E. S. Bagnenko

Objective. To analyze available literature data on the influence of appearance on social adaptation and hypothesis that attractive appearance of a person provides some advantages regarding interpersonal contacts and position in society. Material and methods. We enrolled 58 studies after screening of PubMed and eLibrary.ru databases using the following keywords: “external attractiveness of a person”, “role of appearance”, “social adaptation”. We analyzed data on social and biological aspects of influence of personal appearance on relationships in society. Results. Traditionally, the role of a person’s appearance in social life is considered as something secondary due to idea of universal equality. The review and analysis show that people with beautiful appearance are more successful in social terms, while those with unattractive or nonstandard appearance have a lot of difficulties in establishing social contacts. An outwardly attractive person is subconsciously regarded as a bearer of positive qualities, trustworthy and vice versa. Some studies prove that assessment of another person’s beauty is programmed at the genetic level. Without denying the role of aesthetic preferences in assessing appearance of another person, various authors once again emphasize validity of biosocial nature of humans and biological role of such assessment. In this case, the assessed person is considered at an instinctive level as a sexual partner or competitor. From the standpoint of natural selection, external attractiveness unconsciously regarded as a sign of the animal’s health ensures survival of population. Conclusion. This review proves the role of biological aspects in assessing appearance of other people that influences their adaptation in society.

Objective. To evaluate clinical effectiveness and patient satisfaction with diluted Radiesse injections and Light&Bright procedure in correction of chronological skin aging and photoaging of the face and décolleté. Material and methods. Pilot open prospective randomized clinical study with immunohistochemical analysis involved 42 healthy females aged 35—45 years with skin phototype Fitzpatrick type 1-2 and initial and middle stages of photoaging (Glogau type 1-2). Patients were divided into 3 groups (1:1:1): group 1 — four Light&Bright procedures with an interval between procedures of 1 month; group 2 — 4 procedures with an interval between procedures of 1 month and 2 injections of diluted calcium hydroxyapatite (CaHA) (Radiesse) with an interval of 3 months; group 3 — a single dose of diluted CaHA. The primary endpoint was patient satisfaction (GAIS score). Secondary endpoints included morphological assessment based on collagen type I, III and elastic fibers. Results. There were higher clinical effectiveness and patient satisfaction after diluted CaHA injections and Light&Bright procedure as evidenced by morphological analysis. Conclusion. Open-label prospective pilot randomized clinical trial confirmed higher clinical efficacy (lifting effect) and patient satisfaction following combined use of diluted CaHA injections, narrowband pulsed light technologies (Selective Waveband Technology — SWT) and Frax 1550 non-ablative fractional photothermolysis (Light&Bright procedure) in patients with signs of chronological skin aging and photoaging of the face and décolleté.

Introduction. The central place in the system of personality relations is occupied by the attitude towards oneself. Its violations are the main link in the development of neurotic disorders and adaptation disorders. There was proved the connection between the attitude to the time perspective and the emotional-affective status, one of the indicators of which is the attitude towards oneself. In this regard, the purpose of the work was to study the attitude towards onуself and to the personal perspective of the patients of a cosmetological clinic with different levels of mental adaptation.Materials and methods. Patients of a cosmetological clinic with different level of mental adaptation detected using the «Test of neuropsychic adaptation» (NPA), were compared in terms of self-attitude and self-esteem studied using the author’s structured interview and S.Ya.Rubinstein’s technique (1999); the same groups were compared accordind to the indicators of the technique of «Semantic time differential» (STD) characterizing the attitude of a person to the time perspective [10]. The were used statistical methods of data analysis (Pearson χ² and ANOVA, included in the statistical packages SPSS v. 25.0).Results. Among patients of the cosmetological clinic 54,1% have a reduced level of mental adaptation; 45,9% of women have no significant adaptation disorders. Groups of women with a reduced and nonreduced level of mental adaptation differ in the general indicator NPA (М= - 1,16+0,15, М=3,20+0,11 p=0,000), practically do not differ in socio-demographic and clinical characteristics, but statistically significantly differ in all studied psychological characteristics: self-esteem, attitude towards oneself as a person, attitude towards one’s psychical «Ego», confidence in one’s external attractiveness, attitude towards the present, pas, and future. It is concluded that a decrease in the level of mental adaptation in a patient of cosmetological clinic is associated not only with a change in the system of significant personality relationships, but also due to violations of the emotional-affective sphere.Conclusion. Prospects of research related to the study of the dynamics of self-esteem of attitude towards oneself and the perception of a time perspective in the process of cosmetological correction of facial skin defects, as well as the structure of the personality of women seeking cosmetic help.

The aging process of the face is multifactorial and occurs as a result of changes in all layers, soft tissues and the underlying skeleton, which occur at different rates in different people. Facial aging should be analyzed by thirds, because not all thirds age at the same time. Diagnostics of aging based on morphogeometric changes of the face, evaluated by thirds, can become a new approach that guarantees effective and long-term correction of age-related changes using minimally invasive strategies of aesthetic medicine. Correction of the lower third of the face is a complex interdisciplinary task that requires the interaction of doctors of different specialties: dermatologists, cosmetologists, orthodontists and plastic surgeons in order to develop an optimal diagnostic algorithm and correction protocol. In this article, the authors presented a paradigm for determining the aging of the lower third of the face, not from the standpoint of visualizing obvious changes, but from the standpoint of a comprehensive assessment in accordance with the proposed parameters, including recommendations of cosmetological, orthodontic and surgical treatment protocols. The development of an individual algorithm for working with a patient is based on a comprehensive assessment of the anthropometric and psychological characteristics of the patient, the morphotype of aging, the anatomical geometry of the face, bite, Ricketts line, incisor exposure, lip profile according to Korkhaus, the severity of the angle of the lower jaw and the cervical-chin angle, as well as on the use of the Merz Aesthetics scale and the Becker scale. The use of the proposed assessment tools can help the clinician choose the optimal treatment methods.

Introduction. The relevance of the research is determined by the insufficient study of the psychological characteristics of female patients in the cosmetological clinic and the dynamics in the process of non-surgical correction and, in general, the psychological aspects of cosmetological treatment.The objective was to study the dynamics of the psychological characteristics of female patients of a cosmetological clinic in the process of medical correction.Methods  and  materials. Using psychodiagnostic methods “Neuropsychic Adaptation Test” (NPA), Wellness Index (WHO-V), Visual Analogue Scale, Big Five, Quality of Life Satisfaction Questionnaire (QL), 193 female patients of the cosmetological clinic (mean age 39.19±0.8 years) were examined in the period before treatment and 3 months after it. Data processed by SPSS v. 25.0 using Pearson’s χ2 and Wilcoxon’s Z tests.Results. The results showed statistically significant changes in the course of treatment of 11 out of 20 psychodiagnostic indicators reflecting the positive dynamics of the following psychological characteristics: the level of neuropsychiatric adaptation (р=0.014), the level of psychological well-being (р=0.000), perception of one’s appearance (р=0.000), individual characteristics of the personality “self-consciousness” (р=0.003) and “personal resources” (р=0.001), overall satisfaction with quality of life (р=0.000) and its individual components.Discussion. There are showed limitations and research prospects associated with the further expansion of the range of studied psychological characteristics, their relationship with the severity of a cosmetic defect and, in a broader context - with the determination of the role of psychosocial factors in the mechanisms of development and the effectiveness of correction of facial skin defects.

Introduction. The central place in the system of personality relations is occupied by the attitude towards oneself. Its violations are the main link in the development of neurotic disorders and adaptation disorders. There was proved the connection between the attitude to the time perspective and the emotional-affective status, one of the indicators of which is the attitude towards oneself. In this regard, the purpose of the work was to study the attitude towards onуself and to the personal perspective of the patients of a cosmetological clinic with different levels of mental adaptation.Materials and methods. Patients of a cosmetological clinic with different level of mental adaptation detected using the «Test of neuropsychic adaptation» (NPA), were compared in terms of self-attitude and self-esteem studied using the author’s structured interview and S.Ya.Rubinstein’s technique (1999); the same groups were compared accordind to the indicators of the technique of «Semantic time differential» (STD) characterizing the attitude of a person to the time perspective [10]. The were used statistical methods of data analysis (Pearson χ² and ANOVA, included in the statistical packages SPSS v. 25.0).Results. Among patients of the cosmetological clinic 54,1% have a reduced level of mental adaptation; 45,9% of women have no significant adaptation disorders. Groups of women with a reduced and nonreduced level of mental adaptation differ in the general indicator NPA (М= -1,16+0,15, М=3,20+0,11 p=0,000), practically do not differ in socio-demographic and clinical characteristics, but statistically significantly differ in all studied psychological characteristics: self-esteem, attitude towards oneself as a person, attitude towards one’s psychical «Ego», confidence in one’s external attractiveness, attitude towards the present, pas, and future. It is concluded that a decrease in the level of mental adaptation in a patient of cosmetological clinic is associated not only with a change in the system of significant personality relationships, but also due to violations of the emotional-affective sphere.Conclusion. Prospects of research related to the study of the dynamics of self-esteem of attitude towards oneself and the perception of a time perspective in the process of cosmetological correction of facial skin defects, as well as the structure of the personality of women seeking cosmetic help.

Skin quality is an important component of a person’s attractiveness. Several layers of tissues including deep layers of skin can affect skin quality. Therefore, multi-layer treatment strategy is preferable to improve skin parameters. Clinicians can determine and justify a long-term plan for aesthetic correction when working with any morphotype of facial aging using this paradigm. At the same time, individual correction algorithms should consider not only gender and age, but also ethnicity of patients. Anatomical features in representatives of different ethnic groups significantly affect aging process. Ethnic parameters and unique markers of aging made it possible to identify special facial phenotypes (Slavic and Slavic-Asian). Anatomical features of Slavic-Asian facial morphotype are contained at all levels of craniofacial structure, i.e. bones, distribution of subcutaneous fat, structure of ligaments and morphology of dermis. The anatomical premises presented in the article explain why Slavic-Asian patients tend to have tired and deformed aging morphotypes, and this is confirmed by survey of 29 expert dermatologists-cosmetologists. The revealed anatomical features determine their nuances when working with Slavic-Asian phenotype and explain high demand for ultra-superficial intradermal injections using the blanching technique with highly cohesive preparations Belotero Soft and Belotero Balance. The article also discusses the benefits of Belotero Soft and Belotero Balance in blanching technique with description of appropriate patients.

Introduction. In the field of aesthetic medicine, there is a lack of psychological research despite the obvious impact of cosmetic defects on the emotional state and social functioning of a person. Only a few studies indicate psychological maladaptation in patients of a cosmetology clinic, which is reflected in the frequency of the occurrence of anxiety, depression and personality disorders exceeding their levels in population. The objective was to identify psychosocial factors associated with the risk of psychological maladaptation in female patients of the cosmetology clinic. Methods and materials. To achieve the goal, female patients (n=161, mean age was 39.53±0.86 years) were studied using the author’s structured interview and 7 psychodiagnostic methods: «Neuropsychic Adaptation Test» (NPA), «Social Frustration Level» (SFL), «Visual Analogue Self-Esteem Scale» (VASES), «Semantic Time Differential» (STD), «Perceived Stress Scale» (PSS-10), «Well-Being Index» (WHO-5), «Quality of Life Satisfaction Questionnaire» (QOL). Groups of female patients without psychological maladaptation (group 1, n=74) and those with psychological maladaptation (group 2, n=87), selected on the basis of the final NPA test score were compared. Results. The results showed a statistically significant predominance in group 2 compared to group 1 of the frequency of emotionally neutral relationships with their own children, of living alone, as well as dissatisfaction in significant areas of life, especially in the material economic sphere, in the sphere of self-accepting as a personality and one’s physical «Ego», in the sphere of attitude to past and present life. In group 2, higher rates of perceived stress and frequency of psychotraumatic situations in anamnesis as well as lower rates of general psychological well-being and satisfaction with the quality of life were revealed. Conclusion. The factors influencing the psychological maladaptation in female patients of the cosmetology clinic were identified. The prospects of the study associated with the determination of the most informative factors for the prognosis of psychological adaptation based on the analysis on not only psychological but also individual and personal characteristics in female patients of the cosmetology clinic were indicated.

Background. Patients seeking cosmetic help, most commonly, haven`t only defects in appearance, in particular, facial skin, but also experience certain psychological problems in this regard. On the other hand, the reaction to the performed cosmetic correction of the mentioned defects depends, including on the patients psychological characteristics. The study of the correlation between clinical and psychological characteristics should contribute to the individualization of the cosmetological correction process and optimization of the patient life quality. Aims. To establish the correlation between age, clinical and psychological characteristics of women with cosmetic problems of the facial skin. Materials and methods. Using the methods of psychological diagnostics, we examined 110 women who received cosmetic assistance. Semi-quantitative method was used to assess the cosmetic problem intensity, the duration of its existence and the effect of the correction performed. Clinical and psychological research was carried out using the author's structured interview, which questions were aimed at fixing both the formal social positions of the patients and the characteristics of the system of significant relationships. Psychometric research was carried out using standardized questionnaires in order to identify a wide range of personality characteristics. In the course of statistical processing of the results, a frequency analysis of the gradations of nominative and rank signs was carried out using Pearson's 2, as well as a correlation analysis of clinical and psychological characteristics using the Spearman -test. Results. The author traced the statistical correlation between the degree of manifestation of the cosmetic problem and its influence on the psychological state of patients, as well as between the degree of their satisfaction with its solution and a number of personal characteristics and attitudes. Conclusions. The assumption was confirmed that the effect of treatment is determined not only by clinical factors and the possibilities of modern cosmetology, but also by psychological factors, among which the motivational orientation and activity of the individual, which form the basis of patient compliance, are of decisive importance.

Summary. In order to study the correlation of clinical-biological and socio-psychological characteristics of women with cosmetological problems of the skin of the face using a complex of methods of clinical, clinical-psychological and psychometric diagnostics, 110 patients of the cosmetology clinic were studied and were divided into four diagnostic groups («Gravitational ptosis»,»Mimic wrinkles»,»Acne»,»Skin dehydration»). The average age of the sample was 35.64 ± 1.11 years. The specific objectives of the study were to study the relationship between age, clinical and psychological characteristics of patients; the effectiveness of cosmetological treatment and the psychological characteristics of the patients; the degree of influence of the cosmetological problem on the vital activity and psychological characteristics of the patients; attitude towards oneself and other psychological characteristics of women with facial skin defects.Based on the analysis of special literature and the results of our own research, it is shown that it is necessary to study the relationship of psychological and clinical-biological factors for the individualization of the process of cosmetological correction of the facial skin.A statistically significant relationship was established between age and clinical diagnosis, between age and psychological characteristics of patients. It has been proven that subjective satisfaction with the results of treatment positively correlates with extraversion and self-confidence, as well as with an objective assessment of the effectiveness of treatment, which in turn is interrelated with patient satisfaction with their social and professional status, as well as with the internal orientation of the personality - factors that contribute to compliance. and partnership in the treatment process.It was revealed: the higher the severity of the facial skin defect, the more self-doubt, inability to cooperate and cooperate in the personality structure, and the lower the expert assessment of the effectiveness of treatment.