Combined use of micro-focused ultrasound and autologous blood cells in correction of involutive skin changes

BACKGROUND: In the literature, there are no scientifically based studies on the use of combination therapy using radio wave lifting and autologous platelet-rich plasma for the correction of involutional changes in the skin of the lower third of the face. AIMS: To determine the effect of complex therapy of involutional changes in the skin of the lower third of the face with minimally invasive radio wave lifting using a cannula electrode and platelet-rich autoplasma using non-invasive diagnostic methods. MATERIALS AND METHODS: Examination and treatment of 55 healthy women of Slavic appearance with involutional changes in the skin of the lower third of the face were carried out. Group № 1 patients received radio wave lifting therapy (n=28) and group № 2 patients received combined therapy with radio wave lifting and autologous platelet-rich plasma (n=27). The study was conducted from January 2020 to December 2020. To assess the condition of the skin, laser Doppler flowmetry, ultrasound sonography, and elastometry were used before and after the study. Clinical manifestations were assessed by an anthropometric method. RESULTS: The most pronounced changes were observed in the group where the combined method of radio wave lifting therapy with autologous platelet-rich plasma was used. The change in microcirculation was of a multidirectional nature, however, the average values were in the range of 8.8668.89 pf units, which is the normalization of trophic processes in tissues (p 0.05). When analyzing the conduct of ultrasound sonography, statistically significant thickening of the epidermis and dermis was noted, however, in patients of the second group, the thickening was more pronounced (p 0.0005). The change in the echogenicity of the dermis was of a multidirectional nature; by the end of treatment, the mean values were in the range of 10.511.3 units, which, apparently, indicates a more homogeneous structure of the dermis (p 0.05). Anthropometric indices (measurement of ptosis of the lower cheeks) decreased in both groups, which is related to skin lifting as a result of treatment (p 0.0005). The amplitude of tissue upward mobility decreased in both groups (p 0.0005). The amplitude of downward movement of tissues after therapy was of a multidirectional nature in both groups, which is possibly associated with the density of the dermis and indicates the normalization of collagen and elastin fibers (p 0.05). Elastometry indices (F0, R4, R6, R8) decreased, R2 increased in both groups, however, the dynamics was more pronounced in the second group (p 0.0005). CONCLUSIONS: Minimally invasive radio wave lifting in combination using a channel electrode with autologous platelet-rich plasma is an effective and safe method of treating age-related changes in the skin of the lower third of the face.

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Correction of age-related skin changes on face by the method of exposure to high-frequency currents of the radio wave range and autologous platelet-rich plasma: randomized study

Teplyuk

Лебедева

2021

Russian Journal of Skin and Venereal Diseases

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New outreach of ultrasound in aesthetic medicine: a systematic review

Бондаренко

2021

Kuban. nauсh. med. vestnik

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АННОТАЦИЯВведение. Эстетическая медицина и пластическая хирургия ежегодно дополняются новыми методами коррекции возрастных изменений. Исследования ученых направлены на снижение риска развития острых ситуаций, возникающих после манипуляций по эстетическим показаниям, поиск эффективных способов их диагностики и лечения. Актуальной проблемой остается визуализация сосудистых и несосудистых осложнений контурной пластики, нитевой имплантации, рубцовых атрофий постакне, послеродовых стрий, посттравматических и послеоперационных рубцов.Цель обзора -предоставить информацию о современных методах визуализации в эстетической медицине для определения перспективных направлений развития ультразвукового исследования высокого разрешения в диагностике рубцовых атрофий.Методы. Поиск публикаций и анализ информации в электронных библиографических базах данных осуществляли на ресурсах PubMed, eLibrary, Web of science, Cyberleninca, Cochrane Library за период с 2017 по 2021 год. Использовали контент-анализ, ключевые слова и фразы: ультразвуковая диагностика кожи, диагностика в косметологии, осложнения контурной пластики, осложнения аппаратного омоложения, диагностика рубцовых атрофий, facial ultrasound, ultrasound in dermatology, complications in cosmetology.Результаты. Изучен 351 источник, в обзор вошло 57. Анализ отечественной и зарубежной литературы за последнее десятилетие показал, что преимущественно ультразвуковое исследование (УЗИ) в косметологии проводилось линейными датчиками 12, 14 МГц на поверхности сканирования. Активное применение высокочастотных датчиков в дерматологии и эстетической медицине получило развитие в последние годы. Опубликованы работы по диагностике сосудистых и несосудистых осложнений контурной пластики лица, имплантации косметологических нитей, оценке динамики возрастных изменений, контролю терапии псориаза, онихомикоза. Исследования по визуализации рубцов единичные и не раскрывают в полном объеме возможности применения УЗИ для контроля их лечения на разных этапах.Заключение. С учетом динамического развития применения ультразвукового исследования высокого разрешения в эстетической медицине перспективным направлением научного поиска является уточнение роли УЗИ в диагностике рубцовых атрофий различного происхождения, определение информативности диагностических критериев, разработка методов прогноза и мониторинга эффективности лечения.Ключевые слова: ультразвуковая диагностика кожи, диагностика в косметологии, осложнения контурной пластики, диагностика рубцовых атрофий, ультразвуковое исследование Конфликт интересов: автор заявляет об отсутствии конфликта интересов.

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Combined use of micro-focused ultrasound and autologous blood cells in correction of involutive skin changes

Cited by 2 publications

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Correction of age-related skin changes on face by the method of exposure to high-frequency currents of the radio wave range and autologous platelet-rich plasma: randomized study

Correction of age-related skin changes on face by the method of exposure to high-frequency currents of the radio wave range and autologous platelet-rich plasma: randomized study

New outreach of ultrasound in aesthetic medicine: a systematic review

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