Maximum natural rejuvenation: new fillers based on polylactic acid

It has been scientifically proven that the aging process of the skin occurs mainly at the level of the dermis: blood vessels gradually atrophy, the number of fibroblasts decreases, and the process of production of natural hyaluronic acid slows down. Therefore, if you want to get the most long-lasting rejuvenation effect, it is important not only to mechanically tighten sagging tissue, but also to launch the natural processes of skin cell regeneration.

By implanting Resorblift threads, you can quickly (almost instantly) evaluate the positive results of rejuvenation: absence of wrinkles, tightened facial contours, absence of saggy, swollen skin, healthy skin color.

What is special about Resorblift threads?

A unique development by French scientists - Resorblift threads, which contain polylactic acid, allows for a minimally invasive facial skin rejuvenation procedure with the longest possible lifting effect.

Features of Resorblift threads:

• consist of high molecular weight polylactic acid;
• the period of thread resorption takes only six to nine months;
• implantation of threads has a rejuvenating effect, activates the process of skin cell restoration;
• the introduction of the thread forms a natural framework of soft tissues (micro-incisions with protrusions along the entire length of the thread reliably attach them to the facial tissues);
• polylactic acid activates the process of natural collagen production, due to which the positive effect of the procedure lasts as long as possible;
• Resorblift threads are not rejected by the body and do not cause allergic reactions;
• the procedure for inserting threads is painless (does not require general anesthesia);
• After implantation of threads, natural facial expressions are preserved.

What is new about polycaprolactone fillers?

The innovation is that the developers of the technology, and these are scientists and doctors from a medical corporation in the Netherlands, specializing in the development and production of innovative injection products, have achieved a combination of complete disintegration of the filler with a long-lasting visual cosmetic effect. It was possible to create a line of fillers with different lengths of polymer chains, which makes it possible to select and control the duration of the presence of the filler, and predict the duration of its cosmetic effect.

The line of fillers consists of four drugs that have the same density and areas of injection, differing only in the duration of the visual effect. The validity period of ELLANSE-S is approximately 12 months, ELLANSE-M is up to 2 years, ELLANSE-L is up to 3 years, ELLANSE-E is about 4 years.

It was histologically proven that Ellanse-M PCL microspheres were still present 21 months after injection, embedded in a collagen structure consisting predominantly of type I collagen fibers. Thus, the data obtained demonstrate the strong and long-lasting presence of collagen and the replacement of type III collagen by larger ones. type I collagen fibers, which is consistent with the normal physiological process of wound healing.

Areas of application of filler:

• nasolabial, chin-labial folds, deep wrinkles and skin folds, skin depressions, post-traumatic and post-acne scars, augmentation of the lips and bridge of the nose, minor facial defects, correction of signs of lipoatrophy (reduction of subcutaneous fat on the face), otology (ear defects). It is especially important: the introduction of a filler based on polycaprolactone can be combined with photo and laser rejuvenation, including fractional rejuvenation to enhance skin regeneration. A cosmetologist is not limited in the use of various hardware methods of influence, including in implantation areas. 46 weeks after the injection of the filler, microcurrent therapy, lift massage, laser dermal rejuvenation, and laser peels can be safely performed at various tissue levels. All these methods in combination with the introduction of polycaprolactone-based implants will have a complementary rejuvenating effect. Continuing the list of capabilities of the new drug, I want to say that it is intended not only to fill volume, but is an active stimulator of the formation of new collagen, and with the help of the drug it is possible to rejuvenate the skin of the face, neck, décolleté, hands, thighs, and abdomen. All this is also one of the most important differences between the drug and filler based on hyaluronic acid. As for contraindications, the list is classic, like that of fillers based on hyaluronic acid. As practice has shown, the injected filler based on polycaprolactone is not visible even with the lightest skin.

Ellanse	1 ml.	S	23 000
		M	26 000
		L	31 000
		E	33 000
	0.5 ml.	S	13 500
		M	14 500
		L	17 000
		E	19 500
Radiesse	0.8 ml	20 000
	1.5 ml	30 000
	3 ml.	50 000

Contouring with hyaluronic acid
Bellcontour 24	0.8 ml	1 syringe/ 2 syringes	13500/24400
Bellcontour 30	0.8 ml	1 syringe/ 2 syringes	15000/28000
Glyton 2	1 ml	1 syringe/ 2 syringes	15500/28500
Juviderm Ultra 2	0.55 ml	1 syringe/ 2 syringes	12300/22500
Juviderm Ultra 3	1.1 ml	1 syringe/ 2 syringes	17000/30000
Juviderm Ultra Smile	0.65 ml	1 syringe/ 2 syringes	13500/25000
Amalian Soft Filler II	2 ml	1 syringe/ 2 syringes	20500/37000
Princess Filler	1 ml	1 syringe/ 2 syringes	14500/25000
Princess Volume	1 ml	1 syringe/ 2 syringes	16000/30000
Hyalax Light	1 ml	1 syringe/ 2 syringes	15500/28000
Hyalax Base	1 ml	1 syringe/ 2 syringes	16500/31000
Reneall 100	1 ml	1 syringe/ 2 syringes	13500/21000
Reneall 200	1 ml	1 syringe/ 2 syringes	14500/25000
Reneall 300	1 ml	1 syringe/ 2 syringes	15500/28000
Surgiderm 30xp	0.8 ml	1 syringe/ 2 syringes	17000/30000
Surgiderm 24xp	0.8 ml	1 syringe/ 2 syringes	12300/22500

When and to whom is the procedure recommended?

The method of skin rejuvenation using Resorblift threads is universal.

It is used to tighten skin in the following areas:

• eyebrows (allows you to tighten the outer edge of the eyebrow);
• cheeks and cheekbones (smoothes nasolabial folds, tightens the entire middle area of ​​the face);
• neck (eliminates wrinkles, tightens sagging skin);
• breasts (forms a more expressive shape);
• inner surface of the arms and thighs (eliminates sagging skin);
• anterior abdominal wall (helps tighten sagging muscles).

There are no clearly established age limits for the procedure of implantation of Resorblift threads. However, experts say that this rejuvenation technique is most suitable for patients over thirty years of age with a small amount of fat deposits in problem areas.

The implantation of resorblift threads is recommended in case of the following cosmetic problems and age-related changes in the skin:

• skin ptosis;
• the appearance of pronounced wrinkles;
• sagging skin;
• changes in the contour of the face oval;
• decreased skin turgor;
• the appearance of swelling of the facial skin (especially under the eyes).

Attention: Resorblift threads are approved for rejuvenation procedures for patients with very thin, sensitive skin.

Indications and contraindications

Polylactic facial threads are recommended to eliminate the following skin defects:

• drooping corners of the lips;
• the appearance of wrinkles;
• decreased tone;
• loss of contours;
• sagging.

In addition to the face, threads effectively correct imperfections in the loss of elasticity of the inner parts of the forearms, thighs, chest and abdomen. According to the experience of specialists, the technique gives the best results in people over the age of 30 with moderate thickness of the fat layer in problem areas of the body.

How does the procedure take place and in what areas?

No special preparation is required before inserting resorblift threads. The patient undergoes a medical examination confirming the absence of contraindications. A few days before the lifting, it is recommended to avoid eating fatty foods and alcohol. On the day of thread insertion, you need to get a good night's sleep and limit your water intake.

Progress of the procedure:

1. The patient sits comfortably in a cosmological chair.
2. The skin at the site of insertion of the threads is thoroughly cleaned with an antiseptic. The doctor must also wear a mask and cap, and his hands are protected with gloves.
3. The site where the threads are inserted is treated with an anesthetic cream or local injections of an anesthetic are administered.
4. On the problem area of ​​the skin, the doctor draws the direction of insertion of the threads.
5. Using a special tool, Resorblift threads are inserted in the direction of a pre-marked line. The doctor pulls the threads, achieving the desired lifting effect, after which he stops and secures the end of the thread.
6. At the puncture site, a microscopic cosmetic suture is applied from self-absorbing threads, which will very quickly disappear without a trace.
7. The places where the threads were inserted are re-treated with an antiseptic, after which the lifting procedure using Resorblift threads can be considered complete.

The duration of the manipulation of thread insertion takes from twenty to sixty minutes.

Important: the package with threads is opened only in the presence of the client. You cannot use an already opened or expired set of threads.

Cocktail for skin

Those whose main problem is not wrinkles, but deterioration of skin turgor (loss of elasticity, beginning sagging of tissues), should pay attention to another injection technique - mesotherapy.

How does this happen? Using special small needles, healing cocktails rich in vitamins and microelements are injected under the skin. Preparations based on hyaluronic acid, the key substance responsible for skin hydration and elasticity, have proven themselves to be excellent. Cocktails with DMAE (dimethylaminoethanol) are also gaining popularity, allowing them to thicken the epidermis, tighten tissues and remove accumulated toxins. The composition of the cocktail is determined individually in each specific case. The ingredients can be mixed in almost any proportions, based on the existing problems and characteristics.

Mesotherapy allows you to greatly “rejuvenate” the skin, not only from the outside, but also from the inside. But you will not see the effect immediately - it will take at least 5-7 sessions for the reflection in the mirror to noticeably freshen up. Treatments are usually carried out once a week. After them, minor redness may form at the injection sites, which goes away on its own after a couple of hours.

Keep in mind, mesotherapy is often quite painful. If your skin is sensitive, ask your doctor to use local anesthesia in advance. Remember also that this method is not a panacea for skin aging. Mesotherapy is good when age-related changes in the epidermis have barely begun. Unfortunately, she is practically powerless against serious skin lesions.

Mesotherapy is used not only to solve problems with the face, but also to treat cellulite, correct stretch marks, and in weight loss programs. In this case, substances are added to the cocktails that promote the breakdown of fat cells, enhance the movement of lymph and the removal of excess fluid, and stimulate the formation of collagen and tissue renewal. The effectiveness of procedures also depends on the “initial data”. The less pronounced the problem, the easier it will be to solve.

Difference between Resorblift and other threads

Comparing Resorblift threads with lifting materials, we can highlight the following differences:

1. The threads are introduced subcutaneously, which guarantees minimal risks of complications, damage to large vessels and nerves. Threads of another type are introduced into the deep layers of the skin, where large connections of blood vessels and nerve endings are located. Damage to such connections is fraught with the development of fibrosis.
2. Resorblift threads are made of 100% polylactic acid (other materials are made of synthetic fiber - polydiaxonone).
3. Unlike other suture materials, Resorblift threads are perfectly combined with any plastic correction procedures. Already two weeks after the introduction of threads, the patient can undergo hardware skin care procedures, and four weeks later - laser or chemical peeling.
4. After inserting resorblift threads, there are no postoperative sutures, incisions, or staple connection points. Insertion through a needle minimizes soft tissue trauma.

Clear contours

Many of us have heard about contour plastic surgery, but not everyone fully understands what it is. Contour plastic surgery is the same injection method for correcting age-related changes, which provides a longer lasting result - from a year to ten years.

How does this happen? During the procedure, a dermal filler, or filler, is injected under the skin. Having a liquid consistency, it “fills” all wrinkles and even visible nasolabial folds from the inside. You should not expect any therapeutic effect - the filler only visually corrects age-related changes. However, this correction justifies itself, and it’s not for nothing that contour plastic surgery is considered a completely worthy alternative to “real” plastic surgery.

Botox, Dysport

• Operating principle. Blocks the transmission of nerve impulses, preventing muscles from contracting. The tissues are “stretched” and wrinkles temporarily disappear.
• Possibilities. Copes with wrinkles on the forehead, bridge of the nose, and in the corners of the eyes, both age-related and facial wrinkles.
• Advantages. Allows you to get rid of fairly deep wrinkles in a short time. It is practically the only way to correct deep expression wrinkles.
• Flaws. Botox is a substance foreign to the skin, so an allergic reaction may occur. Excess Botox leads to the fact that the face loses its lively facial expressions and becomes like a mask.
• Contraindications. Inflammatory processes on the skin, chronic diseases in the acute stage, blood clotting disorders, myasthenia gravis and other disorders in the structure of muscle fiber. Pregnancy and lactation. In addition, taking some antibiotics, anticoagulants, some sleeping pills and antidepressants.
• Duration of effect. 3-5 months
• Cost of the procedure. Botox - from 4 thousand rubles. for the area (forehead, area around the eyes). Dysport - from 2 thousand rubles. per zone

Mesotherapy cocktails

• Operating principle. Penetrating into the deep layers of the epidermis and dermis, they provide nourishment to the skin from the inside and normalize metabolic processes, enhance cell regeneration, and replenish the lack of important substances.
• Possibilities. Quite broad: cocktails are used to deeply moisturize the skin, nourish, relieve the effects of stress, etc. But at the same time, they can correct only minor age-related changes.
• Advantages. Even if you can’t completely get rid of wrinkles and restore youthful skin elasticity, deep hydration and nutrition are guaranteed to not hurt. The skin will be noticeably fresher, and its turgor will in any case improve.
• Flaws. The procedure can be quite painful. The full course will take a couple of months.
• Contraindications. Bleeding disorders, renal failure, vascular diseases, cholelithiasis. Late pregnancy and lactation.
• Duration of effect. About six months after the course of procedures
• Cost of the procedure. For rejuvenating cocktails, the cost ranges from 1,500 to 3 thousand rubles. per session (average price in Moscow)

Stabilized hyaluronic acid

• Operating principle. Getting into the deep layers of the skin, it “locks” water molecules inside. It also activates the production of its own hyaluronic acid and, accordingly, enhances regeneration processes.
• Possibilities. Excellently moisturizes, thereby increasing skin elasticity and smoothing out wrinkles.
• Advantages. Skin-native ingredient.
• Flaws. Useless if the tissues are very sagging. It can accumulate under the skin, forming unpleasant lumps (although they later resolve on their own).
• Contraindications. Inflammatory skin diseases, chronic diseases in the acute stage, pregnancy and lactation. Allergies to eggs and poultry (hyaluronic acid is obtained from rooster combs).
• Duration of effect. 1.5-2 months
• Cost of the procedure. From 5 thousand rubles. per session

There are different types of fillers, and, first of all, they are divided into biodegradable and permanent. The first include preparations based on hyaluronic acid (Restylane, Perlane, Juvederm), collagen, polylactic acid and calcium hydroxyapatite. They all have one thing in common - after a certain time they dissolve and are eliminated from the body naturally.

Nowadays, hyaluronic acid fillers are one of the most popular products of this kind. By the way, they are used not only in anti-aging programs, but also for lip augmentation and correction of facial contours. The basis of modern drugs is not animal, but synthetic hyaluronic acid obtained in laboratories. It does not cause allergic reactions and is therefore considered safer. Other advantages of such fillers include non-toxicity and comparative ease of administration under the skin. They also don't shift over time, which is a big pro.

The service life of the filler depends on the drug you choose. The effect of Restylane lasts about six months, from Juvederm - 6-8 months, from Perlane - 2 years (due to its denser consistency). If the drug is not used correctly, there is a possibility of complications - the formation of small nodular granulomas under the skin.

Collagen-based fillers are also classified as biodegradable, but have recently been used less and less. Statistics show that in approximately 10% of cases, after administration of the drug, noticeable lumps form under the skin, not dangerous, but very unpleasant. In addition, collagen is a fairly allergenic substance, especially when it comes to substances of animal origin. In the USA, for example, they completely abandoned their use. In our country such procedures are carried out, but not everywhere.

To correct nasolabial folds and pathological changes in the cheekbones and chin, a drug called radise, synthesized from calcium hydroxyapatite, can be used. This ingredient is a component of bone tissue and thanks to this it “takes root” quite well. Radiesse helps improve the cellular framework in the injection area and provides an excellent lifting effect. The result can be enjoyed for about 2 years. The downside is the formation of small but distinct nodules under the skin. Finally, the last in the series of biodegradable fillers are New fill or Sculptra (based on polylactic acid). This is still a rare guest in our latitudes, but in the future it can seriously compete with Restylane and Juvederm. Polylactic acid not only fills wrinkles and nasolabial folds, but also stimulates the production of natural collagen. As a result, the quality of the skin only improves over time, and the aging process slows down. This may require not one injection, but several (usually carried out at intervals of 1.5-2 months). The effect of the course of procedures will last 2-3 years.

As for permanent fillers, their use causes a lot of controversy in scientific circles. On the one hand, they provide a much longer effect (from 5 years and almost indefinitely). On the other hand, over time they can shift, which frankly disfigures the face, causes more pain, and sometimes leads to changes in the structure and color of the skin. It's up to you to decide whether to take risks or not. But, if you have already decided on such a procedure, choose a clinic responsibly and make sure that you have all the certificates necessary for this type of activity.

Basically, two types of permanent fillers are now used - artekol and liquid silicone (the latter is prohibited in the USA, but in Russia it remains completely within the law). Artekol is effective for correcting nasolabial folds; it is practically not used in the upper part of the face. It is very important not to make a mistake with the dosage of the drug, because its excess is almost impossible to eliminate. Other disadvantages include a small risk of an allergic reaction and swelling after the procedure, which persists for 4-5 days. Don’t count on immediate results - artekol fills the folds gradually, usually over 2-3 months.

Almost the same can be said about liquid silicone. True, it has more contraindications - it is more often displaced and leads to the formation of granulomas. According to those who have tried the method, it causes a lot of painful sensations. The advantage is that it has an almost eternal effect. Of course, only if the procedure is carried out at a very high level. In addition, it is important to understand that filler is not able to protect you from the formation of new wrinkles, so even with successful introduction of permanent filler, there is a high probability of returning to a specialist.

Results after the procedure

Immediately after the introduction of Resorblift threads, you can evaluate the positive result of the procedure:

• absence of wrinkles on the forehead, temples, neck, cheekbones;
• increased skin tone;
• clear contour of the oval face;
• no age-related skin sagging;
• corrected shape of the eyebrows and upper eyelids (the so-called hooded eyelid effect disappears);
• raised corners of the lips.

The positive results of the lifting procedure last from two to five years.

The following factors influence how long you can enjoy fresh, healthy-looking skin:

• the amount of subcutaneous fat deposits at the sites where the threads are inserted;
• the age and physical condition of the patient;
• skin type (dry, oily or combination);
• the condition of the skin and the severity of the cosmetic problem;
• number of previously performed skin care and rejuvenation procedures.

Principles of the procedure

At the very beginning of the procedure, the specialist draws lines for the future location of the threads on each side of the face.

Then the anesthesia process begins:

• the local anesthetic ultracaine is used for it;
• the solution is injected in two places on each side of the face.

After this, through the cannula, the entire length of the future location of the thread is treated with an anesthetic. This part of the procedure is the most painful. The specialist can distract the client to make the sensation less unpleasant.

If the pain is too strong, it is possible to slightly change the direction and trajectory of the cannula insertion. After completing the actions, time is given to achieve the full effect of pain relief. Then they begin to insert the threads.

When pulling out the cannula, the extreme end of the thread clings to the inside of the skin. After completion of the procedure, a noticeable feeling of fullness and compaction appears. After some time it stops.

The shape of the face changes immediately. If there are jowls, for example, they disappear, and the fabrics are tightened as a result of support by threads. The effect of the anesthetic continues for a short time, but by the next morning the anesthesia completely disappears.

Rehabilitation after installation of threads

To avoid the development of unwanted side effects, as well as to consolidate the positive results of lifting, the patient must adhere to certain rules of the rehabilitation period:

• in the first twelve hours to 24 hours, avoid sudden facial movements (frequent blinking, active chewing, long conversations);
• for two weeks, avoid heavy physical activity, especially those associated with tension in the facial muscles;
• It is recommended to avoid visiting solariums, baths, and saunas for a month;
• In the first fourteen days, you must refrain from sleeping on your stomach or side.

Skin care after insertion of Resorblift threads involves careful cleansing and disinfection with special antiseptics, nutrition and moisturizing creams. All manipulations for facial skin care are carried out as carefully as possible, without sudden movements (pressure and rubbing of the skin must be avoided).

The positive result of the thread insertion procedure is visible immediately.

It is important to remember that in the first seven days, bruising, pain, and swelling may occur at the site where the threads were inserted. This is a normal reaction of the body to the insertion of a thread, which will pass without any intervention.

Sometimes, due to the incompetence of the cosmetologist, violations of the technology for introducing threads or the lack of sterility of materials, some negative symptoms begin to appear:

• facial asymmetry;
• unevenness and wrinkles;
• violations of facial expressions.

Important: regardless of the severity of negative symptoms, the patient should contact his doctor for additional advice and medical assistance.

Efficiency

The first results after the procedure for introducing polylactic threads become noticeable after 3 days. A month later, you should come back for a follow-up appointment with a specialist to assess the effectiveness and monitor the condition of the skin and deeper tissues. The threads dissolve, according to customer reviews, for about 3 years.

During the recovery period, it will take some time for the punctures to heal and the traces of them to cease to be noticeable.

Basic recommendations after inserting threads:

• do not eat or drink hot drinks for 1 day;
• sleep on your back with an extra pillow;
• do not yawn or open your mouth wide;
• do not bite off hard foods;
• don't smile.

Photos “before” and “after” the introduction of polylactic threads for the face.
If there is noticeable pain, it is allowed to lubricate the skin with Traumeel ointment. It contains extracts of medicinal plants that effectively relieve post-traumatic conditions. As a last resort, you can take any analgesic drug from the group of non-steroidal anti-inflammatory drugs.

Contraindications to procedures

You can get the desired result of rapid rejuvenation only if there are no contraindications for the introduction of Resorblift threads.

It is prohibited to administer Resorblift threads if:

• inflammatory processes in the body (colds, ARVI) and on the skin (rashes, irritation);
• somatic and systemic diseases (lupus erythematosus, diabetes mellitus);
• malignant neoplasms located near the area of ​​insertion of threads;
• mental disorders;
• cardiovascular diseases;
• individual intolerance of the patient to polylactic acid, as well as a tendency to develop allergic reactions.

It is strictly unacceptable to insert threads during pregnancy and after childbirth, during breastfeeding.

A temporary restriction on the skin correction procedure applies to the period of taking medications (especially those whose action is aimed at thinning the blood).

It is very important to undergo a medical examination before the rejuvenation procedure, including a consultation with a therapist, a general and biochemical blood test, and a urine test.

Mechanism of action of polylactic acid fillers

Today, fillers based on polylactic acid are widely used in cosmetology. Their mechanism of action and the main advantage over hyaluronic fillers is the activation of fibroblasts, which synthesize collagen fibers, elastin and hyaluronic acid molecules.

Polylactic acid fillers contain water, which is absorbed into the tissue several weeks after the administration of the drug, and its place is taken by renewed tissues, overgrown with microparticles of polylactic acid.

After this, the acid breaks down into carbon dioxide and water, leaving behind a new collagen framework.

Reviews from cosmetologists and patients

Resorblift polymilk threads are a great way to quickly restore youth and beauty to your skin. This conclusion was reached by patients who have already tried the effects of threads on themselves. Particularly attractive is the longest possible period of maintaining the achieved positive effect.

Practicing cosmetologists also speak very highly of the use of Resorblift threads in skin rejuvenation and healing procedures. They attract minimal risks of side effects and the speed of lifting using Resorblift threads.

Operating principle of Resorblift threads

Today it is obvious that skin aging occurs mainly at the level of the dermis: the number of fibroblasts decreases, blood vessels gradually atrophy, the amount of its own hyaluronic acid in the skin decreases... Therefore, it is extremely important to start regenerative processes in the dermis, and not just tighten tissue mechanically .

RESORBLIFT threads are placed in the hypodermis. As a result of the use of threads, there is an improvement (lifting effect) in the oval of the face, smoothing of fine wrinkles, a significant reduction in deep wrinkles, as well as a general skin tightening effect - improvement in its condition, turgor, and complexion.

Indications for use and contraindications

Threads have proven effectiveness in combating signs of aging, and have virtually no restrictions on use. The only subtle point is the presence of excess subcutaneous fat in the patient (full faces), which weighs down the facial soft tissues and prevents the achievement of the desired result. In such patients, after using Resorblift threads, a result is also observed in the production of their own collagen, which is triggered by RESORBLIFT polylactic threads. The skin becomes more elastic, the complexion improves, but a pronounced lifting effect is not observed. Preparatory lipolytic and drainage therapy is recommended for such patients. It is carried out using both hardware techniques and injections. The use of these methods in combination allows you to achieve maximum effect when using RESORBLIFT threads

Contour plastic surgery with polylactic acid preparations, where and when is it best to do it in St. Petersburg?

No preparation is required as such. If you are taking any medications, you must inform your cosmetologist during your consultation. Shortly before the procedure, the patient is examined, the specialist studies the wishes and analyzes all the information received.

Please note that this injection plastic surgery is carried out in a course. As a rule, the course includes 4 sessions, at each of which a different amount of the drug is administered depending on the results already achieved, tasks and skin condition. The break between sessions is about a month.

The process of each session is that, using a syringe, a selected dose of filler is injected onto cleansed skin along the marking lines applied in advance. Immediately after the procedure, the patient can return to his business.