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Page 43
allied
academies
Case Reports in Surgery and Invasive Procedures | Volume 3
March 11-12, 2019 | London, UK
Biomarkers
Plastic and Cosmetic Surgery
International Conference on
International Conference on
Joint Event
&
Notes:
Smocker line (sl): Sequential combined treatment by dermoabrasion with non-ablative electrosurgery
multifrequency and peeling with mandelic acid in only one session
Enrico Guarino
Spa, Italy
Introduction: Perioral wrinkles affect more than 90% of
women with an important impact on the self-esteem of sound
to affect the quality of life in psychological and socio-cultural
terms. The formation of the smoker line is influenced by a
series of factors such as age, genetics, sun exposure, repetitive
facial movements, the use of various depilatory treatments,
smoking; Even the lips have a much thinner layer of skin than
the skin of the face, which makes it the most venerable area
to get damaged by UV. The muscles surrounding the skin are
normal, the repeated contraction of the muscles of the Upper
lip in normal daily life, causing a loss of collagen and a slowing
down of the natural fibroblasts, with thinning of the dermis. SL
treatment is a very popular procedure for smokers or former
smokers with an average age of 50 years. With this issue
we have considered the use of a technique combined with
superficial dermabrasion, performed with a multi-frequency
electric device and subsequent peeling with mandelic acid and
lactoferrin.
Materials and methods: Patients with upper and second grade
lipwrinkles were inserted into the protocol. Patients were taken
pre-treatment and subsequent photographs with weekly check
the first month and once a month for the following six months.
The protocol consisted of two times:
Time I: After cleansing and a light scrub based on mandelic
acid, we proceeded to superficial dermabrasion using a
multifrequency electrosurgery able to create a voltaic arc, with
removal of the corneal layer.
Time II: Once the superficial corneal layer of the skin was
removed, a peeling consisting of mandelic acid was combined
with lactoferrin, in several states using pads, until a white Frost
was obtained. Once the objectivewas achieved, the peeling and
positioning of a post-peeling cream were carried out with the
patient going to his home. Patients were given home treatment
based on mandelic acid and lactoferrin.
Results: In the period from September 2017 to September
2018 we treated 25 women with an average age of 60 (Range
52/73). In the first postoperative week, patients experienced
mild spontaneous edema. In 10 cases the appearance of
hyperemia was observed, which resolved within the first thirty
days of treatment. A marked improvement was observed
in 18 cases from 70% to 90% of class I - II wrinkles (thin lines
and generalized deep lines with moderate structural changes).
A moderate improvement was observed in 7, in class II - III
wrinkleswithpercentages ranging from40%to60%. No cases of
hyperpigmentation, hypopigmentation, erythema, ecchymosis,
pain, pruritus, herpes outbreaks, infectious processes or scars
have been reported.
Conclusions: Dermabrasion controlled by a voltaic arc,
combined with peeling with mandelic acid, pyruvic acid and
lactoferrin, described in this study has proved effective for the
marked reduction of perioral wrinkles. The arc acts without
coming into contact with the tissues, creating a delicate
coagulation. In response to the lesion, fibroblasts in the
papillary dermis increase the production of pro-type I and type
III collagen, in addition to transforming the growth factor beta-
1 (TGF-b), the increase in collagen in turn thickens the dermis,
increasing the tensile strength of the skin and making it the
clinical aspect of rejuvenation. To reduce any side effects related
to the use of the venous arc and to have a homogeneous skin
regeneration without discoloration or scars, we have opted for
the use of mandelic acid able to act without inducing erythema,
accelerating the breakdown processes of the skin, preventing
the formation of dyschromia, moisturizing power and tensor
effect of the skin. To minimize the inflammatory state and
the risk of hyper chromia we decided to use, in combination
with mandelic acid, the lactoferrin that I have iron-chelating,
antimicrobial, antioxidant and anti-inflammatory properties. In
conclusion, perioral wrinkles can be treated, with a high success
rate through the combined use of superficial dermabrasion by
means of a voltaic arc and a peeling with mandelic acid and
lactoferrin.
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