Effective restructuring of facial skin without surgery. Dissection cadaver course on injection techniques in cosmetology. Day three: live injections What does the name Maya mean?

At his home, in the cosmonaut town, the Christmas tree has not yet been removed, but the cucumbers have already sprouted. From the depths of the apartment comes “Your Honor, Lady Luck.” The film “White Sun of the Desert” is traditionally watched at the cosmodrome before each flight, but these are just random shots from the TV that Grechko on all day. His orbit has long been the Earth, but in his soul it is still the sky.

It's not hard to be a god

I dreamed about this for twenty years... I read science fiction avidly: after all, I lived in a time when space was still needed not for satellite television, but for the conquest of the Universe, and dreams were still dreams. “I, as in Aelita, wanted to go to another planet, start a revolution, overthrow the dictator Tuskub...” I worked in Korolev’s design bureau, built rockets and hoped that he would build one on which at least his grandchildren could fly. Built! The first person flew. Grechko, gritting his teeth, passed grueling tests to get into the cosmonaut corps. And he almost flew out of it: he filed for divorce from his first wife - he believed that it would be more honest to do this as an earthly engineer, and not as the thirty-fourth cosmonaut. The party did not understand. But the deputy put in a word S. Koroleva Ya. Tregub. I didn't make it on the first try - I broke my leg while jumping with a parachute. I worked and waited again. I flew and took “It’s Hard to Be a God” with me Strugatsky.

Crew members spaceship Soyuz T-14 (from left to right): flight engineer Georgy Grechko, cosmonaut-researcher Alexander Volkov, ship commander Vladimir Vasyutin. Cosmonaut Training Center named after. Yu. A. Gagarin. Photo: RIA Novosti / Alexander Mokletsov

As soon as I flew off, a bunch of letters arrived. One asked me to send him a leather flight jacket, another - a camera lens... But the best letter was from Israel. In small handwriting, it’s clear that it’s already very old man writes: “You flew into space, and I prayed for you, as a result, you are alive, so send me...” And then - 5 sheets of what to send her. A black car, a red racing car, a yellow school bus, then all sorts of diamonds... I looked at the end of the list: “A couple of cans cherry compote, Please". And out of the entire list, we ourselves only had this last position...

He returned from his last flight more than a quarter of a century ago - and is still needed on Earth. “The most sociable cosmonaut in the world,” the newspapers call him, and the twice Hero of the Soviet Union again and again tells stories that have already become legendary about how he almost froze his feet in outer space, and about Vysotsky’s songs that he listened to in orbit.

It is not difficult to be a god when you see the stars even from Earth and know what the essence of life is. And the fact that you don’t have to fly far to get this knowledge.

Now I’m going to my mother’s homeland, to Belarus, to the village of Chashniki, I’ve been dreaming about this for a long time. Seeing the house where I lived with my grandfather, the hut where he read “Niva” and the Bible under a torch, our garden, where there was a wonderful Antonovka, the cemetery where I walked past at night - it strengthened my character... To breathe the air that my relatives breathed. , - maybe the aura has been preserved...

USSR pilot-cosmonaut, twice Hero of the Soviet Union Georgy Grechko, 1982. Photo: www.russianlook.com

“I am a brave man: I got married”

Once, while giving an interview to an Orthodox magazine, cosmonaut Grechko asked the interviewer, an archpriest: “Explain to me: why love must be sacrificial? Why can’t she just be happy?..” His love is a female doctor Lyudmila Kirillovna. I fell ill, lay in a fever, and she came in - and from her mere appearance the temperature dropped. “I am a brave man. Not because he flew into space, but because he got married.” For the entire quarter of a century after heaven, he is on Earth - with her.

He is often asked about the end of the world. “The astronaut named the date of his meeting with aliens” is the latest hit on the Internet. And he often answers. I see his laughing eyes and remain silent about the horror stories from the Mayan calendar. And then he speaks himself.

There will be another end of the world on December 22, 2012 - it won’t happen, it’s unclear. But it’s not the Mayan calendar that threatens us! From space you can see traces of fires in forests, you can see how the seas are drying up... Look at everything that is happening in Lately, - tsunamis, earthquakes, awakened volcanoes - but it turns out that we just accidentally lived happily for hundreds of years, but in fact the Earth is defenseless! There is such a very cruel law - the law of loss. Well, why is it necessary for some meteorite to smash an entire continent to smithereens so that people stop fighting and unite...

He has the right to speak like this - on behalf of humanity, on a planetary scale. And not because he flew into space three times. This is something elusive, not included with regalia, like wisdom, which does not necessarily come with old age. Maybe the experience of love?

Georgy Grechko with his daughter. Photo: www.russianlook.com

I have always been a city person: asphalt, cars, high-rise buildings. My passion. When, as a child, my father took me out to his dacha near Leningrad, he was languishing with melancholy... And during the flight, I grew the first peas in space - watered them, took photographs... And suddenly I realized that I was flying to his compartment not only for the sake of science, but also just to admire . Peas became for me a grove where I “went for a walk”, to observe something living and changing. And after returning I fell in love with nature, especially ours, Central Russian. Why? Yes, because when I lost her in space, then I realized how much I wanted to return to her! How can you not appreciate this?.. Turn around!

I turn around. In the living room behind us, instead of windows, there is a glass wall. Like the nose of a spaceship. Behind the glass are cherries. Cherry blossoms.

Candidate of Medical Sciences, dermatologist-venereologist, cosmetologist, Chief physician International Institute of Aesthetic Medicine Maya Kirillovna Kondrashova visited the Aesthetic Medicine Cabinet located in Samara in October 2013.

- Which pathological processes occur in the skin initial stages aging?

The aging process of the skin is associated with all its layers and reflects the aging of the body as a whole. In this process key point there is a decrease in the level of skin cell renewal. During the division of epidermal cells, “errors” constantly occur, which accumulate and lead to a thinning of the barrier layer of the skin. Dermal cells - fibroblasts - gradually lose their ability to produce high-quality collagen and elastic fibers. As a result, atrophy of the epidermis, degeneration of connective tissue fibers occurs, and atypical melanocytes appear. The skin becomes rough and dehydrated. Turgor and elasticity decrease, wrinkles appear, dark spots, dilated capillaries.

- What are fibroblasts and what are their functions?

Fibroblasts are the main cell form connective tissue. They produce and secrete procollagen (a precursor of collagen), proelastin (a precursor of elastin), glycosaminoglycans (mainly hyaluronic acid), as well as the protein of microfibrils that make up elastic fibers.

There are several types of collagen, which are usually designated by Roman numerals. The bulk of collagen in the skin is made up of type I collagen, or fibrous collagen, and type III collagen, or reticular collagen.

Type I collagen is a fiber woven from many smaller threads - fibrils. It looks like a three-dimensional spiral and is characteristic of mature tissues. Output of this type collagen is stimulated by inflammatory mediators released during tissue damage. Thus, any factors that injure the dermis lead to the synthesis of type I collagen. It gives the skin density and elasticity.

Type III collagen is characteristic of young tissues. Its synthesis is stimulated by activation of specific receptors by hydrolysis products of natural components of the dermis, including fragments hyaluronic acid. Reticular collagen increases the turgor of the dermis and forms the skin framework.

Thus, age-related changes Skin elasticity is related to:

• With a decrease in the content of GAGs (including hyaluronic acid) in the skin, which is accompanied by a decrease in the hydrophilicity of the intercellular matrix, metabolic processes in the dermis and a decrease in skin turgor.
• With biological aging of the main connective tissue proteins: collagen and elastin. Reduced tissue elasticity.

Today, biorevitalization and bioreinforcement are the most effective and universal non-surgical methods restructuring and intensive bioreparation of the skin, combating aging and various skin defects.

Biorevitalization (English: vita - life, bio - biological) is an injection method of intradermal administration of native hyaluronic acid in order to replenish its deficiency. Literally, the term biorevitalization stands for biological restoration, that is, natural revitalization of the skin. Unfortunately, with age, the natural content of hyaluronic acid in the skin constantly decreases. So, after 35-40 years, the skin contains only 50% of hyaluronic acid from the original level!

Youthful skin is not only the absence of wrinkles. Good texture, healthy color, firmness, tone, elasticity and hydration - this is what makes the face look youthful. The main indications for biorevitalization are dehydration, dryness and aging of the skin, pigmentation varying degrees, as well as skin aging due to smoking, stress or sun exposure.

The purpose of biorevitalization is the biological improvement of skin quality. The technique consists of administering injections of low molecular weight unstabilized hyaluronic acid. This particular drug is building material for new cells, providing stimulation of fibroblasts and activation of neocollagenesis, which in turn leads to an increase in dermal turgor and natural skin hydration. Hyaluronic acid does not deplete skin resources, but rather creates favorable physiological conditions for cell function, so there is no need to be afraid of rapid skin aging after canceling procedures for any reason.

Biorevitalization will help restore the concentration of hyaluronic acid, as well as the turgor and elasticity inherent in young skin, and protect it from free radicals.

Biorevitalization is recommended for all skin types, especially for tired, sagging skin, smoking people, as well as those who often visit the solarium and have signs of photoaging, often fly on airplanes and spend a lot of time at the computer.

Biorevitalization course - 3-4 procedures with an interval of 2-4 weeks. There are various schemes for carrying out rejuvenation procedures. Each implies its own frequency depending on age and the goal. For patients under 40 years of age, the course is prescribed once a year, after 40 years - 2 times a year. According to indications, maintenance sessions are held between courses.

Bioreinforcement, or biorestructuring of the skin, consists of non-surgical skin reinforcement using low-density fillers based on stabilized hyaluronic acid. The method involves traumatizing the dermis and, as a result, activating the production of fibrous collagen. Due to biological stimulation of skin cells, a connective tissue framework is formed, which long time holds soft fabrics face and allows you to eliminate the symptoms of gravitational ptosis of the middle and lower third of the face. Bioreinforcement is indicated for shaping the oval of the face, restoring tone, evening out skin color and texture, and lifting the skin of the face and body. Optimal age for bioreinforcement - 45-50 years. After 50, it will be more difficult to start recovery processes, and the effect may not be so noticeable. For a pronounced long-term effect, 3-4 procedures are required with an interval of 1-2 months. The results of the procedure last from one to one and a half years.

Bioreinforcement is an alternative to reinforcement with gold threads and plastic surgery. The obvious advantage of bioreinforcement is low tissue trauma, and, therefore, the absence of long-term recovery period. The preparations we use are absolutely hypoallergenic and have the ability to be completely biodegraded (that is, they are completely recycled over time). The drugs have excellent plasticity, are easy to administer, and are naturally distributed in the skin without damaging surrounding tissues. After the bioreinforcement procedure, minor injection marks remain on the skin, which quickly disappear. When a doctor applies an anesthetic cream, the injections do not cause pain.

Chief physician of MIEM clinics, Ph.D., dermatovenerologist, cosmetologist, physiotherapist.

A specialist with extensive work experience and teaching experience of more than 20 years, an international-class trainer and methodologist, a full member of WOSIAM (World Society of Interdisciplinary Anti-Aging Medicine) and EADV (European Society of Dermatology and Venereology). Certified trainer of the companies “Korneal”, “Pharmacy of Beauty” and “MedInnovation”.

She completed an internship in Italy, Germany, France, the Czech Republic and the USA.

In 1992 she graduated from the Leningrad Pediatric Medical Institute. She completed an internship in dermatovenerology at the St. Petersburg MAPO and advanced training in the specialty “cosmetology” and also specialized in the field of rehabilitation, traumatology and orthopedics.

Kamyshanova Elena Alexandrovna

In 2008 she graduated from Astrakhan State Medical Academy specializing in general medicine. From 2008 to 2010 she completed clinical residency training at the Military Medical Academy named after. CM. Kirov, specializing in dermatovenerology.

In 2010 received additional special education according to the cycle “Therapeutic cosmetology”, 144 hours on the basis of the State Educational Institution of Further Professional Education of St. Petersburg MAPO.

In 2016 underwent professional retraining in the specialty “cosmetology” on the basis of the State Budgetary Educational Institution of Higher Professional Education of St. Petersburg State Pediatric Medical University.

From 2010 to the present, I have been working as a dermatovenerologist at the Lenoble Center State Budgetary Healthcare Institution.

Area of ​​activity: diagnosis and treatment of skin and venereal diseases, deletion benign neoplasms skin, mesotherapy, biorevitalization, facial contouring, botulinum therapy, development of skin care programs.

Drozdova Maria Mikhailovna

Dermatovenerologist, cosmetologist.

Graduated from St. Petersburg State University Medical University them. I.P. Pavlova in 2010.

In 2011, he completed an internship in the specialty “dermatovenereology” at St. Petersburg State Medical University.

Additional specializations: dermatocosmetology, laser technologies in aesthetic medicine.

Certified trainer ANNIO MIEM.

Rukavitsyn Anton Olegovich

Dermatovenerologist, cosmetologist

Graduated from the Military Medical Academy named after. CM. Kirov, St. Petersburg. Doctor's degree in General Medicine. Clinical residency in Medical Institute advanced training for doctors at MGUPP, Moscow. Certificate of specialist in dermatovenerology. Advanced training at the Medical Institute for Advanced Training of Physicians, MSUPP, Moscow. Certificate of advanced training in dermato-oncology.

Professional retraining at PSPBGMU named after. I.P. Pavlova, St. Petersburg. Certificate of specialist in cosmetology. SPIC-based trainings on botulinum therapy, biorevitalization, contour plastic surgery, mesotherapy, hardware cosmetology and skincare procedures.

Cosmetologist of the KDO for the provision of services to St. Petersburg State Budgetary Healthcare Institution GorKVD, assistant at the Department of Skin and Venereal Diseases of the Vmeda, St. Petersburg

Chernikov Anton Igorevich

Surgeon, plastic surgeon.

Graduated from KSMA named after I.K. Akhunbaeva with a degree in general medicine (Bishkek)

Internship in the specialty “surgery” (Department of Surgery named after Monastyrsky North-Western State Medical University named after I.I. Mechnikov, St. Petersburg)

Advanced training - laparoscopic organ surgery abdominal cavity and retroperitoneal space (St. Petersburg)

Residency in specialty plastic surgery(department of plastic and reconstructive surgery Northwestern State Medical University named after I.I. Mechnikov, St. Petersburg)

Advanced training in contour plastic surgery (International Institute of Aesthetic Medicine, St. Petersburg)

• Exclusive: special report by recognized specialist Olga Rudolfovna Gaziullina “Correction of facial fat imbalances and the author’s method of chin correction” with real methods and practice on models.

• The chin area is one of the heaviest. It rarely lends itself to correction and cosmetic treatment. Without knowing all the parameters of the architectonics and morphotypes of the face, you can give irregular shape chin and get many complications. Therefore, in this course the chin area is given special attention. Special attention: you will learn the best authoring techniques for working in this zone.
  

• Another difficult area in the work of a cosmetologist is Bottom part chin (double chin), because it is impossible to align/deduce the angle here lower jaw. Without surgical intervention The thread lifting procedure can help here, as a combined technique with liposuction. You will also study it in detail in this course.

• Only a few doctors work in the nose area because they are afraid of complications. After all, the most difficult blood supply is in the area of ​​the nose and glabella. All complications associated with necrosis and embolism arise due to incorrect correction glabella and nose. Complications also arise here because doctors do not know which technique is best to use when in this area. Sign up for this course if you want to learn best practices work in the nose area from experts. We also guarantee a full video recording of the procedure and a live demonstration.

• Olga Rudolfovna Gaziullina will teach you simultaneously a combined surgical and cosmetological technology for correcting the chin area. From restoration of the cervical-mental angle and elimination of the double chin to reconstruction of the lateral and anterior surface of the neck and the author’s method of using threads.
  

• Every woman primarily pays attention to two areas: the eye area and the chin area. A cosmetologist can still treat the eye area with botulinum toxin. However, the chin area is much more complex. If it seems easy to you, then you don't know anatomy well. Our teachers have conducted more than twenty dissection cadaver courses and selected the best teaching materials specifically for this course. After completing this course, you will receive proven protocols for working in the chin area, supported by new knowledge of anatomy.

• The central area of ​​the face is often the most difficult to correct. At first glance, everything is clear here. However, due to the location of the muscle group in this area, it is difficult for us to understand exactly where the drug diffuses. Knowledge of anatomy often helps us with this. That's why we made this course, bringing together all the best practical techniques and methods of work in this area.

• Many people think that performing procedures in the lip area is quite easy: they injected and got the result. However, it is difficult to perform a high-quality lip correction procedure because everyone's lips are different. You need to know many forms and parameters. In addition, there are no strict algorithms: how many doctors - so many opinions. It often happens that serious complication begins after a few months or even a year: for example, involuntary swelling or displacement of the drug. The reason for this is that the drug was administered incorrectly. Sign up for this course if you want to receive proven methods of working in this area from experienced surgeons and cosmetologists.