{"id":107800,"date":"2026-07-29T09:46:50","date_gmt":"2026-07-29T06:46:50","guid":{"rendered":"https:\/\/sanatate.md\/?p=107800"},"modified":"2026-07-29T09:48:04","modified_gmt":"2026-07-29T06:48:04","slug":"margarita-karp-a-pravda-chto-botulotoksin-v-nachale-xxi-veka-botoks-otkryl-novuyu-eru-v-kosmetologii-za-posledniye-20-let-sfera-yego-primeneniya-znachitel-no-rasshirilas-teper-on-reshayet-novyye","status":"publish","type":"post","link":"https:\/\/sanatate.md\/ro\/margarita-karp-a-pravda-chto-botulotoksin-v-nachale-xxi-veka-botoks-otkryl-novuyu-eru-v-kosmetologii-za-posledniye-20-let-sfera-yego-primeneniya-znachitel-no-rasshirilas-teper-on-reshayet-novyye\/","title":{"rendered":"Margarita Karp: \u00abA pravda, chto botulotoksin\u2026\u00bb V nachale XXI veka botoks otkryl novuyu eru v kosmetologii. Za posledniye 20 let sfera yego primeneniya znachitel’no rasshirilas’, teper’ on reshayet novyye zadachi b’yuti-terapii. Pochemu imenno botoks okazalsya nastol’ko vostrebovannym preparatom? Etot vopros my zadali Margarite Karp, vrachu-kosmetologu iz kliniki \u00abBeauty Sphera\u00bb. TOKSIN RODOM IZ BOL’SHOY MEDITSINY U botulotoksina interesnaya istoriya lechebnogo primeneniya. Eto belok, vyrabatyvayemyy bakteriyami Clostridium botulinum. Oni takzhe vyzyvayut botulizm, zabolevaniye, kotoroye bylo shiroko rasprostraneno v KHKH veke. Yeshche v 50-ye gody vrachi zametili, chto u perebolevshikh na kakoye-to vremya narushayetsya peredacha nervnykh signalov v myshtsy. Preparat stali ispol’zovat’ v raznykh oblastyakh meditsiny, kogda nuzhno bylo rasslabit’ myshtsu, nakhodyashchuyusya v gipertonuse. Naprimer, dlya vosstanovleniya patsiyentov posle nevrologicheskikh zabolevaniy, s patologicheskimi spazmami ili pri DTSP. Botulotoksin pomog i prodolzhayet pomogat’! Spustya gody yego nachali ispol’zovat’ v kosmetologii. Na litse yest’ mnozhestvo mimicheskikh myshts, za schet kotorykh obrazuyutsya morshchiny. Ne potomu, chto vy stareyete, a iz-za mimicheskoy aktivnosti. U nekotorykh ona povyshena, eto geneticheskiy faktor. Myshchtsa sokrashchayetsya, umen’shayetsya v razmere; poskol’ku ona plotno srashchena s drugimi tkanyami, to sobirayet v skladki kozhu i mezhdu etimi skladkami na kozhe nachinayut obrazovyvat’sya zalomy, kotoryye my nazyvayem morshchinami. Vy upomyanuli o povyshennoy aktivnosti mimicheskikh myshts. Razve kolichestvo morshchin zavisit ne ot kachestva kozhi? Skoreye \u2014 ot yeye sostoyaniya. Kogda v 25 let zapuskayutsya protsessy stareniya, snizhayetsya vyrabotka gialuronovoy kisloty, uvlazhnyayushchey kozhu. I yesli ran’she kozha sobiralas’ v skladki, no zalomy ne voznikali, to s etogo vremeni situatsiya izmenyayetsya. Odnako pervoprichina morshchin vse zhe v mimicheskoy aktivnosti. Imenno yeye snizhayet botulotoksin: rasslablyayet myshtsu i ona ne sokrashchayetsya, sootvetstvenno kozha natyagivayetsya, a morshchiny razglazhivayutsya. Skol’ko vremeni dlitsya effekt protsedury? Primerno polgoda. A tem, kto delayet yeye postoyanno, nuzhno uvelichivat’ kolichestvo preparata? Net. Yesli soblyudat’ pravil’nyy grafik, rezistentnost’ organizma k botulotoksinu ne sformiruyetsya, i prezhnyaya doza budet otlichno rabotat’. Mozhno li chrezmernuyu aktivnost’ ubrat’, sokhraniv pri etom yestestvennost’ mimiki? Seychas takaya vozmozhnost’ yest’. Razvivayutsya i tekhniki, i preparaty. S kazhdym godom botulotoksin stanovitsya vse luchshe. YA v svoyey praktike pol’zuyus’ preparatom Neuronox, on otlichnogo kachestva. Yesli govorit’ o metodakh, to staryye tekhniki blokirovali myshtsy polnost’yu, a segodnya poluchayetsya \u00abzhivoye litso\u00bb. Naryadu s etim sokhranilsya variant, kotoryy ya nazyvayu \u00abmumiya\u00bb: glaza i lob zablokirovany, chelovek ulybayetsya tol’ko rtom. Byvayut i takiye predpochteniya? Da, zaprosy raznyye. YA zametila tendentsiyu: zhenshchiny v vozraste 40+, kotoryye nachinali delat’ etu protseduru 10-15 let nazad, privykli, chtoby litso blokirovali maksimal’no. Molodezh’, a takzhe kliyentki postarshe, kotoryye tol’ko seychas nachinayut delat’ botoks, khotyat yestestvennyy variant. Dazhe yesli sdelat’ vsego neskol’ko protsedur, lishnyaya mimicheskaya aktivnost’ mozhet uyti. Chelovek osvaivayet novyy pattern i zatem vyrazhayet svoi emotsii, men’she napryagaya litso. V 20 RAZ MEN’SHE OPASNOY DOZY Margarita, yest’ li u botoksa pobochnyye effekty? Nikakikh, yesli in”yektsii delayet opytnyy doktor i preparat kachestvennyy. Pravil’nyye dozy i tochki vvedeniya polnost’yu isklyuchayut risk. Botulotoksin vvoditsya neposredstvenno v myshtsy-misheni i cherez sutki ukhodit iz organizma. Takzhe v plane allergicheskikh reaktsiy on nichut’ ne opasneye drugogo veshchestva. Konechno, patsiyentam ne sleduyet ignorirovat’ vrachebnyye trebovaniya, nuzhno pravil’no sebya vesti posle protsedury. No eto kasayetsya lyubogo lecheniya. U pozhilykh lyudey inogda byvayet vremennaya reaktsiya na vvedeniye preparata v okologlaznyye myshtsy, narushayetsya podvizhnost’ veka. Eto prokhodit v techeniye dvukh nedel’ maksimum. Neobratimykh narusheniy preparat ne vyzyvayet. BOTOKS VS GIPERGIDROZ Botulotoksin v kosmetologii spravlyayetsya ne tol’ko s morshchinami: my mozhem ustranit’ proyavleniya povyshennoy potlivosti. Gipergidroz ne lechitsya, k sozhaleniyu. No sami yego simptomy chasto privodyat k depressii. Takim obrazom, in”yektsii botoksa izbavlyayut bol’nykh ot stressa i nervnogo napryazheniya. Predstav’te, chto chuvstvuyet chelovek, u kotorogo vsyu zhizn’ poteli ladoni, yesli on mozhet spokoyno otvetit’ na rukopozhatiye. Inogda roditeli podpisyvayut pis’mennoye soglasiye, chtoby ikh nesovershennoletnemu rebenku sdelali takuyu protseduru. Tem boleye, chto obychno gipergidroz proyavlyayetsya imenno v podrostkovom vozraste, kogda kompleksov i tak predostatochno, i oslozhnyayet obshcheniye. Znachit v rukakh opytnykh spetsialistov botoks \u2014 nadezhnyy i effektivnyy preparat i vse opaseniya po povodu yego primeneniya v kosmetologii ne imeyut osnovaniy? Nikakikh osnovaniy, krome slukhov. Znamenityy sevil’skiy tsiryul’nik Figaro govorit v p’yese Bomarshe: \u00abYA luchshe svoyey reputatsii!\u00bb. Vot i s botoksom tak. \u0415\u0449\u0451 4 934 Margarita Karp: \u201eEste adev\u0103rat c\u0103 toxina botulinic\u0103…\u201d"},"content":{"rendered":"
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