. 2010;126(1):163-168. doi: 10.1097/PRS.0b013e3181da86ee.

[10] Bidic M., Hataf D.A., Rohrich R.J. Dorsal hand anatomy relevant to volumetric rejuvenation // Plast Reconstr Surg. 2010. Vol. 126. N 1. P. 163-168. doi: 10.1097/PRS.0b013e3181da86ee.

[11] Man JA, Rao J, Goldman M. Double-blind, comparative study of nonanimalstabilized hyaluronic acid. Versus human collagen for tissue augmentation of the dorsal hands. Dermatol Surg. 2008;34(8):26-31. doi: 10.1111/j.1524-4725.2008.34201.x.

[12] Man J.A., Rao J., Goldman M. Double-blind, comparative study of nonanimalstabilized hyaluronic acid. Versus human collagen for tissue augmentation of the dorsal hands // Dermatol Surg. 2008. Vol. 34. N 8. P. 26-31. doi: 10.1111/j.1524-4725.2008.34201.x.

[13] Heppt M, Hartmann D, Reinholz M, et al. [Fillers and associated side effects. (In German)]. HNO. 2015;63(7):472-480. doi: 10.1007/s00106-015-0030-9.

[14] Heppt M., Hartmann D., Reinholz M., et al. [Fillers and associated side effects. (In German)] // HNO. 2015. Vol. 63. N 7. P. 472-480. doi: 10.1007/s00106-015-0030-9.

[15] Kuhne U, Imhof M. Treatment of the ageing hand with dermal fillers. J Cutan Aesteth Surg. 2012;5(3):163-169. doi: 10.4103/0974-2077.101369.

[16] Kuhne U., Imhof M. Treatment of the ageing hand with dermal fillers // J Cutan Aesteth Surg. 2012. Vol. 5. N 3. P. 163-169. doi: 10.4103/0974-2077.101369.

[17] Gubanova EI, Starovatova PA. A prospective, comparative, evaluator-blind. clinical study investigating efficacy and safety of two injection techniques with radiesse® for the correction of skin changes in aging hands. J Cutaneous Aesthet Surgery. 2015;8(3):147-152. doi: 10.4103/0974-2077.167271.

[18] Gubanova E.I., Starovatova P.A. A prospective, comparative, evaluator-blind. clinical study investigating efficacy and safety of two injection techniques with radiesse® for the correction of skin changes in aging hands // J Cutaneous Aesthet Surgery. 2015. Vol. 8. N 3. P. 147-152. doi: 10.4103/0974-2077.167271.

[19] Marmur ES, Al Quran H, de Sa Earp A, Yoo JY. A five-patient satisfaction pilot study of calcium hydroxylapatite injection for treatment of aging hands. Dermatol Surg. 2009;35(12):1978-1984. doi: 10.1111/j.1524-4725.2009.01312.x.

[20] Marmur E.S., Al Quran H., de Sa Earp A., Yoo J.Y. A five-patient satisfaction pilot study of calcium hydroxylapatite injection for treatment of aging hands // Dermatol Surg. 2009. Vol. 35. N 12. P. 1978-1984. doi: 10.1111/j.1524-4725.2009.01312.x.

[21] Edelson KL. Hand recontouring with calcium hydroxylapatite. Dermatol Ther. 2007;20:365-387.

[22] Edelson K.L. Hand recontouring with calcium hydroxylapatite // Dermatol Ther. 2007. Vol. 20. P. 365-387.

[23] Butterwick KJ. Rejuvenation of the aging hand. Dermatol Clin. 2005;23(3):515-527. doi: 10.1016/j.det.2005.04.007.

[24] Butterwick K.J. Rejuvenation of the aging hand // Dermatol Clin. 2005. Vol. 23. N 3. P. 515-527. doi: 10.1016/j.det.2005.04.007.

[25] Busso M, Applebaum D. Hand augmentation with Radiesse (calcium hydroxylapatite). Dermatol Ther. 2007;20(6):365-387. doi: 10.1111/j.1529-8019.2007.00153.x.

[26] Busso M., Applebaum D. Hand augmentation with Radiesse (calcium hydroxylapatite) // Dermatol Ther. 2007. Vol. 20. N 6. P. 365-387. doi: 10.1111/j.1529-8019.2007.00153.x.

[27] Yutskovskaya YA, Kogan EА, Leshunov E. A randomized, split-face, hystomorphologic study comparing a volumetric calcium hydroxylapatit and a hyaluronic acid-based dermal filler. J Drugs Dermatol. 2014;13(9):1047-1052.

[28] Yutskovskaya Y.A., Kogan E.А., Leshunov E. A randomized, split-face, hystomorphologic study comparing a volumetric calcium hydroxylapatit and a hyaluronic acid-based dermal filler // J Drugs Dermatol. 2014. Vol. 13. N 9. P. 1047-1052.

[29] Mogilnaya GM, Fomicheva EV, Blatt Yu.E. Morphological transformations of an implant from polylactic acid during its subdermal localization. Bulletin of new medical technologies. 2018;25(3):182-186. (In Russ).

[30] Могильная Г.М., Фомичева Е.В., Блатт Ю.Е. Морфологические преобразования импланта из полимолочной кислоты при его субдермальной локализации // Вестник новых медицинских технологий. 2018. Т. 25. № 3. С. 182-186.

[31] Paramonov BA. Collagenolytic enzymes Part 2. Application for cleansing wounds. Cosmetics and medicine. 2016;(2):38-48. (In Russ).

[32] Парамонов Б.А. Коллагенолитические ферменты Часть 2. Применение для очищения ран // Косметика и медицина. 2016. №2. С. 38-48.

[33] Talybova AP, Kruglova LS, Stenko AG. Phonophoresis of an enzyme preparation in the treatment of post-acne scars. Physiotherapy, balneology and rehabilitation. 2017;16(5):254-256. (In Russ).

[34] Талыбова А.П., Круглова Л.С., Стенько А.Г. Ультрафонофорез ферментативного препарата в лечении рубцов постакне // Физиотерапия, бальнеология и реабилитация. 2017. Т. 16. № 5. С. 254-256.

[35] Paramonov BA. Collagenolytic enzymes. Part 1. Unresolved and controversial issues of theory and practice. Cosmetics and Medicine. 2016;(1):32-41. (In Russ).

[36] Парамонов Б.А. Коллагенолитические ферменты. Часть 1. Нерешенные и спорные вопросы теории и практики // Косметика и медицина. 2016. № 1. С. 32-41.

[37] Radar. Encyclopedia of Medicines 2017. Issue 25. Ed. G.L. Vyshkovsky. Moscow: Vedanta; 2016. Р. 1288. (In Russ).Trunin EM, Kandalova IG, Nyn IV, et al. Use of Collalizine for the treatment of hypertrophic scars after thyroid surgery. Clinic. 2009;(1):120-121. (In Russ).

[38] РЛС. Энциклопедия лекарств 2017. Вып. 25 / Под ред. Г.Л. Вышковского. М.: Веданта, 2016. С. 1288.

[39] Trunin EM, Kandalova IG, Nyn IV, et al. Use of Collalizine for the treatment of hypertrophic scars after thyroid surgery. Clinic. 2009;(1):120-121. (In Russ).

[40] Трунин Е.М., Кандалова И.Г., Нынь И.В., и др. Использование Коллализина для лечения гипертрофических рубцов после операций на щитовидной железе // Поликлиника. 2009. № 1. С. 120-121.

[41] Peresadina SK, Vasin AS. Application of fermencol gel phonophoresis in the treatment of post-acne scars. Dermatology in Russia. 2017(S1):75-76. (In Russ).

[42] Пересадина С.К., Васин А.С. Применение фонофореза геля Ферменкол в лечении рубцов постакне // Дерматология в России. 2017. № S1. С. 75-76.

[43] Nuvakhova MB. Polyneuropathy: treatment and rehabilitation methods. NOVAUM.RU. 2019;(17):409-412. (In Russ).

[44] Нувахова М.Б. Полинейропатия: методы лечения и реабилитации // NOVAUM.RU. 2019. № 17. С. 409-412.

[45] Butatyan ND, Drozgovoz SM, Kononenko AB, Prokofiev AB Carboxytherapy is one of the innovative areas in balneology. Questions of balneology, physiotherapy and physiotherapy. 2018; 95(5):72-76. (In Russ).

[46] Бутатян Н.Д., Дрозговоз С.М., Кононенко А.В., Прокофьев А.Б. Карбокситерапия — одно из инновационных направлений в курортологии // Вопросы курортологии, физиотерапии и лечебной физической культуры. 2018. Т. 95. № 5. С. 72-76.

[47] Brandi C. Carboxytherapy. Practical manual with clinical indications and protocols. Officina Editoriale Oltrarno srl; 2019. 144 р.

[48] Seidel R, Moy R. Effect of carbon dioxide facial therapy on skin oxygenation. J Drugs Dermatol. 2015;14(9):976-980.

[49] Seidel R., Moy R. Effect of carbon dioxide facial therapy on skin oxygenation // J Drugs Dermatol. 2015. Vol. 14. N 9. P. 976-980.

RIGHTS & PERMISSIONS

Eco-Vector