No abstract

Considering the great interest of many professionals in the foundation that guides the effective use of ozone therapy in the treatment of aesthetic disorders, this study aims to define the physiological and practical aspects of using the oxygen-ozone mixture to solve aesthetic problems. Exploratory research was carried out, presented in a narrative review, to highlight the action of ozone therapy in the treatment of aesthetic affections. The review explored scientific articles, books, theses, and dissertations published and available in the following databases: MEDLINE (Medical Literature Analysis and Retrieval System Online), PubMed (National Library of Medicine), SCIELO (Scientific Electronic Library Online), and LILACS (Latin Literature American and the Caribbean in Health Sciences). In addition, elements that characterize the authors' clinical experience on ozone therapy in various aesthetic treatment protocols were added. We found several reports in the literature that justify the use of ozone and its different therapeutic modalities in various aesthetic affections, mainly in the treatment of localized fat, cellulite, rejuvenation, skin tissue repair, acne, dyschromia, and others. Through its various therapeutic modalities, we conclude that ozone therapy has added a lot to aesthetic procedures, mainly for its effective supporting action or as the main agent of critical physiological changes to enhance clinical results when treating aesthetic conditions.

Introdução: A terapia de ondas de choque piezoelétrica (TOC) é uma técnica não invasiva que visa a reduzir o tecido adiposo subcutâneo localizado. Objetivos: Investigar os efeitos da terapia ondas de choque piezoelétrica na redução da adiposidade subcutânea localizada. Métodos: Efetuou-se um estudo experimental, com 31 participantes, de 25 a 45 anos, do sexo feminino. Foram realizadas quatro sessões de tratamento, uma vez por semana com parâmetros da OC piezoelétrica. Procedeu-se à aplicação dinâmica na região infraumbilical; e estacionária, na supraumbilical, ambas no lado esquerdo. O lado direito não recebeu aplicação, tornando-se o lado controle. Resultados: Na aplicação da TOC piezoelétrica na forma estacionária, houve maior redução de tecido adiposo do que no modo dinâmico. Conclusão: Pode-se observar que a terapia por OC piezoelétrica promoveu uma redução da adiposidade localizada, com o modelo de equipamento escolhido e na dose proposta neste estudo, constatada nas análises de plicometria e ultrassonografia.

Introduction: Microneedling has been used to treat different human connective tissue disorders, promoting an increase in the permeation of active ingredients, to favour local vascularization and collagen production. Objective: To investigate the effects of microneedling associated with the permeation of cosmetological actives (drug delivery) on facial rejuvenation. Method: This was a controlled clinical trial, in which 30 volunteers with facial aging were recruited and distributed into 2 groups. G1 was treated with microneedling with associated saline and G2 received microneedling with associated drug delivery (with growth factors) in the entire facial region (full face). Both groups received two treatment sessions with an interval of 30 days between them. For result evaluation, photos were clinically analysed before and after the interventions, the facial symmetry was verified through the measurement of angles and measurement of the facial region, and a histological analysis of the eyelid region of two patients who underwent surgery blepharoplasty was carried out. Results: Both groups presented satisfactory clinical results in the photographs’ visual analysis. In the evaluation of facial symmetry, G2 showed an improvement in the measurements of the paralateronasal L-projection, nasolabial F-crease, right and left lateral palpebral crease, with p<0.01. In the histological analysis, G2 showed higher collagen and elastin increase than G1, with greater predominance of better-quality collagen (type I) when drug delivery was performed. Conclusion: The association of microneedling with growth factors promotes a greater production of collagen fibres and connective tissue reorganization, compared to microneedling with no cosmetological assets.

Intradermotherapy allows for treatment of different aesthetic conditions. Currently, it can be applied in its conventional form using needles or using the pressurized technique. The sample consisted of 35 women with adiposity located in the abdominal region. The volunteers were randomly assigned to 3 subgroups: G1 (n = 12) who were subject to the pressurized technique and the conventional technique with needles using only saline substance, with 6 volunteers in each application mode; G2 (n = 9), who received pressurized application using Concept Ti Liporedutor (lipolytic substance); and G3 (n = 14), who were treated with the needle injection technique, with the same substance used in G2. All groups received 4 treatment sessions with 2-week intervals between them. The analysis of the fat layer conducted 90 days after the initial application demonstrated a significant reduction in measurements in the treated groups, and also when compared with the control group, both for ultrasound, perimetry, and plicometry (only right side) data. Despite the effectiveness of the 2 application techniques, the pressurized method showed superior results. Hyperemia and skin marks were among the adverse reactions reported by the groups, but they showed quick resolution. It is noteworthy that most of the volunteers in the treated groups evaluated the results positively and were satisfied with the treatment. The intradermotherapy protocol with lipolytic substance significantly reduced the fat layer, with more evident results when using the pressurized application method.