Perhaps 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, preserve 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 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, slowdown in metabolic processes, decrease in collagen production, change in the composition of bone tissue, the disappearance of fat packs in some places and their appearance in others, where it is. unwanted etc. As a result, facial tissues lose their volume and elasticity, the skin becomes loose and relaxed.
No matter how good care, effective folk methods and cosmetic procedures are used, time will weigh heavily: all these funds can only affect the surface layers of the skin. Even if it turns out to delay the appearance of superficial wrinkles 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 the deep tissues.
in a noteThe emergence of modern techniques has allowed surgical tightening services to once again strengthen their position. According to the International Society of Aesthetic Plastic Surgery (ISAPS), our country is among the top 15 countries in the world in terms of the number of plastic surgeries performed today. 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 continues to increase. The third most popular of all types of plastic surgery is facelift.
AspecttestimonyIt is the first appearing ptosis for facelift. This is the gradual loss of elasticity and tone of the skin, sagging of the soft tissues of the face as a result of impaired muscle contraction. Ptosis may predominate in a particular part of the face:
- in the lower third of the face- sagging (sagging) of the tissues of the neck and chin against the background of relaxation and an increase in the skin area. This leads to the formation of wrinkles and folds on the neck and flattening of a clear chin-cervical angle;
- middle third of the face- nasolabial folds, nasolacrimal grooves, under-eye bags and sagging cheeks distort the oval of the face;
- in the upper third of the face- wrinkles on the forehead, sagging of the outer corners of the eyebrows and around the eyes, drooping of the eyelids, the formation of horizontal wrinkles on the bridge of the nose.
These signs of age-related tissue aging can be compensated using various facial plastic surgery and professional cosmetology techniques. But when it comes to surgical intervention, it is important not to forget about the other side of the coin - contraindications.
Contraindications:
- malignant neoplasms;
- violation of blood coagulation;
- epilepsy and severe psychosomatic diseases;
- untreated hypertension;
- diseases of internal organs;
- dermatological diseases;
- chronic diseases in the stage of exacerbation;
- pregnancy;
- inflammatory and infectious processes.
in a note
Aging is a natural process in which the natural anthropometric proportions of the face must be maintained, although it is not very pleasant, but is accompanied by gravitational ptosis, that is, the loss and formation of physiological tissue volume. skin folds and wrinkles. Therefore, from the very beginning of the degenerative process of tissues, it is better to choose more delicate methods of exposure that do not give a pronounced effect of a "tuned" face.
Aesthetic and reconstructive surgery has of course gone a long way in its development and its possibilities are now great. However, you should know that there is a possibility of complications after plastic surgery - surgeons are aware of them and know how to minimize side effects. However, some complications can be prolonged and even dangerous, so choosing a plastic surgeon with extensive experience and an impeccable reputation is crucial.
Here is an overview of the currently most popular facelift methods - this will allow you to get an idea of \u200b\u200bthe "arsenal" of modern plastic surgery and cosmetology clinics.
Types of braces
Today, plastic surgeons can perform facelift procedures for every taste, as the possibilities of modern medicine allow this. Each technique has its adherents, both among doctors and patients. Let's take a closer look at how these techniques differ.
Surgical methods of facelift
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 - aimed at providing a comprehensive solution to age-related problems. With their help, the redistribution of the soft tissues of the face and skin tightening are carried out.
Circular facelift (complex face and neck correction) -a combined method of surgical rejuvenation that includes the possibilities of various techniques.
- tokens: loss of tissue volume, "floating" contour, large amount of excessive loose tissue, deep wrinkles and other age-related changes.
- Contraindications: cardiovascular, respiratory, endocrine, nervous and other systems, as well as diseases of the liver and kidneys, hematological and skin pathologies, inflammatory and infectious processes, the period of pregnancy and lactation - it is necessary to conduct laboratory and instrumental studies, to identify contraindications, consult a number of specialists . . .
- injury: high school. This is a full-fledged operation, therefore, choosing this technique, you need to be aware of the seriousness of the upcoming intervention.
- To apply: Long incisions are made with a circular scalpel lift, followed by deep tissue modeling, transposition of fat bags, and excision of excess skin. The operation is performed under general anesthesia. Then a hospital stay of at least a month (up to two days) and rehabilitation period are required.
- Conclusion- the most pronounced and long-lasting compared to all other techniques. Possible complications are scars, damage to the facial nerve and its branches, and extensive hematomas.
- professionals: The most effective procedure for a facelift with an excessive amount of tissue, the ability to correct deficiencies that other methods cannot cope with.
- cons: high trauma, relatively serious risk of complications, long rehabilitation period.
Endoscopic facelift -A type of progressive surgical intervention for in-depth 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 an image magnified many times over to the monitor. Thus, the doctor can clearly see the nerve bundles and vessels and the working area. Endoscopic face and neck lift surgery is performed under general anesthesia. Variants are endoscopic removal of the upper, middle or lower third of the face - each of the procedures is used depending on which part of the facial problems needs to be addressed. It is possible both to work with separate zones, and to combine several types of interventions. With endoscopic facelift, blood vessels are scarcely injured and full control over the operation is achieved and the risk of serious complications is practically eliminated if all rules and recommendations are followed. There may be swelling of the tissues, small bruises and temporary hair loss in the intervention area, but over time, the tissues will fully recover.
- tokens: deep wrinkles and wrinkles, the consequences of sagging of soft tissues, lack of tissue volume due to age-related changes, droopy eyelids, low 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: middle. The equipment makes it possible to abandon large cuts and control the location of blood vessels and nerves.
- Performing the procedure: under general anesthesia, small incisions are made (up to 1. 5 cm), then a deep detachment of the face mask is made and tissue manipulation under the control of video endoscopic equipment: dissection, stretching and fixation of muscles and fat packs. Finally, cosmetic stitches are applied. The stitches are removed in five to seven days and the patient can return to a normal lifestyle within two to three weeks.
- Conclusion: the patient looks 10-15 years younger and does not lose his natural individuality - the skin is smoothed, the volumes are renewed, but the natural symmetry is preserved. The duration of effect depends on individual characteristics, the presence of bad habits and behavioral stereotypes, but in general, the result can take up to 20 years. If we talk about possible negative consequences, then everything is limited to swelling and small bruises.
- pluseshigh security and low level of trauma, full control with a video camera, no visible surgical scars, a pronounced rejuvenating effect.
- cons: in the early rehabilitation period, the effect of overcorrection is observed, the technique is not suitable for patients with a lot of excess skin.
SMAS removal- an effective method of surgical tightening with modeling of the muscle-aponeurotic layer. Most foreign plastic surgeons believe that the aging process of the middle and lower third of the face is mainly associated with this layer.
- tokens: signs of aging in the form of sagging and loss of elasticity in the skin, wrinkles, indistinct facial features.
- Contraindications: oncology, chronic diseases in the acute stage, blood coagulation disorders, pregnancy.
- Performing the procedure: After removing the excess during surgery, the skin is stretched, the muscle tissue is moved and fixed. The operation takes several hours, after which a recovery period of about a month is required.
- Conclusionpersistent, lasting up to eight years, but not as pronounced as with endoscopic removal. Possible complications include nerve damage, hematomas, and edema.
- professionalsmethods: visible lifting effect, removal of excess skin.
- cons: risk of complications, scarring 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 possibility of performing a non-surgical, i. e. more gentle facelift with minimal rehabilitation time. Unfortunately, this inevitably affects the severity and duration of the impact.
Hardware cosmetologyIt includes techniques that use ultrasonic, radio wave or laser lifting effects without disturbing the integrity of the tissues.
- tokens: wrinkles, loss of skin firmness and clear contour.
- Contraindications: oncology, chronic diseases, inflammatory skin diseases, pregnancy.
- injury: none or almost none.
- To apply: During the procedure, the affected area is affected by special equipment. In this case, there is no need for general anesthesia and it takes place in a long rehabilitation period. The patient can immediately return to work, he just needs to follow the doctor's recommendations. Some procedures require just a few sessions, while others require a series of procedures.
- Conclusion: restores firmness and turgor, smoothes wrinkles, stimulates natural collagen and elastin production. The result is less permanent after surgical tightening and depends both on the characteristics of the patient's body and directly on the characteristics of the chosen technique. Usually the effect lasts for two to three years.
- professionals- Visible effect without trauma, absence of painful sensations and the need for long-term rehabilitation, skin tightening.
- cons- the inability to eliminate many of the expressed aging problems, less noticeable and lasting result, the need to repeat the course.
Injections -the introduction of hyaluronic acid, collagen or botulinum toxin-based fillers to combat age-related changes.
- tokens: wrinkles, lack of volume.
- Contraindications: serious chronic diseases in the exacerbation stage, skin diseases, violation of skin integrity, blood coagulation disorders, individual drug intolerance, pregnancy and lactation.
- injury: The contour plasty procedure is considered less traumatic, but there is a risk of damage to blood vessels and nerves with the needle.
- To apply: The 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 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 remove hypertonicity and subsequently smooth out wrinkles. Also in this way it is quite possible to "raise" the lowered corners of the mouth. After the procedure, the patient can return to his normal work and do these, following the doctor's recommendations.
- Conclusion: procedures allow to replenish the volume and eliminate wrinkles, but the result depends on the characteristics of the patient's body and the choice of the drug. The effect can last three-from six months to a year or a year and a half.
- professionals: low trauma, ability to correct outcome when it turns out to be unsatisfactory, no need for rehabilitation and use of general anesthesia.
- cons: short-term result, need for repetition, visual elimination of only superficial defects.
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. "Any type of facelift is a procedure that requires modern equipment, high-quality drugs and anesthesia, providing patient-specific conditions of stay, and most importantly, a high qualification 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 were not met, and perhaps the clinic did not have a license at all. But the beauty and health of the skin of the face is not something you can save on. The public knows a lot of stories about patients who, having decided to save money, later had to spend much larger sums not only to correct the consequences of an unsuccessful aesthetic surgery, but also to restore their health.
On average, the price of a deep surgical facelift of two areas of the face starts from a rather 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 only be found at the consultation, as the extent of the intervention depends on the individual characteristics of the patient. We are talking about his age, the quality of his skin, the volume of unwanted tissues, the type of structure of the face, the wishes of the person himself and much more.
Hardware (ultrasonic) SMAS facelift is not very cheap, the price is greatly affected by the number of lines. The cost of styling with fillers depends on the drug and the required volume of application.
Technologies that allow to return youth are constantly being developed, increasingly expanding the possibilities of modern aesthetic medicine. Today, plastic surgeons are able to eliminate almost any manifestation of age-related changes, and after the advent of endoscopic technology, it was also possible to minimize the trauma of operations. Therefore, the use of modern equipment, an individual approach and the use of advanced techniques is the only thing that people who want to rejuvenate can rely on.
Where can I go for the procedure?
Recommendations for choosing an aesthetic medicine center and specialist are given by a specialist - plastic surgeon:
"As plastic surgery and cosmetology have gained wide popularity, a large number of specialized 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 not only concerned with successfully solving the patient's problem. , it also lacks the necessary resources for high-quality work.
In order to find a quality doctor and a comfortable clinic, it is necessary to study as much information as possible about specialists and the institution itself. First of all, do not hesitate to ask for a license for the right to engage in medical activity, doctors' certificates, diplomas. . . Moreover, all these documents should 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 profile "Plastic Surgery" approved by order of the Ministry of Health. You should also pay attention to the documents confirming the current certificate of the surgeon. It is worth finding out what the state of the clinic is, whether it has sufficient funds to acquire high-quality equipment, and whether the medical institution has experience in implementing the necessary procedures and photographs of illustrative examples. It is desirable that the institution has been operating for more than a year: if the clinic has a long history, this indicates that patients (and regulatory authorities) have already formed a reliable attitude towards this medical institution.
An important selection criterion is the wide range of services offered and an integrated approach to solving the patient's aesthetic problems in one place: from diagnostic measures to plastic surgery and professional cosmetology.