What to do when you feel that the usual procedures of a cosmetologist are no longer enough? The reflection in the mirror is not pleasing, but is it both too early and scary to see a plastic surgeon? Many people are starting to think about thread lifting.
Preserve youth, correct the swollen oval of the face, raise the eyebrows - these and other shortcomings can be corrected by thread lifting. And it will delay visiting a plastic surgeon for several years.
A thread lift is a minimally invasive method of correcting age-related changes using special threads that fix the soft tissues of the face in a “young” position.
What are eyelid threads for?
During thread lifting, a material is introduced into the skin of the eyelids, which becomes a frame for it. It can be biodegradable and non-absorbable. After insertion, the threads are tightened and secured. Living tissues move along with them. As a result, wrinkles and ptosis that add age disappear.
The rejuvenating effect is also ensured by the fact that when introducing threads, minor trauma to the skin occurs. As a response, the process of neocollagenesis arises in it, that is, the increased formation of young cells. This also increases the elasticity of the skin, since the frame is formed from its own tissues. Promotes the development of the collagen layer and the gradual disintegration of biodegradable threads. The substances from which they are created stimulate the renewal process.
We recommend reading about facelift with mesothreads. From the article you will learn about the advantages of the procedure, indications and contraindications for it, types of threads, methods of implementation, results, cost. And here is more information about the best threads for a facelift.
What do cosmetologists think?
Experts speak positively about threads, but are in no hurry to actively use them. Many problems can be solved in more gentle ways. Doctors prefer to do hardware treatment for young skin and use massage. For mature patients, cosmetologists recommend considering the possibility of surgical blepharoplasty.
We recommend: What is laser blepharoplasty?
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Types of threads for lifting sagging eyelids
Threads for lifting sagging eyelids come in the following types: gold, liquid, Swiss, scroll, 6 D, Aptos, Korean, polylactic, silicone. The choice is made by the doctor, who takes into account the condition of the patient’s skin, the severity of age-related changes and the individual characteristics of the body.
Golden threads
The essence of the manipulation is the introduction of gold threads (reinforcement) into the upper layers of the dermis, which are located on the border with the subcutaneous fat layer. After some time, the “conductor” thread completely dissolves and only microparticles of the precious metal remain under the skin.
This tightening is a preventive measure that improves the condition of the skin, but is not able to get rid of sagging tissue. Gold promotes:
- improving circulation processes at the cellular level;
- adequate supply of oxygen, nutrients and vitamins;
- acceleration of metabolism.
Disadvantages of the procedure:
- the fibrous framework that forms around the gold threads leads to tissue detachment - the problem can only be solved surgically;
- facial muscles continue to work actively, the “tips” of the threads break and literally “crawl out”;
- After a lift with gold threads, many anti-aging procedures are strictly prohibited - for example, plasma lifting, exposure to radio waves and lasers.
The procedure is performed on an outpatient basis (maximum 15 minutes), the doctor can administer local anesthesia. Rehabilitation lasts only 3 days, the formation of small hematomas and swelling is possible. The results obtained last for an average of 4 years.
The cost of an eyelid lift with gold threads ranges from 20-30 thousand rubles.
Watch this video about the benefits of reinforcement with gold threads:
Liquid threads
Liquid threads are recommended to be used to eliminate existing signs of aging and to prevent their intensification at the age of 30-35 years. The product is a transparent gel with the highest possible content of hyaluronic acid in the composition. After the manipulation the following are noted:
- eyelid lift;
- smoothing out small facial wrinkles;
- improvement of skin color.
Experts and patients themselves highlight several disadvantages of this drug:
- a wide list of contraindications;
- impossibility of introducing liquid threads with already installed implants;
- a week-long recovery period, accompanied by itching of the skin, swelling, redness, and small hematomas.
Liquid biothreads FIBROLIFT
The manipulation does not require hospitalization of the patient, lasts 10-20 minutes, and can be performed under local anesthesia. The results obtained last for 1-3 years.
The cost of lifting sagging eyelids with liquid threads averages 10-15 thousand rubles.
Swiss threads
Swiss threads are produced by the Swiss Group, are of high quality and safety, and have the following advantages:
- completely hypoallergenic and can be administered even to people with a history of allergies and overly sensitive skin;
- there is no rehabilitation at all - if the doctor performed the procedure correctly, then even small bruises do not remain at the puncture site;
- anesthesia (even in the form of applying an anesthetic gel) is not required;
- For two years, the inserted threads serve as a framework.
Before and after a facelift
A few months after the manipulation, the threads begin to dissolve, but this process proceeds slowly, after which no decay products remain in the tissues, and the resulting water and carbon dioxide are removed from the body naturally.
Threads for eyelid lifting are introduced within 20 minutes; the patient does not need to be admitted to the hospital. The obtained result lasts for 2-2.5 years.
The price of one thread (one injection) is about 250 rubles. To tighten sagging eyelids, at least 10 injections are usually required , but the exact number is determined by the doctor. The cost of the procedure ranges from 30,000 rubles.
Scrolling threads in the eyelid area
Spring Eye - threads with scrolling in the eyelid area, which are a spiral, do not migrate under the skin, and do not dissolve for a long time. Visually, they look much thicker and denser than ordinary, “single” threads, but their insertion does not require surgical intervention - the manipulation is carried out using a special cannula.
Advantages of scroll threads:
- create a dense frame;
- cause increased production of collagen and elastin by the body’s own forces;
- retain moisture in the dermal cells as much as possible;
- make metabolic and regeneration processes complete.
The procedure has practically no restrictions; it can be used both as a treatment for severe sagging eyelids, and as a preventive measure for the occurrence of a similar problem. It is carried out on an outpatient basis, takes only 20 minutes, the rehabilitation period can last 3-5 days.
The cost of one thread in a cannula is about 400 rubles. An eyelid lift requires 5-10 injections for both eyes , so the total cost of the procedure can be 20-40 thousand rubles.
Threads 6 D
If the material for eyelid lift has small notches, then these are 6 D threads, which have the following characteristics:
- the skin on the eyelids is not damaged so much that a long recovery period is required;
- the threads dissolve slowly, so the procedure can be repeated after 2-3 years;
- skin lifting is carried out almost constantly;
- the regenerative capabilities of dermal cells are restored;
- a frame is created that tightens the eyelids and prevents them from drooping.
Such materials are introduced through a special cannula; the doctor will recommend that the patient use local anesthesia to avoid pain and discomfort during manipulation. The result will be visible immediately, side effects are recorded extremely rarely and they do not require additional medical intervention.
The price of one thread is 3,500 rubles , but just one injection is enough to lift the eyelids.
Aptos threads
Aptos threads grow into tissues and therefore, in the event of the development of any pathological process (inflammation, infection), they have to be removed surgically. They are injected into the subcutaneous fat layer, are available in different forms, and are suitable for tightening sagging upper or lower eyelids. A distinctive feature is that there are notches along the entire length of the thread, they reduce its strength and therefore breaks in the material are often recorded.
The procedure for installing threads is carried out on an outpatient basis and takes no more than 50 minutes. After the procedure, swelling and internal hematomas may form; recovery will take about 10 days. The result obtained lasts for an average of 2 years, but if the doctor used non-absorbable material, then this period increases to 4 years.
The price of one eyelid lift is about 15,000 rubles.
Watch this video about how a brow lift using Aptos threads works:
Thread blepharoplasty with Korean threads
Korean threads are used at the age of 35-45 years, when thread blepharoplasty is necessary to eliminate pronounced age-related changes. This material is administered without anesthesia and the procedure lasts a maximum of 1 hour.
The first positive result can be seen immediately after the end of the manipulation; it gradually improves over six months - this is exactly the period of time required for the formation of a dense layer of collagen produced by the body itself.
The results last for 2 years, after which the manipulation can be repeated. The cost of 1 Korean thread ranges from 2000 rubles; to lift one eyelid you will need 4000 rubles.
Polylactic threads
Polylactic threads first “get used” to the layers of the skin and provide a lifting effect during the first 9 months after introduction. They not only lift the skin, but also have a beneficial effect on all vital processes occurring in the cells of the dermis. After a specified period of time, they are absorbed and excreted from the body, but for several years lactic acid remains in the tissues and it promotes the production of its own collagen.
The most popular product of this type are Resorblift threads, which are hypoallergenic, are well accepted by the body, are not rejected and give a positive tightening result that lasts for 3-5 years.
The cost of the procedure for an eyelid lift on both eyes is from 18,000 rubles.
Silicone thread
Silicone threads are a kind of support that does not “freeze” facial muscles. Optimally suitable for tightening at the age of 40 years and older, they belong to the non-absorbable category, and are injected into the deep layers of muscles. There is only one drawback to using such threads - over time, silicone loses its elasticity, so sagging of the eyelids may resume.
To prolong the results obtained, you need to use special care creams (they must have a lifting effect). Repeated lifting procedures should be carried out after 2-3 years.
The price of the full procedure (lasts 30 minutes) is about 23,000 rubles for both eyes.
Watch this video about the types of threads for face lifting:
What material is used?
There are several of the most popular face lift techniques with threads in modern cosmetology. Each method has its own characteristics, as well as distinctive features.
It is worth noting that the main classification of procedures differs according to the principle of action of the material; the threads are:
- absorbable - over time they disintegrate and are gradually eliminated from the body;
- non-absorbable - the material of their creation does not disintegrate, they remain in the skin and provide a longer-lasting effect.
In our country, specialists prefer to use the following materials for this procedure:
- mesothreads;
- gold threads;
- platinum threads;
- Aptos threads.
Mesothreads
The drug is made on the basis of polydioxanone. This procedure is preventative and is used at the stage of the first appearance of wrinkles.
Often used to correct the oval of the face or individual areas. The cost of a skin tightening procedure with mesothreads starts from 5,000 rubles.
You can find out more about what to expect from a facelift with mesothreads here, and in this article we talked about the types of mesothreads and their use.
We invite you to watch a video about the procedure using mesothreads:
https://youtube.com/watch?v=rZ0RUbJpArk
Gold
Gold threads have been used for face lifting for quite some time. Up to three meters of material can be installed under the skin in one procedure; one thread has a diameter of only 0.1 mm, and 999 gold is used for its production.
The metal is not rejected by the body, does not cause allergic reactions, and skin renewal processes are stimulated.
Golden threads not only keep the skin in the desired, tightened state, but also stimulate it to increase its own potential. At the same time, intensive cell regeneration begins, and the body begins its own rejuvenation. The price of plastic surgery using gold threads starts from 50,000 rubles. We wrote about face and neck lifting with gold threads in this article.
We invite you to watch a video about how gold threads are used in thread face lifting:
https://youtube.com/watch?v=Java1y7n_To
Platinum
It is worth noting that this material is practically no different from gold in its purpose, but the properties of platinum threads are much more pronounced.
The thickness of one thread is 0.1 mm, they can be up to 20 cm in length. It is worth noting that these threads are spiral-shaped, wound around a conductor thread, which subsequently dissolves and is excreted from the body. The cost of a lift using platinum threads starts from 80,000 rubles.
Aptos
Aptos products include both temporary and permanent materials. Threads installed on a permanent basis are made from polypropylene, which has proven itself in medicine.
Temporary threads consist of capralactone, a synthetic material based on lactic acid.
The main advantage of this substance is that it gives the body an impetus to activate metabolic processes and regeneration. The price for a comprehensive lift with Aptos threads starts from 33,000 rubles.
We invite you to watch a video about the procedure using Aptos threads:
Who should get a facelift?
The procedure does not help in all cases. It makes sense to carry it out if:
- the patient is 25 - 45 years old;
- he does not have significant excess skin;
- there are fine wrinkles around the eyes;
- there is an initial stage of ptosis of the skin of the eyelids;
- their surface has become flabby;
- the skin of the paraorbital zone has become thinner and sagged;
- there are first signs of the formation of fatty hernias;
- there are bags and dark circles under the eyes;
- The nasolacrimal groove was noticeably outlined.
If these signs are severe, thread lifting will not have a visible effect.
Pros and cons of eyelid lifting with threads
Manipulation has many advantages:
- no need for general anesthesia;
- insertion of threads occurs quickly;
- the result does not violate the natural features of the face;
- the effect lasts quite a long time;
- living tissues are minimally damaged;
- there are no postoperative sutures left;
- rehabilitation takes place quickly and without major restrictions.
The procedure also has disadvantages:
- it may be painful despite anesthesia;
- even when using non-absorbable threads, the effect will disappear after some time;
- Complications cannot be ruled out.
Scheme for placing threads to lift eyelids and tighten outer corners
Scheme for placing threads to lift the eyelids - injections are made from the outer corner of the eye to the nasal passages diagonally. If the outer corners need to be lifted, the threads are inserted in the direction from the problem area to the tip of the eyebrow.
The upper eyelid is much easier to tighten - just place a few threads along horizontal lines on the bridge of the nose to get the desired result.
Preparation for the procedure
Before the procedure, the patient must:
- consult with a doctor which threads are suitable in his case, how many of them are needed;
- inform the surgeon about past illnesses and allergies;
- 2 weeks before the procedure, stop taking medications that affect blood clotting;
- at the same time, give up alcohol and smoking;
- dose physical activity.
If you follow these rules, you will be able to reduce the risk of complications and make rehabilitation as short as possible.
Technique for lifting the upper and lower eyelids
The procedure consists of several stages:
- The skin is disinfected with an antiseptic. For women, makeup is removed first.
- The patient receives pain relief. Anesthesia can be applied or in the form of an injection.
- Using a cannula, the threads are alternately inserted from bottom to top, while simultaneously moving the skin to a new position. The patient's eyes are closed.
- The cannulas are removed, and the threads remain in the skin. Its surface is wiped with an antiseptic. The ends of the threads remaining above the surface are cut off.
- Cold is applied briefly. An anti-inflammatory agent is then applied to the skin.
To learn how thread eyelid lifting is performed in combination with blepharoplasty, watch this video:
Choose a blush formula that suits your skin type
The right choice of blush is not only about the shade, but also about the perfect texture. There are three types of blush: dry, cream, liquid (tint).
If you have oily skin, liquid blush works well. They last a long time, even if you sweat or if your skin gets oily throughout the day. Apply a little at a time - once the product is absorbed into the skin, it will be difficult to blend.
If you have normal or combination skin, opt for creamy formulas - they work great and are long lasting. Cream blushes are easy to use for most skin types, come in a variety of colors and leave your skin looking fresh and youthful.
If you have dry skin, use a dry texture. Powder blush glides perfectly onto the skin, creating a blurring effect. Tints and creams are not so good for dry skin: they can crack when drying, making the dry feeling worse.
Recovery and care
Rehabilitation after thread eyelid lifting makes several rules mandatory:
- hygiene and care for 3 - 4 days are carried out using an antiseptic and applying “Bepanten” or “Panthenol”;
- you should not touch your eyelids unless necessary; you should protect them from contact with any surfaces;
- 7 - 10 days sleep on your back;
- for a week eat only warm, not hot or cold food;
- do not visit the sauna, swimming pool, or sunbathe;
- limit physical activity and facial activity;
- postpone massage and other cosmetic procedures in the eyelid area.
The restoration will be complete in a month.
Choose the right brush
Source here and below: Pexels
A dry blush brush should be thick, with natural and soft bristles so that the color can be easily blended. A tightly packed brush can pick up too much product and overwhelm your face with color.
If we are talking about cream blush, it is better to use a synthetic brush (it is important that the bristles are also soft). If you use a natural brush with a creamy texture, it will absorb too much product - not the most economical option.
Dip the brush into the blush and then wipe off any excess before applying to your face so you don't end up with any large patches on your cheeks.
A natural blush can be achieved more easily if you apply cream blush before foundation.
But here it is important to use a certain technique: drive in, not shade.
Result before and after
With the help of thread lifting of the eyelid area, the following changes can be achieved:
- the skin stops hanging over the eyes, the bags disappear;
- the nasolacrimal line is smoothed;
- wrinkles on the lower eyelids and “crow’s feet” disappear;
- the skin becomes elastic;
- eyes appear larger.
Before and after eyelid lifting with threads
When using biodegradable threads, the effect will last for 1-2 years. If non-absorbable ones are introduced, it will be present for up to 3-5 years.
Possible complications
Errors in the procedure technique or ignoring rehabilitation conditions can cause problems:
- hematomas;
- severe swelling;
- uneven skin;
- tightness of tissues, which makes the face unnatural, may make it difficult to close your eyes;
- infection;
- moving threads to other areas;
- their contouring, that is, shining through the skin;
- dents at the thread entry and exit points;
- allergy to the material, causing a delayed reaction.
Cleopatra's gaze with threads
Threads can replace plastic surgery, which is performed to achieve the look of Cleopatra. The result will be temporary, but the following manipulation:
- quite simple to perform and can be performed by cosmetologists;
- involves placing threads in the area of the outer corner of the eye and lifting the eyelid to the tip of the eyebrow;
- performed under local anesthesia on an outpatient basis;
- practically does not require rehabilitation;
- may be accompanied by the formation of edema and hematomas, which resolve on their own within 1-2 days.
The procedure will have to be repeated every one and a half to two years so that the effect remains at the original level.
Consequences
The correction rarely causes consequences or unforeseen side effects. Swelling, hematomas, and painful sensitivity disappear on their own in 2–7 days. But if the doctor’s qualifications or experience are insufficient, or if the patient violates the rules of the recovery period, undesirable effects may occur.
Complications after the procedure:
- allergic reaction;
- thread output;
- folding and tuberosity in the installation area;
- swelling;
- hematomas.
In rare cases, inflammatory processes and migration of threads are possible. There is also the possibility of missing results. Each case of side effects should be considered individually. But the choice of clinic, quartz treatment before the procedure, sterility of instruments, cleansing and treatment of the skin are of decisive importance.
Fox look with threads and injections
A fox look is most often done using a full-fledged operation, but there are always options to replace surgery with cosmetic procedures - implantation of threads to lift the upper eyelid and injections.
How to get the fox eye effect with threads
To do this, you need to lift the upper eyelid - the fox-eye effect is achieved by implanting threads into the upper eyelid. The doctor calculates the injection site of the material in such a way that the outer corner of the eye is pulled up and at the same time the eyebrows are raised.
The procedure lasts only 30-50 minutes, absorbable threads are used for it, so repeated manipulation will be required after one and a half to two years.
An alternative option is injections.
This involves the introduction of meso-cocktails that smooth out wrinkles or Botox. In the first case, injections will only help girls with young skin, when it has not yet lost its own elasticity; botulinum toxins provide “tightening” and paralysis of muscles at an older age.
The injections have a short-term effect; after 3-4 months the first signs of skin “sliding” will appear.
What rules should you follow when installing 3D fox eye threads?
Rules for installing 3D threads to achieve the effect of fox eyes, which a woman must adhere to:
- immediately after the manipulation and for 5-7 days, do not take thermal procedures - hot baths, saunas and steam baths are prohibited;
- do not use caring cosmetics for 10 days;
- refuse facial massage for 1 month;
- do not sleep face down, try to position yourself in a horizontal position so that your eyes “look” up.
3D threads tend to dissolve only after 9 months, and during this time processes of enhanced production of its own collagen occur in the dermis, which then becomes the framework for the eyelid. If during this period you use aggressive care methods (peeling procedures, massage, rubbing in creams and gels) or use inappropriate decorative cosmetics, the resulting effect may quickly disappear.
Choose a shade that suits your skin tone
You need to choose the right shade to complement your complexion. Too dark or too bright can make you look older instead of giving you the warm glow of youth. The key is to choose a color close to your natural blush, and the best way to tell is to pinch your cheeks a little. If you're still not sure, here are some tips on how to choose the best shade.
If you have very pale, fair skin, choose a light pink shade for a beautiful blush that won't overwhelm your tone. The pale pink and mauve formulas provide a luminous finish that will highlight your fair complexion without looking too bright.
If you have fair skin, choose a peachy pink shade to give your skin a beautiful glow. Since this shade is so versatile, if in doubt, try this one first.
For golden or olive skin tones, brighter pink shades are suitable.
Darker skin tones can be paired with shades like bright apricot. Although this shade may seem bright, it gives the skin a natural look.
Threads around the eyes after the procedure
After the procedure, the threads around the eyes remain in the tissues for 6-9 months if they are classified as self-absorbable. During this period of time, all processes at the cellular level are activated, and a frame is created from one’s own collagen. Subsequently, the material breaks down into water and carbon dioxide - natural substances for the body, which it removes through the blood/lymph flow.
If the procedure was carried out correctly, the threads are not visually detected. A lay person will not notice any signs of an eyelid lift procedure at all.
Use blush for more than just its intended purpose
One of the best things about blush is that it can be used on any part of the face. Apply cream blush to cheeks, blending from cheekbones to hairline using a synthetic brush. Then apply a small amount of product onto your eyelid with your fingers, blending it upward towards your eyebrows. If you apply red or pink blush to your eyes, don't forget about eyeliner. If you're not using blush as an eyeshadow, you can freshen up the look by adding it under your brow bone (like we used to apply light eyeshadow). This will make your makeup look more complete.
Some makeup artists also recommend applying a little blush near the sides of the nose and above the eyebrows. The fact is that without makeup, any face has natural redness in these places. Removing them is tantamount to covering up the eyebrows.
Finally, apply blush on your finger and press it to the center of your lips. Next, use your favorite lip balm to replace your lipstick with this unusual trick. At the end, fix the makeup with a special spray so that it lasts as long as possible. During the day, you can refresh your face with thermal water mist.
Frequently asked questions from patients
How long does recovery take after a lower eyelid lift?
Full recovery lasts 3-5 days. If the threads were installed incorrectly, or the patient did not comply with the rehabilitation rules, the period can be extended to 10 days.
How many threads are needed for an upper eyelid lift?
On average, 2-5 threads are required per eyelid. It depends on the "source material" and the desired effect.
Reinforcement of the periorbital area with monofilaments
How much do the thinnest threads for eyelid correction cost?
The thinnest threads for eyelid correction cost from 100 rubles apiece. The specific price depends on the manufacturer and the seller himself - this can be a company representative or an intermediary.
Is it possible to open your eyes with threads?
You can “open” your eyes if threads are implanted into the upper eyelids and the doctor lifts the outer corner of the eye.
Botox or threads - which is better?
Botox is a toxic substance that causes temporary muscle paralysis. Doctors prefer threads because they do not change facial expressions and dissolve after a while without leaving decay products (toxins) in the tissues.
Is it possible to do blepharoplasty after installing threads?
Blepharoplasty is not prohibited after the installation of threads, because the materials used for eyelid lifting are as natural as possible and are not rejected by the body.
What threads are suitable for lifting drooping eyelids?
To correct the upper eyelids, threads are used:
- Aptos;
- Beramendi (complete analogue of the previous material);
- Tissulift;
- "Happy lift";
- Silhouette Elevator.
Is it possible to tighten the upper eyelid with a brow lift using threads?
If a brow lift procedure is performed with threads, the upper eyelid will automatically lift - this nuance is taken into account by the doctor when planning the work. If ptosis (drooping of the upper eyelid) is caused by pronounced age-related changes, then separate threads will need to be implanted to solve the problem.
Alternative Methods
There are other ways to rejuvenate the eyelids without surgery:
- laser resurfacing;
- fractional thermolysis;
- rf lifting;
- photorejuvenation;
- mesotherapy;
- Botox injections;
- microcurrents;
- contour plastic surgery.
We recommend reading about vector lifting. From the article you will learn about what the procedure is, indications and contraindications for it, methodology, recovery period, cost. And here is more information about what the face looks like after threads.
The method of eyelid correction with threads has been used for a sufficient time to be considered safe. A prerequisite for this is the correct choice of a doctor and the use of only certified material. And to maintain the effect, a healthy lifestyle and good skin care are important.
What appearance problems will it help solve?
Thread lifting is a universal procedure that helps solve a number of problems and prevent signs of skin aging. The technique solves the following problems:
- overall facial rejuvenation;
- elimination of any wrinkles, both small mimic and deep creases;
- getting rid of ptosis – tightening sagging skin.
It is also worth keeping in mind that the final result will differ depending on the choice of thread material. Thread lifting can be done not only for the face; any part of the body can be lifted. You can correct everything: cheekbones, chin, eyebrows, forehead in just 20-40 minutes. Read more about whether thread lifting of the face can tighten the skin after 50.
Useful video
Watch this video about the complications and side effects of thread lifting:
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Cheiloplasty
Kinds
- VY plastic.
The purpose of the intervention is to move the mucous membrane of the lips. The result is achieved by making cuts in the shape of the letter X, followed by stitching in the shape of the letter Y. - "Paris"
. This technique involves vertical and horizontal incisions on the mucosal side in order to obtain plump, heart-shaped lips. - "Bullhorn."
The increase in volume occurs by reducing the distance between the nose and upper lip: during the operation, a small strip of skin under the nose is removed. - "Kisselring".
In the process, the mucous membrane is turned outward. The incision is made in the shape of the wings of a seagull in flight; the second name for the operation is “gull wing”.