Irina Aksenenko1,2, Marina Gerasimenko1,2, Arkadiy Aksenenko1,2. 1. Dr. Irina Aksenenko and Gerasimenko are with the Federal State Budgetary Educational Institution of Further Professional Education "Russian Medical Academy of Continuous Professional Education" of the Ministry of Healthcare of the Russian Federation in Moscow, Russia. 2. Dr. Arkadiy Aksenenko is with State Research Center, Burnasyan Federal Medical Biophysical Center FMBA of Russia in Moscow, Russia.
Abstract
Background: In aesthetic medicine, high-power instrumental technologies that exert a significant positive effect with a minimal rehabilitation period are becoming more popular in the correction of involutive changes of the skin. Such methods include monopolar radiofrequency therapy. However, high temperature can lead to the development of unfavorable events and complications. Objective: The study aimed to design and evaluate a combined method of monopolar radiofrequency therapy and injective carboxytherapy in patients with local adverse events (edema and neuropathy) in the facial area. Methods: The study included 72 female patients aged 38 to 52 years old that earlier received monopolar radiofrequency therapy in the facial region for the correction of involutive changes in the skin and who developed edema and neuropathy in the area of radiofrequency impact. Four groups received injectable carboxytherapy locally, in the projection of lymph nodes, or in combination. Results: Combined application of monopolar radiofrequency therapy in the facial region and an extended protocol of carboxytherapy as local application or application in the projection of regional lymph nodes exerts a significant positive effect in the short-term and long-term study period reducing the period of rehabilitation. This was demonstrated by a statistically significant reduction of the intradermal edema and quick regression of pain syndrome in the studied group with the extended protocol of carboxytherapy in comparison with other studied groups. Conclusion: It is feasible to apply an extended protocol of carboxytherapy (locally, in the area of expressed manifestation, and in the projection of regional lymph nodes) in patients with local edema and neuropathy that developed after received monopolar radiofrequency therapy in the facial region, which significantly reduces the rehabilitation period and contributes to faster reduction of local edema and neuropathy and provides a stable clinical result.
Background: In aesthetic medicine, high-power instrumental technologies that exert a significant positive effect with a minimal rehabilitation period are becoming more popular in the correction of involutive changes of the skin. Such methods include monopolar radiofrequency therapy. However, high temperature can lead to the development of unfavorable events and complications. Objective: The study aimed to design and evaluate a combined method of monopolar radiofrequency therapy and injective carboxytherapy in patients with local adverse events (edema and neuropathy) in the facial area. Methods: The study included 72 female patients aged 38 to 52 years old that earlier received monopolar radiofrequency therapy in the facial region for the correction of involutive changes in the skin and who developed edema and neuropathy in the area of radiofrequency impact. Four groups received injectable carboxytherapy locally, in the projection of lymph nodes, or in combination. Results: Combined application of monopolar radiofrequency therapy in the facial region and an extended protocol of carboxytherapy as local application or application in the projection of regional lymph nodes exerts a significant positive effect in the short-term and long-term study period reducing the period of rehabilitation. This was demonstrated by a statistically significant reduction of the intradermal edema and quick regression of pain syndrome in the studied group with the extended protocol of carboxytherapy in comparison with other studied groups. Conclusion: It is feasible to apply an extended protocol of carboxytherapy (locally, in the area of expressed manifestation, and in the projection of regional lymph nodes) in patients with local edema and neuropathy that developed after received monopolar radiofrequency therapy in the facial region, which significantly reduces the rehabilitation period and contributes to faster reduction of local edema and neuropathy and provides a stable clinical result.