Characteristics of the nappage technique in mesotherapy, pros and cons of the procedure

Indications Contraindications About the procedure Prices

Reviews Rehabilitation Our advantages Analyzes

Mesotherapy is local intradermal administration of small doses of drugs. The targeted supply of beneficial and well-tolerated substances has a positive effect on skin tone and health.

Injections are performed using the vascular axis technique, which provides a rush of blood to the face and enhances the rejuvenating effect. The drug is administered at the level of the basal layer of the epidermis. It is in this zone that the administered substances exhibit the greatest activity. The mechanism of action of skin mesotherapy in cosmetology manifests itself in several directions:

• direct pharmacological effect from the administration of the drug (rejuvenation, tone, lifting);
• reflex action similar to acupuncture;
• powerful effect of molecular biostimulation;
• activation of the transmission of nerve impulses;
• effects on immune cells;
• stimulation of blood circulation and microcirculation.

Indications for facial mesotherapy

• prevention and correction of age-related changes;
• uneven complexion;
• hyper- and hypopigmentation, wrinkles;
• vascular network, rosacea;
• bags under the eyes, enlarged pores;
• scars after acne or injuries, stretch marks;
• flabby, dehydrated, aging skin of the face and body, decreased tone;
• soft tissue ptosis, unclear facial contour;
• cellulite and local fat deposits on the abdomen, thighs, buttocks, insufficiently clear silhouette of the figure;
• acne, excessive secretion of the sebaceous glands;
• preparation for plastic surgery or deep peeling;
• skin restoration after surgery;
• androgenic and focal alopecia;

In each case, the decision on the advisability of a course of mesotherapy for the face or body is made by a cosmetologist after preliminary diagnosis of the skin condition and the severity of age-related changes.

Clinical practice shows that mesotherapy can restore the beauty and natural moisture of the facial skin, increase elasticity and tone, and saturate it with nutrients. Due to the accumulation of active substances, the effect lasts for a long time; for several months after the course, cells continue to actively renew themselves, more collagen and elastin are produced.

Preparations for mesotherapy

The composition of meso cocktails is selected individually depending on what problems need to be solved. Manufacturers such as Filorga, Curacen, Revi have proven themselves well, presenting meso-cocktails for rejuvenation, regeneration, moisturizing and nourishing the skin.

The success of the procedure depends at least 50% on the correct selection of the drug (the remaining 50% depends on the skill of the cosmetologist, but more on that below). Every person is different, and your skin needs can vary greatly. It is on them, and not at all on fashion, advertising or advice from friends, that you should focus.

It must be emphasized that the doctor who carries out the procedure and is responsible for the result must choose the appropriate drug. Of course, the patient’s opinion is taken into account, but only a doctor who thoroughly knows the features of different remedies can make the final right choice.

Meso cocktails Filorga

The French laboratory specializes in the production of anti-age cosmetics. One of the most promising and popular areas of its activity is the production of mesotherapy drugs. The manufacturer’s goal is not an immediate short-term effect, but the activation of fibroblasts - the cells responsible for skin regeneration - for a long time. Filorga mesococktails contain a complex of substances necessary for the correct functioning of such cells. Thus, injections gently stimulate natural processes, providing fibroblasts with comfortable conditions for independent activity. The composition of the preparations includes hyaluronic acid, vitamins, minerals, antioxidants, coenzymes, nucleic acids, amino acids.

The choice of a specific drug brand depends on the age and characteristics of the patient’s skin. NCTF 135 is for the very young.

This meso-cocktail is used to deeply moisturize the dermis and prevent aging; it is also used in combination with other products to treat atrophic scars, acne, seborrhea, alopecia and other diseases.

NCTF 135 HA is suitable for patients aged 30 to 35 years. With this drug you can get rid of the first signs of aging, remove fine wrinkles, deeply moisturize the skin and improve its tone, and correct the effects of chronic stress. The product is used to treat rosacea.

For patients over 35 years of age, Filorga NCTF 135 HA+ . This is the most concentrated drug in the line, which is effective both for the prevention and elimination of age-related changes, rosacea, and dry skin. The product provides intensive hydration of the dermis, suitable for preparation for aggressive cosmetic procedures and rehabilitation after them, as well as for recovery after sun exposure.

Mesotherapy Curacen

The Japanese manufacturer presents placenta-based drugs. It is not for nothing that placental cosmetics are very popular: they contain many biologically active substances that have a beneficial effect on the condition of body tissues even with ordinary external use. If placenta-based preparations are administered intradermally, the result is even more impressive: the skin literally comes to life, is renewed, and is saturated with energy.

The drug contains a large amount of hyaluronic acid, due to which it can be used not only for mesotherapy, but also for biorevitalization. In addition to hyaluronate, the composition includes low molecular weight regulatory peptides, active centers of growth factors, and amino acids. Mesococktail is successfully used to prevent aging and treat age-related changes, eliminate pigmentation, deeply moisturize the skin and lift it, prepare for plastic surgery and recover after it (the effects of mesotherapy with hyaluronic acid).

Revi meso cocktails

The Russian manufacturer specializes in the production of cosmetics based on hyaluronic acid of non-animal origin. Along with effective biorevitalizants, this brand produces meso-cocktails that work at the intracellular level, significantly improving the condition of the skin for a long time. Due to their high hyaluronate content, they significantly increase the level of skin hydration.

• Revi Meso 1,5% or 2% contain hyaluronic acid (15 or 20 mg, respectively) and trehalose, an antioxidant that enhances the protective functions of the epidermis. These are universal drugs suitable for patients of any age. As a result of the procedure, the growth of fibroblasts is activated, due to which the rejuvenation process occurs naturally;

• Meso cocktails line Revi Meso Gold contain, along with hyaluronate and trehalose, a peptide complex with gold nanoparticles. They provide a powerful antioxidant effect, protecting cells from free radicals;

• Revi Meso Platinum is another line of Revi containing noble metal. This time the composition includes platinum nanoparticles, which provide a pronounced anti-inflammatory effect and protection against free radicals.

Contraindications to injection mesotherapy

• pregnancy, breastfeeding;
• acute inflammatory, viral or infectious process;
• chronic diseases in the acute stage;
• diabetes;
• keloid formations;
• malignant processes of any localization;
• individual intolerance, sensitivity or allergy to one of the components;
• treatment with anticoagulants.

Before prescribing a course, the cosmetologist examines the examination results to exclude possible harm to health and side effects. If contraindications are identified, mesotherapy is transferred or replaced with other procedures.

Answers on questions

Is it possible to do mesotherapy using the nappage technique at home?

Yes, you can. To do this, you should purchase a special device - a mesoscooter. It can be used for the face, scalp and body.

The procedure, carried out at home using a mesoscooter, is quite capable of replacing the salon nappage technique.

What is the cost of a session?

Prices for injection mesotherapy vary markedly due to the individual approach to the procedure. Various problems determine certain requirements for the composition of cocktails, the frequency of their administration and the number of sessions. Affects the cost of injections and the status of the clinic.

Average prices for facial mesotherapy (1 procedure):

• Manual - from 4500 rub.
• Hardware — 5000 – 6500 rub.
• Non-injection - from 5500 rub.

Scalp mesotherapy also depends on the composition of the cocktail. One session, including the cost of the drug and the work of a cosmetologist, will cost at least 2,000 rubles.

How painful are mesotherapy injections?

For injections, special thin needles are used that cause minimal damage to the skin. This reduces the pain of the procedure. But in any case, the patient’s sensations are very individual and depend on the ability to tolerate pain. If necessary, the punctured skin areas are treated with local anesthetic. This makes the procedure comfortable and painless.

Do marks remain after mesotherapy injections?

Yes, since existing mesotherapy techniques are invariably accompanied by damage to the skin. After the session, bubbles, black spots, hematomas, and redness in the puncture area may remain. Such deficiencies, as a rule, disappear without a trace after 2–3 days. If this does not happen, contact the cosmetologist who performed the procedure. The specialist will recommend products that accelerate regeneration.

Types of mesotherapy used in aesthetic medicine

Epidermal

Injection depth is 0.2-0.4 mm (to the level of the basement membrane). 13 mm needles with an upward bevel are used. The needle is positioned relative to the skin at an angle of 45°. The epidermis becomes a kind of depot for the injected drug, which achieves the long-term effect of injection mesotherapy.

Papular technique

Refers to intradermal-superficial epidermal methods. The injection is performed above the basement membrane. The maximum volume of the drug is 0.1 ml. After the injection, a white bubble (papule) is formed due to tissue tension. In painful and sensitive areas, the cosmetologist grasps the skin in a fold, which softens the pain of the procedure.

Nappage technique

Another intradermal-superficial method of administration, often used in cosmetology. The depth of intradermal injections is 1-4 mm, selected individually depending on the area of ​​injection and dosage. The needle is positioned relative to the skin at an angle of 30-60°. The volume of each injection is 0.01-0.05 ml, 2-3 per second with a total number of punctures per session up to 200-300.

Intradermal deep

It is performed using the “prick by prick” technique at the hypodermal level. Injection depth is 4-13 mm. The needle length is 6 and 13 mm, the angle of inclination relative to the skin is 45-90°. The volume of the administered drug here is larger - 0.1-0.5 ml. This method is recommended for the correction of fibrous cellulite.

Sometimes, within the same course or procedure of injection mesotherapy, different techniques are used (taking into account the thickness and sensitivity of the skin, indications and contraindications, properties of medicinal drugs).

It is possible to perform both manual and hardware injections using a special device - an injector. The second option is more convenient for treating large areas of skin.

Using a mesoscooter

A mesoscooter (or dermaroller) is a special device, the basis of which is a roller covered with microneedles. The necessary product is applied to the surface of the skin and treated with a mesoscooter. As a result of minor irritation, regeneration processes are launched in the skin structures, and the applied beneficial substances penetrate into the micropunctures.

There are two groups of dermarollers:

1. Domestic - characterized by the presence of needles, the length of which is 0.2-0.3 mm. They are used in parallel with the usual cosmetics - cream or serum.
2. Professional - the length of the needles for such devices exceeds 0.5 mm. For pre-treatment of the skin, only special sterile preparations can be used. This is due to the fact that when using such a roller, “blood dew” appears on the skin. Only a qualified specialist can carry out the procedure with professional devices under conditions that ensure compliance with all antiseptic rules.

The mesoscooter is an item for individual use. Its use by different people threatens to cause infection and aggravate dermatological problems.

The device must not be used when:

• the presence of large birthmarks, warts or moles;
• advanced acne;
• psoriasis;
• eczema;
• damage to the skin by fungal microflora;
• violation of the integrity of the skin (scratches, ulcers, wounds, burns) in the area to be treated.

About the mesotherapy procedure for face and body

Usually 1 session per week is performed; for the full course, 5 to 10 visits to a cosmetologist are required. To prolong the effect, maintenance procedures are prescribed once a month.

Preparation for mesotherapy consists of giving up alcohol, nicotine, and anticoagulants. You should not apply decorative cosmetics or care products on the day of the procedure.

The procedure is performed under local anesthesia. The doctor injects medical or homeopathic medications to the required depth. It is possible to perform injections directly into the problem area or into biologically active points.

Benefits of mesotherapy:

• versatility (aesthetic correction of the face and body, activation of hair growth, elimination of cosmetic defects);
• goes well with other hardware and manual techniques to achieve optimal results;
• durability of the result - lasts up to six months if supporting procedures are carried out.

Linear-retrograde technique

This type of injection mesotherapy is used infrequently, since it is more complex and requires highly qualified cosmetologist. With the linear-retrograde technique, the needle is inserted into the skin tangentially to a depth of 2 mm, then smoothly pulled out, while simultaneously injecting a cocktail along the entire length of the injection channel.

Linear technique

This technique is usually used to eliminate wrinkles, scars, scars or stretch marks. In this case, a 12 mm needle is inserted over its entire length directly under the skin fold. The cocktail is injected evenly with constant pressure on the syringe plunger. In this case, the wrinkle should be visually corrected.

It is very important to use the entire volume of the medicine drawn into the syringe before removing the needle from the dermis, in order to avoid leakage of the expensive product or its penetration into the upper layers of the skin.

Stories from our patients:

Irina Shevchenko05/03/2021

To the best plastic surgeon in Russia!!!!!!!!!!!!!!!!!!!!!!!! I would like to express my deep gratitude to Valery Grigorievich for his professionalism and my beautiful face. She had surgery on September 31, 2020, at the height of Covid19 restrictions. The clinic complies with all the necessary requirements for conducting surgery during Covid19. The operation was VERY SUCCESSFUL. Coming out of anesthesia was easy and not noticeable. My face is getting better and better every day and every month. Also, many thanks to the entire Estet Clinic team, everyone is in their place and all great professionals. Highly recommend!!!!!!

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Yulia29.01.2021

Many thanks to the wonderful doctor Valery Grigorievich! I had rejuvenation surgery in 2021. Several years have passed, nothing has changed, only everything has gotten better! Especially the neck, you have no equal in this! There is no need to wait for quick rehabilitation and quick results! Everything will be great, but in a year... At least in my case, everything is individual! But, you are the best! I hope to meet you again, health permitting!

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Tatyana K.07/17/2020

Thank you very much, Valery Grigorievich! I am so glad that I chose you for my surgery. I look 20-25 years younger now (at 59). I myself did not expect to see such a young face. I am very happy. My husband is surprised that this could happen. He also really likes the result. Many thanks to everyone who helped you - Tatyana Alexandrovna and Anna Sergeevna. Many thanks to the anesthesiologists and nurses. The operation and recovery from anesthesia were very easy for me. Thanks to Alexandra, she has always been and remains in touch. For those visiting the site and reading this review, I can add that the intervention was extensive: forehead endoscopy, SMAS, platysmaplasty and lower blepharoplasty. All this was done in 1 time - clearly, quickly, professionally. Therefore, there were no blue-black bruises at all. On the 3rd day, pale yellow bruises appeared under the eyes (already passing). There was no severe swelling. A week later, I calmly (wearing dark glasses) went out into the street. By now, 2 weeks have passed since the operation. The scarring process is completely painless, it is not visible from the outside. There remains a slight numbness of the chin, neck and forehead. But gradually sensitivity returns. You can feel it too. In general, the rehabilitation process is easy to bear, especially with such an emotional high from SUCH a stunning result. I don’t even want to wear makeup))

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Advantages and disadvantages of methods

Each technique has its own pros and cons, which should be taken into account when choosing the best option. For convenience, we will collect all the advantages and disadvantages in one table.

Comparison table of injection techniques

If the specialist is insufficiently qualified or the injection is performed incorrectly, bruising, tissue swelling, and redness of the skin may appear after the procedure. Therefore, choose a cosmetologist very carefully, guided by reviews of friends and acquaintances, and not by advertising.

Rehabilitation after mesotherapy of face and body

Redness and swelling last no more than one day and go away on their own. After a course of mesotherapy, the skin needs careful care. Following the recommendations will consolidate the result and help avoid complications. During the rehabilitation period the following should be excluded:

• thermal procedures and inhalations in drug administration areas;
• sports activities;
• mechanical and massage effects in the injection area (massages, scrubs);
• violations of hygiene rules;
• taking medications that affect the blood coagulation system.

A cosmetologist will tell you about additional restrictions, depending on the type of mesotherapy and the chosen drug.

Our clinic offers the services of experienced specialists who work strictly according to therapeutic protocols, without risk to the health of patients.

conclusions

1. Mesotherapy is a serious intervention, errors during which can have serious consequences.
2. When choosing a rejuvenation method, you should consult with a trusted cosmetologist or even several specialists.
3. Equal depth of needle insertion and dosage of the drug ensure its uniform distribution and equal stimulation of skin receptors.
4. For the nappage technique, gel-like meso-cocktails are not used.
5. Linear technique and papules are performed only manually, without the use of hardware.
6. For those with sensitive or damaged skin, it is better to avoid performing the procedure with a mesoscooter, especially at home. We also recommend that you familiarize yourself with the bandage sugaring technique in this material.

Doing it at home

Mesotherapy can be carried out independently at home, which provides significant savings in time and money, however, it is important to comply with all conditions so as not to cause an infection, and also not to make a mistake with the choice of drug.

Step-by-step training for beginners:

1. 
   Disinfect the roller of the mesoscooter.

2. Clean the problem area from dirt and makeup, if it is the face.
3. Wipe with an antiseptic substance.
4. Apply the medicinal product to the skin.
5. Using slow, smooth movements with light pressure, roll the roller over the skin. If the procedure is performed on the face, then the direction of movement of the roller should be from the center of the forehead to the temples, from the eyebrows to the hair, on the cheeks - from the walls of the nose to the ears, from the center of the chin to the cheekbones.
6. Wash off the drug 30-60 minutes after the session.
7. Apply a soothing cream to the treated area.
8. Disinfect the mesoscooter.

More information about how to carry out mesotherapy yourself is described in this video:

Mesotherapy is a very effective cosmetic procedure that allows you to solve many different problems associated with skin and hair without resorting to surgical interventions. A wide variety of techniques makes it possible to choose the most optimal one to eliminate a specific defect.

Factors determining the effectiveness of mesotherapy

According to the founder of the mesotherapy method of treatment, the main factors determining its effectiveness include homeopathic principles:

• microscopic dose;
• limited exposure;
• rare use.

In mesotherapy, treatment is carried out by injecting a homeopathic or allopathic remedy into or under the skin. Multiple injections are made locally into the problematic area within the reticular and papillary skin layers. This technique has a huge number of indications and applications.

For facial mesotherapy, only those drugs are used that are adapted for administration under and inside the dermis.

They can be injected using two methods:

• Manual;
• Hardware. In this case, a special automatic pistol is used. It sets the quantity, depth and speed of injection of the drug.

If the injections are performed at high speed, then the pain will be less noticeable. With the help of mesotherapy you can get rid of many problems, including aesthetic ones.

In many ways, the result of treatment is determined by the correct diagnosis, in which the following characteristic features must be taken into account:

• age;
• accompanying diseases.

This data is very important when solving problems related to excess weight and correcting your figure, especially when it comes to eliminating cellulite.

What determines the choice of technique for administering mesopreparations?

Every specialist who masters injection techniques must first of all have the necessary skills in administering mesopreparations.

Choosing a high-quality meso-cocktail and using the correct technique for introducing meso-preparations is the key to a good result after the mesotherapy procedure.

There are several basic mesotherapy techniques that are used in modern cosmetology, and one of the most popular is mesoinfiltration. The choice of the optimal technique for a particular patient depends on several factors. It is very important to understand what kind of result the patient expects to receive after the procedure.

Mesopreparations:

• mesoinfiltration is a popular technique for administering mesopreparations;
• introduction of mesopreparations into the skin using the mesodissolution method;
• Features of mesoperfusion technique for administering mesopreparations.

Which ones are better to use?

When using facial mesotherapy, experts recommend for treatment:

• For problem skin prone to excessive dryness or greasiness, the appearance of acne, age spots, scars, vascular defects and other cosmetic defects, techniques that allow microdoses of active substances to be introduced into the middle layers of the dermis are nappage and papular techniques. The average cost of procedures in Moscow is 6,000 rubles, in St. Petersburg - 4,000 rubles.
• Periorbital region , i.e. the area around the eyes, prone to the appearance of facial wrinkles, swelling, bruises and other manifestations of aging, is a classic injection and non-injection method of electroporation. The average price in Moscow for classical injections is 6 thousand rubles, in St. Petersburg - 4.5 thousand rubles, electroporation, respectively - 4 and 3 thousand rubles.

Important! The cost of procedures for any type of mesotherapy depends very much on the choice of drugs, since they differ significantly in price, which can be much higher.

In body mesotherapy, according to cosmetologists, it is most advisable to use:

• For weight loss - methods of infiltration and medium papules, which allow the introduction of a lipolytic drug into the mesoderm; procedures are carried out in the problem area once a week for 1 to 3 months. The average cost in Moscow is 3,000 rubles, in St. Petersburg - 2,500.

• 
  For cellulite - methods of infiltration and papules (dermal and intradermal), allowing the solution to be injected into the mesoderm; the course is 10 procedures once a week. The average cost in Moscow is 3 thousand rubles, in St. Petersburg - 2-3 thousand rubles.

• For stretch marks - linear and retrograde-linear techniques, about 10 procedures at a price of 4-8 thousand rubles each in Moscow and 2-5 thousand rubles in St. Petersburg;
• For pigmentation - medium nappage and subcutaneous injections, 4-7 sessions, each costing 3-6 thousand rubles in Moscow and from 1.5 thousand and above in St. Petersburg, depending on the choice of drug.

When using hair mesotherapy, experts recommend:

• for hair loss - superficial nappage and classic injections, in which components that promote hair growth are injected into the scalp; 8-10 procedures are required for 3-4 thousand rubles;
• for seborrhea - classic injections and superficial nappage for about 10 sessions costing 3-4 thousand rubles in Moscow and 2-3 thousand rubles in St. Petersburg;
• for hair restoration - the method of superficial papules; the course of treatment is 6-20 procedures depending on the condition of the hair; the price of one session is 2-4 thousand rubles.