Plastic surgeon Georgy Chemyanov: In aesthetic medicine there is now a very clear trend towards naturalness

Training

• “Aesthetic plastic surgery, surgical cosmetology” (Moscow), course by prof. Pavlyuka-Pavlyuchenko L.L.
• “Transaxillary video-assisted augmentation mammoplasty” (Kazan).
• “Augmentation mammoplasty, use of the drug Macrolane” master class (Per Heden, MD, Sweden).
• “Rejuvenation of the face and periorbital area” master class (Michael Yaremchuk, MD, US; Alan Fogli, MD, France; Dirk Richter, Germany).
• “Aesthetic and reconstructive mammoplasty” master class (N. Friedman, MD, Israel).
• “Plastic surgery for age-related changes in the face” master class (Prof. Pavlyuk-Pavlyuchenko L.L.).
• “Augmentation mastopexy” master class (Patrick Mallucci, MD, United Kingdom).
• “Face lift using Silhouette Lift threads” master class (Javier de Benito, MD, Spain).
• Augmentation mammoplasty (Stockholm, Sweden), course by Dr. Per Heden, MD, Sweden.

Threads for the face - everything you need to know: says plastic surgeon Georgy Chemyanov

Threads are one of the most popular face lift techniques today. Many proclaim it a panacea for all age-related ills - they tighten the oval of the face, get rid of jowls, nasolabial folds, and a double chin. A real alternative to plastic surgery! But there are also dissatisfied patients who believe that threads are wasted money: the result is not so bright, and serious rehabilitation is required.

asked Candidate of Medical Sciences Georgy Stanislavovich Chemyanov, a member of the Russian Society of Plastic, Reconstructive and Aesthetic Surgeons (ROPRS) and the International Society of Plastic Surgeons (IPRAS), to help figure it out

Dr. Chemyanov has been working as a plastic surgeon for 16 years, and with threads for more than 10 years. And he doesn’t just stage them, but is an expert trainer, conducting master classes all over the world - from Moscow to Miami and Seoul.

Chemyanov Georgy Stanislavovich

What are the pros and cons of the thread technique?

Of course, the main advantage is that this is a cosmetic procedure: not a single incision, not a single seam. Through punctures, the doctor passes threads under the skin, which are fixed in the soft tissues, tightening and strengthening them.

The main disadvantage is the duration of action. If, after tightening the oval, we did not cut off excess skin, as we do during plastic surgery, the result will not be as long-lasting. But for cosmetology, a year and a half is how long the effect of thread techniques lasts - a decent period and a good result.

Megan Fox - the owner of chiseled cheekbones and chin

Has anything changed in the 10 years you've been working with threads?

Aesthetic medicine is constantly evolving, including thread techniques. Now everything is moving towards reducing invasiveness and trauma. To make procedures easier for both the patient and the doctor. And the rehabilitation period is shorter.

The majority of horror stories and myths about threads are, of course, already outdated. Previously, installing threads required, one might say, a small operation - thick, non-absorbable threads were inserted under the skin, which left behind some irregularities. Now the doctor uses cannulas, and the procedure is usually without bruising. Both the insertion technique and the thread itself are being improved.

Almost a month ago we presented the third generation Aptos thread. Hyaluronic acid is added to the composition of absorbable (also called biodegradable) threads. This is a revolution in aesthetic medicine.

Now, in the process of dissolving the threads, the quality of the leather becomes better. Due to hyaluronic acid, it is moisturized, the formation of collagen around the threads is stimulated, not to mention the fact that the rehabilitation period is reduced. There are already a number of proven positive effects of using such threads.

Ekaterina Odintsova prefers threads from Dr. Chemyanov

Who are threads shown to? Maybe it’s better to go straight to plastic surgery?

It is important to understand that threads are a cosmetic procedure, and it is indicated for “younger” patients when excess skin has not yet appeared. The biggest mistake is to install threads on patients whose facial oval has already become very swollen and excess skin has appeared in the neck area. Even a non-specialist understands that without cutting anything off, just tightening the skin, its excess will not go anywhere.

But when there are only the first signs of disruption of the contours of the face - nasolabial folds, the cervical-mental angle is no longer so sharp, then we can create a frame under the skin with threads, slightly tighten and fix the tissue.

In addition to excellent results, this will also prevent further age-related changes. We fix the tissues for a year and a half, and they can no longer fall as they would without the “frame”.

The beautiful oval of Anastasia Makeeva is the merit of Dr. Chemyanov

Some patients complain that the threads leave “dimples” – points from knots and tension.

In my opinion, most of these negative aspects - unevenness on the face, threads that did not work - are primarily a consequence of incorrectly selected techniques for the patient.

The threads are different and differ from each other both in the time of resorption and in the material in the composition. Of course, the quality, cost, and biodegradation period vary. There are European threads (this is polylactic acid) and Asian threads (polydioxanone), which dissolve faster and the result from them lasts less.

But a lot depends on the hands of the master. Any procedure can be performed poorly – not only thread surgery, but also hardware, injection, and plastic surgery.

Monica Bellucci is the standard of beauty even at 55

By the way, about the devices. Some also offer a lifting effect. What is better - threads or devices?

I would recommend choosing a technique not on your own, but trusting a specialist. During the consultation, the doctor will evaluate the soft tissues of the face, age-related changes and recommend the most suitable technique for you. The threads and devices are not competitors to each other; they have different effects.

Let's think logically. Using hardware techniques, we stimulate collagen deep in the skin to improve its structure. When carrying out the injection procedure, we try to hold the soft tissues with a liquid preparation. Against this background, the thread is the most practical movement.

A dense thread with notches or some other anchor elements, with notches that hold the fabric, really creates a frame. Its effectiveness is clear. It is not hypothetical; we are establishing a thread that holds the soft tissues together.

Blake Lively

Is it possible to perform plastic surgery after threads?

This is one of the most frequently asked questions. And there are enough myths on this topic, even among experts. I operate a lot, and, accordingly, since I use threads, I also operate on patients “with threads.”

In short, all cosmetology makes life difficult for us surgeons. And devices, and fillers, and threads - everything leaves a mark in the tissues. They become denser and more difficult to work with.

But this is the reality of today: rarely does a patient see a surgeon without previous cosmetic interventions. Yes, such an operation may be a little more difficult for the surgeon, but that is his concern. Therefore, I declare responsibly: techniques with absorbable threads are not a contraindication to plastic surgery.

Scientific activity

In 2009, he defended his thesis “Prediction and comprehensive prevention of postoperative complications in the surgery of large and giant ventral hernias” at the Russian Scientific Center for Surgery named after. Academician B.V. Petrovsky RAMS (Moscow). Scientific work is devoted to improving the results of plastic surgery of the anterior abdominal wall (abdominoplasty).

Author and co-author of 30 scientific papers published in Russian and foreign specialized publications. Developed and implemented 2 rationalization proposals into clinical practice.

Teacher of the course "Plastic Surgery" of the additional professional education "Institute of Plastic Surgery and Cosmetology".

Regular participant in congresses, conferences and international symposia on plastic surgery and aesthetic medicine.

Chemyanov Georgy Stanislavovich

Plastic surgeon, candidate of medical sciences. Full member of the Russian Society of Plastic, Reconstructive and Aesthetic Surgeons (OPREH). Has been practicing plastic surgery since 2006.

Georgy Stanislavovich Chemyanov is a graduate of the Stavropol State Medical Academy, from which he graduated with honors (specialty “General Medicine”). Completed clinical residency in the specialty “Surgery”. Received a specialization in plastic surgery at the Institute of Plastic Surgery and Cosmetology (IPhiK), Moscow.

Repeatedly improved his qualifications at Russian and international courses and master classes, incl. under the guidance of prof. Pavlyuchenko L.L., Moscow. Actively engaged in scientific activities. In 2009, he defended his PhD thesis at the Russian Scientific Center for Surgery named after. Academician B.V. Petrovsky RAMS (Moscow) on the topic “Prediction and comprehensive prevention of postoperative complications in the surgery of large and giant ventral hernias.” The dissertation is devoted to improving the results of plastic surgery of the anterior abdominal wall (abdominoplasty).

Plastic surgeon Georgy Chemyanov is the author and co-author of 30 scientific papers published in Russian and foreign specialized publications; developer of 2 rationalization proposals introduced into clinical practice. She teaches the course “Plastic Surgery” at the Institute of Plastic Surgery and Cosmetology. Regularly participates in international conferences, congresses and symposiums dedicated to plastic surgery and aesthetic medicine.

Currently Chemyanov G.S. accepts patients at the Institute of Plastic Surgery and Cosmetology. Performs a wide range of surgical operations of varying complexity on the face and body: facial plastic surgery (SMAS lifting, endoscopic lift); eyelid surgery; mammoplasty; abdominoplasty; otoplasty; nose surgery; liposuction.

Clinic:

• Real Clinic Plastic surgery and cosmetology clinic
• Institute of Plastic Surgery and Cosmetology (IPHIK) Plastic Surgery Clinic
• Lancet Plastic Surgery Clinic
• Mont Blanc Medical Center

Prices for services: