Periorbital rejuvenation of middle facial zone (strong fixation method)
The article contains a pathogenetic analysis of middle facial zone deformations and the factors determining their development. The analytical system described allows to perceive face as a complex system with well-defined interaction and interference between processes occurring in different zones. The authors introduces a method to repair periorbital deformations, mostly in the lacrimal sulcus area, which allows to fill up the sulcus and create a muscular bandage preventing further changes using strong fixation to the lower lateral edge of the orbit. A complex of interventions in frontal, periorbital and malar regions with transosseous fixation of the transferred tissues yields good results in relatively young female patients without indications for lifting of the entire face. If such indications exist, these manipulations can be an effective part of a complex rejuvenation plastic surgery of face and neck. Correction of the middle zone according to this method ensures good facial profile and preserves it for many years.
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Three-dimensional endoscopic rejuvenation of face and endoscopic intraoral lower blepharoplasty
The article summarizes the pathogenesis of middle facial zone aging, substantiates the method of endoscopic three-dimensional rejuvenation of face and describes the results of surgery. Intraoral endoscopic lifting of the middle facial zone has been traditionally combined with endoscopic lifting of the entire face. Isolated endoscopic lifting of the upper facial zone was performed in 21 patients and combined with endoscopic lifting of the middle facial zone in 49 patients. Simultaneous surgery in patients included the upper and lower blepharoplasty (intraoral endoscopic lower blepharoplasty), lateral lower lifting or skin lifting with ply operation SMAS, lipectomy of supra- and infraplatysmal fatty tissue with plication or resection of the anterior bellies of digastric muscles (in order to elevate the hyiod bone) and medial platysmoplasty, increasing genioplasty, lipolifting of lips and nasolabial folds, insertion of silicon implants into the chin and the body.
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I. Khrustaleva; N. Golubkov
Prevention of nasal deformations after maxillary bone reconstructive surgery
The existing surgical approaches to the treatment of patients with micro- or retrognathia based on lower osteotomy don’t avoid secondary nasal deformations after maxillary osteotomy without additional surgery. We suggest an improved maxillary osteotomy method, which provides either reduction or prevention of nasal deformation after translocation of the maxillary osteotomy fragment depending on the nasal dorsum contour. This improved method of lower maxillary osteotomy not only remains the nasal breathing unchanged, but, in some instances, improves it.
Inflammatory response after plastic surgery of face
Ye. Miroshnikova et al.
Authors assessed the effect of face surgery (face lifting), including that combined with chin liposuction and/or blepharoplasty, on free radical production by neutrophils, total number and binding activity of serum albumin. The study showed changes of the activity of myeloperoxidase as the marker of tissue inflammation within epidermis at the site of surgery. The results obtained suggested rapid development of both local and general inflammatory response to plastic surgery.
An algorithm for creation of methods to determine biological age
The article outlines the idea of biological age and its role in the solution of individual medical problems, describes the author’s methodology for creation of new methods to determine biological age according to various parameters and introduces an example of the author’s method to calculate the biological age from anthropometry results.
Estrogen metabolism in women (general concept and clinical practice). Part I
The article gives a detailed description of biochemical pathways of estrogens in women. An algorithm of consecutive procedures to reveal estrogen metabolism disorders is suggested.
The role of nutriotiology in prevention and treatment of mastopathy
Carnosine – natural protector against oxidative stress
We have analyzed the ability of carnosine – a natural complex of excitable tissues – to protect cells from oxidative stress. The article shows that carnosine improves the resistance of living systems against active oxygen forms and decreases the rate of cell death in unfavorable conditions. These effects make carnosine an excellent natural geroprotector, which can be recommended to improve quality of life and life expectancy.
Bulleten of Society of aesthetic medicine specialists