Probably no one wants to say goodbye to youth and beauty. Fortunately, plastic surgeons are ready to argue in time: with their help patients can "stop" the aging process, maintain youth and at the same time naturalness. But is it possible to trust someone in your face without fear? How to choose a good clinic and a competent specialist among the many tempting offers?
What is facial lifting for?
With age, the appearance and contours of the face change due to natural physiological processes. There are many reasons for this: hormonal imbalance, slowing of metabolic processes, decreased collagen production, changes in bone tissue composition, loss of fat packets in some places and their appearance in some places where it is. Undesirable and a. Sh. As a result, facial tissues lose volume and elasticity, the skin becomes loose and loose.
No matter how good care, effective folk methods and cosmetic procedures are used, time will tell: all these funds can affect only the superficial layers of the skin. Even if it turns out that the appearance of superficial wrinkles is delayed for a long time, then with the help of all the above it will be impossible to stop the processes occurring in the deep tissues or completely reverse them.
On the noteThe advent of modern technology has allowed surgical tightening services to once again strengthen their position. According to the International Society of Aesthetic Plastic Surgery (ISAPS), today our country is in the top 15 countries in the world in the number of plastic surgeries performed. In 2017, the local plastic surgery market reached a record turnover over the last five years, growing by more than 30%. The demand for aesthetic medicine is still growing. The third most popular plastic surgery is facial lifting.
AsDisplayPtosis is the first for facial lifting. It is a soft tissue prolapse of the face due to the gradual loss of skin elasticity and tone, worsening of muscle contraction. Ptosis can predominate in a specific part of the face:
- In the lower third of the face- Ptosis (failure) of neck and chin tissues against the background of relaxation and increase of the skin area. This causes wrinkles and creases to form on the neck and straightening of the chin-cervical angle;
- In the middle third of the face- Nasolabial folds, nasolacrimal grooves, bags under the eyes and drooping cheeks, distortion of the facial oval;
- In the upper third of the face- Wrinkles on the forehead, inclination of the outer edges of the eyebrows and the corners of the eyes, jumping of the eyelids, the formation of horizontal wrinkles on the bridge of the nose.
These signs of age-related tissue aging can be compensated for by using various techniques of facial plastic surgery and professional cosmetology. However, when it comes to surgery, it is important not to forget the other side of the coin - contraindications.
Contraindications:
- Malignant neoplasms;
- Blood clotting disorders;
- Epilepsy and severe psychosomatic diseases;
- Untreated hypertension;
- Diseases of internal organs;
- Dermatological diseases;
- Chronic diseases in the exacerbation stage;
- Pregnancy;
- Inflammatory and infectious processes.
On the note
Aging, though not very pleasant, is a natural process in which the natural anthropometric proportions of the face must be maintained, even though it is accompanied by the appearance of gravitational ptosis, i. e. the physiological loss and formation of tissue volume. Wrinkles and wrinkles of the skin. Therefore, from the beginning of the tissue degeneration process, it is better to choose more delicate methods of exposure that do not give a pronounced effect of a "regulated" face.
Aesthetic and reconstructive surgery, of course, has gone a long way in its development and its possibilities are now great. However, you should be aware that there is a likelihood of complications after plastic surgery - surgeons are well aware of them and know how to reduce side effects. But some complications can be protracted and even dangerous, which is why it is so important to choose a plastic surgeon with extensive experience and a flawless reputation.
Here is an overview of the currently most popular methods of facelift - it will allow you to get an idea of the "arsenal" of modern clinics of cosmetic surgery and cosmetology.
Types of brackets
Today, plastic surgery specialists can perform facelift procedures for all tastes, as it is possible with the possibilities of modern medicine. Each technique has its followers in both physicians and patients. Let’s take a closer look at how this technique differs.
Surgical methods of facial lifting
This technique allows you to work on deep facial tissues to give them a lasting effect. The most popular and effective are endoscopic facelifts and SMAS-lifts - they aim to provide a comprehensive solution to age-related problems. With their help, the soft tissues of the face are redistributed and the skin is stretched.
Circular facelift (complex face and neck correction) -A combined method of surgical rejuvenation that incorporates the capabilities of several techniques.
- Testimonies: Loss of tissue volume, "floating" contour, large amount of excess loose tissue, deep wrinkles and other age-related changes.
- Contraindications: Diseases of the cardiovascular, respiratory, endocrine, nervous and other systems, as well as liver and kidneys, hematological and skin pathologies, inflammatory and infectious processes, pregnancy and lactation - it is necessary to conduct a laboratory to determine the contraindications. And instrumental studies, consultations with a number of specialists. . .
- Trauma: High. This is a complete operation, so when choosing this technique, you need to know about the severity of the future intervention.
- Implements: Circular scalpel lifting makes long cuts, followed by deep tissue modeling, transposition of fatty bags, and excision of excess skin. The operation is performed under general anesthesia. It is then necessary to stay in the hospital (up to two days) and have a rehabilitation period of at least one month.
- Result- The most pronounced and long-lasting, compared to all other techniques. Possible complications include scarring, damage to the facial nerve and its branches, and extensive hematomas.
- Positive: The most effective procedure for facelift with excess amount of tissue, the ability to correct defects that other methods can not cope.
- Cons: High trauma, relatively serious risk of complications, long rehabilitation period.
Endoscopic Facelift -Progressive-type surgical intervention for profound correction of age-related changes using video endoscopic equipment. As you can see, this method uses an endoscope with a few millimeters of video camera that transmits a magnified image to the monitor. So the doctor can clearly see the work area with the nerves and vessels located in it. Endoscopic facelift of the face and neck is performed under general anesthesia. Varieties are endoscopic lifting of the upper, middle or lower third of the face - each operation is used depending on which part of the face needs the problem. It is possible to work with separate zones, as well as to combine several types of interventions. During endoscopic facelift, the blood vessels are slightly damaged and full control over the operation is possible, and by following all the rules and recommendations, the risk of serious complications is practically excluded. Tissue swelling, small bruises, and temporary hair loss in the area of intervention are possible, but over time the tissues recover completely.
- Testimonies: Deep wrinkles and creases, soft tissue compression results, lack of tissue volume due to age-related changes, drooping eyelids, drooping eyebrows and other aesthetic problems.
- ContraindicationsOncology, severe chronic diseases in the acute stage, inflammatory diseases of the skin, infections, skin coagulation disorders, pregnancy and lactation.
- Trauma: Medium. The equipment makes it possible to remove large wounds and control the location of blood vessels and nerves.
- Perform the procedure: Under general anesthesia, small wounds (up to 1. 5 cm) are made, then a deep separation of the facial mask is performed and the tissue is manipulated with the control of a video endoscopic apparatus: dissection of muscles and fat bundles, tension and fixation. At the end a cosmetic suture is made. The sutures are removed in five to seven days and the patient can return to a normal lifestyle in two to three weeks.
- Result: The patient looks 10-15 years younger and does not lose its natural individuality - the skin is smoother, the volumes are filled, but the natural symmetry is maintained. The duration of the effect depends on individual characteristics, the presence of bad habits and behavioral stereotypes, but in general the result can last up to 20 years. If we talk about the possible negative consequences, then everything is limited to swelling and small bruises.
- ProsHigh safety and low level of trauma, the possibility of full control with a video camera, the absence of visible traces of surgery, a pronounced rejuvenating effect.
- Cons: In the period of early rehabilitation there is an over-correction effect, the technique fits poorly to patients with very large excesses of skin.
SMAS hoist- An effective method of surgical stretching by modeling the muscular-aponeurotic layer. Most foreign plastic surgeons believe that the aging process of the middle and lower third of the face is mainly related to this layer.
- Testimonies: Signs of aging in the form of skin loss and loss of elasticity, wrinkles, indistinct facial contours.
- Contraindications: Oncology, chronic diseases in acute stage, blood clotting disorders, pregnancy.
- Perform the procedure: Excess excision during surgery involves stretching the skin, moving muscle tissue, and fixation. The operation takes several hours, followed by a recovery period that takes about a month.
- ResultSustained, lasting up to eight years, but not as pronounced as during endoscopic lifting. Possible complications include nerve damage, hematomas, and swelling.
- PositiveMethods: noticeable lifting effect, removal of excess skin.
- Cons: Risk of complications, presence of scars around the ear (front and back of the ear).
Non-surgical stretching of the skin
This is a group of techniques that allow you to get a lifting effect without significant damage to the skin. Such approaches have gained popularity due to the ability to perform the facelift procedure without surgery, i. e. in a more gentle way with a minimal rehabilitation period. Unfortunately, this inevitably affects the severity and duration of the effect.
Equipment cosmetologyIncludes techniques that use the effects of ultrasound, radio waves, or laser lifting on tissues without compromising their integrity.
- Testimonies: Wrinkles, loss of skin density and clear contour.
- Contraindications: Oncology, chronic diseases, inflammatory skin diseases, pregnancy.
- Trauma: Non-existent or almost non-existent.
- Implements: During the procedure the problem area is impacted with special equipment, in this case it is not necessary to use general anesthesia and during a long rehabilitation period. The patient can return to his work immediately, it is only necessary to follow the recommendations of the doctor. Some procedures require only a few sessions, while others require a course of procedures.
- Result: Restores firmness and turgor, softens wrinkles, stimulates the natural production of collagen and elastin. The result is less durable than after surgical tightening and strongly depends on both the patient's body characteristics and the specifics of the technique chosen. Typically, the effect lasts from two to three years.
- Positive- Visible effect without trauma, absence of painful sensations and the need for long-term rehabilitation, skin tightening.
- Cons- Inability to eliminate many pronounced problems of aging, less noticeable and long-lasting results, the need to repeat the course.
Injections -Introduce fillers based on hyaluronic acid, collagen or botulinum toxin to combat age-related changes.
- Testimonies: Wrinkles, lack of volume.
- Contraindications: Severe chronic diseases in the exacerbation stage, skin diseases, skin integrity disorders, blood clotting disorders, individual drug intolerance, pregnancy and lactation.
- Trauma: Contour plastic surgery is considered less traumatic, but there is a risk of damaging blood vessels and nerves with a needle.
- Implements: The procedure usually takes less than an hour to complete. It is possible to use only applied anesthesia, after which the drug is injected into the problem area with a needle or cannula. With the help of filler you can eliminate nasolacrimal grooves, nasolabial folds, correct the lack of volume in the middle and lower third of the face. Botulinum toxin is injected only into the muscles - to relieve hypertension and then to correct wrinkles. It is also quite possible to "raise" the allowable angles of the face in this way. After the procedure, the patient can return to normal activities and do them according to the doctor's recommendations.
- Result: Procedures allow to fill the volume and eliminate wrinkles, but the result depends on the patient's body characteristics and the choice of medication. The effect can last up to three-From six months to a year or a year and a half.
- Positive: Low trauma, the ability to correct the result, if it is unsatisfactory, does not require rehabilitation and the use of general anesthesia.
- Cons: Short-term result, need for repetition, only visual elimination of superficial imperfections.
The Cost of Facial Rejuvenation Procedures: Can't Buy Youth?
When choosing a clinic, it is worth remembering the famous phrase: "What you pay, you get. "The price of the service is suspiciously low, meaning that some items (or all at once) are not protected and the clinic may not have a license at all. But facial skin beauty and health is not what you can save. The community knows lots of stories about patients who decide to save money, Were later forced to spend much larger sums not only on correcting the consequences of unsuccessful surgery on the aesthetic side, but also on restoring health.
On average, the price of deep surgical lifting of two areas of the face starts from a rather impressive amount, if a combination of techniques requires more serious manipulations, you will have to spend even more. The exact value can only be ascertained during the consultation, since the scope of the intervention depends on the individual characteristics of the patient. We are talking about the age of the skin, the quality, the volume of unwanted tissues, the type of facial structure, as well as the desires of the person himself and much more.
Equipment (ultrasonic) SMAS facelift is not so cheap, the price is greatly influenced by the number of lines. The value of the contour with fillers depends on the drug and the required volume of input.
The technologies that enable the return of youth are constantly being refined, expanding more and more the possibilities of modern aesthetic medicine. Today, plastic surgeons can eliminate almost any manifestation of age-related changes, and with the introduction of endoscopic technology, it has become possible to minimize the trauma of surgery. So the use of modern equipment, individual approach and the use of advanced equipment are all things that can be hoped for by people who want to look rejuvenated.
Where can I go for the procedure?
Recommendations for choosing an aesthetic medicine center and specialist are given by an expert - plastic surgeon:
Since plastic surgery and cosmetology gained wide popularity, a large number of specialized clinics have appeared on the market. Unfortunately, some institutions do not meet the high standards of medical care and employ unscrupulous specialists. Such clinics are not only not interested in successfully solving a patient's problem, but also simply do not have the resources needed for high quality work.
In order to find a high-class doctor and a comfortable clinic, it is necessary to study as much information as possible about the specialists and the institution itself. First of all, do not hesitate to ask for a license to practice medicine, certificates, doctors' diplomas. . . Moreover, all these documents should be publicly available on the site. It is necessary for the license to reflect the requirements of the medical service procedure in the profile of "Plastic Surgery" approved by the order of the Ministry of Health. You should also pay attention to the documents certifying the current certification of the surgeon. And whether the facility has experience in conducting necessary procedures and illustrating examples. It is desirable that the facility be operational for more than a year: If the history of the clinic is long, then this indicates that patients (and regulators) have already developed a trust in the facilityTowards.
An important selection criterion is a wide range of services and an integrated approach to solving a patient's aesthetic problems in one place: from diagnostic procedures to plastic surgery and professional cosmetology.