摘要

Objectives: Fuzzy facial contours during aging are an aesthetic problem in men and women. The aesthetic appeal of the face is made up of the quality of the skin, the strength of the ligaments, which ensure the correct oval and the ability of the skin to resist deformations. With age, face ligaments are loosened, as a result, the tissues undergo gravitational ptosis and rush down. Therefore, working with the ligaments in restoring the correct face oval is primary. The second step is to "fill" the dermal matrix with mechanical strength, which collagen can provide. Introduction: The aim of the work was to compare the results of using mono therapy with injectable collagen and the complex effects of collagen and threads. For comparison, we took groups of patients with approximately the same manifestations of aging according to Glogau (2 - 3), one of whom received a mono course of injectable collagen to improve the oval of the face, and the other - a combination of a course of injectable collagen and the introduction of lifting threads Materials / method: Both groups of patients received Injectable collagen at a dose of 70 mg of lyophilized hydrolyzate of type 1 collagen diluted in 5 ml of 0/9% NaCl solution. Injections were made intradermally and at the sites of projection of the main ligaments of the face. The course consisted of 3 procedures with an interval of 2 weeks. After a course of injected collagen, the second group of patients underwent the introduction of lifting threads in order to move the ptosis tissues and fix them in the ligaments and rapper zones. The result was assessed 4 weeks after the end of all procedures using the GAIS. Results: When comparing the results, patients receiving the combined use of injectable collagen and threads showed the best results in restoring facial contours, improving the quality of the skin and its mechanical properties (GAIS 2 - 3). Patients who received collagen injectable mono therapy showed an improvement in skin quality and mechanical properties, but at the same time they were outperformed by patients in the combination therapy group (GAIS 1). Conclusion: The combined use of injectable collagen and suture insertion is a minimally invasive protocol that significantly improves the clarity of the facial contour and the overall aesthetic appearance of the skin.