Real photos of the results of face and neck plastic surgery for patients at the plastic surgery clinic

In the modern world, there are many factors that negatively affect our health: stress, poor environment, chronic lack of sleep and many others. All this leaves a visible imprint not only on our state of mind, but also on our appearance. The skin on the face becomes loose, loses firmness and elasticity, and ages quickly. As a result, the oval of the face “blurs” and a double chin appears. But all these shortcomings can be corrected by resorting to the services of plastic surgery. In particular, we will talk about lifting the lower third of the face.

Currently, plastic surgery in Minsk is very popular. In this medical area, new types of services regularly appear and existing ones are improved. A facelift, in particular the lower part, is one of the most popular procedures. This operation has been introduced and successfully used since the end of the 20th century.

Prices for services

Average cost of services
You can find out how much our plastic surgery services cost on average by calling in St. Petersburg: +7

SM-Clinic surgeons will develop an individual operation plan for you, since surgical body correction is often planned and carried out in a complex manner. The exact cost is calculated individually after consultation with a doctor.

Plastic surgery on credit and in installments

Indications

Endoscopic, SMAS lift, thread lifting and other types of anti-aging surgical interventions on the lower third of the face have a general list of indications:

• age-related changes of pronounced and moderate nature;
• age over 35 years;
• drooping corners of the mouth;
• fuzzy oval of the face in the lower third;
• lack of a clear cervical-mental angle;
• thickening and change in the contour of the neck;
• sagging, sagging, wrinkles on the neck;
• double chin.

Kinds

Plastic surgery offers several options for face and neck lifts. The choice of technique depends on the condition of the skin and the needs of the individual patient. The most common:

• A general circumferential facelift is performed by making an incision in the skin along the hairline and removing excess skin. The incisions are closed with sutures, which dissolve after 2 weeks. The operation gives a good result even with severe age-related changes.
• SMAS lifting will help you get rid of deep wrinkles and sagging tissue. The surgeon makes an incision from the front edge of the ear to the back of the head, moves the muscular aponeurotic subcutaneous layer and fixes it in a new place.
• Endoscopic facelift is a minimally invasive technique (lifting is performed through 2-3 small incisions). It is used to eliminate imperfections in the upper and middle part of the face.
• A thread lift is an operation during which the doctor inserts special barbed threads under the skin that cling to the soft tissue and return them to their place.

Tightening methods

Lifting the lower third of the face is carried out using three methods: SMAS lifting, endoscopic technique, and the use of endotins or threads.

The SMAS technique is based on working not only with the skin, but also with the muscles and aponeurosis. During a facelift, the tissue array is repositioned and secured in the desired position. The method provides a lasting and pronounced result and is effective for significant age-related defects.

Endoscopic surgery involves a minimum number of incisions of up to 15 mm in inconspicuous places. An endoscope (a flexible device with a video camera and lighting that displays an enlarged image on a monitor) is inserted through one of them, and instruments are inserted through the others. The tissues are separated from the bone, stretched, and fixed in a new position. The excess is excised. SMAS lifting can be performed using an endoscope.

Endotins are a replacement for sutures; they serve to fix tissues. They are plates or tapes with jagged edges to which soft tissues cling. Endotins are absorbed during the healing process. They are installed through an incision in the desired position between the muscles and the skin, and fixed to the periosteum. Excess skin is removed and external sutures are applied.

Plastic surgeons at the clinic

Davydov Alexander Sergeevich

Experience - 14 years

Head of the Department of Plastic Surgery. Leading plastic surgeon. Certified specialist in plastic surgery and general surgery. Participant in master classes on plastic surgery.

Gvaramiya Eka Yurievna

Experience - 17 years

Participant of congresses, conferences and seminars on plastic surgery. Priority areas: mammoplasty (breast plastic), blepharoplasty, tummy tuck (abdominoplasty), liposuction, lipofilling, face lift, lip plastic, ear plastic, intimate plastic, body plastic, reconstructive plastic, solving aesthetic problems.

Abzaleva Guzel Rinatovna

Experience - 15 years

Participant of congresses, conferences and seminars on plastic surgery. Priority areas: blepharoplasty, lipofilling, intimate plastic surgery, abdominoplasty, breast plastic surgery.

Kalita Valeria Denisovna

Experience - 4 years

Participant of congresses, conferences and seminars on plastic surgery. Priority areas: mammoplasty, blepharoplasty, liposuction, abdominoplasty.

Makarov Andrey Vitalievich

Experience - 18 years

Certified specialist in plastic surgery, maxillofacial surgery, otolaryngology, general surgery. Participant in master classes on facial plastic surgery and rhinoplasty in Russia and abroad.

Garifulin Marat Sagitovich

Experience - 19 years

Priority areas: mammoplasty and gynecomastia (including in men), waist shaping, blepharoplasty, otoplasty, abdominoplasty.

Karpuschenko Maxim Alekseevich

Experience - 18 years

Specializes in nasal plastic surgery: rhinoplasty, septum correction, surgery after a nasal fracture.

Preparing for surgery

Before the operation, the patient must consult with specialists (therapist, surgeon, anesthesiologist), provide the most complete picture of his state of health, as well as undergo tests and procedures (blood test, urine test, chest x-ray, ECG).

It is recommended to give up smoking, alcohol, medications that affect blood clotting, and hormonal drugs at least 2 weeks in advance. The day before the operation you need to limit yourself to food, and on the day of the operation you should not eat at all.

Memo for preparing for facial plastic surgery: tests, prohibitions, recommendations

Popular questions

It is best to do a facelift after 35-40 years and before 50, with the exception of some techniques that allow you to remove even pronounced skin changes. The upper limit is quite arbitrary, because everything is decided on an individual basis. You can contact a plastic surgeon even at the age of 60, and he will decide how to help the patient. However, the younger the body, the easier the operations are tolerated, because regeneration processes occur faster.

Most often, general anesthesia is used, but some procedures can be performed under local anesthesia. If necessary and at the request of the patient, local anesthesia can be supplemented with medicinal sleep or mild sedation.

Incisions are made behind the ear, 2/3 of the length of the auricle, or along the scalp. Therefore, they will not be noticeable after the intervention, and will completely resolve over time.

Operation

Typically, a lift is performed under general anesthesia. However, local lifting takes place under local anesthesia. The duration of the operation depends on the chosen technique, but does not exceed 4-5 hours.

Types of lower third face lift

Classic lifting

The simplest and most proven method, in which only the skin is repositioned, and the deep layers of tissue are not affected. Allows you to correct minor age-related defects.

It is carried out in several stages:

1. Marking with a special marker, general anesthesia.
2. Two small incisions in inconspicuous places. Their starting points may vary depending on the area being corrected.
3. Detachment of skin with a thin layer of subcutaneous fat.
4. Moving the skin to higher points, cutting off excess, securing it in a new position with strict adherence to symmetry.
5. Applying cosmetic sutures and a pressure bandage.

Lower third face lift with threads

Threads can be attached near the ears to tighten the oval of the face and correct defects or model the shape. Freestanding threads are also used, which do not have a rigid fixation and are used only to increase skin elasticity.

The shape of the threads is selected taking into account the correction zone:

• conical with knots;
• spiral up to 5 cm long;
• springs.

Threads are made from different materials, which are selected individually for each patient.

• Mesothreads are thin and absorbable; when inserted, the skin and underlying tissues are slightly injured. Six months after the injection, the mesothread material leaves the body with lymph and blood, and in its place its own collagen frame is formed. The effect lasts up to two years.
• Non-absorbable products can be made of silicone, polyamide, polyurethane. They are located in the deep layers of the skin and are attached to the bones. With their help, even significant age-related changes after 50 years are corrected and sagging tissues are removed.
• Aptos threads have serrations, which makes them hold better in fabrics. The effect lasts up to 6 years, even if biosoluble products are used. Cone-shaped combined ones are made from copolymer, propylene, glycolide, lactic acid. They stimulate the production of connective tissue, tighten the oval of the face well and increase skin tone.

Mini-lifting of the lower third of the face

This is a minor operation that can be performed under local anesthesia. It allows you to increase skin elasticity and strengthen the subcutaneous muscles of the lower third of the face and neck. To make the effect more pronounced, liposuction of the chin and neck can be performed simultaneously. The incision is made behind the ear, so the scar will not be visible. During the operation, excess skin is excised if necessary. After the operation, both internal and external sutures are applied and a pressure bandage is put on.

Before and after

SMAS lifting

Mendelssohn lifting (space lifting)

Recovery

After surgery, the patient spends several days in the hospital. The first dressing is done on days 3-5. To prevent infection, the doctor prescribes a course of antibiotics.

For 10 days after surgery, you should not use cosmetics or wash your hair. The swelling subsides after 2-3 weeks, by which time the patient will be able to return to his normal lifestyle, but full recovery will take at least 2 months. During this time, the patient is prohibited from visiting the pool, bathhouse, solarium, playing sports, dyeing hair, smoking and drinking alcohol.

To speed up recovery, doctors recommend physiotherapeutic procedures and massage, but not earlier than a month after surgery.

As with any surgical procedure, complications are possible after a facelift. You can minimize the likelihood of negative consequences by contacting an experienced plastic surgeon. Medical specialists will provide a full range of services related to the preparation, conduct of the operation and the recovery period.

A facelift allows you to look 5-10 years younger, remove folds and wrinkles on the forehead, bags and circles under the eyes, as well as correct other age-related imperfections common among men and women. The effect remains for many years.

Yakimov Dmitry Konstantinovich

Doctor of the highest category. Candidate of Medical Sciences. Member of the Society of Plastic Surgeons. Author of more than 30 works in the field of surgery, teacher at the Military Medical Academy.

Contraindications

• pregnancy and breastfeeding;
• impaired blood clotting;
• cardiovascular diseases;
• diabetes;
• acute infections;
• oncology;
• chronic diseases in the acute stage;
• local inflammation in the intervention area.

Surgical operations to lift the lower third of the face are lifting technologies that help you look 10-15 years younger. As a result of the procedure, the skin becomes tightened, the oval of the face becomes clear, wrinkles and other age-related defects disappear. The face is rejuvenated, the chin becomes more defined, folds and ptosis disappear from the neck.