Facelift: Stop the moments of youth

Maybe no one wants to say goodbye to youth and beauty. Fortunately, plastic surgeons are willing to argue over time: with their help, patients can "stop" the aging process and retain their youth and naturalness at the same time. But can you trust someone with your face without fear? How to choose a good clinic and a competent specialist among the multitude of tempting offers?

Why raise your face?

With age, the appearance and contours of the face change due to natural physiological processes. There are many reasons for this: hormonal imbalances, slowing down of metabolic processes, decreased production of collagen, changes in the composition of bone tissue, loss of fat packs in some places and their formation in other places. unnecessary and others. As a result, facial tissues lose volume and elasticity, and the skin becomes loose and loose.

No matter how well cared for, effective folk remedies and cosmetic procedures are used, time is of the essence: all these remedies can affect only the upper layers of the skin. Even if it comes out to delay the formation of superficial wrinkles for a long time, it is impossible to stop or completely reverse the processes that occur in deep tissues with the help of all of the above.

On the noteThe advent of modern technology has once again strengthened the position of surgical services. According to the International Society for Aesthetic Plastic Surgery (ISAPS), today our country is among the TOP 15 countries in the world in the number of plastic surgeries. In 2017, the local plastic surgery market grew by more than 30%, reaching a record turnover in the last five years. The demand for aesthetic medicine is growing. Among all types of plastic surgery, the third most popular is face lift.

asto testifyFor facelift, ptosis occurs first. This is a prolapse of the soft tissues of the face as a result of the gradual loss of elasticity and tone of the skin and the deterioration of muscle contraction. Ptosis may predominate in certain areas of the face:

• in the lower third of the page- ptosis of the tissues of the neck and jaw against the background of relaxation and increase in skin area. This leads to the appearance of wrinkles and creases in the neck and smoothing of the exact chin-neck angle;
• in the middle third of the page- nasolabial folds, nasolabial folds, bags under the eyes and cheeks that distort the oval of the face;
• in the upper third of the page- Wrinkles on the forehead, sagging of the outer edges of the eyebrows and corners of the eyes, drooping eyelids, the appearance of horizontal wrinkles on the bridge of the nose.

The signs of aging of these tissues can be compensated by the use of 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 tumors;
• blood clotting disorders;
• epilepsy and severe psychosomatic diseases;
• untreated hypertension;
• diseases of the internal organs;
• dermatological diseases;
• chronic diseases in the acute stage;
• pregnancy;
• Inflammatory and infectious processes.

On the note

Although aging is not a very pleasant natural process, the natural anthropometric proportions of the surface must be maintained, despite the fact that it is accompanied by the formation of gravitational ptosis, ie physiological loss of tissue volume and tissue formation. folds and wrinkles of the skin. Therefore, from the very beginning of the degenerative process of tissues, it is better to choose gentle methods of exposure that do not give a clear effect on the "inverted" surface.

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

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

Types of brackets

Today, plastic surgeons can perform facial lift procedures to suit different tastes, as modern medicine makes it possible. Each technique has its proponents, both among doctors and patients. Let us take a closer look at how these methods differ.

Surgical methods of lifting the face

These techniques allow you to work on the deep tissues of the face, so they can have a lasting effect. The most popular and effective are endoscopic facelift and SMAS-lifting - they are aimed at a comprehensive solution to age problems. They are used to redistribute the soft tissues of the face and tighten the skin.

Circular facelift -The combined method of surgical rejuvenation, which includes the possibilities of several methods.

• Instructions: Loss of tissue volume, "floating" contour, large number of excess loose tissue, deep wrinkles and other age changes.
• Contraindications: Diseases of the cardiovascular, respiratory, endocrine, nervous and other systems, as well as liver and kidney, hematological and skin pathologies, inflammatory and infectious processes, pregnancy and lactation - laboratory tests to determine contraindicationsnecessary. and instrumental research, consult with a number of experts. . .
• Wounds: high. This is a full-fledged operation, so when choosing this method, you need to know the severity of the upcoming intervention.
• To perform: By lifting the round scalpel, long incisions are made, followed by modeling of deep tissues, transposition of fat sacs and removal of excess skin. The operation is performed under general anesthesia. Then you need a hospital stay (up to two days) and a recovery period of at least a month.
• A result- the most obvious and long-lasting compared to all other methods. Possible complications - scars, damage to the facial nerve and its branches, extensive hematomas.
• pros: The most effective procedure for facelift with excess volume of tissue, correcting imperfections that can not be overcome by other methods.
• Minuses: high trauma, relatively significant risk of complications, long rehabilitation period.

Endoscopic facelift -A progressive form of surgical intervention for deep correction of age changes using video endoscopic equipment. As you can see, this method uses an endoscope with a multi-millimeter video camera, which transmits a magnified image several times to the monitor. Thus, the doctor can clearly see the area of work with the nerve ligaments and the vessels located in them. Endoscopic lifting of the face and neck is performed under general anesthesia. Varieties - endoscopic lifting of the upper, middle or lower third of the face - each operation is used depending on which part of the face to deal with the problem. It is possible to work with separate zones or to combine several types of interventions. With endoscopic facelift, blood vessels are less injured and there is full control over the operation, and if you follow all the rules and recommendations, the risk of serious complications is virtually eliminated. Tissue swelling, small bruises, and temporary hair loss in the area of the intervention may occur, but over time the tissues will recover completely.

• Instructions: deep wrinkles and creases, the effects of soft tissue sagging, lack of tissue volume due to age changes, drooping eyelids, drooping eyebrows and other aesthetic problems.
• Contraindications: oncology, acute and chronic diseases, inflammatory diseases of the skin, infections, skin coagulation disorders, pregnancy and lactation.
• Wounds: medium. The equipment allows you to avoid large cross-sections and control the location of blood vessels and nerves.
• Carrying out the procedure: Under general anesthesia, small incisions are made (up to 1. 5 cm), followed by deep removal of the face mask and tissue manipulation under the supervision of video endoscopic equipment: dissection, tension and fixation of muscle and fat packs. Cosmetic sutures are placed at the end. The stitches are removed in five to seven days, and the patient returns to a normal lifestyle in two to three weeks.
• A result: The patient looks 10-15 years younger and does not lose his natural individuality - the skin is smooth, the volume is 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 effect can last up to 20 years. If we talk about the possible negative consequences, then everything is limited to tumors and small bruises.
• Plushigh safety and low level of trauma, full control with a video camera, no visible traces of surgery, clear rejuvenation effect.
• Minuses: In the early rehabilitation period, the effect of correction is observed, the technique is poorly suited for patients with very large excess skin.

SMAS lift- An effective method of surgical tension with the modeling of the musculoskeletal system. Most foreign plastic surgeons believe that the aging process of the middle and lower third of the face is mainly related to this layer.

• Instructions: Signs of aging in the form of sagging and loss of elasticity of the skin, wrinkles, inaccurate contours of the face.
• Contraindications: Oncology, chronic diseases in the acute stage, coagulation disorders, pregnancy.
• Carrying out the procedure: After removing the excess during the operation, the skin is pulled, the muscle tissue is moved and fixed. The operation lasts several hours, after which a recovery period is required, which takes about a month.
• A resultstable, lasts up to eight years, but is not as pronounced as endoscopic lifting. Possible complications include nerve damage, hematomas, and tumors.
• prosMethods: noticeable lifting effect, removal of excess skin.
• Minuses: risk of complications, the presence of scars around the ear (in front of and behind the ear).

Non-surgical skin tightening

This is a group of techniques that allow you to get a lifting effect without causing significant damage to the skin. Such methods have gained popularity due to the possibility of performing a lifting procedure in a more gentle way without surgery, ie with a minimum rehabilitation period. Unfortunately, this inevitably affects the severity and duration of the impact.

Hardware cosmetologyIncludes methods of applying ultrasound, radio waves or laser lifting effects to tissues without compromising their integrity.

• Instructions: Wrinkles, loss of skin firmness and clear contour.
• Contraindications: oncology, chronic diseases, inflammatory skin diseases, pregnancy.
• Wounds: no or almost none.
• To perform: During the procedure, exposure to the problem area is performed with special equipment, in this case, general anesthesia and prolonged rehabilitation period are not required. The patient can return to his business immediately, he is only required to follow the doctor's recommendations. Some procedures require a few sessions, while others require a course of procedures.
• A result: Restoration of strength and turgor, smoothing wrinkles, stimulating the natural production of collagen and elastin. The result is less than after surgery and is highly dependent and depends on the characteristics of the patient's body and the specifics of the chosen technique. As a rule, the effect lasts for two to three years.
• pros- Visible effect without trauma, absence of pain and long-term rehabilitation, hardening of the skin.
• Minuses- inability to overcome the most common problems of old age, insignificant and lasting results, the need to repeat the course.

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

• Instructions: wrinkles, lack of volume.
• Contraindications: Severe chronic diseases in the acute stage, skin diseases, skin integrity disorders, blood clotting disorders, intolerance to individual medications, pregnancy and lactation.
• Wounds: The contour plastic procedure is considered less traumatic, but there is a risk of damage to the blood vessels and nerves with a needle.
• To perform: It usually takes less than an hour to complete the procedure. The only application to use is anesthesia, after which the drug is injected into the problem area with a needle or cannula. With the help of fillers, you can eliminate nasolacrimal cavities, 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 get rid of hypertension, and then shines wrinkles. It is also possible to fully "lift" the lowered corners of the mouth in this way. After the procedure, the patient can return to normal business and follow the doctor's recommendations.
• A result: The procedure allows you to replenish the volume and eliminate wrinkles, but the result depends on the characteristics of the patient's body and the choice of drug. The effect can last for three-from six months to a year or a year and a half.
• pros: Minimal trauma, if it turns out to be unsatisfactory, the possibility of correcting the outcome, rehabilitation and the use of general anesthesia is not necessary.
• Minuses: short-term result, the need for repetition, visual elimination of superficial defects only.

The cost of face rejuvenation procedures: don't you buy youth?

When choosing a clinic, keep in mind the famous phrase: "Why do you pay. " Any type of elevator requires modern equipment, high-quality drugs and anesthesia, special conditions for the patient, and most importantly, the high qualification of the surgeon. procedure. If the cost of this type of service is questionably low, then some (or all of these items at the same time) may not be maintained, and the clinic may not have a license. But it is not something that can maintain the beauty and health of facial skin. The public knows a lot of stories about patients who once decided to save money and then had to spend much more money not only to eliminate the consequences of a failed surgery on the aesthetic side, but also to restore their health.

On average, the cost of a deep surgical lift for two areas of the face starts at a very impressive amount, which is even more costly if you need to do more serious manipulations with a combination of these techniques. The exact cost can be determined only after consultation, as the amount of 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 many other things.

Hardware (ultrasonic) SMAS facelift is not very cheap, the price mainly affects the number of lines. The cost of contouring with fillers depends on the drug and the required dose.

Technologies that enable the protection of young people are constantly evolving and expanding the possibilities of modern aesthetic medicine. Today, plastic surgeons are able to eliminate almost all manifestations of age-related changes, and with the introduction of endoscopic technology, it is possible to minimize the trauma of operations. Thus, the use of modern equipment, individual approach and the use of advanced techniques - can be trusted by anyone who wants to look younger.

Where can I go for the procedure?

The expert-plastic surgeon gives recommendations on the selection of the center of aesthetic medicine and a specialist:

"Since plastic surgery and cosmetology have become very popular, many specialized clinics have appeared on the market. Unfortunately, some of these institutions do not meet the high standards of medical services and employ honest professionals. Such clinics are not only interested in successfully solving the patient's problem, but also do not have the necessary resources for high-quality work.

To find a top-class doctor and a convenient clinic, you need to research as much information as possible about the professionals and the institution itself. First of all, do not hesitate to get a license, certificates, diplomas for the right to conduct medical activities. . . In addition, all of these documents must be publicly available on the site. The license must reflect compliance with the requirements of the procedure for providing medical care in the profile "Plastic Surgery", approved by the order of the Ministry of Health. It is also important to pay attention to the documents confirming the current certification of the surgeon. It is important to know the condition of the clinic, whether there is a sufficient level of funding to obtain high-quality equipment, and whether the medical institution has experience in performing the necessary procedures and drawing illustrations. It is good that the institution has been operating for more than a year: if the history of the clinic is long, it shows that these patients (and regulators) have developed a trusting attitude towards this medical institution.

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