Facial Enhancement: Stop moments of youth

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, preserve youth and naturalness at the same time. But is it possible to trust someone's face without fear? How to choose a good clinic and competent specialist

Who is facial enhancement 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 production of collagen, changes in the composition of bone tissue, loss of fat packets in some places and their occurrence in others. undesirable and so on. As a result, facial tissues lose their volume and elasticity, leaving the skin flabby and fluffy.

No matter how good the care, effective folk methods and cosmetic procedures are used, time will tell: all of these funds can only affect the superficial layers of the skin. Even if it turns out that the appearance of superficial wrinkles is delayed for a long time, all of the above will not be able to stop or completely change the processes that take place in deep tissues.

On the noteThe advent of modern technology has allowed surgical tightening services to once again strengthen their positions. 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 a record turnover in the last five years, growing by more than 30%. The demand for aesthetic medicine continues to grow. The third most popular of all types of plastic surgery is facial sprain.

Howtestimonyfacial strain first results in ptosis. It is a prolapse of soft facial tissues caused by a gradual loss of skin elasticity and tone, deterioration of muscle contraction. Ptosis can predominate in a certain part of the face:

• in the lower third of the face- ptosis (fall) of neck and chin tissue against a background of relaxation and increased skin area. This results in wrinkles and creases on the neck and smooths out a clear angle between the chin and cervix;
• in the middle third of the face- nasolabial wrinkles, tear dents in the nose, bags under the eyes and sagging cheeks distorting the oval of the face;
• in the upper third of the face- Wrinkles in the forehead, falling off the outer eyebrows and corners of the eyes, protrusion of the eyelids, formation of horizontal wrinkles in the bridge of the nose.

These age-related signs of tissue aging can be compensated for by a variety of facial plastic surgery and professional cosmetology techniques. However, when it comes to surgery, it is important to keep in mind the other side of the coin, the contraindications.

Contraindications:

• malignancies;
• violation of blood clotting;
• epilepsy and severe psychosomatic illnesses;
• untreated hypertension;
• diseases of internal organs;
• dermatological diseases;
• in the exacerbation stage of chronic disease;
• pregnancy;
• inflammatory and infectious processes.

On the note

Aging, while not very pleasant, is a natural process that requires the preservation of the natural anthropometric proportions of the face, despite the fact that it is accompanied by gravitational ptosis, i. e. , the physiological loss of tissue volume and facial formation. skin wrinkles and creases. Therefore, from the very beginning of the tissue degeneration process, it is better to choose more subtle ways of exposure that do not provide a pronounced "adjusted" facial effect.

Aesthetic and reconstructive surgery, of course, has gone a long way in its development and now its potential is enormous. However, be aware that there is a chance of complications after plastic surgery - surgeons are well aware of them and know how to reduce side effects. However, some complications can be protracted and even dangerous, so it is very important to choose a plastic surgeon who has extensive experience and an impeccable reputation.

Here is an overview of the most popular facial stretching methods currently available, which will give you an idea of the "arsenal" of modern aesthetic surgery and cosmetology clinics.

Types of braces

Today, plastic surgeons can perform facial stretching procedures for every taste, as modern medical options allow. Each technique has its supporters both among doctors and among patients. Let’s take a closer look at how these methods differ.

Surgical methods of facial stretching

These techniques allow the treatment of deep facial tissues and can therefore have a long-lasting effect. The most popular and effective are endoscopic facial stretching and SMAS-lifting, which provide a comprehensive solution to age-related problems. With their help, the soft tissues of the face are redistributed and the skin is tightened.

Round facial sprain (complex face and neck correction)a combined method of surgical rejuvenation involving the capabilities of several techniques.

• Indications: Loss of tissue volume, "floating" contour, large excess of loose tissue, deep wrinkles and other age-related changes.
• Contraindications: cardiovascular, respiratory, endocrine, nervous and other systems, as well as liver and kidney disease, haematological and cutaneous pathology, inflammatory and infectious processes, pregnancy and lactation - laboratory tests are required to determine contraindications. and instrumental studies, consult with many professionals. . .
• Injuries: high. This is a full-fledged operation, so choosing this technique requires knowing the severity of the future intervention.
• In progress: Round scalpel lifting makes long incisions, followed by deep tissue modeling, transfer of fat bags, and excision of excess skin. The operation is performed under general anesthesia. It is then necessary to stay in hospital (for up to two days) and for a rehabilitation period of at least one month.
• The result- the brightest and most durable compared to all other techniques. Possible complications include scarring, damage to the facial nerve and its branches, and large hematomas.
• advantages: the most effective facial stretching procedure with too much tissue, the ability to correct imperfections that other methods cannot cope with.
• Minus: severe trauma, relatively serious risk of complications, long period of rehabilitation.

Endoscopic facelift -an advanced type of surgical intervention designed to deeply correct age-related changes using imaging endoscopic equipment. As you can see, this method uses an endoscope with a multi-millimeter-sized video camera that transmits a magnified image to the monitor. So the doctor can clearly see the work area with the nerve fibers and utensils in it. Endoscopic lift of the face and neck is performed under general anesthesia. Varieties are endoscopic elevations of the upper, middle or lower third of the face - each operation is used depending on which part of the face the problem needs to be addressed. It is possible to both work with individual zones and combine several types of interventions. Endoscopic facelift involves low vascular damage and full control of the operation, and the risk of serious complications is virtually eliminated if all rules and guidelines are followed. Swelling of the tissues, small bruises and temporary hair loss in the intervention area are possible, but over time the tissues fully recover.

• Indications: deep wrinkles and creases, effects of soft tissue sagging, lack of tissue volume due to age-related changes, sliding eyelids, sunken eyebrows and other aesthetic problems.
• Contraindications: oncology, severe chronic diseases, acute inflammatory skin diseases, infections, skin coagulation disorders, pregnancy and lactation.
• Injuries: average. The equipment allows you to avoid large incisions and control the location of blood vessels and nerves.
• Execution of the procedure: under general anesthesia, small incisions (up to 1. 5 cm) are made, followed by deep opening of the face mask and tissue manipulation under the control of imaging endoscopic equipment: excision, tension, and fixation of muscle and fat packages. Cosmetic seams are applied at the end. The sutures are removed within five to seven days, and the patient can return to normal after two to three weeks.
• The result: the patient looks 10-15 years younger and does not lose his natural individuality - the skin evens out, replenishes volumes, but maintains natural symmetry. The duration of exposure depends on the presence of individual characteristics, bad habits, and behavioral stereotypes, but in general, the outcome may persist for up to 20 years. If we talk about the possible negative consequences, then everything is limited to swelling and small bruises.
• Proshigh safety and low level of injuries, the possibility of full control of the video camera, the absence of visible traces of surgery, a pronounced rejuvenating effect.
• Minus: The effect of excessive correction is observed in the early period of rehabilitation, the methodology is poorly adapted to patients with very large excess skin.

SMAS lifting- an effective method of surgical stiffening with modeling of the muscular-aponeurotic layer. Most foreign plastic surgeons believe that the aging process of the middle and lower thirds of the face is mainly related to this layer.

• Indications: signs of aging with sagging skin and loss of elasticity, wrinkles, blurred contours.
• Contraindications: oncology, acute chronic disease, coagulation disorders, pregnancy.
• Execution of the procedure: During the operation, after removing the excess, the skin is tightened, and the muscle tissue is moved and fixed. The operation takes several hours, followed by a recovery period of about a month.
• The resultdurable, lasts up to eight years, but not as pronounced as in the case of endoscopic lifting. Possible complications include nerve damage, hematomas, and edema.
• advantagesmethods: noticeable lifting effect, removal of excess skin.
• Minus: risk of complications, presence of scars around the ear (before and behind the ears).

Non-surgical skin tightening

This is a group of techniques, the use of which allows to extract the lifting effect without damaging the skin. Such methods have earned their popularity due to the possibility of performing a facial stretching procedure without surgery, that is, in a milder manner with a minimum rehabilitation period. Unfortunately, this inevitably affects the severity and duration of exposure.

Apparatus cosmetologyincludes methods that apply the effects of ultrasound, radio waves, or laser lifting to tissues without compromising their integrity.

• Indications: loss of wrinkles, skin firmness and clear contour.
• Contraindications: oncology, chronic diseases, inflammatory skin diseases, pregnancy.
• Injuries: none or almost none.
• In progress: Exposure to a problem area with special equipment during the procedure, in which case general anesthesia and a long period of rehabilitation are not required. The patient can return to their business immediately by simply following the doctor’s recommendations. For some procedures, just a few sessions are enough, while others require a course of procedures.
• The result: restores firmness and turgor, smoothes wrinkles, promotes natural collagen and elastin production. The result is less permanent than after surgical sprain and strongly depends both on the characteristics of the patient's body and directly on the specifics of the chosen technique. The effect usually lasts two to three years.
• advantages- visible effect without injuries, absence of painful sensations and the need for long-term rehabilitation, skin tightening.
• Minus- inability to eliminate many of the expressed problems of aging, less noticeable and long-lasting result, the need to repeat the course.

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

• Indications: wrinkles, lack of volume.
• Contraindications: exacerbation of severe chronic disease, skin disease, impaired skin integrity, coagulation disorders, individual intolerance, pregnancy and lactation.
• Injuries: The contouring procedure is considered less traumatic, but there is a risk of damage to the blood vessels and nerves by the needle.
• In progress: The procedure usually takes less than an hour. Only application anesthesia should be used, after which the medicine is injected into the problem area with a needle or cannula. With the help of the filler you can remove nasal tear grooves, nasal-corrective wrinkles, correct the lack of volume in the middle and lower third of the face. Botulinum toxin is only injected into a muscle to relieve hypertension and then smooth out wrinkles. It is also quite possible to "lift" the lowered corners of the mouth in this way. After the procedure, the patient can return to normal activities and perform them according to the doctor's recommendations.
• The result: Procedures allow you to replenish volumes and eliminate wrinkles, but the result depends on the characteristics of the patient's body and the choice of medication. The effects can last for three-from six months to one year or a year and a half.
• advantages: minor trauma, possibility to adjust the result if it proved unsatisfactory, no need for rehabilitation and general anesthesia.
• Minus: short-term result, need for repetition, only superficial imperfections are visually eliminated.

The cost of facial rejuvenation procedures: youth will not buy?

When choosing a clinic, it is worth remembering the well-known phrase: "You get what you pay for. "the price is suspiciously low, meaning some (or all) of these points are not met, and the clinic may not be licensed at all, but the beauty and health of facial skin is not something you can save. savings, were later forced to spend much larger sums not only on the aesthetic side of correcting the consequences of the surgery but also on restoring health.

On average, the cost of deep surgical facial stretching for two areas of the face starts at a pretty impressive amount, with more combination of techniques required to perform more serious manipulations if necessary. The exact price can only be known during the consultation, as the scope of the intervention depends on the individual characteristics of the patient. We are talking about age, skin quality, the volume of unwanted tissue, the type of facial texture, as well as about a person’s own desires and more.

The technical (ultrasonic) SMAS facelift is not too cheap, the price is greatly influenced by the number of lines. The cost of contouring fillers depends on the drug and the volume of use required.

The technologies that allow the return of youth are constantly evolving, expanding the possibilities of modern aesthetic medicine. Today, plastic surgeons can eliminate almost any manifestation of age-related changes, and the introduction of endoscopic technology has also made it possible to reduce the trauma of surgery. So the use of modern equipment, an individual approach and the use of advanced technology are all that people who want to look rejuvenated can rely on.

Where can I apply for a procedure?

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

"As plastic surgery and cosmetology have gained widespread popularity, many 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 dishonest professionals. Not only are such clinics not interested in successfully resolving a patient’s problem, but they simply do not have the resources to do quality work.

In order to find a high-class doctor and a convenient 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 practice medicine, certificates, diplomas of doctors. . . In addition, all these documents should be publicly available on the website. It is necessary that the license reflects the requirements of the procedure for providing medical care for the "Plastic Surgery" profile approved by the order of the Ministry of Health. the treatment facility has experience in performing the necessary procedures and photos of illustrative examples. It is desirable for the facility to be operational for more than a year: if the clinic has a long history, this suggests that patients (and regulators) are already trusting about the facility.

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