Facelift: Stop Moment of Youth

Maybe no one wants to say goodbye to youth and beauty. Fortunately, plastic surgeons are ready to argue with time: with their help, patients can "stop" the aging process, preserving youth and naturalness at the same time. But can you trust someone with a fearless face? How to choose a good clinic and competent specialist among an abundance of attractive offers?

What does reform mean?

With age, human appearance and contours change due to natural physiological processes. There are many reasons for this: hormonal imbalance, slowing down metabolic processes, decreased collagen production, change in bone tissue composition, loss of fat packets in some places and their appearance in others, where it is undesirable, and so on. de. As a result, facial tissues lose their size and elasticity, the skin becomes flabby and loose.

No matter how well used with good care, effective folk methods and cosmetic procedures will take a toll time: all these funds can only affect the surface layers of the skin. Even if it happens to delay the appearance of surface wrinkles for a long time, then the processes that occur in deep tissues will not be able to be stopped or completely reversed with the help of all of the above.

On a noteLet the emergence of modern techniques for surgical augmentation services further strengthen its position. According to the International Society of Aesthetic Plastic Surgery (ISAPS), today our country is in the TOP 15 countries in the world in terms of the number of plastic surgeries performed. In 2017, the local plastic surgery market reached the highest turnover in five years, increasing by more than 30%. The demand for aesthetic medicine is constantly growing. The third most common among all types of plastic surgery is the face change.

Marevidencefor facelift, ptosis is the first to appear. This is a prolapse of human soft tissues resulting in a gradual loss of elasticity and tone of the skin, deterioration of muscle contractility. Ptosis can occur in a specific part of the person:

• in the lower third of the face- ptosis (drooping) of the tissues of the neck and chin against the background of relaxation and enlargement of the skin area. This creates wrinkles and folds on the neck and smooth with a clear chin-cervical angle;
• in the middle third of the face- nasolabial folds, nasolacrimal grooves, bags under the eyes and sagging cheeks, distorting the oval face;
• in the upper third of the face- wrinkles in the forehead, drooping outer edges of the eyebrows and corners of the eyes, overhanging of the eyelids, formation of horizontal wrinkles in the bridge of the nose.

These signs of tissue age-related aging can be compensated for by the use of various facial plastic surgery techniques and professional cosmetology. However, for surgical intervention, it is important not to forget about the other side of the base - contraindications.

Contraindications:

• malignant neoplasms;
• violation of blood clotting;
• epilepsy and severe psychosomatic illnesses;
• Untreated hypertension;
• diseases of internal organs;
• dermatological diseases;
• deteriorating chronic diseases;
• pregnancy;
• inflammatory and infectious processes.

On a note

Aging is a natural, though not very pleasant, process in which the natural anthropometric proportions of man should be preserved, despite the accompanying appearance of gravitational ptosis, i. e. , physiological loss of tissue volume and formation. wrapped skin and wrinkles. Therefore, from the beginning of the degenerative process of tissues, it is best to choose more sensitive methods of exposure that do not give a pronounced effect to a "tuned" face.

Aesthetic and reconstructive surgery, of course, has gone a long way in its development and its possibilities are now great. However, you need to be aware that there are complications after plastic surgery - surgeons are aware of them and know how to minimize side effects. But some complications can even be long and dangerous, which is why it is so important to choose a plastic surgeon with extensive experience and a good reputation.

Here’s an overview of the most common methods at the moment for lifting faces - this will allow you to get an idea of the "arsenal" of modern clinics of aesthetic surgery and cosmetology.

Types of braces

Today, plastic surgery specialists are able to perform resection procedures for all tastes, because the possibilities of modern medicine allow it. Each technique has its own adherence among doctors and patients. Let's take a closer look at the difference between these techniques.

Surgical methods to address

These techniques allow you to work on deep human tissues, so that they have a lasting effect. The most popular are endoscopic facelift and SMAS lift - they are aimed at a comprehensive solution to age-related problems. With their help, the soft tissue of the face is redistributed and the skin is tightened.

Circular restoration (complex correction of face and neck) -a combined method of surgical resuscitation, which encompasses the possibilities of several techniques.

• Indications: loss of tissue volume, "floating" contour, large excess loose tissue, deep wrinkles and other age-related changes.
• Contraindications: diseases of the cardiovascular, respiratory, endocrine, nervous and other systems, as well as the liver and kidneys, hematological and skin pathologies, inflammatory and infectious processes, the period of pregnancy and lactation - to identify contraindications, it is necessary to conduct a laboratory andinstrumental studies, consult a number of specialists. . .
• Injury: ard. This is a fully comprehensive operation, therefore, when choosing this technique, you need to be aware of the severity of the upcoming intervention.
• Giving out: With a circular scalpel lift, long incisions are made, followed by deep tissue modeling, transfusion of fat bags and excision of excess skin. The operation is performed under general anesthesia. After that, a hospital stay (up to two days) and a rehabilitation period of at least a month are required.
• Result- the most significant and long-term, compared to all other techniques. Potential complications include scars, damage to the facial nerve and its branches, and extensive hematomas.
• advantages: the most effective procedure for relapse with excessive amount of tissue, the ability to correct deficiencies that other methods can not deal with.
• Minuses: high trauma, moderate risk of complications, prolonged rehabilitation period.

Endoscopic reconstruction -a progressive type of surgical intervention to deeply correct age-related changes using video endoscopic equipment. As you can understand, this method uses an endoscope with a video camera several millimeters in size, which repeatedly transmits a magnified image to the monitor. So the doctor can clearly see the working area with the nerve rounds and the vessels located there. A face and neck endoscopic lift is performed under general anesthesia. Types of endoscopic elevation consist of the upper, middle or lower third of the face - each of the operations is used depending on the portion of the facial problems that need to be dealt with. It is possible to work with separate zones, and combine different types of interventions. With endoscopic resection, there is little injury to blood vessels and complete control of the operation is available, and if all the rules and recommendations are followed, the risk of serious complications is practically excluded. The tissues, small measles and temporary hair loss in the area of the intervention can be swollen, but over time, the tissues are completely regenerated.

• Indications: deep wrinkles and creases, the consequences of sagging soft tissues, lack of tissue volume due to age-related changes, drooping eyelid, drooping eyebrows and other aesthetic problems.
• Contraindications: oncology, serious chronic diseases in the acute phase, inflammatory skin diseases, infections, skin coagulation disorders, pregnancy and lactation.
• Injury: medium. The equipment makes it possible to dispense large incisions and control the location of blood vessels and nerves.
• Carry out the procedure: under general anesthesia, small incisions (up to 1. 5 cm) are made, then deep detachment of the face mask and tissue manipulation are performed under the control of visual endoscopy equipment: dissection, tension and fixation of muscles and fat packs. At the end, cosmetic adhesives are applied. The bites are removed in five to seven days, and the patient can return to their normal way of life in two to three weeks.
• Result: the patient looks 10-15 years younger and does not lose its natural individuality - the skin is made-up, the sizes are replenished, but the natural symmetry is preserved. The duration of the effect depends on individual characteristics, bad habits and behavioral stereotypes, but in general, the outcome can last up to 20 years. If we talk about the possible negative consequences, then everything is limited to swelling and small measles.
• Plushigh safety and low level of trauma, the possibility of full control with a video camera, the absence of visible traces of surgery, a pronounced refreshing effect.
• Minuses: early in the rehabilitation period, the effect of overdose is noted, the technique is not well suited for patients with large skin excess.

SMAS rising- an effective method of surgical tightening with modeling of the muscle-aponeurotic layer. Most foreign plastic surgeons believe that this process is largely related to the aging of the middle and lower third of this layer.

• Indications: signs of aging in the form of sagging and loss of skin elasticity, wrinkles, blurred facial contours.
• Contraindications: oncology, chronic diseases in the acute phase, blood clotting disorders, pregnancy.
• Carry out the procedure: during the operation, after excluding the excess, the skin is tightened, the muscle tissue is moved and fixed. The operation takes several hours, followed by a recovery period, which takes about a month.
• Resultpersistent, lasts up to eight years, but is less pronounced with endoscopic elevation. Potential complications include nerve damage, hematomas, and edema.
• advantagesmethods: significant lifting effect, elimination of excess skin.
• Minuses: risk of complications, presence of scars around the auricle (front and back of the ears).

Tighten non-surgical skin

This is a group of techniques, which allows you to use it to get a lifting effect without causing significant damage to the skin. The popularity of such an approach is due to the possibility of performing a rehabilitation procedure without surgery, that is, in a quieter way with a minimum rehabilitation period. Unfortunately, this inevitably affects the intensity and duration of the effect.

Hardware cosmetologyincludes techniques that use the effects of ultrasonic lifting, radio wave or laser on tissues without compromising their integrity.

• Indications: wrinkles, loss of skin firmness and clear contour.
• Contraindications: oncology, chronic diseases, inflammatory skin diseases, pregnancy.
• Injury: absent or almost absent.
• Giving out: during the procedure, the problem area is affected with special equipment. In this case, it is not necessary to use general anesthesia and in a long rehabilitation period. The patient can return to his business immediately, he is only required to follow the doctor's recommendations. With some procedures, only a few sessions are enough, while others require a course of procedures.
• Result: restoring firmness and turgor, smoothing wrinkles, stimulating natural production of collagen and elastin. The result is less permanent than after surgical exacerbation, and depends strongly on the characteristics of the patient's body and directly on the specificities of the chosen technique. The effect usually lasts for two or three years.
• advantages- visible effect without trauma, lack of painful sensations and the need for long-term rehabilitation, tightening of the skin.
• Minuses- the inability to eliminate many of the explicit problems of aging, a less significant and lasting result, the need to repeat the course.

Injections -introduce fillers based on hyaluronic acid, collagen or botulinum toxin to combat age-related changes.

• Indications: wrinkles, lack of volume.
• Contraindications: serious chronic diseases in the aggravation phase, skin diseases, violation of skin integrity, blood clotting disorders, individual drug intolerance, pregnancy and lactation.
• Injury: The contour plasty procedure is not considered less traumatic, but there is a risk of damage to blood vessels and nerves with a needle.
• Giving out: It usually takes less than an hour to complete the procedure. Only applied anesthesia can be used, after which the drug is injected into the problem area with a needle or cannula. With the help of a filler, you can eliminate nasolacrimal claws, nasolabial folds, correct the lack of volume in the middle and lower third of the face. Botulinum toxin is only injected into the muscles - to relieve hypertension and then to exfoliate wrinkles. In this way it is also possible to "raise" the lowered corners of the mouth. After the procedure, the patient can return to normal routine and perform them, according to the doctor's recommendations.
• Result: instant procedures allow replenishment and removal of wrinkles, but the outcome depends on the characteristics of the patient's body and the choice of drug. The effect can last for three-six months to one year or a year and a half.
• advantages: low trauma, the ability to correct the outcome if it has been unsatisfactory, no need for rehabilitation and use of general anesthesia.
• Minuses: short-term result, the need for repetition, to visually eliminate single surface imperfections.

Cost of facial rejuvenation procedures: can't you buy the youth?

When choosing a clinic, it is worth remembering the well-known phrase: "You get what you pay for. " Any type of resuscitation is a procedure that requires modern equipment, high-quality medication and anesthesia, which provides special conditions of stay. for the patient, and most importantly, the high quality of the surgeon. If the price of this type of service is suspiciously low, it means that some (or all at once) of these points are not respected, and the clinic may not have a license at all. But it’s not something you can save on the beauty and health of facial skin. The public knows a large number of stories about patients who, after saving money, were forced to spend much larger sums not only on the consequences of unsuccessful operation on correcting the aesthetic side, but also onto restore their health.

On average, the price of a deep surgical resurfacing of two areas of the face starts from a relatively significant size; if more serious manipulations are required with a combination of techniques, you will have to spend even more. The exact cost can only be obtained at the consultation, as the scope of the intervention depends on the individual characteristics of the patient. We are talking about age, skin quality, size of unwanted tissues, type of human structure, as well as one’s own desires, and much more.

SMAS facelift (ultrasonic) hardware is not too cheap, the number of lines has a big impact on the price. The cost of contouring with fillers depends on the drug and the amount of administration required.

Technologies that allow youth to return are constantly being improved, expanding more and more the possibilities of modern aesthetic medicine. Today, plastic surgeons are able to eliminate almost any manifestation of age-related changes, and with the introduction of endoscopic technology, the trauma of operations has been minimized. So it is possible to use modern equipment, individual approaches and advanced techniques that people who want to look refreshed can rely on.

Where do I get the procedure?

An expert - a plastic surgeon makes recommendations for choosing an aesthetic medicine center and a specialist:

"Since the popularity of plastic surgery and cosmetology, a large number of specialist clinics have appeared on the market. Unfortunately, some of these institutions do not meet high standards in the provision of medical services and employ unscrupulous specialists. such clinics are interested in successfully solving the patient’s problem, but also lack the resources necessary to perform 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 apply for a license to carry out the right medical activities, certificates, diplomas of doctors. . . Moreover, all of these documents should be publicly available on the site. The license must demonstrate compliance with the requirements of the Procedure for the provision of medical care in the profile "Plastic Surgery", approved by order of the Ministry of Health. You should also pay attention to the documents confirming the surgeon’s current certification. It is worth finding out what the status of the clinic is, whether it has an adequate level of funding to acquire quality equipment, and whether the medical institution is experienced in performing the necessary procedures and photographs of illustrative samples. It is desirable that the institute has been operating for over a year: if the history of the clinic is long, then this suggests that patients (and regulatory authorities) have already formed a confident attitude towards this medical institution.

An important selection criterion is the wide range of services provided and an integrated approach to solving a patient's aesthetic problems in one place: from diagnostic measures to plastic surgery and professional cosmetology.