Gentowa

Materials, as for example collagen, are used also by correction of eyes, but not always.

This way was offered to a single 28-year-old patient by a specialist. She wanted to eliminate the dark circles under her eyes. She said she looked like after making a night of it, even she has slept long enough. “And if I don´t sleep long enough, in the morning are my lids are swollen and I look like Derrick.“

She thought i tis enough to cut a little bit the lower eyelash, then to cut away a little bit of skin and then to saw it again. But it wasn´t so easy. She doesn´t have any wrinkles and it means she doesn´t have any abundant skin that could be cut away.

Her surgeon has prepared another way how to solve this problem:

Her skin is connected to a bone under the eyes by a bine. The bines may be smooth, but also strong and they fix skin to the bone. On the dividing line of the contour of bone and the hole after the eye a cut will be created. The cut creates the circles. To make these both surfaces equal it is enough to use a collagen or fat. But there is a risk, too. Skin is too thin in this place. If the fat is used – the biological material which may be changed by the time – there is a risk that an unequal relief may be created. The collagen and other materials are too expensive although the operation is short. The advantage of it is that, that you can inject some amount of collagen and if the patient is still not satisfied the process may be repeated. So i tis the operation without a scalpel.

A “sac“ under the eye may be created also by accumulated fat and a released muscle. The muscle is getting weaker year by year and the sacs are more marked. They make an impression as the hole was making bigger. It is an ilusion.

If there are wrinkles, too, it is necessary to make an combined operation. To shorten skin and to take out the fat. The cut is lead two millimetres under eyelash. By this cut you can make the way to the fat free and so it can be taken out. But this method is not used every time.

Before the operation it is necessary to estimate the given state individually. Has the patient many wrinkles? How weak is skin? Is there too much of skin?

In the case that skin is strong enough and “only“ full of wrinkles, there is another method: to use the laser, which makes skin smooth and make the collagen fibres stronger.

When the upper lid is slack, it creates the sad appearance of face and a human looks tired. Then skin, muscle and fat are taken out – in different combination and according to necessary extant.

It is provided by the local anaesthesia. The cuts are lead on the upper lids in a natural line. On the lower lid several milimetres under its border. The both ends several millimetres beyond the outer canthus. The abundant skin, muscle and fat are taken out according to necessary extant.

Stitches are removed on the fifth or sixth day after the operation.

The extension of lips by using collagen.

A 29-year-old woman – cosmetician – was operated two years ago. She had been using a pencil to make the contours of her lips voluminous. The upper lip was too thin and the permanent make-up didn´t help. The decision was made from one day to another.

Although she is afraid of injections she let her lips beeing cut and increased. During the consultation she found out that it will be enough when a cubic centimeter of collagen will be injected into the upper lip.

At first the alergy test was necessary. You can´t never say how will be the reaction of body on a foreign substance. Whether it will accept it or refuse it. So the surgeon injected her a little bit of collagen into her arm and after some time she came on the control. There was not any unwanted reaction and so she made a term with a surgeon. The operation took less than one hour. After the anaesthesia the surgeon injected her a half of “cubic“ into the left part and a half of “cubic“ into the right part of upper lip and he massaged it softly. The woman came home as a duck. The lower lip was normal, the upper lip was filled by collagen and also swollen. By the morning it became blue.

After a week these changes disappeared and the result was visible.

“I should have done it long ago“, she said everytime, as she was chceking her new lips in a mirror. The first day she used a straw when she was drinking and she could eat only slurry meal and she felt small “balls“ in the lip – Artecoll. It was impossible for her to connect the lips so that they could tighten. The collagen in the form of small balls she felt for next several months.

The woman had a small space between her upper lip and nose so this way – collagen – was the best way how to increase the upper lip. Later she let the contour of her lips beeing tattooed by a pigment color and so she was sutisfied completely.

The amount of collagen may be used again and the lips may be increased step by step. It isn´t good to inject collagen or another substance in the bigger amount at once. The lip is sensitive and it is swollen during the operation. So the patient can´t say during the intervention whether it is enough or whether she wants more collagen. Because the picture in a mirror isn´t the real picture.