Email this article Combined use of fractional co2 laser and collagenase diadynamophoresis in correction of contour plastic surgery complications
- Authors: Gerasimenko M.Y.1, Alekseenko I.P.2
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Affiliations:
- Russian Medical Academy of Continuous Professional Education
- Aesthetic Medicine Clinic
- Issue: Vol 17, No 5 (2018)
- Pages: 246-251
- Section: Original studies
- URL: https://journals.rcsi.science/1681-3456/article/view/41796
- DOI: https://doi.org/10.17816/1681-3456-2018-17-5-246-251
- ID: 41796
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Abstract
Background. One of the most frequent complications of aesthetic correction methods is the problem of contouring, visualization, or local tightening of the skin at the sites of administration of the agent based on calcium hydroxyapatite, which occurs in violation of the injection technique.
Aim: to study the efficiency of the combined method including a course of diadynamophoresis of collagenase 1000 KE (collagenase units) and a fractional CO2 laser procedure in correction of a surface-injected preparation in late terms.
Methods. Clinical and instrumental examination of 24 women (average age 38.2 ± 3.5 years) was conducted. All patients complained of complications after the contour plastic surgery procedure using a preparation based on calcium hydroxyapatite, in the form of contouring of the preparation and superficial skin tightening on the face at the filler injection site.
Results. When comparing the control, main and reference groups, it was revealed that the combined use of collalysin diadynamophoresis and fractional CO2 laser at low parameters improves significantly the quality of life in terms of the adapted dermatological index. Clinical improvement was registered in all groups, but it was most significant in the main one, which correlated with the data of ultrasound examination with a 33 MHz sensor. In the main group, faster biodegradation was noted, and the volume of the surface-injected filler decreased 2.5 times after 1 month and 6 times after 2 months.
Conclusion. The combined use of collalysin diadynamophoresis and a fractional CO2 laser is an effective complex for the correction of complications after contour plastic surgery of fillers based on calcium hydroxyapatite.
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##article.viewOnOriginalSite##About the authors
Marina Yu. Gerasimenko
Russian Medical Academy of Continuous Professional Education
Author for correspondence.
Email: i.aksenenko@yandex.ru
ORCID iD: 0000-0002-1741-7246
SPIN-code: 7625-6452
MD, PhD, Professor
Russian Federation, MoscowIrina P. Alekseenko
Aesthetic Medicine Clinic
Email: mgerasimenko@list.ru
ORCID iD: 0000-0003-3602-594X
SPIN-code: 8172-4573
Russian Federation, Moscow
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