Facial phonophoresis with hydrocortisone, caripain, hyaluronic acid. Indications and contraindications, devices for ultrasound procedures. The use of phonophoresis in cosmetology Phonophoresis after surgery

is a cosmetic procedure in which medications and cosmetics are injected into the deep layers under the skin (up to 6 cm) using ultrasound.

During the procedure, the human body is exposed to simultaneous physical (ultrasound) and chemical (medicines) effects.

Ultrasound is vibrations and waves that occur at a frequency exceeding the upper limit of the human audible range of sound frequencies.

Mechanical energy, penetrating through tissue, is converted into thermal energy, due to which biochemical reactions are accelerated and redox processes are stimulated. Lymphatic drainage occurs and, as a result, swelling decreases.

Benefits of phonophoresis

In modern medicine and cosmetology, phonophoresis is used quite actively due to its undoubted advantages:

• Phonophoresis promotes active saturation of tissues with oxygen, increasing the elasticity of connective tissues and thereby rejuvenating the skin.
• The effect of the drug injected under the skin continues for a considerable time after the procedure itself.
• Ultrasound acts on cells like a massage, activating metabolic processes, blood circulation, and also providing a lymphatic drainage effect.
• Ultrasound effectively reduces swelling, activates tissue regeneration, and has an anti-inflammatory effect.

Indications and contraindications for phonophoresis

Like any medical intervention in the body, phonophoresis has its indications and contraindications.

Indications for phonophoresis:

• Excess weight
• Diseases of the musculoskeletal system (rheumatism, radiculitis, arthritis, etc.)
• Some diseases of the gastrointestinal tract
• Some gynecological and urological diseases
• Metabolic disease
• Circulatory disorders
• Lymphatic drainage disorder
• Treatment and scars

• Treatment
• Skin cleansing

Contraindications to phonophoresis:

• various skin diseases
• facial paralysis
• acute inflammatory diseases
• benign and malignant tumors
• diseases of internal organs in severe form
• severe endocrine dysfunction
• stage 3 hypertension
• pregnancy (from the second half of the term)
• circulatory disorder
• endocrine diseases.

Features of the phonophoresis procedure

The phonophoresis procedure includes the following steps:

• Cleaning and disinfection of the skin area required for the procedure.
• Applying a special gel or cosmetic preparation to the surface of the skin.
• Skin treatment with a special device that delivers ultrasound to the skin with a frequency of 800 to 3000 kHz and an intensity of no more than 1 watt per square centimeter. During the procedure, the doctor makes light movements over the problem area, gradually changing the power of the ultrasonic wave, which allows the medicines to penetrate the skin to different depths. The lower the ultrasound frequency, the deeper it penetrates under the skin. During the procedure, the patient feels only a slight vibration effect on the skin.
• Penetration of drugs under the skin to different depths as a result of exposure to ultrasound of different frequencies and their further distribution through the blood and lymph throughout the body.

Under the influence of ultrasound, the permeability of cellular tissues for various kinds of biologically active substances improves, the electrical activity of cells and the speed of enzymatic processes increase, the content of nucleic acids in tissues increases, and the process of oxygen absorption by tissues is stimulated.

Ultrasound in small doses stimulates the development of necessary processes, in large doses it inhibits unwanted ones (for example, pain impulses).

The cosmetic effect of phonophoresis is comparable to a lifting procedure - the nutrition of skin tissue improves, subcutaneous muscles and connective tissue are toned, the skin tightens and becomes elastic.

The phonophoresis procedure is ultrasonic energy used to increase the permeability of the skin of the face and body, allowing the absorption of Hydrocortisone and other drugs by the tissues.

Since its introduction in 1954, hydrocortisone facial phonophoresis has become a very popular clinical method for the treatment of musculoskeletal injuries in athletes.

Unlike iontophoresis, phonophoresis is thought to drive whole molecules through the skin into underlying tissues and the bloodstream. The pulse method is typically used for continuous absorption of drugs and is typically used to treat musculoskeletal conditions such as bursitis and tendinitis.

Phonophoresis requires an ultrasonic machine. This is a non-injection method of delivering certain medications. Anti-inflammatory drugs are supplied with its use.

Specially trained therapists can treat patients using this method to administer medication directly to the patient's area of ​​concern. The action of ultrasonic vibrations is a special transmission of waves at the level of body cells, due to which there is an effective effect on certain pathologies and diseases.

The effectiveness of ultrasound is explained by the fact that it is capable of creating waves with a frequency in the range from 900 to 4000 kHz, due to which it penetrates deep into the tissue and has a healing effect on the body.

For a stronger effect, certain medications are used, namely: vitamins, antibacterial and anti-inflammatory drugs, Hydrocortisone. Ultrasound penetrates no more than 6 cm and is capable of heating tissue, increasing the sensitivity of white and red blood cells.

This procedure is used in almost all areas of medicine, so a specialist selects medications for a specific case. This drug is multifunctional, as it is used as an antibacterial, anti-inflammatory and antiallergic agent.

Mechanism of action

Transport of a drug across the skin barrier is limited by its ability to cross the outermost layer of the skin, the stratum corneum. Because this layer is composed of dead, stratified squamous epithelial tissue, its permeability is largely dependent on its level of hydration.

Removing part of the stratum corneum by abrasion significantly increases drug absorption until the layer is restored after 2 to 3 days.

The easiest route through the skin is through the hair follicles and sebaceous glands. Follicles serve as the main route of transmission. Warming the skin before phonophoresis increases the rate of drug transfer, thereby increasing local delivery.

Conversely, heating immediately after phonophoresis increases the rate of drug absorption by the vascular system, thereby decreasing local delivery but increasing systemic delivery.

Devices and sensors used for treatment or cosmetic procedures usually have many intensity modes. When choosing them, the doctor or cosmetologist always focuses on the main problem, so as not to disturb the dermal or upper layer of the skin. Then the doctor tries to set a certain intensity, focusing on the patient’s sensations and taking into account his characteristics.

Facial phonophoresis with Hydrocortisone exists in 3 different variations:

There are 2 types of wave intensity:

• Impulsive waves. These waves are not able to heat tissues and penetrate deeply, so they are suitable even for highly sensitive skin, treatment of inflammatory processes and rosacea, special diseases that require a delicate and gentle treatment regimen, as well as for pediatric therapy. These waves are completely painless when used with devices and sensors, so patients easily tolerate such procedures.
• Constant waves. They are used for more serious disorders, for example, treatment and elimination of skin scars, hematomas and stretch marks.

Advantages of phonophoresis:

• A non-invasive method of delivering drugs to tissues under the skin.
• Alternative option for injections.
• Ensures the penetration of drugs into the target area.
• No side effects and quick recovery.
• Helps in the treatment of a wide range of diseases.

Indications

Phonophoresis is indicated to solve the following problems:

Contraindications

Facial phonophoresis with Hydrocortisine is a rather responsible procedure, and therefore it has contraindications that must be taken into account.

You should also pay special attention to the medications used. It is important that there are no allergic reactions to them. There are no significant side effects associated with phonophoresis.

However, treatment should not be carried out in areas of growths, infected areas, metal parts implanted inside the body, vascular abnormalities and sensitive areas such as the eyes, groin, skull and abdominal area of ​​a pregnant woman.

Benefits of doing it at home

Carrying out any type of phonophoresis at home has its own characteristics and advantages. First of all, the procedure does not require large financial expenditures, but for this you need to have special equipment, instruments and sensors, and medications.

It is advisable to have a medical education or take special courses in cosmetology. To carry out the procedure, professional equipment must be present.

A step-by-step description of the procedure for performing phonophoresis at home:

1. It is necessary to seat the patient in a chair in a comfortable position.
2. Check the intensity of the ultrasonic machine to make sure it is turned off.
3. Apply warm axonal gel (found in ultrasonic gel heaters) to the treated area and to the surface of the ultrasound head. When performing phonophoresis, Hydrocortisone gel is first applied to the treatment area, and then the axon gel. Because phonophoresis involves tissue penetration of prescription drugs, it must be prescribed or orally authorized by the provider.
4. Set the continuous/pulse setting as indicated in the table. Set a timer for the specified time (usually 5 to 10 minutes) to begin treatment.
5. Move the ultrasound head continuously in a circular motion, slowly enough to ensure proper penetration of the chemical compounds, but quickly enough to avoid excessive stress on the body, sensations of intense heat and pain. At the same time, you need to increase the intensity gradually to the indicated intensity (usually 0.5-1.5 W/cm2) and make sure that the patient does not experience discomfort.
6. When pulse tuning is used (as with phonophoresis on a small treatment area), there is no need to move the ultrasound head.

After completion of treatment, the drug must be removed from the surface of the skin and the ultrasound head. If necessary, wipe the skin with alcohol.

Devices for carrying out the procedure at home

Having decided to start performing phonophoresis at home, you can choose various devices for yourself.

More suitable ones are:

• Delta Combi. This device has a huge range of functions for several therapeutic devices simultaneously. It is a neurostimulator and ultrasound device that is suitable for home use for diseases and complications of various forms. The device is compact, but despite this, it has a large set of programs for treating diseases. It is easy to operate and does not require specific knowledge to learn when using.

Using the devices, three types of therapies are possible:

1. CHESN.
2. Therapy using medicinal drugs.
3. Therapy without the use of drugs.

• Delta OUT. Widely used in many areas of cosmetology. In terms of functionality, it is not one step inferior to devices in cosmetologist’s offices, but at the same time it is compact, unlike stationary ones. The device has many different modes in its arsenal, with the help of which it is possible to treat diseases.
• AUTn-01 RONET. Activates metabolism in the human body, penetrates into distant tissue layers and internal organs, improves cell function, resolves scars and relieves spasms. It also improves blood circulation and regulates smooth muscle function.

The device should be selected taking into account the underlying problem and the achievement of individual results. Be sure to follow the instructions to avoid harm to your body.

Substances and preparations for phonophoresis: Hydrocortisone

Facial phonophoresis with Hydrocortisone (a special hormone that is an analogue of the hormone produced in the kidneys) is used to achieve molecular movement that causes particle friction and an increase in tissue temperature.

It can increase local blood flow, collagen extensibility and muscle relaxation, reduce pain and muscle spasm, and it also increases local blood circulation and enzyme activity. The purpose of phonophoresis is the penetration of a topical drug using ultrasound as a transmission medium. Hydrocortisone is most often used as an anti-inflammatory agent.

Mechanism of action of hydrocortisone. As a rule, phonophoresis for the face with this drug is used for injuries

The drug can act as an antibacterial, antiallergic, antipruritic substance. It helps block the production of allergens, relieves allergy symptoms, and reduces sensitivity (with impulsive fluctuations). Hydrocortisone can also influence metabolism in the body: metabolic and lipid.

You cannot carry out phonophoresis with Hydrocortisone for a long time, as this can cause problems with the adrenal glands, namely the cessation of hormone production by the body. For treatment it is necessary to take 7-8 courses, which is short-term. With such courses, damaged tissues are completely cleansed and restored.

Phonophoresis is indicated for diseases of the kidneys, spine and joints; hydrocortisone is rarely used in cosmetology. Phonophoresis with Hydrocortisone can be performed both at home and in the salon.

Use with hyaluronic acid

Hyaluronic acid together with phonophoresis is most often performed for cosmetic rather than medicinal purposes. Before treating the skin with ultrasonic vibrations, hyaluronic acid is applied to it, which can heat up, penetrate deep into the tissue and act directly on the treatment area.

• Facial cleansing. Hyaluronic acid. It is able to penetrate the pores under the influence of ultrasonic vibrations and cleanse them of acne. It is also important not to carry out the procedure if your facial skin is very sensitive, since intense modes will be used, which can leave burns on the face.
• Elimination of cellulite. Typically this procedure is done on a specific area of ​​the body, such as the abdomen or thighs. Hyaluronic acid is applied to the selected area, and cling film is used to create a more pronounced sauna effect. Then the cosmetologist passes the sensor over the problem area of ​​the body with different intensities. Although cellulite will not go away in one session, 3-4 times will be enough to achieve fresh and renewed skin. In the same way, weight loss occurs at the waist. Only in this case the master puts more pressure on the fat deposits.

With contractubex

Contractubex is a medication used in most cosmetic procedures.

With its help, the following procedures are carried out:

• removal of scars from the skin;
• ultrasonic facial cleansing;
• getting rid of cellulite and extra centimeters in the waist;
• elimination of pigmentation and imperfections on the face.

With fermenkol

Fermenkol is a drug that is used with phonophoresis in cosmetology. It is able to even out the surface of the skin and eliminate wrinkles, get rid of imperfections, pigmentation and scars.

With caripain

Karipain is a drug in the form of a dry powder for the treatment of spine and hernias. Together with phonophoresis, the drug has warming and anti-inflammatory properties, which contribute to effective treatment.

With lidase

Lidase is a special enzyme that is capable of breaking down collagen fibers, especially on scar tissue. It has a pronounced effect on the connective tissue of the body, breaking down its base.

The strength and depth of phonophoresis with Lidaza depends on the power of the device. The procedure is recommended for patients with obvious skin defects on the face to smooth the skin surface. It is most often used in cosmetology to eliminate any scars and acne remnants.

Execution technique

Facial phonophoresis regulates and improves cellular metabolism, which is why it is especially often used in cosmetology for procedures such as ultrasonic facial cleansing, anti-cellulite massage, eliminating edema, getting rid of subcutaneous fat, and also to normalize arterial circulation.

For this, hydrocortisone, hyaluronic acid and other products with a similar principle of action are used.

The mechanism is practically no different from phonophoresis for therapeutic purposes. Its main task is the penetration of ultrasonic vibrations into tissues to obtain a cleansing effect.

Stages of ultrasonic facial cleansing:

Phonophoresis effect

Basically, the effect of phonophoresis consists of lymphatic drainage massage, which is performed on a specific area of ​​the body. In different areas these will have, accordingly, different effects. For example, in cosmetology - a smoothing effect; from the procedure you can expect a smooth skin surface without imperfections and pigmentation.

Some studies suggest that phonophoresis may be no more effective than typical ultrasound therapy for conditions such as myofascial pain syndrome (MPS). Other studies show that phonophoresis is more effective than ultrasound therapy for conditions such as knee osteoarthritis.

Phonophoresis is generally considered more effective when used with other treatments or therapies. For example, the cuff may be used in addition to phonophoresis for the wrist or a condition such as De Quervain's tenosynovitis.

One study suggests that phonophoresis is especially effective when used with gauze or other dressing. Dexamethasone with a gauze dressing, called an occlusive dressing, can be applied at least 30 minutes in advance. before ultrasonic waves are used to achieve better results.

Studies of the effects of phonophoresis have shown that the Hydrocortisone procedure increases the diffusion of the drug through the skin, however, most hydrocortisone preparations for phonophoresis have been proposed as poor transmitters of ultrasound.

Article format: Mila Friedan

Video about phonophoresis

How does the facial phonophoresis procedure work:

In modern medicine, various methods of physiotherapy are used. Particularly popular are methods using medications: medicinal electrophoresis and ultraphonophoresis. Their use helps not only to safely and painlessly introduce the drug into the body or pathological focus, but also to achieve the most beneficial effect in a short time.

Ultraphonophoresis is a method of physiotherapy that combines the combined action of ultrasound and a drug. This method of physiotherapy has gained popularity not only in medicine, but also in cosmetology. Thanks to its ability to deliver essential nutrients into the deep layers, it helps rejuvenate the skin.

Mechanism of action of medicinal ultraphonophoresis

Ultraphonophoresis is carried out using a physical factor such as ultrasound, through which medicinal substances are introduced into the tissues. Ultrasound is mechanical vibrations of an elastic medium, the frequency of which reaches 16-20 kHz. In medicine, ultrasound is used with low frequency (in surgery up to 40 kHz) and high frequency (up to 3000 kHz in therapy). The action of ultrasound is based on the distribution of energy in human organs. The highest penetration speed of ultrasound is in bone tissue and liquid media, the lowest in air.

In this regard, a wave with a frequency of 800-1000 kHz propagates to a depth of 5-6 cm and is used to treat internal organs, and a frequency of 2000-3000 kHz with a penetration depth of 1-2 cm is used in cosmetology.

An important criterion for ultraphonophoresis is the intensity of ultrasound: low - up to 0.4 W/cm2, medium 0.6-0.8 W/cm2, high 1.0-1.2 W/cm2. It can also be continuous and pulsed with a frequency of up to 50 Hz. The mechanism of action of ultraphonophoresis is based on the action of the following factors: mechanical, thermal, physicochemical and direct action of the medicinal substance. The mechanical factor is characterized by the action of positive and negative pressure, which leads to a change in the charge of particles in tissues. In the process, the formation of oxidation products occurs, the permeability of cell membranes increases, and the pH becomes alkalized, which leads to an anti-inflammatory effect. The procedure is of particular importance for the resorption and loosening of scars and adhesions.

The conversion of energy into heat helps to dilate blood vessels, activate blood circulation, and increase metabolism. The amount of inflammatory mediators increases: serotonin, histamine, prostaglandin E, and immunity increases. By enhancing blood circulation and lymphatic drainage, ultrasound has a pronounced anti-inflammatory, absorbable and antispasmodic effect. Antibody formation increases, which affects processes in connective tissue, resulting in a decrease in the formation of adhesions and scars during chronic inflammatory processes. Also, these properties are applicable to diseases of the musculoskeletal system (ankylosis, contractures). Under the influence of ultrasound, the regeneration of damaged cartilage and epithelial tissues and nerve fibers improves.

Ultraphonophoresis calms the nervous system, improves the transmission of nerve impulses, and has a beneficial effect on the organs of the musculoskeletal system. A characteristic feature of this method is the analgesic effect, based not only on the action of the drug, but also on the ultrasound itself. Blood circulation and tissue nutrition improves, smooth muscle spasm is eliminated.

Due to its therapeutic properties, ultrasound is widely used for pain syndromes associated with diseases of the muscles and joints, and the gastrointestinal tract.

Ultrasonic waves enhance the effect of administered drugs, improve their delivery into tissues, and reduce the risk of side effects.

Indications and contraindications for the use of ultraphonophoresis

The use of ultraphonophoresis in medicine is indicated for the following diseases:

• Diseases of the central and peripheral nervous system: radicular syndrome, neuritis, neuralgia, sciatica, plexitis, radiculopathy during exacerbation and remission.
• Diseases of the organs of vision: clouding of the cornea, inflammation of the iris, hemorrhage in the eye, trophic changes in the nerves.
• Oral diseases: periodontitis, periostitis, alveolitis.
• Diseases of the genital area in women: salpingo-oophoritis, inflammation of the uterus, mastitis.
• Diseases of the genitourinary system in men: chronic prostatitis, orchitis.
• Diseases of the urinary system: cystitis.
• Metabolic disorder: gout.
• Skin diseases: consequences of injuries (scars, hematomas), atopic dermatitis, chronic eczema, neurodermatitis, psoriasis, seborrhea.
• Cardiovascular diseases: endarteritis of the lower extremities, thrombosis and thrombophlebitis in remission.
• Diseases of the musculoskeletal system:
  • osteomyelitis, poorly healing injuries, consequences after injuries and spinal surgeries;
  • osteochondrosis, ankylosing spondylosis, spondylosis deformans of inflammatory and non-inflammatory nature;
  • deforming osteoarthritis, rheumatoid and reactive arthritis, arthrosis, myositis.
• Diseases of the upper and lower respiratory tract:
  • vasomotor rhinitis, sinusitis, chronic sinusitis, tonsillitis;
  • chronic obstructive bronchitis, bronchial asthma, pulmonary tuberculosis during antibiotic therapy.
• Pathological processes of the digestive organs during exacerbation and remission:
  • chronic gastritis, gastric and duodenal ulcers, colitis;
  • hepatitis of various etiologies, non-calculous cholecystitis, biliary dyskinesia, pancreatitis with functional failure.

In cosmetology, ultraphonophoresis is used for the skin of the face, neck, chest, abdomen and thighs. The technique is used in the following cases:

• With a decrease in skin turgor and elasticity.
• In the treatment of inflammatory processes of the skin and subcutaneous tissue.
• To reduce swelling of the face and paraorbital area.
• For the purpose of preventing and treating acne.
• To reduce the severity of facial wrinkles and prevent their appearance.
• To improve scar regeneration.

The therapeutic effect of drugs is based on their pharmacological properties.

Contraindications to the use of ultraphonophoresis:

• Individual intolerance to ultrasound or medication: allergic reaction such as urticaria, Quincke's edema, pain.
• Blood diseases with poor clotting.
• Conditions accompanied by hyperthermia and intoxication.
• Status epilepticus.
• Diseases of the gallbladder and urinary system with the formation of stones.
• Neoplasms or suspicions of their presence.
• Diseases of the cardiovascular system in the stage of decompensation.
• Severe degree of cachexia (exhaustion).
• Damage to the skin, dermatitis, eczema, herpetic rashes.
• Paralysis of the trigeminal, facial, and oculomotor nerves.
• Presence of a pacemaker, artificial pacemaker and other implants.
• Pregnancy and lactation.
• Acute thrombophlebitis.
• Endocrine diseases.

Preparations and devices used for ultraphonophoresis

Various models of ultrasound devices are used for therapeutic purposes. The operation of the devices is the same, the differences are only in individual designs and appearance. The most popular devices: in therapy - UZT-1.01F, in dentistry - UZT-1.02S, in urology - UZT-YUZU, in ophthalmology - UZT-1.04O, in gynecology - UZT-3.01G, in dermatology - UZT-3.06, in otorhinolaryngology – UZT-130.01L. The treatment uses various drugs that are mixed with oils or ointments for better penetration of ultrasound.

According to indications, the following can be used: glucocorticosteroids (hydrocortisone, prednisolone), anti-inflammatory drugs, painkillers (analgin, baralgin), absorbent agents (aloe, lidase) and others.

In modern dermatology and cosmetology, hardware methods are often used, one of which is facial ultraphonophoresis. To carry it out, special (MIT-11, Arsa UZT-1.01F, AUZT “Delta”, UZT-1.0F) and conventional devices equipped with a sensor at 2000-3000 kHz are used. Cosmetic procedures are carried out using hyaluronic acid, vitamins A, E, B, placenta extract, collagen serum, aloe extract.

Ultraphonophoresis technique

After consulting a doctor, determining the area of ​​influence, intensity and mode of ultrasound, selecting the necessary drug, you can carry out procedures not only in medical institutions, but also at home. To do this, oil or ointment, which contains the necessary medicinal substance, is applied to the required area of ​​the body, and an emitter with a set intensity and pulse length is placed. The sensor is then slowly moved across the skin in circular and spiral movements. The procedure lasts on average up to 15 minutes and is performed every day or every two days. The course of treatment includes from 8 to 20 sessions, which can be repeated after 2 months.

A positive therapeutic and cosmetic effect occurs after the first procedure; patients note an improvement in the form of reduced pain and swelling. Subsequently, mobility and range of motion in the joints improves, the number of exacerbations of chronic diseases decreases, and a noticeable reduction in scars, scars and wrinkles on the skin.

Ultraphonophoresis can cause local and general side effects: redness and irritation of the skin at the location of the emitter, increased temperature.

General side effects are specific to the medication used. This method does not cause pain and is safe for children and adults, which allows it to be used in almost all branches of medicine and cosmetology.

The main processes of skin aging occur deep inside, where even the highest quality creams and lotions cannot penetrate. Only with the help of special cosmetological devices and procedures can one achieve effective slowdown of destructive processes and high-quality treatment. One of these procedures is ultraphonophoresis, which is used to moisturize the skin of the face and neck, reduce the severity of signs of aging, and eliminate some defects.

What is ultraphonophoresis

It represents a combined effect on the skin structures of ultrasonic waves and specially selected cosmetic preparations.

The basis for the introduction and use of this technique in cosmetology are the following properties of ultrasonic waves:

• the ability to loosen and warm the structure of connective tissue;
• implementation of massage effects at the cellular level;
• a significant increase in the permeability of cell membranes and intercellular substances for therapeutic agents;
• increased transport of liquids and elements dissolved in them through the walls of capillaries and lymphatic vessels;
• improving blood microcirculation in small vessels and enhancing lymphatic drainage;
• stimulation of the synthesis of hyaluronic acid, collagen and elastin;
• reduction of cellular and blood barriers to the diffusion of drugs and cosmetics;
• accumulation in the skin and potentiation of the effect of drugs;
• the ability to stimulate cellular enzyme systems and local immunity, reduce inflammation and side effects of used cosmetics.

The introduction of drugs into tissues using ultrasonic waves is carried out to a depth of 2-6 cm through the excretory ducts of the sweat and sebaceous glands, intercellular spaces and extracellular substance, as well as through cell membranes. During a one-time procedure, only about 5-10% of the cosmetic product applied to it penetrates from the surface of the skin, but it gradually accumulates and has its effect after 5-15 sessions.

Principles of procedure methodology

The maximum effect of ultrasonic waves and the penetration of the products used are possible only if the rules and parameters of the procedure provided for in the device instructions are correctly followed. Medicines or cosmetics are prepared by a cosmetologist or special ready-made forms of preparations are used. Emulsions, gels, solutions or ointments based on vegetable oils, glycerin, anhydrous lanolin or mixtures thereof are used as contact media. The contact substance promotes the rapid release and transfer of necessary components to the skin tissue during the procedure. During phonophoresis, contact and special cosmetic preparations are additionally applied as needed, and after the end of the session they are left on the surface of the skin.

Ultraphonophoresis of the face is carried out in accordance with the following steps:

1. Makeup removal and facial cleansing. For this purpose, milk containing lactobacilli is usually used. It is applied along massage lines for several minutes. Lactobacilli have restorative properties and strengthen local immunity.
2. The milk is washed off with water, and the skin is treated with an antiseptic solution.
3. A medicine or a special (for phonophoresis) cosmetic product is applied to the face.
4. Exposure to a device generating ultrasonic waves with a frequency of 800-3000 kHz and an intensity of 0.05-2 W/cm 2 in continuous mode or 0.1-3 W/cm 2 in pulsed mode. It is carried out through light linear or circular movements along the skin surface at a speed of 0.5-2 cm/sec for 5-20 minutes. In necessary places, short-term delays in sensor displacement are possible.
5. Smooth change in the power and frequency of ultrasonic waves throughout the ultraphonophoresis session. This facilitates the penetration of the active components used to different depths.
6. Apply a moisturizing protective cream after the end of the session.

Drugs used

If you are unable to visit a beauty salon, phonophoresis can be performed independently. For this purpose, it is enough to purchase (on the advice of a cosmetologist) special gels, mousses, ampoule solutions, serums or medicinal preparations and a device designed for carrying out regular procedures at home. Such skin care devices with ultraphonophoresis function are quite easy to use.

For the treatment of acne with inflammatory phenomena, drugs are used that have anti-inflammatory, improve blood circulation, anti-edematous effects due to the inclusion of hydrocortisone, antibiotics, etc., as well as Anti-acne gels, curiosin, etc. The procedures are carried out within 5-7 minutes daily or every 1 day in an amount of 5-10 sessions.

To rejuvenate and moisturize the skin, ultraphonophoresis of the face with , gels with vitamin “E” and other vitamins, preparations with bee jelly, placenta extract, solutions (in ampoules) and serums, chitosan, elastin, emulsions and aqueous solutions of extracts of aloe, spirulina, horsetail are used , centella asiatica. The duration of sessions with these drugs is on average 10-15 minutes. Procedures can be performed every other day or daily for 7-15 days.

In order to resolve scars formed after acne, 10-20 sessions of 10 minutes each are carried out with drugs such as lidase, potassium iodide, an enzymatic preparation with trypsin, mud extracts, and for oily skin with inflammatory rashes - water-based gels with extracts aloe and chamomile, with sulfur, zinc.

Contraindications and effects

Although quite limited, there are still contraindications to ultraphoresis - these are:

1. The presence of a pacemaker or metal structures in the bones after trauma surgery.
2. Acute inflammatory and infectious skin diseases.
3. The presence of damaged areas of the skin (abrasions, scratches).
4. Respiratory viral infection.
5. Pregnancy.
6. Irregular heart rhythm and high blood pressure.
7. Inflammatory diseases of the branches of the trigeminal nerve.
8. Psycho-emotional instability.

As a result of the ultrasound phonophoresis courses:

1. The depth of wrinkles is reduced and facial swelling is eliminated.
2. The tone of the skin and facial muscles increases, due to which the contours of the face become clearer (lifting effect) and the relief becomes smoother.
3. The acidic environment on the surface of the skin, the secretion of sebaceous and sweat glands are normalized.
4. Blood microcirculation and the delivery of oxygen and nutrients to tissues improve, toxic metabolic products are actively removed, and cellular regeneration is stimulated. Thanks to these changes, the face acquires a “fresh” appearance and natural coloring.
5. Inflammation in acne areas is reduced.

The use of ultraphonophoresis helps to deliver the missing nutrients, moisturizing and rejuvenating substances to the skin, improve all metabolic processes in tissues, and activate the production of its own collagen and elastin. Under the influence of ultrasound, cosmetics are absorbed much better, penetrating into the deep layers of the skin. , read on our website.

Phonophoresis is a physiotherapeutic procedure that combines the effects of ultrasound and medicinal or cosmetic preparations. It is used in gynecology, dentistry, traumatology, surgery, dermatology and other branches of medicine. Relatively recently, the method began to be used in cosmetology to solve aesthetic problems of the body and face. Depending on which means you choose, phonophoresis helps eliminate swelling, relieve inflammation, improve metabolic processes, reduce scars, scars and stretch marks, the appearance of cellulite, and slow down skin aging.

• acceleration of facial skin metabolic processes;
• increasing the rate of biochemical reactions;
• improvement of local blood and lymph circulation;
• increasing the supply of oxygen and nutrients to cells;
• reduction of swelling and inflammation;
• normalization of the sebaceous glands.

Under the influence of ultrasound, tissues are slightly heated, the permeability of cell membranes increases, and products applied to the surface of the face penetrate deeper and have a more effective effect. The procedure can be considered as a non-injection method of introducing useful medicinal compounds into the subcutaneous layers. First, their active components are concentrated in the inner layers of the skin, and then enter the systemic circulation through blood vessels.

Phonophoresis provides deep micromassage, improves skin tone, makes it firmer, tighter and more elastic, accelerates regeneration processes, and improves complexion.

Interesting: Ultrasound refers to sound waves whose frequency is more than 20,000 hertz and exceeds the upper limit of sounds audible to humans.

Indications

Phonophoresis is suitable for women of any age and for any type of facial skin, including sensitive. It is a universal procedure, the spectrum of action of which is determined by the cosmetic products used and the operating mode of the device. Indications may include the following facial skin problems:

• dryness, flaking;
• fat content, tendency to inflammatory processes and acne;
• enlarged pores;
• scars;
• age-related changes, shallow wrinkles;
• hyperpigmentation;
• local circulation disorders;
• decreased turgor and elasticity;
• swelling;
• loss of healthy color.

Sometimes it is used as an express care procedure, which allows you to quickly improve the condition of your facial skin, rejuvenate and refresh it, make it soft and tender. It is also used to accelerate the recovery of the skin after plastic surgery on the face or aggressive cosmetic treatments, burns and injuries.

Drugs

For phonophoresis performed in the facial area, various means are used. The cosmetologist selects them taking into account the existing problems. It is the correct choice of the drug that largely determines what result will be obtained in the end.

The most commonly used active ingredients are:

• hyaluronic acid intensively moisturizes and rejuvenates the skin, increases its tone, stimulates the synthesis of collagen and elastin, smoothes wrinkles;
• lidase helps with rashes, promotes the resorption of scars and cicatrices;
• hydrocortisone relieves inflammation, swelling, improves blood circulation;
• fermenkol accelerates the healing of scars and the resorption of scar tissue, is effective in combating acne;
• Contractubex is used to reduce the appearance of scars.

For advanced inflammatory processes caused by pathogenic bacteria, antibacterial agents are used.

Carrying out the procedure

No preliminary preparation is required to perform the procedure. First, the cosmetologist cleans the face of makeup and other contaminants and treats it with an antiseptic. Then he applies the medicinal product in the form of a gel, cream or solution and moves the device attachment over the skin in linear and circular movements along the massage lines. At the same time, the client feels a pleasant vibration and warmth.

During the procedure, the specialist gradually changes the ultrasound power, which allows you to adjust the depth of delivery of active components into the subcutaneous layers. After finishing, apply a soothing moisturizer.

The duration of one session ranges from 10 minutes to half an hour. The course includes 8-12 sessions, which are performed daily or every other day. If necessary, it is recommended to repeat it no more than once every 4-6 months.

Phonophoresis can be combined with other cosmetic procedures for the face: mesotherapy, masks, microcurrents, massage. Its peculiarity is its ease of implementation, therefore, if you have a special device, you can do it yourself at home, strictly adhering to the recommendations specified in the instructions.

Video: About the properties and application of phonophoresis in cosmetology

Advantages and disadvantages

Facial phonophoresis has many advantages, and is therefore actively used to combat various types of skin problems. The advantages of the procedure are considered:

• minimum side effects;
• duration of storage of results;
• stimulation of natural rejuvenation mechanisms;
• deep penetration of substances beneficial to the skin;
• painlessness;
• no rehabilitation period;
• the ability to perform at home;
• affordability;
• safety.

Disadvantages include an inconspicuous result for severe facial skin problems, the need for a large number of sessions, and the presence of contraindications.

Contraindications and side effects

Before performing phonophoresis, it is important to consult a doctor to make sure there are no contraindications or allergic reactions to the drugs that will be used. It cannot be performed in the following cases:

• skin diseases;
• facial paralysis, trigeminal nerve diseases;
• acute inflammatory processes;
• oncological pathologies;
• severe endocrine dysfunctions and diseases of internal organs;
• pregnancy, lactation;
• circulatory and blood clotting disorders;
• sinusitis, sinusitis;
• hypersensitivity to ultrasound;
• recently performed thread lifting and operations on the eyeballs;
• mental disorders.

Side effects after phonophoresis occur extremely rarely. Individual selection of medications according to skin type and existing problems allows you to reduce them to a minimum. It is considered one of the safest procedures; the only possible side effect is redness of the skin, which goes away on its own over time.

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