Facelift: Stop the moments of youth

Maybe no one wants to say goodbye to youth and beauty. Fortunately, plastic surgeons are ready to argue over time: with their help, patients can "stop" the aging process, preserving youth and at the same time naturalness. Is it possible to trust your face without fear? How to choose a good clinic and a competent specialist among the abundance of attractive offers?

What is a facelift 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 the composition of bone tissue, loss of fat packs in some places and their appearance in other places. undesirable and so on. As a result, facial tissues lose volume and elasticity, the skin becomes pale and loose.

No matter how good care, effective folk remedies and cosmetic procedures are used, time will pay off: all these products can affect only the surface layers of the skin. Even if it turns out that the appearance of superficial wrinkles is delayed for a long time, with the help of all of the above, it will not be possible to stop or completely reverse the processes occurring in deep tissues.

NoteThe advent of modern technology has allowed surgical traction services to strengthen their position once again. According to the International Society for 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 a record turnover, growing by more than 30% over the past five years. The demand for aesthetic medicine continues to grow. The third most popular of all types of plastic surgery is facial stretching.

whomtestimonyFor facelift, ptosis appears first. It is a prolapse of the soft tissues of the face as a result of the gradual loss of elasticity and tone of the skin, the deterioration of muscle contraction. Ptosis may predominate in a certain part of the face:

• in the lower third of the face- ptosis (hanging) against the background of relaxation of the neck and jaw tissues and an increase in the area of the skin. This leads to the formation of wrinkles and creases in the neck and the smoothing of the clear jaw-cervical angle;
• in the middle third of the face- nasolabial folds, nasolacrimal grooves, bags under the eyes and sagging cheeks, disrupting the oval of the face;
• in the upper third of the face- Wrinkles on the forehead, sagging of the outer edges of the eyebrows and corners of the eyes, sagging of the eyelids, the formation of horizontal wrinkles on the bridge of the nose.

These signs of age-related tissue aging can be compensated by using various methods of facial plastic surgery and professional cosmetology. However, when it comes to surgery, the other side of the coin - the contraindications - should not be forgotten.

Contraindications:

• malignant neoplasms;
• blood clotting disorders;
• epilepsy and severe psychosomatic diseases;
• untreated hypertension;
• diseases of the internal organs;
• dermatological diseases;
• chronic diseases in the exacerbation phase;
• pregnancy;
• inflammatory and infectious processes.

Note

Aging, although very unpleasant, is a natural process in which the natural anthropometric proportions of the face must be maintained, although the appearance of gravitational ptosis is accompanied by physiological loss of tissue volume and tissue formation. skin wrinkles and creases. Therefore, from the beginning of the degenerative process of tissues, it is better to choose more subtle methods of exposure that do not give a clear effect on the "tuned" face.

Aesthetic and reconstructive surgery, of course, has come a long way in its development, and its potential is now great. However, you should know that complications are possible after plastic surgery - surgeons know them well and know how to minimize side effects. However, some complications can be protracted and even dangerous, so it is very important to choose a plastic surgeon with extensive experience and impeccable reputation.

Here is a review of the most popular facial lifting methods today - it will give you an idea of the "arsenal" of modern cosmetic surgery and cosmetology clinics.

Types of brackets

Today, plastic surgeons are able to perform facial stretching procedures to suit every taste, because the possibilities of modern medicine allow it. Each technique has its supporters among both doctors and patients. Let's take a closer look at how these techniques differ.

Surgical methods of facial stretching

These methods allow you to work on the deep tissues of the face so that they can have a lasting effect. The most popular and effective are endoscopic facelift and SMAS-lifting - they are aimed at complex solutions to age-related problems. With their help, the soft tissues of the face are redistributed and the skin is tightened.

Round facelift (complex face and neck correction) -a combined method of surgical rejuvenation that combines the capabilities of several techniques.

• Tips: loss of tissue volume, "floating" contours, large amounts of excess loose tissue, deep wrinkles and other age-related changes.
• ContraindicationsDiseases 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 - should be performed in the laboratory to determine contraindications. and instrumental studies, consult a number of specialists. . .
• injury: high. This is a full-fledged operation, so you should be aware of the severity of the upcoming intervention when choosing this technique.
• performed: Long incisions are made with a circular scalpel lift, followed by deep tissue modeling, transposition of fat bags, and cutting of excess skin. The operation is performed under general anesthesia. Then you need to stay in the hospital (up to two days) and a rehabilitation period of at least one month.
• The result- the clearest and longest lasting compared to all other methods. Possible complications include scars, damage to the facial nerve and its branches, and extensive hematomas.
• pros: the most effective procedure for facelift with excessive amount of tissue, the ability to correct deficiencies that other methods can not cope.
• Cons: high trauma, relatively serious risk of complications, long rehabilitation period.

Endoscopic facial stretching -an advanced type of surgery for deep correction of age-related changes using video endoscopic equipment. As you can see, this method uses an endoscope with a video camera a few millimeters in size, which transmits a magnified image to the monitor several times. Thus, the doctor can clearly see the area of work with the nerve endings and the vessels inside. Endoscopic face and neck lifting is performed under general anesthesia. Varieties are endoscopic removal of the upper, middle or lower third of the face - each of the operations is used depending on which part of the face needs to be dealt with. It is possible to work with separate zones, as well as to combine several types of interference. With an endoscopic facelift, blood vessels are less damaged and there is complete control over the operation, and if all the rules and recommendations are followed, the risk of serious complications is practically ruled out. Swelling of the tissues in the area of the intervention, small bruises and temporary hair loss are possible, but over time the tissues recover completely.

• Tips: deep wrinkles and creases, the consequences of soft tissue sagging, lack of tissue volume due to age-related changes, sagging eyelids, sagging eyebrows and other aesthetic problems.
• Contraindications: oncology, acute and severe chronic diseases, inflammatory skin diseases, infections, skin coagulation disorders, pregnancy and lactation.
• injury: average. The equipment allows you to avoid large incisions and control the location of blood vessels and nerves.
• Implementation of the procedure: small incisions (up to 1. 5 cm) are made under general anesthesia, followed by deep removal of the face mask and tissue manipulation under the supervision of video endoscopic equipment: dissection, tension and fixation of muscles and fat bundles. In the end, cosmetic stitches are applied. The stitches are removed within five to seven days, and the patient can return to a normal lifestyle in two to three weeks.
• The result: The patient looks 10-15 years younger and does not lose his natural individuality - the skin is smoothed, volumes are filled, but the natural symmetry is preserved. 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.
• Advantageshigh security and low level of trauma, full control with a video camera, the absence of visible traces of the operation, a clear rejuvenating effect.
• Cons: the effect of excessive correction is observed in the early rehabilitation period, the technique is poorly suited for patients with very large skin excess.

SMAS lifting- An effective method of surgical compression with modeling of the musculoskeletal layer. Most external plastic surgeons believe that the aging process of the middle and lower third of the face is mainly associated with this layer.

• Tips: Signs of aging in the form of sagging skin and loss of elasticity, wrinkles, indistinct facial contours.
• Contraindications: oncology, acute chronic diseases, blood clotting disorders, pregnancy.
• Implementation of the procedure: After the excess is removed during the operation, the skin is tightened, the muscle tissue is moved and tightened. The operation takes several hours, after which a recovery period is required, which takes about a month.
• The resultpersistent, lasts up to eight years, but is not as pronounced as with endoscopic lifting. Possible complications include nerve damage, hematomas and edema.
• prosMethods: noticeable lifting effect, removal of excess skin.
• Cons: risk of complications, the presence of scars around the auricle (in front of and behind the ears).

Non-surgical skin tightening

This is a group of techniques, the use of which allows you to achieve a lifting effect without significant damage to the skin. Such approaches have gained popularity due to the fact that they can be performed more gently without surgery, ie with a minimum rehabilitation period. Unfortunately, this inevitably affects the severity and duration of the impact.

Apparatus cosmetologymethods of using ultrasound, radio wave or laser lifting effects without compromising tissue integrity.

• Tips: wrinkles, skin firmness and loss of clear contours.
• Contraindications: oncology, chronic diseases, inflammatory skin diseases, pregnancy.
• injury: no or almost no.
• performed: During the procedure, the problem area is hit with special equipment, in which case it is not necessary to use general anesthesia and during a long rehabilitation period. The patient can return to work immediately, just follow the doctor's advice. Some procedures require only a few sessions, while others require a course of procedures.
• The result: restores strength and turgor, smoothes wrinkles, stimulates the natural production of collagen and elastin. The result is less durable after surgical compression and depends on both the characteristics of the patient's body and the characteristics of the technique chosen directly. The effect usually lasts from two to three years.
• pros- visible effect without trauma, lack of pain and the need for long-term rehabilitation, skin tightening.
• Cons- inability to overcome many of the problems of aging, less noticeable and lasting results, the need to repeat the course.

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

• Tips: wrinkles, lack of volume.
• Contraindications: severe chronic diseases in the acute stage, skin diseases, skin integrity disorders, blood clotting disorders, individual intolerance to the drug, pregnancy and lactation.
• injury: Contour plastic surgery is considered less traumatic, but there is a risk of damage to blood vessels and nerves with a needle.
• performed: 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 filler, you can remove 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 eliminate hypertension and then smooth wrinkles. It is also possible to "lift" the lowered corners of the mouth in this way. After the procedure, the patient can return to normal work and follow the doctor's recommendations.
• The result: procedures allow to fill the volume and remove wrinkles, but the result depends on the characteristics of the patient's body and the choice of medication. The effect can last for three periods-every six months to a year or a year and a half.
• pros: low trauma, ability to correct the result if it turns out to be unsatisfactory, no need for rehabilitation and general anesthesia is used.
• Cons: short-term result, need for repetition, only visual removal of surface defects.

The cost of facial rejuvenation procedures: can not get youth?

When choosing a clinic, it is worth remembering the popular phrase: "You get what you pay for. "Any type of facelift is a procedure that requires modern equipment, high-quality drugs and anesthesia, special stay for the patient, and most importantly, a highly qualified surgeon. If the cost of such a service is questionably low, it is a sign that some (or all) of these points are being disrespected and that the clinic may not have a license at all. But the beauty and health of facial skin is not something you can save. There are many stories about patients who once decided to save money, and then had to spend more money not only to correct the consequences of a failed operation on the aesthetic side, but also to restore their health.

On average, the price for a deep surgical face repair of two areas of the face starts at a very impressive amount, and if you need to do more serious manipulations with a combination of techniques, you will have to spend more. The exact cost can only be determined during the consultation, as the extent of the intervention depends on the individual characteristics of the patient. We are talking about age, skin quality, the amount of unwanted tissue, the type of facial structure, as well as a person's own desires and much more.

The device (ultrasound) SMAS facelift is not very cheap, the price affects the number of lines. The value of the contour with fillers depends on the drug and the required volume of application.

Technologies that allow to bring back the youth are constantly being improved, expanding the possibilities of modern aesthetic medicine. Today, plastic surgeons are able to eliminate almost any manifestation of age-related changes, and after the introduction of endoscopic technology, it has been possible to minimize the trauma of operations. Thus, the use of modern equipment, individual approach and the use of advanced technology are things that people who want to look young can rely on.

Where can I apply for the procedure?

Recommendations for choosing an aesthetic medicine center and specialist are given by an expert - plastic surgeon:

"After the widespread popularity of plastic surgery and cosmetology, a large number of specialized clinics have appeared on the market. Unfortunately, some of these institutions do not meet high standards for medical care and hire unscrupulous specialists. they simply do not have the resources needed for high-quality work.

To find a high-level doctor and a comfortable clinic, you need to learn as much as possible about the specialists and the institution itself. First of all, do not hesitate to ask for a license, certificates, diplomas for the right to engage in medical activities. . . In addition, all these documents must be open to the public on the site. It is necessary to reflect the compliance of the license with the requirements of the Rules for the provision of medical care on the profile "Plastic Surgery" approved by the order of the Ministry of Health. You should also pay attention to the documents confirming the current certificate of the surgeon. It is worthwhile to find out what the status of the clinic is, whether there is a sufficient financial level to obtain high-quality equipment, and whether the medical institution has experience in performing the necessary procedures and photographs of illustrative samples. It is desirable that the institution has been operating for more than a year: if the history of the clinic is long, it means that patients (and regulators) already have a confident attitude to this medical institution.

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