Medesthetics

SEP-OCT 2013

MedEsthetics magazines offers business education and in-depth coverage of the latest noninvasive cosmetic procedures for physicians and practice managers working in the medical aesthetics industry.

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The authors concluded that collagenasedigested fat grafts provide a viable treatment option for dark circles around the eyes and recommended further study. Improving Vascularization histolyticum-derived type II collagenase. They injected the fat grafts into the infradermal layer using blunt 22-gauge needles. Results of evaluations performed using photographic evidence showed improvement in 67% of patients and no change in 28%. The condition of four of the patients had worsened since preoperative findings. Bruising and edema were minimal for all. 52 SEPTEMBER/OCTOBER 2013 | MedEsthetics Hollowing is only one cause of dark circles under the eyes. Vascular pooling is another. "The capillary network of the lower eyelids can become congested for a variety of reasons," says Dr. Zdinak. "Normally, the tears drain from the eyelids into the nose, but if there is some obstruction due to chronic nasal congestion from seasonal allergies, for example, or a nasal fracture, the drainage doesn't function well, and the blood flow to the lower eyelids becomes sluggish, giving rise to the boggy blue tinge known casually as 'allergic shiners.' The lack of appropriate oxygenation to the lower eyelid skin allows the bluish cast to show through the thin skin of the eyelids. Carboxytherapy works to improve the capillary network of the lower eyelids, as well as to increase the dermal collagen layer in the lower eyelid skin. By injecting a small amount of carbon dioxide gas into the affected areas, blood flow is increased and improved capillary networks are formed for longer lasting circulatory benefit. The bluish cast is replaced with a healthy pink tone. Once a series of four to six sessions is completed, the skin has a more luminous appearance that lasts approximately six months." Dr. Zdinak designed and conducted the first study in the English literature using carboxytherapy for rejuvenating the undereye region (the fellowship study was never submitted for publication). She found that by injecting a small amount of carbon dioxide gas just beneath the skin of the lower eyelid, circulation was increased and dark undereye circles were markedly improved. The treatment takes only five minutes, and is virtually painless. Carboxytherapy is not widespread. © ISTOCKPHOTO.COM UNDEREYE SOLUTIONS

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