Before moving on to the description of the procedures themselves, let’s look at the causes and types of prolapse of the soft tissues of the face, which doctors call the term “ptosis.” After all, it depends on this which procedures in which situations will give the best effect.
Cosmetologists distinguish two main types of aging: deformation and fine wrinkles. Additionally, aging of the “tired face” type and the muscular type of aging are distinguished. The types of aging are determined by the constitution, the tendency to one or another type is determined genetically. Since the choice of lifting procedures is determined primarily by the structure, we will analyze the procedures suitable for these types of aging.
Deformation type of aging
Lifting procedures for deformation type of aging
With the deformation type of aging, facial fat packets are pronounced; as they fall down, they form jowls, and the oval of the face looks swollen. The name of this type of aging speaks for itself - with age, patients prone to this type of aging experience deformation of facial contours. Procedures most suitable for patients with deformational type of aging: facial massage, microcurrent therapy, ultrasonic SMAS lifting, thread lifting.
Facial massage and microcurrent therapy
If you are prone to deformation-type aging, prevention of ptosis is very important. For prevention, regular facial massages and microcurrent therapy are recommended. These procedures help relieve swelling and stimulate lymphatic drainage. It is advisable to start these procedures no later than 30 years of age. In the future, they can be used in breaks between more serious medical lifting procedures to maintain the effect.
Ultrasonic SMAS lifting
If signs of ptosis appear, the optimal combination of ultrasonic SMAS lifting and the installation of threads with notches will be optimal. Focused ultrasound penetrates to a greater depth, to the level of facial fat packets and SMAS (superficial muscular aponeurotic system of the face), the energy destroys fat cells in areas of sagging and stimulates collagen production in the muscular aponeurotic system. The procedure is carried out once, no course is required. The effect begins to appear after a month and increases over six months. After a year, the ultrasonic SMAS lifting procedure can be repeated. In our clinic, this procedure is performed using the Ultraformer III device.
Thread lifting
The installation of threads with notches in the deformation type of aging is used not so much for the sake of lifting (the tissues of such patients are heavy, so the threads will not provide lasting lifting), but rather for the sake of forming a subcutaneous connective tissue frame. The threads stimulate the production of collagen, which will hold the tissues in the desired position, preventing them from sagging. Therefore, it is better not to tighten the installation of threads, and not to wait until the fabrics go down significantly. In cosmetology, the most popular are absorbable threads made of polylactic acid - Aptos and threads made of polydioxanone - KOGI. The procedure is performed under local anesthesia, the recovery period is about a week. The effect lasts for 1-3 years, after which the procedure can be repeated. At the very first signs of ptosis, you can get by with liquid mesothreads (Estefill) or stimulate collagen production with Radiesse.
Main advantages
Compared to surgery, non-surgical lifting:
- less painful and traumatic (since the impact is mainly carried out through small punctures);
- does not require long rehabilitation (which means that you don’t have to disrupt your work rhythm);
- allows you to cope with a wide range of problems (restore the oval of the face, add volume to areas that have lost it, smooth out wrinkles);
- has instantly visible results.
Lifting procedures for fine wrinkled aging
Fine-wrinkled type of aging
With the wrinkled type of aging, as the name suggests, wrinkles predominate. The skin of such patients is thin, dry, and elasticity decreases early. Fatty tissue in the facial area is not expressed, however, with age, ptosis of the facial skin can still occur. The main focus of working with such patients is to increase the elasticity and density of the skin. For this purpose, injection and hardware procedures are used; it is also possible to combine injection and hardware procedures in a comprehensive program for the management of such patients. Injection procedures for face lifting with wrinkled type of aging: biorevitalization, vector lifting with Radiesse, liquid mesothreads Estefill. If there is already ptosis, then it is possible to use threads with notches to tighten the skin. Hardware lifting procedures for wrinkled aging: rf-lifting and micro-needle rf-lifting.
Biorevitalization.
As mentioned above, with the wrinkled type of aging, a decrease in skin elasticity occurs. Without restoring skin elasticity with hyaluronic acid injections, lifting procedures will be ineffective. If you try to tighten loose skin with threads, it will hang on the threads like a Spanish curtain. Therefore, first of all, such patients are given a course of biorevitalization: 4-6 procedures with an interval of 2 weeks, the course is repeated annually.
Radiesse and Estefill.
In addition to restoring elasticity, you need to stimulate collagen production to increase skin density. To do this, the skin is reinforced with Radiesse (calcium hydroxyapatite) or Estefill (polylactic acid). The drugs form a connective tissue framework under the skin and prevent the skin from sagging with age. The procedures are carried out once or repeated after three months. In the future, it is recommended to repeat the procedure once or twice a year. If you already have ptosis and there is a need for lifting, you can resort to threads with notches. For patients with thin skin, Aptos Excellence Visage threads are better suited; they do not leave retractions that can be noticeable on thin skin after COG threads.
RF-lifting and micro-needle RF-lifting
RF lifting is a hardware procedure that stimulates the production of collagen in the skin. It may be an alternative to the use of Radiesse and Estefill for patients who are afraid of injections. A course of 5-10 procedures is carried out once a week. Suitable for the prevention of ptosis or at its first manifestations. An enhanced version of the classic rf lifting is micro-needle rf lifting.
In this article we will answer the question: “ What non-injection facial rejuvenation procedures can be done by a cosmetologist? ".
The Philosophy of Excellence Beauty and Health Center provides a very wide range of skincare and rejuvenating cosmetic procedures in Moscow. One of the directions of the cosmetology department of the Center is injection cosmetology, often called “beauty injections” - injections of various drugs to rejuvenate and improve the condition of facial skin.
Injection cosmetology is conventionally divided into two areas: procedures carried out for general improvement of the skin and restoration of local processes (biorevitalization, mesotherapy), as well as procedures necessary to solve specific aesthetic defects, tightening, eliminating wrinkles (contour plastic with various fillers, Botox injections). This is the most popular and fastest method to achieve the desired result, but what if you have contraindications to injection procedures, or you simply do not want to resort to injections for some reason?
We invite you to consider the TOP 5 non-injection methods of facial rejuvenation:
Massage (hygienic, medical)
– Suitable for all girls over 20 years old. After the massage, the oval of the face is modeled, excess volume will disappear, the skin will tighten, wrinkles will become less noticeable, the face will be fresh and rested.
A course of 10 sessions is recommended, every 2-3 days. In the future, you can take the course once every 6 months, or after the massage course, do maintenance procedures 2-3 times a month.
LPG - facial massage
– hardware technique. Suitable for many girls over 25 years old. In addition to the rejuvenating effect, it also fights excess fat deposits and removes excess fluid from the body. Therefore, you can forget about a puffy face with dull skin color and a double chin.
A course of 10 sessions every 2-3 days is recommended. In the future, you can take the course once every 6 months, or after the LPG massage course, do maintenance procedures 2-3 times a month.
Microcurrent facial therapy
- a hardware technique that, in addition to modeling the oval of the face and rejuvenation, can work with the texture of the skin. It is used to prevent rosacea and treat acne. It has been used since 20 years.
A course of 10 sessions every 2-3 days is recommended. In the future, you can take a course once every 6 months, or maintenance procedures once a month.
RF therapy or non-surgical facelift
– it is absolutely painless and very effective. It can be used starting from the age of 30, strictly according to the indications of a cosmetologist. It has a powerful effect of tightening the skin, smoothing out wrinkles and removing the double chin.
A course of 5 sessions every 7-10 days is recommended, then you can take the course every six months.
Laser facial rejuvenation
– powerful skin rejuvenation. Applicable from 25 years. In addition to fighting wrinkles and tightening the skin, the laser has the effect of whitening and improving skin texture. It fights pigment spots and acne.
A course of 5 sessions every 7-14 days is recommended, then you can take the course every six months.
Doctors and cosmetologists of the Beauty and Health Center carry out their activities in accordance with the existing medical license, using modern imported equipment, drugs and products. Our cosmetologists make every effort to improve the quality of your life.
Call and make an appointment with a cosmetologist, and we will select anti-aging procedures for you.
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Cosmetic procedures for mixed types of aging
It is also important to note that the same patient may show signs of different types of aging. For example, thin skin with decreased elasticity and pronounced fat packets that change the contour of the face. In such cases, the cosmetologist’s approach when choosing lifting procedures will be combined.
In addition, when selecting procedures for a facelift without surgery, it is important to take into account the structural features of the patient’s skull bones. For unpronounced cheekbones and upper jaw, the cosmetologist will recommend adding volume to the cheekbones and middle third of the face using fillers. This is exactly the case when filler is injected into certain areas so that, as the patients themselves say, “everything is tightened up.” In such situations, the introduction of filler helps to improve the shape of the face.
Changes in facial oval with gopoplasia of the lower jaw
Patients with an undeveloped lower jaw often complain of a swollen oval face. If you look at the wrong kind of patients in profile, the face looks a little slanted. With an undeveloped lower jaw, chin contouring with fillers can be achieved to achieve a clear oval face.
In conclusion, I would like to say that cosmetic lifting procedures are fundamentally different from surgical circular facelifts. During the operation, the surgeon separates the skin from the underlying tissue, sutures the SMAS, moves the skin to a new position and fixes it in this position, and also excises excess skin.
Cosmetic procedures are work to improve the quality of the skin, strengthen ligaments, work at the level of subcutaneous fat, and harmonize facial proportions. Thanks to this integrated approach, a lifting effect is achieved. And in most situations, it is necessary to resort not to just one lifting procedure, but to a combination of procedures, individually selected depending on the constitution, features of the anatomical structure and the severity of ptosis. It is also important to understand that in order to maintain the beauty and youth of your face without surgical interventions, you do not need a single visit to a cosmetologist, but systematicity and regularity. All of the listed cosmetic procedures can be done in our cosmetology clinic Code Beauty Medicine in the city of Dolgoprudny.
Material prepared by: dermatologist-cosmetologist N.A. Solovykh.
Indications and contraindications
The main indication for a non-surgical facelift is wrinkles and age-related ptosis. The list of contraindications will be different depending on which method you choose. However, in any case, it is less extensive than the list of restrictions for the operation. Most often, it includes various inflammatory processes in the skin, rashes, infectious and viral diseases in the acute phase, as well as blood clotting disorders (albeit small, but any technique involves damage to the skin). There are practically no age restrictions, but lifting is usually prescribed to people over 35 years old.
Cost of surgical lifting of SMAS at the Doctor Grishkyan clinic in Moscow
Facial plastic surgery in Moscow, cost of surgery
| Operation name | Cost in rubles |
| SMAS SMAS face and neck lift with shortened scar and vertical axis of tension (MACS-LIFT STANDART method) | 400000 350 000 |
| SMAS SMAS face and neck lift with a shortened scar and a vertical axis of tension (MACS-LIFT ADVANCED method) and correction of the midface and jowl area | 500000 |
See all prices
SMAS lift: features of the operation
A SMAS facelift is an operation during which tissues concentrated in the middle and lower parts of the face and neck are subjected to lifting. Muscle correction and fat tissue removal and relocation are also performed. The purpose of the operation is to obtain a visually younger face.
A distinction must be made between a satisfactory facelift and a truly rejuvenating operation. During the latter, the anatomically correct shape is restored, characteristic of a young face, where volume predominates in the upper and middle parts, rather than in the lower part. Particular attention is paid to working out problem areas - jowls, drooping corners of the mouth, contours of the mandibular zone, the shape of the chin, the angle between the chin and the neck.
How does ultrasound rejuvenation occur?
Rejuvenation without plastic surgery begins with careful marking of the face
. The impact will be carried out strictly along these lines, which will further ensure the most natural tension of the SMAS.
The ultrasonic lift itself creates interesting sensations in the patient: as if the face is being “stitched” by a wave. But it doesn't hurt
. Perpendicular to the stitching lines, the SMAS contracts and the skin rises.
Non-surgical facelift Doublo is absolutely non-traumatic and safe
. This avoids possible skin burns, complications and prolonged swelling. You can undergo the procedure a week before an important event and are guaranteed to shine with youth and beauty!
Non-operative lifting at Platinental is performed only by professional plastic surgeons
, familiar in detail with the anatomy of the face. This makes Doublo rejuvenation even more effective and safe.
