Phonophoresis of the face with hydrocortisone, caripain, hyaluronic acid. Indications and contraindications, devices for ultrasound procedures

Phonophoresis is ultrasonic energy applied to increase the permeability of the face and body skin, allowing the absorption of Hydrocortisone and other drugs into the tissues.

The essence of technology

Phonophoresis of the face with Hydrocortisone since its introduction in 1954 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 bloodstream. The pulsed method is commonly used in continuous drug absorption and is typically used to treat musculoskeletal disorders such as bursitis and tendonitis.

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

Specially trained therapists can treat patients using this method in order to administer the medication directly to the patient's area of ​​concern. The action of ultrasonic vibrations is a special transmission of waves at the level of the cells of the body, 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 able to create waves with a frequency in the range from 900 to 4000 kHz, due to which it penetrates deep into the tissues 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, it is able to warm up tissues, increasing the sensitivity of white and red blood cells.

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

Mechanism of action

Transport of the drug through the skin barrier is limited by its ability to cross the outermost layer of the skin, the stratum corneum. Since this layer consists of dead, stratified squamous epithelial tissue, its permeability is highly dependent on its level of hydration.

Removing a portion of the stratum corneum by abrasion significantly increases drug absorption until the layer is rebuilt 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. Heating the skin prior to 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 top layer of the skin. Then the doctor tries to establish a certain intensity, focusing already on the patient's sensations and taking into account his characteristics.

Facial phonophoresis with Hydrocortisone comes in 3 different variations:

• High frequency. High frequencies are used for some procedures in cosmetology, mainly on the face. At high frequency, ultrasonic waves cannot penetrate deeply, maximum 3 cm.
• Mid-frequency. Medium frequencies are used in cosmetology to eliminate subcutaneous fat by exposure to ultrasonic vibrations or cellulite. Also, such phonophoresis is suitable for getting rid of scars with the drug Lidaza. The second type of phonophoresis penetrates deeper into the tissues, by about 5 cm.
• Low frequency. With its help, ultrasonic vibrations penetrate deep into the connective tissues, warm them up and have a healing effect in case of problems such as severe inflammation. In this case, the intensity of the ultrasonic waves is the highest. The vibrations heat up the tissues and eliminate the cause of the inflammatory processes.

There are 2 types of wave intensity:

• Impulsive waves. These waves are not able to warm up tissues and penetrate deeply, so they are suitable even for highly sensitive skin, treatment of inflammatory processes and rosacea, special diseases requiring 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 can easily tolerate such procedures.
• Constant waves. They are used for more serious disorders, such as treatment and elimination of skin scars, hematomas and stretch marks.

The advantages of phonophoresis:

• A non-invasive method of injecting drugs into tissues under the skin.
• Alternative option for injection.
• Provides the penetration of drugs into the target area.
• No side effects and fast recovery.
• Helps in the treatment of a wide range of diseases.

Indications

Phonophoresis is indicated to solve the following problems:

• Muscle pain.
• Joint pain.
• Headache.
• Stretching.
• Hernias.
• Cellulite and excess weight.

Contraindications

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

The procedure is not recommended for:

• vegetative-vascular dystonia;
• inflammation and irritation in the area of ​​the procedure;
• tuberculosis;
• pineal gland of growing bones;
• with heart disease;
• malignant tumors;
• thrombophlebitis;
• violation of blood circulation;
• diseases of the reproductive organs;
• ischemic diseases;
• hypertension;
• metabolic disorders;
• problems in gynecology, namely diseases of the uterus and ovaries;
• the presence of malignant tumors;
• diabetes mellitus;
• in the presence of chemical peels;
• immunodeficiency;
• the presence of infections that are associated with impaired immunity.

You should also pay special attention to the drugs 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 the area of ​​neoplasms, in infected areas, metal partsimplanted inside the body, vascular abnormalities and sensitive areas such as the eyes, groin, skull and abdomen of a pregnant woman.

Benefits of conducting 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 expenditures, but for this it is necessary to have special equipment, devices and sensors, and medicines.

It is advisable to have a medical education or take special courses in cosmetology. For the procedure, professional devices must be present.

Step-by-step description of the phonophoresis procedure at home:

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

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

Apparatus for the procedure at home

Having made the decision to start phonophoresis at home, you can choose various devices for yourself.

More suitable are:

• Delta Combi. This is a device with a huge range of functions for several therapy devices at the same time. It is a neurostimulator and ultrasound machine that is suitable for home use in case of diseases and complications of various forms. The device is compact, but despite this, it has a wide range of programs for the treatment of diseases. It is easy to operate and does not require specific knowledge to learn when using.

With the help of devices, three types of therapy are possible:

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

• Delta OUT. It is widely used in many fields of cosmetology. In terms of functionality, it is not inferior to the devices in the beautician's offices, but at the same time it is compact, unlike stationary ones. In the arsenal of the device there are many modes of various orientations, with the help of which it is possible to treat diseases.
• OUT-01 RONET. It activates metabolism in the human body, penetrates by its action into distant tissue layers and internal organs, improves the functioning of cells, dissolves scars and relieves spasms. It also improves blood circulation and regulates smooth muscle function.

The instrument should be selected based on the original problem and the achievement of individual results. Be sure to follow the instructions to avoid harming your body.

Substances and preparations for phonophoresis: Hydrocortisone

Facial phonophoresis with Hydrocortisone (a special hormone that is analogous to a 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 increase local blood circulation and enzyme activity. The purpose of phonophoresis is the penetration of a local drug using ultrasound as a transmission medium. Most often, hydrocortisone is used as an anti-inflammatory agent.

The drug is capable of acting as an antibacterial, antiallergic, antipruritic substance. It helps to block the production of allergens, relieves allergy symptoms, and reduces sensitivity (during impulsive fluctuations). Also, Hydrocortisone is able to affect metabolism in the body: metabolic and lipid.

You can not carry out phonophoresis with Hydrocortisone for a long time, as this can cause problems with the adrenal glands, namely, the cessation of the production of the hormone by the body. For treatment, it is necessary to undergo 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; in cosmetology, Hydrocortisone is rarely used. Phonophoresis with Hydrocortisone can be carried out both at home and in the salon.

Application with hyaluronic acid

Hyaluronic acid, together with phonophoresis, is most often carried out for cosmetic rather than medicinal purposes. Before treating the skin with ultrasonic vibrations, hyaluronic acid is applied to it, which is able to heat up, penetrate deeply into the tissues and act directly on the treated area.

• Face cleaning. Hyaluronic acid Able to penetrate the pores under the action of ultrasonic vibrations and cleanse them of acne. It is also important not to carry out the procedure with strong sensitivity of the skin of the face, since intensive modes will be used, which can leave burns on the face.
• Elimination of cellulite. Usually, this procedure is done on a specific area of ​​the body, for example, 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 beautician conducts on the problem area of ​​the body with different intensities of the sensor. Although cellulite will not go away in one session, 3-4 times will be enough to find fresh and renewed skin. In the same way, weight loss in the waist occurs. Only in this case the master presses harder on the fat deposits.

Don't miss the most popular column article: Plasmolifting of the face - what it is, how it is performed, results, photos before and after the procedure.

With contractubex

Contractubex is a drug that is used in most cosmetic procedures.

With its help, the following procedures are carried out:

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

With fermenkol

Fermencol is a medicinal product that is used with phonophoresis in cosmetology. It is able to smooth the skin surface and eliminate wrinkles, get rid of imperfections, pigmentation and scars.

With caripain

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

With lidaza

Lidase is a special enzyme that is able to break down collagen fibers, especially on scar tissue. It has a pronounced effect on the connective tissue of the body, splitting 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 imperfections on the face to smooth the skin surface. Most often it is used in cosmetology to eliminate any scars and remnants of acne.

Execution technique

Phonophoresis of the face regulates and improves cell metabolism, therefore it is especially often used in cosmetology for such procedures as ultrasonic face cleansing, anti-cellulite massage, elimination of edema, getting rid of subcutaneous fat, as well as for the normalization of arterial circulation.

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

The mechanism practically does not differ from phonophoresis for medicinal purposes. Its main task is the penetration of ultrasonic vibrations into tissues to obtain a cleansing effect.

Stages of ultrasonic face cleansing:

1. Cleaning the skin from dirt and products of the sebaceous glands. To do this, the master uses a special solution containing, as a rule, ordinary micellar water.
2. When the face is prepared and cleaned, it must be disinfected to prevent infection from getting into small wounds, if any.
3. Then a special healing solution is applied to the skin of the face, for example, hyaluronic acid, or any other that is capable of penetrating deep into the pores, cleansing them.
4. Start ultrasonic wave therapy. To do this, the beautician transfers the sensor to each area of ​​the skin and delays it for 15 seconds. At this time, the master must also adjust and change the power of the device. Usually, the beautician moves the sensor towards the eyelids and makes circular movements along the face. The process takes 15-20 minutes.
5. Then the skin is soothed by applying a moisturizer. The cells regenerate faster and the face looks fresh. The result is clear skin without acne and inflammation.

Phonophoresis effect

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

Some research suggests phonophoresis may not be 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 can 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 in at least 30 minutes. before ultrasonic waves are used for better results.

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

Article design: Mila Friedan

Phonophoresis video

How is the facial phonophoresis procedure: