Circles under the eyes – Reviews about the procedure, questions and answers on the topic Problems of the face and body from the clinic’s doctors

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Vascular surgery, phlebology

Aesthetic phlebology

Laser removal of veins on the temples and around the eyes

Noticeable veins on the temples and under the eyes (paraorbital veins) are a common aesthetic problem, which can be caused by both external factors and internal problems:

Closely spaced capillaries
Sensitive and thin skin
Circulatory disorders
Exposure to cold, heat, sun rays
Heredity

What is laser eyelid rejuvenation and why is it called thermolifting of the eyes?

"Thermo" is a root meaning temperature. Due to the high temperature, the laser beam evaporates the tissue. “Lifting” is the rejuvenation and tightening effect that laser effects have. Therefore, laser procedures are often called thermolifting.

At the dawn of the development of laser technology, continuous areas of skin were treated with a laser. This procedure gave a good renewal effect, but required more than a month to recover.

Therefore, scientists have developed devices that scatter one beam into many small fractions: from 100 to 1,000. Thus, the laser acts on the skin selectively, and areas of untouched skin remain between the microzones of laser exposure. The process goes by different names - “fractional photothermolysis”, “fractional thermolysis of the eyelids”, “laser nanoperforation of the eyelids”. These are synonyms.

How is fractional laser beam produced?

Differences between a conventional laser beam (left) and a fractional one (right).

Essentially it is a microtrauma. And according to the laws of nature, trauma triggers a whole series of restorative reactions.

the skin tends to “close” the channels and tightens.
Visually, this is manifested by a reduction in excess skin, an increase in its tone and the smoothing of wrinkles. The effect is comparable to that of surgical pinching blepharoplasty, eliminating up to 2 mm of excess skin.

The mechanism of skin lifting after fractional exposure.

stimulates neocollagenesis - the process of formation of new collagen and elastin.

Collagen is the reinforcing protein of our skin, which creates its frame.

The laser has a double effect on collagen.

On the one hand, after fractional exposure, collagen fibers are twisted into tight spirals and have an additional effect on skin contraction.

On the other hand, the laser stimulates the formation of new connective tissue.

Types of laser wrinkle correction

Manipulation can occur using different types of laser:

Carbon dioxide. This is the most powerful device that can penetrate the skin to a depth of 20 microns. During radiation, the processes of ablation (rejection of surface cells) and coagulation (folding of protein compounds) are observed. As a result of artificial damage to the skin, thickening of the skin and stimulation of regeneration, as well as collagen production, are noted.
Erbium. This laser is less powerful and has a gentle effect on rejuvenation. The radiation depth is 1 micron. It is well absorbed by moisture inside the cells, which leads to evaporation or vaporization. Thus, the moisture disappears, and the cells are rejected as a result of ablation after they die. During the procedure, the specialist has the ability to control the laser power. The correction process occurs quite quickly. In this case, adjacent areas of the skin are not affected.
Low intensity. This procedure is otherwise called N-lite. Laser is considered the safest. Its advantage is to remove superficial wrinkles and stimulate important processes occurring in the skin. The laser reduces the activity of free radicals, saturates the skin with oxygen, and stimulates intracellular metabolism. This method is optimal for removing wrinkles in the eye area.

The following types of laser correction are called:

Ablative fractional. The method is suitable for spot removal of wrinkles. It has been proven that the skin has different stages of cell growth. This is why the skin may be dry in some areas and tender in others. Spot equipment allows you to eliminate local skin defects.
Biorevitalization. Using this technique, deep folds are removed without the use of surgery. During the procedure, the effect is short-term laser pulses that burn damaged and dying cellular elements. This allows the formation of a new layer by activating collagen production.
Non-ablative. The skin is exposed to a long laser beam over the entire surface of the face. Experts note that this tactic is complex and is used exclusively for deep scars and wrinkles, and chemical damage to the skin.
Grinding. The procedure can also be carried out at home using special devices. For exposure, erbium or sapphire equipment is used. The method allows you to eliminate minor wrinkles, acne and correct the contour of the face.

Attention! After 45 years, you can also use photorejuvenation, which consists of a set of procedures.

Laser wrinkle removal can be performed in the following areas:

face: eyelids, around the lips, nasolabial triangle, between the eyebrows;
neckline: chin, neck, earlobes, chest;
body: arms, hands, forearms, thighs, buttocks, stomach.

Important! The use of a specific type of laser for wrinkle removal depends on the area of treatment and the equipment of the medical office.

CO2 rejuvenation with Eraser-C laser

The Eraser-C fractional CO2 laser delivers powerful effects due to deep penetration to a depth of 200 to 1,000 microns. Essentially this is laser skin resurfacing, but fine settings of the fractional mode allow you to act as delicately as possible and use Eraser-C for delicate and thin eyelid skin. To minimize pain, the procedure is performed under anesthesia.

CO2 rejuvenation allows

eliminate deep wrinkles, general sagging skin and crow's feet,
remove excessive pigmentation,
get rid of dark circles under the eyes,
even out skin color,
remove blood vessels – the so-called “spider veins”,
make the skin tighten,
remove bags under the eyes,
remove sagging upper eyelid,
make the tear trough less noticeable

Rehabilitation after CO2 exposure requires 7 to 10 days. The result lasts 1 - 2 years. If grinding is performed at higher parameters, the redness can last up to one and a half months. But the effect in this case is more lasting.

Guest post: laser wrinkle removal, personal experience

15.01.2012
Scary or not?

I never tire of repeating that I have the best readers in the world. Not only are they polite, reasonable and loyal, but they also help me in any way they can. So, for example, this week I received a letter from a girl, Marina, containing a detailed review of the laser wrinkle removal procedure (or DOT - Dermal Optical Thermolysis). We had already corresponded before, and I was more than pleased to receive the promised report from her. I hope it will be useful to many.

So, I give the floor to Marina:

As promised, I’m ready to talk about the results of laser wrinkle removal - DOT. I didn’t write before only because I was patiently waiting for the promised result.

I'll start in order. I was asked to remove wrinkles from my entire face or around my eyes. Since I don’t have many of them (wrinkles) yet, I decided to execute only the eye contour, because... My facial expressions are active, and there are “crow’s feet”, especially on the left. I’ll say right away that I was afraid of the procedure, after all, the skin is thin and delicate, and here is the laser... But, looking ahead, I can say that everything turned out to be not so terrible. After applying the anesthetic ointment, the pain was quite tolerable, and this despite the fact that my pain threshold is very low, almost zero. The smell of burning (Brr...) and the red light that I periodically saw through a closed eyelid was very unpleasant.

After finishing the procedure, I looked at myself in the mirror - it looked quite painful, but nothing more. I was generously smeared with Bepanthen, given a reminder on how to care for my skin, and I went home.

I began to swell almost immediately, and in the evening my eyes were difficult to see. The night passed restlessly: after all, it wasn’t exactly painful, but sensitive and unpleasant. I had to get up and apply bepanthen to the laser-treated area over and over again. In the morning there was a terrible horror. First of all, I opened my eyes with great difficulty. Secondly, when I approached the mirror, I saw in it the image of an alien from a clearly unfriendly planet - the eyes were swollen both above and below quite strongly, the skin was pink-red, the swelling was inflated... in general, “Mars is attacking.”

However, the swelling went away quite quickly; already on the second morning it was significantly less and continued to decrease throughout the day. The redness persisted mainly on the upper eyelids and in the crow's feet area. Already on the third day I allowed myself to leave the house without dark glasses, and although it was clear that something was wrong with my face, people on the street did not shy away from me screaming