{"id":58894,"date":"2014-03-28T14:39:11","date_gmt":"2014-03-28T12:39:11","guid":{"rendered":"http:\/\/slovaklinesmagazin.sk\/cms\/?p=58894"},"modified":"2014-03-28T16:26:27","modified_gmt":"2014-03-28T14:26:27","slug":"ulthera-svet-bez-skalpela","status":"publish","type":"post","link":"https:\/\/www.slovaklinesmagazin.sk\/cms\/2014\/03\/ulthera-svet-bez-skalpela\/","title":{"rendered":"Ulthera \u2013 svet bez skalpela?"},"content":{"rendered":"<p>O svetovej novinke v estetickej medic\u00edne\u00a0sa rozpr\u00e1vame s MUDr. Janou\u00a0\u0160r\u00e1mekovou, riadite\u013ekou 1. laserov\u00e9ho\u00a0dermatokozmetick\u00e9ho centra\u00a0v Bratislave.<\/p>\n<p><b>Mnoho \u017eien sn\u00edva o tom, aby sa dali aj v\u00fdraznej\u0161ie zn\u00e1mky starnutia rie\u0161i\u0165 bez chirurgick\u00e9ho faceliftingu. Zostane tak\u00e1to predstava nav\u017edy iba snom?<\/b><\/p>\n<p>Medic\u00ednsky pr\u00edstroj Ulthera pribl\u00ed\u017eil m\u00ed\u013eov\u00fdmi krokmi sen o svete, v ktorom sa pokles obo\u010dia, spojen\u00fd s poklesom horn\u00fdch vie\u010dok, ochabnut\u00e9 kont\u00fary l\u00edc a uvo\u013enen\u00fd podbradok rie\u0161ia bez jedin\u00e9ho rezu skalpelom. Ide o skuto\u010dn\u00fd, nechirurgick\u00fd facelift.<\/p>\n<p><b>Nechcem by\u0165 zl\u00e1, ale \u010dl\u00e1nkov o ambulantnom \u010di nechirurgickom facelifte bolo za posledn\u00e9 roky uverejnen\u00fdch v r\u00f4znych \u010dasopisoch na desiatky. Tak\u017ee, ak\u00e1 novinka? <\/b><\/p>\n<p>Ulthera je jedin\u00fd neinvaz\u00edvny pr\u00edstroj na svete, ktor\u00fd americk\u00e1 FDA schv\u00e1lila pre indik\u00e1ciu \u201elifting\u201c, preto\u017ee pracuje a sp\u00f4sobuje spevnenie na \u00farovni SMAS-u (SMAS = povrchov\u00fd svalov\u00fd aponeurotick\u00fd syst\u00e9m), \u010do je tkanivo, ktor\u00e9 chirurgovia spev\u0148uj\u00fa po\u010das estetickej oper\u00e1cie. V\u0161etky ostatn\u00e9 neinvaz\u00edvne pr\u00edstroje schv\u00e1lila americk\u00e1 FDA len pre \u201eskin thigtining\u201c, \u010do je spevnenie ko\u017ee, preto\u017ee hlb\u0161ie ich \u00fa\u010dinok nejde.<\/p>\n<p><b>Na akom princ\u00edpe Ulthera pracuje?<\/b><\/p>\n<p>Ulthera (skratka pre ultrasound therapy = ultrazvukov\u00e1 terapia) pou\u017e\u00edva mikrofokusovan\u00fd ultrazvuk vysokej frekvencie, ktor\u00fd vytvor\u00ed bez toho, aby poru\u0161il horn\u00e9 vrstvy ko\u017ee, tzv. body tepelnej koagul\u00e1cie, zjednodu\u0161ene povedan\u00e9, kontrolovan\u00e9 tepeln\u00e9 po\u0161kodenia. Pri prvej \u010dasti o\u0161etrenia sa tepeln\u00e9 po\u0161kodenia vytv\u00e1raj\u00fa na \u00farovni SMAS-u, n\u00e1sledne po\u010das hojenia prich\u00e1dza k ich kontrakcii (stiahnutiu), \u010do m\u00e1 za n\u00e1sledok skr\u00e1tenie SMAS-u a skuto\u010dn\u00fd liftingov\u00fd efekt. SMAS si m\u00f4\u017eeme ve\u013emi zjednodu\u0161ene predstavi\u0165 ako ak\u00fasi blanu, na ktorej s\u00fa pripevnen\u00e9 svaly tv\u00e1re. Preto jeho skr\u00e1ten\u00edm doch\u00e1dza i k zdvihnutiu ochabnut\u00fdch svalov tv\u00e1re. V druhej \u010dasti o\u0161etrenia sa cel\u00e1 tv\u00e1r prech\u00e1dza e\u0161te raz, a to na \u00farovni spodnej \u010dasti ko\u017ee (retikul\u00e1rna derma) a cielen\u00e9 tepeln\u00e9 po\u0161kodenie v tejto vrstve vedie k\u00a0remodel\u00e1cii a novotvorbe kolag\u00e9nu, v\u00fdsledkom \u010doho je i spevnenie ko\u017ee.<\/p>\n<p><b>Pochopila som dobre, \u017ee pri jednom seden\u00ed rob\u00edte naraz dve o\u0161etrenia?<\/b><\/p>\n<p>\u00c1no, postupujeme rovnako ako plastick\u00fd chirurg pri tzv. SMAS-liftingu. Aj ten najprv spevn\u00ed SMAS, a t\u00fdm svalstvo a n\u00e1sledne odstr\u00e1ni nadbyto\u010dn\u00fa ko\u017eu. Okrem toho cel\u00fd z\u00e1krok prebieha pod pr\u00edsnou vizu\u00e1lnou kontrolou pomocou obrazovky (ultrazvukov\u00fd imaging mode), kde lek\u00e1r vid\u00ed cel\u00fd prierez ko\u017ee, podko\u017eia a\u017e po svalstvo a teda presne po\u010das cel\u00e9ho z\u00e1kroku kontroluje svoju pr\u00e1cu. \u017diadny in\u00fd neinvaz\u00edvny pr\u00edstroj t\u00fato v\u00fdhodu zobrazenia nem\u00e1.<\/p>\n<p><b>\u010co v\u0161etko mo\u017eno t\u00fdmto pr\u00edstrojom vylep\u0161i\u0165?<\/b><\/p>\n<p>Pri o\u0161etren\u00ed celej tv\u00e1re dosiahneme tzv. browlift, t. j. vytiahnutie poklesnut\u00e9ho obo\u010dia, a t\u00fdm aj zdvihnutie poklesnut\u00fdch horn\u00fdch vie\u010dok, \u010falej zdvihnutie poklesnut\u00fdch l\u00edc a\u00a0spevnenie podbradku, \u010do vedie k vyrysovaniu okrajov s\u00e1nky. Minul\u00fd rok som bola za\u0161kolen\u00e1 aj na telov\u00e9 o\u0161etrenia, ktor\u00fdmi sa d\u00e1 dosiahnu\u0165 spevnenie krku, dekoltu a uvo\u013enenej ko\u017ee okolo pupku po p\u00f4rode. Okrem toho m\u00e1me k\u00a0dispoz\u00edcii aj nov\u00e9 hlavice, \u0161peci\u00e1lne vyvinut\u00e9 na o\u0161etrenie oblast\u00ed okolo \u00fast a doln\u00fdch vie\u010dok.<\/p>\n<p><b>Je z\u00e1krok bolestiv\u00fd?<\/b><\/p>\n<p>Klientky, ktor\u00e9 maj\u00fa sk\u00fasenos\u0165 s laserom \u010di IPL (intenz\u00edvne pulzn\u00e9 svetlo) a s\u00fa zvyknut\u00e9 na ur\u010dit\u00fd diskomfort po\u010das z\u00e1kroku, zn\u00e1\u0161aj\u00fa o\u0161etrenie ve\u013emi dobre. Citlivej\u0161ie s\u00fa klientky, ktor\u00e9 tieto sk\u00fasenosti nemaj\u00fa, preto\u017ee u nich sa v\u00fdraznej\u0161ie prejavuje aj strach z nepoznan\u00e9ho. To je v\u0161ak mo\u017en\u00e9 vyrie\u0161i\u0165 podan\u00edm tabletky proti bolesti \u010di natret\u00edm znecitlivuj\u00faceho kr\u00e9mu pred z\u00e1krokom. Ja sama som absolvovala z\u00e1krok bez tabletky a znecitlivenia a zvl\u00e1dla som to \u00faplne v pohode. Ve\u013ekou v\u00fdhodou je, \u017ee po z\u00e1kroku u\u017e ni\u010d nebol\u00ed, vyzer\u00e1te \u00faplne norm\u00e1lne a m\u00f4\u017eete okam\u017eite pokra\u010dova\u0165 v\u00a0be\u017enom pracovnom a soci\u00e1lnom \u017eivote. Akur\u00e1t, ke\u010f som si silnej\u0161ie potla\u010dila l\u00edca alebo podbradok, c\u00edtila som v h\u013abke miernu tup\u00fa boles\u0165, ktor\u00e1 v priebehu t\u00fd\u017ed\u0148a vymizla.<\/p>\n<p><b>Ko\u013ekokr\u00e1t treba z\u00e1krok opakova\u0165 a\u00a0kedy sa dostav\u00ed v\u00fdsledok o\u0161etrenia?<\/b><\/p>\n<p>Spravidla sta\u010d\u00ed jedno o\u0161etrenie, v\u00fdsledok za\u010d\u00edna by\u0165 vidite\u013en\u00fd u\u017e po 4 t\u00fd\u017ed\u0148och a\u00a0maxim\u00e1lny efekt je vidite\u013en\u00fd po 3, 4 mesiacoch. \u010co sa t\u00fdka d\u013a\u017eky efektu, v\u00fdrobcovia ud\u00e1vaj\u00fa a\u017e do 5 rokov.<\/p>\n<p><b>Pre koho je z\u00e1krok vhodn\u00fd?<\/b><\/p>\n<p>Rozhodne s\u00fa to 4 skupiny klientov: D\u00e1my, ktor\u00e9 medzi 40 \u2013 50-tkou u\u017e pozoruj\u00fa mierne uvo\u013enenie podbradku a l\u00edc, ale na chirurgick\u00fd lifting je e\u0161te trochu skoro.<\/p>\n<p>D\u00e1my, ktor\u00e9 u\u017e chirurgick\u00fd lifting mali, ale po 5 rokoch sa efekt za\u010d\u00edna str\u00e1ca\u0165.<\/p>\n<p>D\u00e1my, aj star\u0161ie ako 55 rokov, ktor\u00e9 z\u00a0ak\u00fdchko\u013evek d\u00f4vodov chirurgick\u00fd z\u00e1krok jednozna\u010dne odmietaj\u00fa.<\/p>\n<p>Vhodn\u00fd je aj pre v\u0161etk\u00fdch p\u00e1nov, ktor\u00ed bez modr\u00edn, opuchov a jazvi\u010diek nadobudn\u00fa prirodzen\u00fd, mladistv\u00fd vzh\u013ead.<\/p>\n<p><b>V s\u00fa\u010dasnosti z\u00e1krok pr\u00edstrojom Ulthera pon\u00faka u\u017e viacero medic\u00ednskych centier, pre\u010do si vybra\u0165 pr\u00e1ve to va\u0161e?<\/b><\/p>\n<p>Preto\u017ee m\u00e1me u\u017e viac ako 2-ro\u010dne sk\u00fasenosti a spokojn\u00fdch klientov. V na\u0161om centre sme od decembra 2011 o\u0161etrili takmer 200 klientov a z nich len piati uviedli, \u017ee napriek tomu, \u017ee efekt vidia, o\u010dak\u00e1vali od z\u00e1kroku viac. A to je vynikaj\u00faca bilancia.<\/p>\n<p style=\"text-align: center;\"><img decoding=\"async\" class=\"aligncenter\" alt=\"\" src=\"http:\/\/slovaklinesmagazin.sk\/cms\/wp-content\/uploads\/2014\/03\/Pac.1-pred-Ultherou-300x185.jpg\" \/>pred z\u00e1krokom<\/p>\n<p style=\"text-align: center;\"><img decoding=\"async\" class=\"aligncenter\" alt=\"Pac.1 po Ulthere\" src=\"http:\/\/slovaklinesmagazin.sk\/cms\/wp-content\/uploads\/2014\/03\/Pac.1-po-Ulthere-300x184.jpg\" \/>po z\u00e1kroku<\/p>\n<p style=\"text-align: center;\"><img decoding=\"async\" class=\"aligncenter\" alt=\"\" src=\"http:\/\/slovaklinesmagazin.sk\/cms\/wp-content\/uploads\/2014\/03\/pac2-pred-300x184.jpg\" \/>pred z\u00e1krokom<\/p>\n<p style=\"text-align: center;\"><img decoding=\"async\" class=\"aligncenter\" alt=\"\" src=\"http:\/\/slovaklinesmagazin.sk\/cms\/wp-content\/uploads\/2014\/03\/pac.2po-2-300x184.jpg\" \/>po z\u00e1kroku<\/p>\n<p>&nbsp;<\/p>\n","protected":false},"excerpt":{"rendered":"<p>O svetovej novinke v estetickej medic\u00edne\u00a0sa rozpr\u00e1vame s MUDr. Janou\u00a0\u0160r\u00e1mekovou, riadite\u013ekou 1. laserov\u00e9ho\u00a0dermatokozmetick\u00e9ho centra\u00a0v Bratislave. Mnoho \u017eien sn\u00edva o tom, aby sa dali aj v\u00fdraznej\u0161ie zn\u00e1mky starnutia rie\u0161i\u0165 bez chirurgick\u00e9ho faceliftingu. Zostane tak\u00e1to predstava nav\u017edy iba snom? Medic\u00ednsky pr\u00edstroj Ulthera pribl\u00ed\u017eil m\u00ed\u013eov\u00fdmi krokmi sen o svete, v ktorom sa pokles obo\u010dia, spojen\u00fd s poklesom horn\u00fdch [&hellip;]<\/p>\n","protected":false},"author":7,"featured_media":58908,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[45,50],"tags":[],"class_list":["post-58894","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-nas-tip","category-radim-vam","eq-blocks"],"_links":{"self":[{"href":"https:\/\/www.slovaklinesmagazin.sk\/cms\/wp-json\/wp\/v2\/posts\/58894","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/www.slovaklinesmagazin.sk\/cms\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/www.slovaklinesmagazin.sk\/cms\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/www.slovaklinesmagazin.sk\/cms\/wp-json\/wp\/v2\/users\/7"}],"replies":[{"embeddable":true,"href":"https:\/\/www.slovaklinesmagazin.sk\/cms\/wp-json\/wp\/v2\/comments?post=58894"}],"version-history":[{"count":5,"href":"https:\/\/www.slovaklinesmagazin.sk\/cms\/wp-json\/wp\/v2\/posts\/58894\/revisions"}],"predecessor-version":[{"id":58910,"href":"https:\/\/www.slovaklinesmagazin.sk\/cms\/wp-json\/wp\/v2\/posts\/58894\/revisions\/58910"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/www.slovaklinesmagazin.sk\/cms\/wp-json\/wp\/v2\/media\/58908"}],"wp:attachment":[{"href":"https:\/\/www.slovaklinesmagazin.sk\/cms\/wp-json\/wp\/v2\/media?parent=58894"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/www.slovaklinesmagazin.sk\/cms\/wp-json\/wp\/v2\/categories?post=58894"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/www.slovaklinesmagazin.sk\/cms\/wp-json\/wp\/v2\/tags?post=58894"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}