RETROSPECTIVE ANALYSIS OF COSMETIC CORRECTION OF FEMALE AGEING IN THE LOWER THIRD OF THE FACE AND NECK

Background. The search for effective and safe protocols for anti-aging correction of the lower face and neck using injection and high-tech hardware methods is a current trend in aesthetic medicine. Purpose. To evaluate the effectiveness of protocols of the main anti-aging protocols of the lower face and neck in women, considering satisfaction with the result, age and morphotype of aging. Materials and methods. A retrospective analysis of outpatient records and a survey of 504 patients aged 35-64 years (mean age 49.9±8.43), of cosmetology, who underwent complex anti-aging therapy using the following basic methods: first microsfocused ultrasound with visualization (Ulthera System, MFU-V), then injections of neuroproteins and fillers HA, collagen stimulators for tightening the lower face and neck, wrinkles and folds correction. The effectiveness was assessed in two age groups of 35–49 and 50–64 years, in women of deformed and tired morphotypes, with an analysis of protocols (zones, doses, volumes) in real clinical practice. The effectiveness of MFU-V and botulinum toxine A (BTA) was assessed using the GAIS (Global Aesthetic Improvement Scale) and the Likert scale for satisfaction with the results of complex treatment. Results. An analysis of the complex treatment with MFU-V, neuroproteins and fillers showed high satisfaction in 97% of patients with the results of correction of the lower face and neck. The effectiveness of MFU-V and BTA was highly rated by patients after both procedures (GAIS 2.68±0.45 and 2.84±0.32 points), with the exception of patients with a deformed morphotype aged 50 years and older. A higher percentage of satisfaction with complex therapy was noted in women aged 35–49 with a tired morphotype. In patients aged 50-64 years with a deformed morphotype, specialists more often used protocols for the extended use of injections with neuroproteins (face and neck) and MFU-V (504–800 lines). No serious adverse events have been reported. Conclusions. The high effectiveness of complex treatment with MFU-V, neuroproteins and fillers in women with deformed and tired morphotype, mostly aged 35–49 years, has been proven. Marked aesthetic improvement was noted after ultrasound lifting and botulinum therapy, regardless of the morphotype, satisfaction with the final result of correction was noted in 97%.