Russian Journal of Physiotherapy, Balneology and RehabilitationRussian Journal of Physiotherapy, Balneology and RehabilitationФизиотерапия, бальнеология и реабилитация1681-34562413-2969Eco-Vector11524410.17816/rjpbr115244ReviewОбзорыReview ArticleMedical rehabilitation of complications after injections of lipolyticsМедицинская реабилитация осложнений после инъекций липолитиковhttps://orcid.org/0000-0002-8813-91329210-8396IkonnikovaEvgeniya V.ИконниковаЕвгения Владимировна
Russian Federation

MD, Cand. Sci. (Med.)

канд. мед. наук, доцент

evikonnikova@bk.ruhttps://orcid.org/0000-0003-4281-19475232-0412ManturovaNatalia E.МантуроваНаталья Евгеньевна
Russian Federation

MD, Dr. Sci. (Med.), Professor

д.м.н., профессор

manturovanatalia@bk.ruhttps://orcid.org/0000-0002-5044-52651107-4372KruglovaLarisa S.КругловаЛариса Сергеевна
Russian Federation

MD, Dr. Sci. (Med.), Professor

д-р мед. наук, профессор

kruglovals@mail.ruCentral State Medical Academy of Department of Presidential AffairsЦентральная государственная медицинская академия Управления делами Президента Российской ФедерацииInstitute of Plastic Surgery and CosmetologyИнститут пластической хирургии и косметологииThe Russian National Research Medical University named after N.I. PirogovРоссийский национальный исследовательский медицинский университет имени Н.И. Пирогова2512202221533934809122022Copyright ©; 2022, Eco-VectorCopyright ©; 2022, Эко-Вектор2022Eco-VectorЭко-Векторhttps://creativecommons.org/licenses/by-nc-nd/4.0/https://rjpbr.com/1681-3456/article/view/115244

Lipolytic injections are widely used in cosmetology practice. In most cases, they are used to correct the contours of the body, as well as to reduce the amount of fat deposits in the submental area. Side effects after their use are rare and, as a rule, resolve themselves. However, in the case of the use of non-certified medications, the frequency and severity of complications increase sharply, which requires timely and highly qualified therapy.

The article presents overview data concerning the mechanism of action of the main types of lipolytics and their classification, indications and contraindications to lipolytic therapy, reveals the problems of complications that have developed as a result of their use. A description of a clinical case of the development of an inflammatory reaction after injection of a low-quality lipolytic in the area of paint fat bags is presented. The tactics of her therapy are described. This clinical case demonstrates the importance of using certified products, compliance with injection techniques and the correct choice of the patient for this method of cosmetic therapy.

The article is of interest to a wide range of specialists (cosmetologists, dermatovenerologists, plastic surgeons, physiotherapists).

Инъекции липолитиков находят широкое применение в косметологической практике. В большинстве случаев они применяются для коррекции контуров тела, а также с целью уменьшения объёма жировых отложений в подподбородочной области. Побочные эффекты после их применения встречаются редко и, как правило, разрешаются самостоятельно. Однако в случае применения несертифицированных препаратов частота и тяжесть осложнений резко возрастают, что требует своевременной и высококвалифицированной терапии.

В статье представлены обзорные данные, касающиеся механизма действия основных видов липолитиков и их классификация, показания и противопоказания к липолитической терапии, раскрывается проблематика осложнений, развившихся вследствие их применения. Представляется описание клинического случая развития воспалительной реакции после инъекции липолитика низкого качества в область малярных жировых пакетов. Описывается тактика её терапии. Данный клинический случай демонстрирует важность использования сертифицированной продукции, соблюдения техники инъекций и правильного выбора пациента для проведения данного метода косметологической терапии.

Статья представляет интерес для широкого круга специалистов (врачей-косметологов, дерматовенерологов, пластических хирургов, физиотерапевтов).

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