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Better to see once! The importance of real-time visual control for a cosmetologist

What gives the cosmetologist real-time visualization when working with micro-focused ultrasound? Why is it important?
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We often mark important milestones that the aesthetic medicine industry is breaking through. It happens as if imperceptibly, because during daily work we do not notice how time flies. It would seem that just a couple of years ago the technology of micro-focused ultrasound appeared, but in fact it happened more than 10 years ago! For cosmetology, this is a particularly important period – it is after 10 years of “life” in the market that we can say that the
technique can be considered truly safe, standard and approved without any “buts”. We talked with Irina Frolova, Merz certified trainer, about the personal experience of using the Ulthera System device, and about the nuances of working with the device that a doctor may encounter.

Irina Frolova
“As an introduction, I want to say the following: interest in non-invasive techniques among patients and doctors in aesthetic medicine is growing steadily. At the moment, a large number of devices appear on the market annually, including for non-invasive skin lifting. And among this variety, I would like to single out and note the technique that uses micro-focused ultrasound – Ultherapy and tell about my experience with this method. ”

Irina Frolova, cosmetologist, certified trainer in hardware cosmetology Ulthera System
Irina, tell us a little about the history of the apparatus and method. What are its features?
Microfocused ultrasound technology appeared in 2008, and in 2010 it entered the market of aesthetic medicine around the world. Since then, more than 1 million Altera therapy procedures have been done, and clinical experience and protocols are constantly being improved thanks to the work of a multinational team of doctors using the Ulthera System in their practice.

Altera therapy is a rare and unique tool of a cosmetologist. Its effectiveness is due not only to the use of micro-focused ultrasound, with which we create thermocoagulation points of a strictly specified volume at a strictly specified depth, but also to the simultaneous operation of collimated ultrasound, which allows you to see tissues at a depth of up to 8 mm in real time.

The sensors of the device allow working at three depths: 1.5 mm, 3 mm and 4.5 mm, because aging affects all dermal structures at all levels, which is why when we talk about non-invasive lifting, we mean working with all layers of the skin.

Maximum penetration depth 4.5 mm.
About 90-95% of our patients at this depth have a superficial muscular aponeurotic system or SMAS (Superficial Musculo-Aponeurotic System – an integral structure that has individual characteristics for each patient). Working at this depth allows you to reliably fix the fabric and create a solid base for working with more superficial layers. Speaking about non-invasive tissue lifting, we must understand that the impact directly on SMAS is our first target, the first level of work, from which we need to start correction.
The exposure area at a depth of 3 mm is subcutaneous fat.
In this area is the hypodermis. This is especially important for the Slavic type of person who is characterized by a deformation type of aging. Patients with this problem often have excess subcutaneous fat volumes, so working with them at the hypodermis level is mandatory! Thanks to Altera therapy, we can noninvasively (!) Reduce the volume of subcutaneous fat by an average of 25%. This effect is due to collagen coagulation, denaturation and reduction at precisely defined points of exposure.
The first thing that patients pay attention to after the procedure is that the face has lost weight, the oval of the face has tightened and fixed.
In dermal structures, using a sensor with a penetration depth of 1.5 mm, we stimulate tissue neocollagenogenesis. We also use this sensor to solve problems in patients with a fine wrinkled morphotype.
In addition, we work with separate zones for all morphotypes: in the periorbital zone or in the forehead. The technique gives an excellent effect for botulinum-resistant patients. In the perioral zone, it can be used to eliminate “purse-string” wrinkles, to reduce the skin flap of the upper lip, parotid wrinkles, in the neck and decollete. She also worked well for the treatment of acne and stria scars.
The structural unit of the method is the point of thermocoagulation.

The thermocoagulation point is a maximum of 1 mm in diameter in the SMAS region at a depth of 4.5 mm, it is heated locally to 60-70 ° C. The higher the layer in which micro-focused ultrasound operates, the smaller the diameter of the thermocoagulation point.

Important! The procedure is absolutely transparent for the doctor and the patient, it is monitored and recorded at all stages, this is also possible thanks to real-time visualization. Even to the most savvy and informed patient, if required.

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