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M. Virag Jednostavnim intervencijama do zdravlja i ljepote žene.

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Presentation on theme: "M. Virag Jednostavnim intervencijama do zdravlja i ljepote žene."— Presentation transcript:

1 M. Virag Jednostavnim intervencijama do zdravlja i ljepote žene

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3 Starenje lica

4 4 x "R" u estetskoj terapiji Relax – opustiti mišiće (da se izravnaju bore) Refill – nadomjestiti volumen Resurface – poboljšati površinu kože Redrape – ponovno pokriti, korekcija opuštenosti kože → Botox → Fileri → "peel", laser → Kirurgija

5 METODE Kirurške Injekcijske Konzervativne

6 KIRURŠKE Face lift (neck lift) Blefaroplastika Brow lift Rinoplastika Otoplastika Genioplastika

7 FACE LIFT

8 facelift = ritidektomija –rhytis = bora –ektomija = izrezivanje "izrezivanje kože za eliminaciju bora." [1] Ritidoplastika –Ne samo izrezivanje kože 1 Dorland's Illustrated Medical Dictionary facelift

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12 superficial musculoaponeurotic system (SMAS)(SMAS)

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19 BLEFAROPLASTIKA

20 “tužan” pogled (gubitak tenzija donje vjeđe) višak kože hernijacija masti ptoza

21 Spuštena vjeđa Jastučići Normalno

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32 KONZERVATIVNE METODE dermoabrazija laser resurfacing kemijski peeling

33 INJEKCIJSKE METODE

34 Injekcijske metode Refill – nadomjestiti volumen statičke bore Relax – opustiti mišiće dinamičke bore

35 Fileri Restylane Juvaderm Mast Refill – nadomjestiti volumen

36 Injectable dermal fillers on the other hand are used to treat static wrinkles- visible lines that appear even you do not intend to make an expression. Injectable dermal fillers are placed beneath the wrinkle and/or fold to 'fill in' or 'plump up' the depression. These treatments usually last for at least 6 to 8 months.

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41 Coleman SR: Facial recontouring with Lipostructure. Clinics in Plastic Surgery 24: , 1997 CRANIOFACIAL UNIT Chelsea & Westminster Hospital Henri Thuau, MD, DDS, FRCS

42 Mast (Sydney Coleman) Mast sačuvane arhitekture tkiva Dovoljno mala da prođe kroz kanilu Separacija i odbacivanje ne-živih komponenti, sačuvana mast Deponiranje masti u tkivo dobre vaskularizacije

43 Infiltration syringe Infiltration cannula Centrifuge pocket Harvest syringe Harvest cannula Red caps Syringe transfer Placement cannulae and syringes Henri Thuau, MD, DDS, FRCS

44 Infiltration Henri Thuau, MD, DDS, FRCS

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57 Preop Postop Henri Thuau, MD, DDS, FRCS

58 Injectable muscle relaxants are used to treat dynamic wrinkles- lines that appear upon making an expression. It works by relaxing the wrinkle- causing muscles that cause people to frown or squint, creating an improved appearance. Once it is relaxed, muscle contraction is not possible and making undesirable facial expression is prevented. Thus, the cosmetic injections gradually smooth wrinkles and prevent wrinkles from forming again. After injection, it usually takes 2 to 3 days for the treatment to begin taking effect and around a week to see the full effect. These effects can last from 3 to 4 months. frown lines forehead lines bunny lines on the nose crow's feet chin jawline turkey neck appearance (neck bands) sagging mouth

59 Botox is a beauty product produced from Botulin, one of the most poisonous substances known to mankind. According to scientists, 300 gm of Botulin, which is a toxin produced by the bacterium Clostridium botulinum, is enough to wipe out the whole human race. Fortunately, the vilest of human minds has not been able to come up with a method of doing this. In contrast, medical researchers have found a way of using Botox to enhance the beauty of human race. They inject small amounts of the toxin to arrest the formation of wrinkles. Most would consider the physiology behind the process morbid. But the patients don't mind injecting Botox into their facial muscles, and paralyzing them. Since Botox is a neurotoxin, it attaches itself to nerve endings, and stops them from functioning. The muscles become helpless, and paralyzed. This process may take two to three days, depending upon the dose. First, the muscle movement slows down, and then it stops altogether. The patient can now feel relieved. Since the muscles cannot move the wrinkles cannot be formed. The patient can look young and youthful for three to eight months, till the affect of Botox lasts. After that the patient needs to take a fresh dose of Botox. Of course, the doctors need to exercise great care in injecting Botox. They must locate the muscle or group of muscles that have to be paralyzed, and inject the right dose. A high dose, when delivered wrongly can cause serious problems. One of the popular uses of Botox is to remove frown lines. Many individuals don't want their looks to be marred by an excessive number of frown lines. This makes them look harsh, and cold. Botox paralyzes the muscles responsible for creating the frown lines. The result is that the frown lines vanish for the period that Botox holds its sway on muscles. The Food and Drug Administration may have approved the use of Botox for cosmetic use but it is certainly not happy at the way it is being administered. There are reports in the US of people injecting Botox at parties or before parties to look younger. Sometimes, this is done without medical guidance. The FDA has been warning people not to use Botox after consuming liquor. Fortunately, when administered properly, Botox is not known to produce any major side effects. At the most, there have been cases where patients have reported upper respiratory-tract infection, headache, neck pain, soreness at injection site and nausea. Even these get minimized when Botox is taken under proper medical supervision. Researchers would like to use Botox to treat more serious problems, like muscular spasms. In fact, the tests for Botox were initially meant to develop drugs for spasms. But they ended up in a cosmetic product. However, the researchers have not given up. Work is continuing to develop a drug that can cure problems that affect the larynx muscles or which can cure problems related to facial spasms, head and neck tremors and excessive sweating.

60 INJEKCIJSKE METODE mast (Sydney Coleman) fileri restylan Juvaderm Neurotoksini (Botulinum toxin A) Botox Dysport

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62 Nastup djelovanja 2-4 dana Trajanje 3-4 mjeseca Komplikacije 1-3%

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70 Brow Shaping/Brow Lift

71 Crow's Feet

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73 Bunny Lines

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76 Marionette Lines

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85 L'oreal Fiberceutic se reklamira kao 'Botox za kosu‘! L'Oreal Fiberceutic (Botox treatment for over processed hair)

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90 M. Virag Jednostavnim intervencijama do zdravlja i ljepote žene ivana

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92 KONZERVATIVNE METODE

93 The term rhytidectomy is synonymous with facelift. Rhytidectomy is derived from the Greek words rhytis, meaning wrinkle, and ektome, meaning excision. Dorland's Illustrated Medical Dictionary defines rhytidectomy as "excision of skin for the elimination of wrinkles." [1] Rhytidoplasty is defined in the same text as "plastic surgery for the elimination of wrinkles from the skin." [1] Interestingly, facelift is not listed in the same reference. Certainly rhytidoplasty seems a more comprehensive term since resecting the skin is not the only way wrinkles are reduced or eliminated.

94 Permanent and nonpermanent sutures, threads, ribbons and implants have also been utilized to assist in facelifting surgery. Noninvasive modalities such as ablative and nonablative skin resurfacing can enhance the outcome by improving the exterior texture of the skin and stimulating collagen growth. [2] Dermaland subdermal fillers can also be used adjunctively and, in some cases, can substitute for a rhytidectomy.

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102 Tehnike Klasična Fat transposition tehnika Lateralna suspenzija Kombinirati sa Botox i filerima

103 Tissue elevation and resuspension or support of the deeper tissue layers (ie, those beneath the skin) is essential in obtaining significant and lasting changes. chemical peels Dermabrasion Microdermabrasion Filler laser resurfacing Supplemental treatments of the more superficial aspects of the skin often are required.

104 SMAS plication technique in facelift surgery Plication is defined as: fold, process of folding, or state of being folded.

105 Peric Adela 2006_10_03 01 Milenovic.jpg

106 4 x "R" u estetskoj terapiji Relax – opustiti mišiće (da se izravnaju bore) Refill – nadomjestiti volumen Resurface – poboljšati površinu kože Redrape – ponovno pokriti, korekcija opuštenosti kože → Botox → Fileri → "peel", laser → Kirurgija

107 Embedding SWF Files in a PowerPoint* presentation You can embed a SWF file in a PowerPoint presentation by performing the following steps: 1.In PowerPoint, create a new slide. 2.Make sure the Control Toolbox is displayed (choose View|Toolbars|Control Toolbox from the application menu to turn it on/off) 3.From the Control Toolbox, select the More Controls icon. 4.Choose Shockwave Flash Object 5.Draw out a rectangle on your slide (the size can be adjusted later). 6.Right click on the rectangle you just drew and choose Properties 7.Under the Alphabetic tab, make the following changes: 1.Embed Movie: Change to TRUE 2.Loop: Change to FALSE (unless you want the movie to loop). 3.Movie: Type in the absolute path of your file (eg: C:\myfiles\mychart.swf) 4.Playing: Change to TRUE 8.Run the slideshow and go back to step 6 as necessary to make any adjustments

108 Mast (Sydney Coleman) Collection of fat large enough to preserve tissue architecture but small enough to pass through a cannula Remove all non-living components but preserve fat Deposition of intact parcels of fat surrounded by vascularised tissue

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113 L $2, L $1, L $1, L $1, mm Promjer?

114 L Sale Price $1, L Sale Price $1, mm $1, L sličan € 1, USD 1, kuna Zagreb L

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116 FACE LIFT Skoog 1970, skin Mitz i Peronie, 1976, SMAS Baker 1990, short scar Ramirez 1992, endoskopski Tonard 2004, MACS

117 Tipovi face lifta kutani smas plikacija subsmas duboki subperiostalni skeletni

118 METODE Kirurške Injekcijske Konzervativne


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