Combination of fractional photothermolysis with injection techniques

When solving various aesthetic problems in cosmetology, one way or another, a combination of hardware methods with injection methods is used: biorevitalization, botulinum therapy, plasma lifting.

It is important to follow the correct sequence of manipulations, determined by the possibility of achieving the desired results, the principle of action and the duration of the effect of the methods and drugs used. And of course, always remember the main principle of a cosmetologist: “do no harm.”

If the sequence and technique are followed, the combination of fractional thermolysis with injection methods can enhance the effect or speed up the results.

What is Botox?

This is a drug based on botulinum toxin type A, which is injected into the facial muscles to weaken facial expressions and smooth out wrinkles. The active substance blocks nerve impulses to facial muscles, as a result, wrinkles become less noticeable.

Botox is injected only into the upper part of the face, because small expression wrinkles are concentrated there, which this drug works well with. Does not eliminate deep nasolabial folds.

Botox components are quickly eliminated from the body, but the effect lasts longer than six months with proper facial care.

Injections with botulinum toxin can be given from the age of 18, if it is really necessary. In most cases, cosmetologists advise young girls to use gentler techniques.

Characteristics of procedures

Although both of these procedures have the same goal - facial rejuvenation, their principles of action are fundamentally different.

Botox therapy

Botulinum toxin is the main component of the injection. The action is to block nerve impulses to the muscle, causing the muscle to relax and wrinkles to smooth out.

Most often, botulinum toxin is used as an injection into the facial muscles to eliminate wrinkles on the forehead, around the eyes, and on the bridge of the nose. Expression wrinkles around the mouth are rarely injected, since the muscles in this area are located close to each other and the risk of error is very high (read about Lip Botox, results and side effects of the procedure here).

Deep wrinkles that do not have a facial character cannot be completely smoothed out with Botox. However, such injections are a good prevention of the appearance of new facial wrinkles. The result after the procedure will be finalized in two to three weeks. We talked about how long the effect of Botox on the face lasts and when it is necessary to prolong the effect in a separate article.

Botulinum toxin does not linger in body tissues. The drug, having an effect on the muscles, is eliminated from the body within 1-2 hours.

Women believe that Botox injections are only suitable for women over 45 years old . However, cosmetologists claim that botulinum toxin injections are available for use from the age of 18, if necessary.

We invite you to watch a video about what botulinum toxin injections are:

Are you interested in this procedure? Read our other articles about Botox for eyebrows, for lips, as well as about botulinum toxin injections into the nasolabial folds, neck and armpits.

Biorevitalization injections

Biorevitalization is a procedure aimed at giving the skin its former elasticity and firmness, improving complexion, and slowing down aging. Biorevitalization is a subcutaneous injection of hyaluronic acid. Hyaluronic acid is a hydrophilic substance that attracts liquid and retains it. This way, the skin cells are filled with moisture not from the outside, but from the inside.

There are two types of biorevitalization - laser and injection:

• During the injection procedure, the required amount of hyaluronic acid is injected into problem areas on the patient’s face.
  The first effect in the form of smoothing wrinkles and moisturizing the skin is noticeable immediately.
• During the laser procedure, a composition containing hyaluronic acid is applied to the client's skin. The components of the drug change the structure under the influence of the laser and penetrate into the deep layers of the skin through the pores. The effect occurs gradually over 1-2 weeks.

Cosmetologists do not recommend performing biorevitalization procedures for women under 30 years of age.

We invite you to watch a video about what biorevitalization is:

What is biorevitalization?

Point injection under the skin of a preparation based on hyaluronic acid. The active substance retains moisture in the skin, resulting in fewer wrinkles and returning smoothness and elasticity. Injections activate the production of hyaluronic acid in the body, so the biorevitalization effect appears not only due to the injected drug. The active production of collagen and elastin is launched, and subsequently the fibers fill the creases in the skin.

Biorevitalization helps get rid of puffiness, smooth out wrinkles, and eliminate age spots. Thanks to the action of hyaluronic acid, the skin becomes more elastic and acquires a healthy color.

For the best result, cosmetologists advise taking a course of biorevitalization, rather than a single procedure. Usually 3-4 sessions are enough. The effect of the drug is noticeable on average a week after the first procedure - this happens individually for each patient. In older people, the effect is especially pronounced.

You can start a course of biorevitalization at 27-30 years old and at an earlier age if the skin is severely dehydrated. After 50 years, the effectiveness of biorevitalization noticeably decreases, so the duration of courses is increased from 3-4 to 5-10 sessions.

What to do first?

For effective anti-aging therapy, experts advise using a set of procedures, but they must be performed in strict accordance with the plan. Cosmetologists advise to carry out the biorevitalization procedure first , then use botulinum toxin injections.
It is advisable that both procedures are carried out by the same specialist, who clearly knows the names and properties of the drugs injected into the skin. This way you can avoid unpredictable side effects.

Combination of Botox and biorevitalization

Cosmetologists believe that Botox injections and biorevitalization can be performed. The synergy of methods will hide pronounced age-related changes.

It is important to follow the order - first botulinum toxin injections are carried out, and after 2-3 months hyaluronic acid is injected. Another sequence of procedures is possible - this is decided by the cosmetologist. When the doctor and patient agree to perform biorevitalization first, the waiting period between procedures is reduced. After 3-4 weeks, you can finish the course with Botox injections.

Most of these contraindications are associated with the use of botulinum toxin in anti-aging procedures.

Comparison of action and other parameters

Anti-aging procedures have the same goal, but act differently.

What happens if you inject two drugs on the same day?

A pause is needed between sessions. If Botox injections and biorevitalization are carried out on the same day or with a short interval, then not only is the desired result not achieved, but complications almost always appear.

The most common is swelling. Botox slows down the metabolism, it does not allow hyaluronic acid to spread throughout the tissues and attract moisture when using two products simultaneously.

Another possible problem is an allergic reaction. Botulinum toxin injections reduce immunity. If soon after botulinum therapy a drug based on hyaluronic acid enters the body, allergic manifestations may begin.

The acceleration of metabolism, which occurs due to the action of hyaluronic acid, leads to a faster removal of botulinum toxin from the body.

Botox and hyaluronic acid neutralize each other's effect. The procedures are successfully combined and enhance each other’s effect when there is a long pause between them.

Rejuvenation and lifestyle3>

General recommendations after Botox and biorevitalization injections:

• do not visit baths, saunas, swimming pools, gyms;
• avoid going to the solarium and do not go out into the active sun;
• eliminate physical activity, especially tilting your head down;
• do not drink alcohol;
• take warm or cool showers;
• give up cosmetics for 2-3 days.

After injection biorevitalization, granulomas appear under the skin - small papules. Cosmetologists strictly prohibit squeezing them out. You can accidentally get an infection inside. Granulomas resolve on their own a few days after the session.

Do not apply mechanical force to the face in the first week after the procedure; such actions can lead to uneven distribution of drugs in the soft tissues. The most dangerous side effect is facial asymmetry, which cannot be corrected. Additional injections will make the situation worse.

Adjust your diet. Avoid foods that retain water in the body - dishes with a lot of salt and spices.

Follow all recommendations of the cosmetologist.

Fractional thermolysis and plasma lifting

Plasmolifting is successfully combined with fractional thermolysis both in laser rejuvenation procedures and in the treatment of acne and post-acne scars.

Plasmolifting is a subcutaneous injection of your own blood plasma. The names plasma therapy and prp therapy are also used.

The combined effect of plasma lifting with laser fractional rejuvenation is due to the fact that when exposed to laser, the dermal tissues are heated, and the plasma is activated when heated.

Prp therapy and fractional thermolysis procedures can be carried out in one step, provided that the doctor observes a number of precautions.

Thus, in some cases, the papular technique of introducing plasma (close to the surface of the skin) is unacceptable, since the laser affects the moisture evenly contained in the tissues and in the presence of subcutaneous papules with just injected plasma, a burn can occur. Therefore, if thermolifting is planned immediately after plasma therapy, then plasma injections are administered with such peculiar “bumps” - closer to the muscle, further than the depth of penetration of the laser beam.

With fractional neodymium (Nd) laser rejuvenation, small amounts of plasma may be injected before the procedure. Neodymium penetrates deeply, the plasma warms up. The feeling after such a procedure is like after tanning in a solarium: your face immediately acquires a healthy glow, after about 4 hours you feel a pleasant warmth in your face, and a lifting effect appears. Moreover, the procedure itself lasts only a few minutes.

When treating post-acne scars, you can inject plasma under the scars, then perform laser rejuvenation. Plasma is a powerful activator, contains many microelements and also enhances the immune system, the recovery process is more intense, scars are smoothed out faster.

If you have any questions or make an appointment with a cosmetologist, please call:

+7 (495) 255−50−11.

What to expect

Injections with botulinum toxin A have a finite period of validity, a maximum of six months. After this period, the procedure must be repeated. The main goal of mesotherapy is to stimulate the functioning of skin cells.

Mesotherapy is designed to stimulate skin cells to actively renew themselves. Therefore, the result after such a procedure is quite long-lasting. Within six months from the moment of the first injection, elastin and collagen are produced, which gives a positive effect.

Thanks to this, the appearance and internal condition of the skin improves so much that the rejuvenating effect becomes visible to the naked eye. The effectiveness of the course of injections lasts for a year, and if you properly care for your skin, then even further.

How does Dysport work: what can and cannot be done before and after injections?

Contents of the publication:

1. How does Dysport work?
   Where can I inject Dysport?
2. What should you not do before the procedure?
3. When does the effect of Dysport injections occur?
4. Indications
5. Contraindications
6. How is the injection procedure performed?
7. How should you behave after the introduction of Dysport?

• Can I drink alcohol after Dysport?

• How is Dysport different from Botox?
• Is it possible to get beauty injections in the summer?

Injection cosmetology has pushed plastic surgery into the background. So, in order to prolong youth and allow the skin to remain just as fresh, healthy, without wrinkles, just a few beauty injections are enough, for example, Dysport injections.

This is a drug based on botulinum toxin. It is used to eliminate facial wrinkles, as well as for hyperhidrosis - increased sweating of the armpits, arms, and legs.

How does Dysport work?

The drug blocks the motor impulse from nerves to muscles. As a result, those muscles that contribute to the appearance of facial wrinkles are compressed. Don’t worry that after the injection your whole face will become motionless: the procedure involves local injection of Dysport, so everything will be fine with facial expressions.

• Where can you inject Dysport:

• around eyes;
• forehead;
• nose bridge area;
• armpits (with hyperhidrosis).

• What should you not do before the procedure?

1. You should not take antibiotics 10 days before the procedure.
2. For 2-3 days you need to bend over as little as possible. Any physical activity will lead to increased stimulation of blood flow to the face. And, if the day before you did sports or cleaning, and then went for Dysport, the drug may be distributed unevenly.
3. For 2 nights it is better to sleep on a high pillow.
4. For 3 days you should give up alcohol, coffee and smoking. They also affect blood microcirculation, so it’s better not to take risks. Otherwise, the drug, as with physical activity, may be distributed unevenly.

When does the effect of Dysport injections occur?

You will notice the first effect 2-5 days after the procedure. And the final one is only after 12-14 days.

Indications

Dysport injections can be given to those who:

• there are wrinkles and creases in the forehead;
• folds on the bridge of the nose and between the eyebrows;
• wrinkles in the corners of the eyes;
• facial wrinkles;
• any imperfections in the décolleté area;
• asymmetry of eyebrows and cheekbones is observed;
• hyperhidrosis.

Contraindications

They are divided into relative and absolute.

The first include:

• pregnancy and breastfeeding;
• chronic diseases in the acute stage;
• the affected area of ​​the skin where the drug must be injected.

In the list of absolute contraindications:

• individual intolerance to the components of the drug;
• pathologies of the cardiovascular system;
• respiratory failure;
• autoimmune neuromuscular diseases;
• problems with swallowing function;
• diseases of the endocrine system.

How is the injection procedure performed?

Before starting the procedure, you should consult your doctor to find out if you have any health-related contraindications.

The whole procedure is divided into the following stages:

The cosmetologist marks places on the skin for further administration of Dysport. Disinfects the patient's skin.

The administration is carried out using a thin needle and only with a pre-calculated dosage.

IMPORTANT! How many dysport units are needed for different zones:

• horizontal forehead folds: 40-60 units;
• eyebrow fold: 40-80 units;
• "crow's feet": up to 40 units;
• lifting the corners of the mouth: up to 30 units;
• upper lip wrinkles: up to 20 units;

The procedure does not require anesthesia; specialists only use a cold compress.

At the end, this compress is removed, and the patient can go home.

1 session takes from 30 to 60 minutes. Repeated injections can be done no earlier than after 3-4 months.

How should you behave after the introduction of Dysport?

The doctor will announce all recommendations immediately after the procedure.

Here are some of them:

1. It is important to be in an upright position for 3-4 hours.
2. IT IS PROHIBITED to massage or touch the area where the drug was injected.
3. The injection site can be cooled with ice for 15-20 minutes.
4. Move the muscles in the area where the drug was injected immediately after the procedure for 30 minutes.
5. Do not visit baths and saunas for 2 weeks.

• Can I drink alcohol after Dysport?

No, this is prohibited for 2 weeks. The fact is that any alcoholic drink “turns off” the effect of the drug, so if you perform the procedure and then decide to drink, you can assume that everything was in vain.

How is Dysport different from Botox?

Both drugs contain botulinum toxin; it turns out that Dysport and Botox are identical, but there are still differences.

The manufacturer of Botox is America, and Dysport is made in France.

Dysport has a smaller molecular weight than Botox.

Each drug contains a different concentration of botulinum toxin. For example, there is 2.5 times less of it in Dysport than in Botox. Again, Botox is more expensive than Dysport, but less of the former is needed to carry out a particular procedure.

When should you start getting beauty injections?

It all depends on age, and everyone has their own characteristics.

I would divide it into 3 categories:

• 20-25 years. At this age, the skin does not need injections, but only high-quality cleansing and moisturizing. There may be problems with acne, but in order to get rid of them, there are different solutions, but not injections.
• 25-30 years old. You can now begin to prevent aging, which is always associated with a lack of hyaluronic acid. With age, the skin becomes less elastic, the oval of the face may even “swim”, and the level of elasticity decreases. Therefore, injection cosmetology will come to the rescue.
• 35+ years. Skin tone decreases and the skin gradually loses elasticity. More and more wrinkles appear at the corners of the eyes. And you can fill them with Dysport or Botox.
• Is it possible to get beauty injections in the summer?

Many people think that it is not, but in fact it is possible. In the summer, injections with botulinum toxin help prevent squinting from the bright sun, which usually causes wrinkles to appear in different areas of the face.

By the way, if you get beauty injections at the beginning of summer, you can forget about excessive sweating throughout the hot season and feel comfortable.

Have you decided to resort to injection cosmetology? Sign up for botulinum toxin injections at IdealMed by calling +375 (17) 395-55-77, +375 (29) 144-22-22, +375 (29) 88-88-195.

Indications

Women sometimes want to get rid of problems that don't exist. Therefore, only a doctor can determine whether there is a need for injection procedures.

Botox is used in cases of the formation of facial wrinkles (and the woman’s age does not matter) or increased sweating.

There is a misconception in society that Botox is used to enlarge lips or change the shape of the face. Botox can only temporarily affect the muscles; it has no effect on the body as a whole.

But mesotherapy solves a number of problems. After all, the cocktail that is administered during this procedure can have a very different composition. As a rule, with its help they get rid of excessive dry skin, cellulite, wrinkles and even change facial features to one degree or another.

Is it possible to perform both procedures on the same day?

The drugs affect different tissues, but this does not mean that they can be used simultaneously. Experts do not recommend combining these procedures and performing them on the same day .

What will be the consequences if carried out simultaneously?

Any injections cause a reaction in the body in the form of swelling, and carrying out two procedures at the same time increases the risk of severe and prolonged swelling of the face.

Botulinum toxin immobilizes the muscle and slows down metabolic processes, while the action of hyaluronic acid is aimed at uniform distribution under the skin and “attracting” a large amount of moisture. So Botox literally negates the effect of biorevitalization.

How long after some injections are others allowed?

Botulinum therapy is carried out 3-4 weeks after the end of the course of hyaluronic acid injections .
By this time, the filler will be evenly distributed under the skin and will have maximum effect. The interval between procedures is determined by a specialist. It depends on the composition of the drugs and the individual characteristics of the patient.

Biorevitalization - description of the technique, effect, contraindications

Biorevitalization is a minimally invasive innovative cosmetic procedure that helps rejuvenate the skin and improve its structure at deep levels. Biorevitalization is carried out by introducing preparations based on hyaluronic acid into the layers of the epidermis. This acid, completely safe for the body, is a hydrophilic substance. It attracts and retains moisture. Thanks to the introduction of hyaluronic acid, “direct delivery” of liquid occurs to the deep-lying cells of the dermis, they receive additional hydration and nutrition.

After biorevitalization, processes are launched that contribute to the natural regeneration of the skin, increased production of collagen, as well as its own natural hyaluronic acid. Collagen synthesized in increased quantities helps restore the aesthetic characteristics of the skin - it becomes smoother, more elastic and hydrated. Biorevitalization can be chosen to restore the skin not only on the face, but on other areas of the body that need a hydro reserve. This makes the procedure universal, unlike Botox injections, the scope of which is very limited.

Indications for choosing biorevitalization of the skin:

1. External signs of aging and fading of the skin are enlarged pores, decreased elasticity, dryness, signs of photoaging, and the appearance of age-related wrinkles. As well as the appearance of pigment spots and blurred facial contours.
2. Aesthetic flaws, the occurrence of which is not associated with the aging process of the skin - stretch marks, slight asymmetry of facial features, scars and scars, the effects of acne, stressed skin, unhealthy skin tone.

Birevitalization can be laser or injection. Sometimes the drug is introduced into the skin using the techniques of iontophoresis, magnetophoresis, cryogenic therapy, and ultraphonophoresis. The methods differ in the method of introducing hyaluronic acid into the skin tissue:

1. Traditional injection biorevitalization - the drug is injected into the epidermis using a needle. The method should be chosen by girls who are comfortable with injections.
2. Modern non-injection biorevitalization - the skin is treated, for example, with a laser, after which it becomes receptive to the action of a drug based on hyaluronic acid, which is applied to the skin.

There is also a type of biorevitalization, so to speak its improved version - bioreparation. This is a non-surgical rejuvenation technique that involves introducing hyaluronic acid-based preparations into the skin. Only such products additionally contain vitamins, amino acids, peptides and other biologically active substances that contribute to more effective regeneration of the skin. Choosing a bioreparation technique is recommended for people who want to get the most pronounced rejuvenating effect.

Stages of biorevitalization:

1. If you choose injection biorevitalization, it is carried out in the following sequence:
2. Consultation, examination, determination of the scope of work.
3. Treating the skin with an antiseptic drug.
4. Applying a local anesthetic.
5. Injections of biosynthesized hyaluronic acid.
6. Application of an antiseptic, regenerative drug with a skin soothing effect.

If you choose laser biorevitalization, it is carried out in the following sequence:

1. The specialist conducts a consultation, during which the skin is examined. The cosmetologist determines those problem areas where treatment is required.
2. The equipment is configured - the specialist sets the depth of exposure and other parameters of the laser operation.
3. Applying anesthetic ointment.
4. Laser treatment of the skin.
5. Application of a preparation based on hyaluronic acid to the skin.

Cosmetologists told reporters that both methods are almost equally effective. As soon as the recovery period ends, the condition of the skin changes significantly. The skin not only looks good, its condition improves. Youth, freshness and fit, improved relief and color of the facial epidermis are the natural effect of biorevitalization and stimulation of collagen synthesis.

Contraindications to biorevitalization are severe chronic or acute somatic/psychological diseases, the period of pregnancy and breastfeeding. Biorevitalization is also not carried out if any minimally invasive cosmetic procedures have been performed over the past two weeks before it.

Advantages

• The area of ​​influence can be any - where the elasticity and other qualitative characteristics of the horse's coat are reduced, you can resort to biorevitalization.
• The positive effect is noticeable immediately after minor swelling goes away, that is, after 2-3 days.
• The results of therapy last for up to 9 months.
• Biorevitalization is also chosen because it combines well with other cosmetological rejuvenation techniques, such as thread lifting, botulinum therapy, laser, chemical, and mechanical peeling. However, it must be taken into account that the procedures are carried out sequentially - one after another, with a break of 4-6 weeks, and not simultaneously.
• People who cannot tolerate injections and cannot inject Botox or hyaluronic acid can sign up for a laser biorevitalization procedure.
• Wider spectrum of action than botulinum toxin-based drugs. Not only wrinkles, sagging skin and blurred facial contours are eliminated, but also other aesthetic defects.

Flaws

• The needle used to inject hyaluronic acid is very thin, but the drug is injected into the deep layers of the epidermis. Therefore, after the session, the cosmetologist will have a slight swelling of the tissues for 1-3 days.
• In order to achieve the desired effect, 3-4 biorevitalization procedures may be necessary.
• Birevitalization, like botulinum therapy, cannot be combined with procedures that enhance lymphatic drainage. These include massage, laser lifting, microcurrent therapy.

Conclusion - who is suitable for biorevitalization

Biorevitalization is usually not performed on girls under the age of 35. In younger women, collagen is produced in sufficient quantities to ensure that the skin has normal firmness and elasticity. Small facial wrinkles that appear before the age of 25-35 are eliminated with mesotherapy or Botox injections.