Perhaps 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 at the same time naturalness. But is it possible to trust someone with your face without fear? How to choose a good clinic and competent specialist among the many tempting offers?
What's 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, a slowdown in metabolic processes, a decrease in the production of collagen, a change in the composition of bone tissue, the loss of fat packs in some places and their appearance in others, where it is undesirable, and so on. As a result, facial tissues lose their volume and elasticity, the skin becomes flabby and sagging.
No matter how well treatments, effective traditional methods and cosmetic procedures are used, time will take its toll: all these funds can only affect the surface layer of the skin. Even if it turns out to delay the appearance of superficial wrinkles for a long time, then it is impossible to stop or completely reverse the processes occurring in the deep tissues with the help of all of the above.
On noteThe advent of modern techniques 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 terms of the number of plastic surgeries performed. In 2017, the local plastic surgery market hit a record turnover for the past five years, increasing by more than 30%. The demand for aesthetic drugs continues to increase. The third most popular among all types of plastic surgery is the facelift.
Astestimonyfor a facelift, ptosis is the first to appear. This is a prolapse of the soft tissues of the face as a result of a gradual loss of elasticity and tone of the skin, a decrease in muscle contractility. Ptosis can predominate in certain parts of the face:
- in the lower third of the face- ptosis (drooping) of the tissues of the neck and chin against the background of relaxation and an increase in the area of \u200b\u200bthe skin. This leads to the formation of wrinkles and folds on the neck and smoothes a pronounced chin-cervical angle;
- in the middle third of the face- nasolabial folds, nasolacrimal grooves, bags under the eyes and sagging cheeks, distorting the oval of the face;
- in the upper third of the face- wrinkles on the forehead, lowering of the outer edges of the eyebrows and the corners of the eyes, drooping eyelids, formation of horizontal wrinkles at the bridge of the nose.
These signs of age-related tissue aging can be compensated for using a variety of professional facial plastic surgery and cosmetology techniques. However, in terms of surgical intervention, it is important not to forget about the other side of the coin - contraindications.
Contraindications:
- malignant neoplasm;
- violation of blood coagulation;
- epilepsy and severe psychosomatic illness;
- untreated hypertension;
- internal organ disease;
- dermatological diseases;
- chronic diseases at the stage of exacerbation;
- pregnancy;
- inflammatory and infectious processes.
On note
Aging, although not very pleasant, is a natural process in which the natural anthropometric proportions of the face must be maintained, despite the fact that this is accompanied by the appearance of gravitational ptosis, that is, a physiological loss of tissue volume and tissue formation. skin folds and wrinkles. Therefore, from the very beginning of the degenerative process of tissue, it is better to choose a more subtle method of exposure that does not give a noticeable effect of a "tuned" face.
Aesthetic and reconstructive surgery have certainly come a long way and the possibilities are now great. However, you should be aware that after plastic surgery there are possible complications - surgeons are well aware of them and know how to minimize 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 an impeccable reputation.
Here is an overview of the most popular methods of face lifting today - it will allow you to get an idea of the "arsenal" of modern clinics of aesthetic surgery and cosmetology.
Types of braces
Today, plastic surgeons can perform facelift procedures for every taste, as modern medicine makes it possible. Each technique has its own adherents both between doctors and between patients. Let's take a closer look at how these techniques differ.
Facelift surgical method
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 facelifts and SMAS-lifting - they are aimed at comprehensive solutions to age-related problems. With their help, redistribution of facial soft tissues and skin tightening is carried out.
Circular facelift (complex face and neck correction) -combined method of surgical rejuvenation, which includes the possibility of several techniques.
- Indication: loss of tissue volume, "floating" contours, excessive amounts of 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, the period of pregnancy and lactation - to identify contraindications, it is necessary to carry out laboratory and instrumental studies, consult a number of specialists . . .
- Injury: tall. This is a full-fledged operation, therefore, when choosing this technique, you need to be aware of the severity of the upcoming intervention.
- doing: With circular scalpel removal, a long incision is made, followed by deep tissue modeling, transposition of fat pockets and excision of excess skin. The operation is performed under general anesthesia. Further, it is necessary to stay in the hospital (up to two days) and a rehabilitation period of at least one month.
- Results- the most prominent and durable, when compared to all other techniques. Possible complications are scarring, damage to the facial nerve and its branches, and extensive hematoma.
- pro: the most effective procedure for a facelift with an excessive amount of tissue, the ability to correct deficiencies that other methods cannot overcome.
- minus: high trauma, relatively serious risk of complications, long rehabilitation period.
endoscopic facelift -a type of progressive surgical intervention for deep correction of age-related changes using video endoscope equipment. As you can understand, this method uses an endoscope with a video camera measuring several millimeters in size, which transmits an enlarged image many times to the monitor. So the doctor can clearly see the work area with the nerve bundles and blood vessels in it. Endoscopic face and neck lifts are performed under general anaesthesia. The variety is endoscopic removal of the upper, middle or lower third of the face - each operation is used depending on which part of the face problem needs to be treated. It is possible both to work with separate zones, and to combine several types of interventions. With an endoscopic facelift, the blood vessels are slightly injured and complete control over the operation is available, and if all the rules and recommendations are followed, the risk of serious complications is practically excluded. Tissue swelling, minor bruising and temporary hair loss in the intervention area are possible, but over time, the tissue recovers completely.
- Indication: deep wrinkles and folds, consequences of loose soft tissues, lack of tissue volume due to age-related changes, drooping eyelids, drooping eyebrows and other aesthetic problems.
- Contraindications: oncology, severe chronic disease in acute stage, inflammatory skin diseases, infections, skin coagulation disorders, pregnancy and lactation.
- Injury: medium. Equipment makes it possible to remove large incisions and to control the location of blood vessels and nerves.
- Carry out procedures: under general anesthesia, a small incision is made (up to 1. 5 cm), then a deep removal of the face mask is performed and tissue manipulation is carried out under the control of video endoscopic equipment: dissection, tension and fixation of muscles and fat packs. At the end, cosmetic sutures are applied. The stitches are removed in five to seven days, and the patient can return to their usual life in two to three weeks.
- Results: the patient looks 10-15 years younger and has not lost his natural individuality - the skin is smoothed, the volume is replenished, 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 results can last up to 20 years. If we talk about possible negative consequences, then everything is limited to minor swelling and bruising.
- Plushigh safety and low trauma rate, possibility of full control with video camera, no visible surgical scars, real rejuvenating effect.
- minus: in the initial rehabilitation period, an overcorrection effect is observed, this technique is not suitable for patients with very large excess skin.
raise high school- an effective method of surgical tightening by modeling the muscle-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.
- Indication: signs of aging in the form of sagging and loss of skin elasticity, wrinkles, facial contours are not clear.
- Contraindications: oncology, chronic disease in the acute stage, blood clotting disorders, pregnancy.
- Carry out procedures: during surgery, after over-excision, the skin is tightened, muscle tissue is moved and repaired. The operation takes several hours, after which a recovery period is required, which takes about a month.
- Resultspersistent, lasting up to eight years, but not as pronounced as endoscopic removal. Possible complications include nerve damage, hematoma, and edema.
- promethod: noticeable lifting effect, remove excess skin.
- minus: risk of complications, the presence of scars around the earlobe (in front and behind the ear).
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 an approach gained its popularity due to the possibility of carrying out a facelift procedure without surgery, that is, in a gentler way with a minimum rehabilitation period. Unfortunately, this inevitably affects the severity and duration of the effects.
Hardware makeupincluding techniques using ultrasonic, radio waves, or laser lifting effects on tissue without violating its integrity.
- Indication: wrinkles, loss of skin firmness and clear contours.
- Contraindications: oncology, chronic diseases, inflammatory skin diseases, pregnancy.
- Injury: none or almost nothing.
- doing: during the procedure, impact on the problem area with special equipment is carried out, In this case, there is no need to use general anesthesia and in a long rehabilitation period. Patients can immediately return to their activities, only required to follow the doctor's advice. With some procedures, a few sessions are sufficient, while others require a series of procedures.
- Results: restores firmness and turgor, smoothes wrinkles, stimulates the natural production of collagen and elastin. The results are less durable than after surgical tightening, and are highly dependent on the patient's body characteristics and directly on the specifics of the technique chosen. Usually the effect lasts for two to three years.
- pro- visible effect without trauma, absence of painful sensations and the need for long-term rehabilitation, skin tightening.
- minus- the inability to get rid of many of the expressed problems of aging, less noticeable and long-lasting results, the need to repeat the course.
injection -introduction of fillers based on hyaluronic acid, collagen or botulinum toxin to combat age-related changes.
- Indication: wrinkles, lack of volume.
- Contraindications: severe chronic diseases at the stage of exacerbation, skin diseases, violation of skin integrity, blood coagulation disorders, individual drug intolerance, pregnancy and lactation.
- Injury: Contour plasty procedures are considered less traumatic, but there is a risk of damaging blood vessels and nerves with a needle.
- doing: This procedure usually takes less than an hour to complete. Only application anesthesia can be used, after which the drug is injected into the problem area with a needle or cannula. With the help of fillers, you can get rid of the 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 muscle - to relieve hypertonicity and then smooth out wrinkles. Also in this way it is quite possible to "raise" the lower corners of the mouth. After the procedure, the patient can return to normal business and carry out, following the doctor's recommendations.
- Results: the procedure makes it possible to fill in 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-six months to a year or a year and a half.
- pro: low trauma, ability to correct results if they are unsatisfactory, no need for rehabilitation and use of general anesthesia.
- minus: short-term results, the need for repetition, visual elimination of only superficial imperfections.
The cost of facial rejuvenation procedures: can't you buy youth?
When choosing a clinic, it is worth remembering the well-known phrase: "You get what you pay for. "All types of facelifts are procedures that require modern equipment, high-quality drugs and anesthetics, provide the patient with special conditions for the stay, and most importantly, qualificationstop surgeon. If the price for this kind of service is very low, it means that some of these points (or all at once) are not respected, and perhaps the clinic is not licensed at all. But the beauty and health of facial skin is not something you can save. The public is aware of a large number of stories about patients who, having decided to save money, are then forced to spend much larger sums not only to correct the consequences of unsuccessful operations on the aesthetic side, but also to restore their health.
On average, the price for a deep surgical facelift on two areas of the face starts from quite an impressive amount, if it is necessary to carry out more serious manipulations with a combination of techniques, you will have to spend even more. The exact cost can be known only at the consultation, since the scope of the intervention depends on the individual characteristics of the patient. We are talking about age, skin quality, unwanted tissue volume, type of facial structure, as well as the wishes of the person himself, and much more.
Hardware (ultrasonic) SMAS facelift is not too cheap, the price is greatly influenced by the number of lines. The cost of contouring with fillers depends on the drug and the required volume of administration.
Technologies that make it possible to return to youth are constantly being improved, further expanding the possibilities of modern aesthetic medicine. Today, plastic surgeons are able to eliminate almost all the manifestations of age-related changes, and after the introduction of endoscopic technology, surgical trauma can also be minimized. So the use of modern equipment, individual approach and use of advanced techniques are all that people who want to look refreshed can rely on.
Where can I go for the procedure?
Recommendations for choosing a center for aesthetic medicine and specialists are given by plastic surgeons:
"Since plastic surgery and cosmetology gained widespread popularity, a large number of specialized clinics have appeared on the market. Unfortunately, some of these institutions do not meet high standards for the provision of medical services and employ unscrupulous specialists. Such clinics are not only uninterested insuccessfully solve patient problems, but also lack the necessary resources for high-quality work.
In order to find a high-end doctor and a comfortable clinic, it is necessary to study as much information as possible about the specialist and the institution itself. First of all, feel free to ask for a license for the right to perform medical activities, a certificate, a doctor's diploma . . . In addition, all these documents must be publicly available on the site. The license must reflect compliance with the requirements of the Procedure for the provision of medical care in the "Plastic Surgery" profile, which is approved by the order of the Ministry of Health. You should also pay attention to the documents confirming the current certification of the surgeon. It is important to know the status of the clinic, whether it has sufficient funding levels to acquire high-quality equipment, and whether the medical institution has experience in performing the necessary procedures and photo illustrative examples. It is desirable that the institution has been functioning for more than a year: if the clinical history is long, then this indicates that patients (and regulatory authorities) have formed an attitude of trust towards this medical institution.
An important selection criterion was the wide range of services provided and an integrated approach to solving a patient's aesthetic problem in one place: from diagnostic procedures to plastic surgery and professional cosmetology.