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neck rejuvenation

Dr. Elena SANCHES
by

Vera Georgievna

on 3 February 2016

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Transcript of neck rejuvenation

COMBINED METHODS OF NECK
REJUVENATION AND TREATMENT OF POTENTIAL COMPLICATIONS
The time is not an indicator of age...
Russian Academy of Sciences
Dr. Elena SANCHES, MD, Ph.D., and
Dr. Olga PANOVA, MD, Ph.D
2015 год
Assessment Criteria

of Facial Soft tissue
for Age-related Changes

how can you help your skin stay young and healthy
Intensity of dynamic
and static wrinkles

Skin texture changes
Ptosis and skin excess
Age-related pigmented
skin lesions
Correction of age-related changes
before
2 months after
Neck is an anatomic zone
especially vulnerable to internal aging
Anatomy of this area
requires careful treatment
of age-related changes

Neck region
BtA+HA+threads
before
3 months after
Neck region BtA
before
3 months after
49 year old patient
Neck region BtA+HA
COMBINED METHODSFOR
REJUVENATION OF THE NECK
Botulinum
Bio-revitalization
Lipolysis
Lifting
Filler
Toxin Type A
Platysma
Platysma (Greek: platys - plain) – term was coined by ancient Roman doctor and scientist Claudius Galen (Galenus Claudius, c.130 AD – c.200 AD)
CAUSES OF VERTICAL PLATYSMAL “BANDS”
With aging of subcutaneous neck muscle, platysma tone is getting lower and becomes hypertrophic, which causes appearance of vertical skin bands
Botulinum Toxin A

Platysma
Symmetry
Number of bands
Platysmal band length
Muscle and subcutaneous
fat thickness
Platysma
40-60 units
Dilution of 2,0 ml-0,9%
physiological solution
Subcutaneous injection
2 units per each point В
6-12 points
Peculiarities:
Subcutaneous injection
BTA PLATYSMA CORRECTION
before
3 months after
NECK LIFT
BtA injection (facial contours)
Skinbooster injection
Thread lifting
Horizontal neck lines correction by fillers
Contour plastic surgery of lower jaw area,
parotid and postaural areas
Hyaluronic acid correction regions
mandibular
Hyaluronic acid - mandibular area
before
3 months after
3 months after
before
46y.o.
COMPLICATIONS AND ADVERSE EFFECTS
BtA

Head fixation problems

Fillers

Overcorrection
Granulomas

Peels

Hypo- and hyperpigmentation
Cicatrical changes
Thread Lifting

Thread contouring

ATROPHIC SCARSHypo- and Hyperpigmentation
Recommended therapy: fractional non-ablative laser (4-5 sessions 1 month apart);

Combination of topical bleaching agents + Retin A cream

ATROPHIC SCARS
Post СО2 laser
Pre-treatment
12 months post treatment
Recommended therapy:
fractional non-ablative Erbium laser (5 sessions 1 month apart)
Permanent filler (granuloma)
4 month following filler injection
1 month following granuloma excision
6 months following granuloma excision
Cicatricial changes after granuloma excision
PDO threads visualization

Prior to treatment
1 month following treatment
ВВL Therapy 800-1000 nm (5 sessions, 5-7 days apart
)
Dr. Elena Sanches
7739050@ mail.ru

THANK YOU
FOR YOUR ATTENTION!
Neck lift
parotid
NECK
Full transcript