The easiest and most difficult plastic surgery


Why are plastic surgery and aesthetic medicine so in demand today? Everything is very simple. It's no secret that beautiful people have many more advantages in their personal and professional lives than less attractive people. Alas, just a few decades ago, in terms of appearance, we all had to be content with what nature gave.

Modern plastic surgery has allowed people to equalize the odds and decide their own destinies. The latest technologies and techniques, coupled with the art of doctors, have given us the opportunity to obtain the desired changes in appearance quickly and without harm to health.

Time, the most widely read magazine in the United States, recently proclaimed plastic surgery to be the new makeup, thereby emphasizing the degree of routine that plastic surgery has achieved today.

And yet, although cosmetic operations have ceased to be something exotic and accessible only to celestials, it is important to remember one nuance. An excellent result of plastic surgery depends, first of all, on the professional skill, talent and aesthetic sense of the doctor. We are proud to announce that these are the kind of plastic surgeons who work at the MedicCity clinic!

Patient satisfaction is one of the main criteria for the success of aesthetic surgery and, in fact, the main goal of plastic surgery. After all, the quality of a person’s life, his emotional and psychological state directly depend on the results of plastic surgery.

Many people dream of having plastic surgery, but for various reasons they postpone this event. Some are stopped by the very thought of surgical intervention and further rehabilitation, others do not know who to turn to, others are afraid of the possible consequences, etc.

Many, in principle, do not understand the flow of true and false information about facial and body plastic surgery that the Internet is filled with. So first of all, let's get the basics out of the way.

Plastic surgery is a broad branch of surgery responsible for eliminating defects or deformations of any organ or tissue of the human body.

1 Consultation with a plastic surgeon in MedicCity


2 Consultation with a plastic surgeon in MedicCity


3 Consultation with a plastic surgeon in MedicCity

There are reconstructive and aesthetic plastics. Reconstructive surgery deals with the correction of congenital and acquired defects, partial or complete restoration of functions lost by organs. And aesthetic surgery allows you to fight age-related changes and correct the appearance defects that bother the patient.

An illustrative example of the combination of these two areas is plastic surgery of the mammary glands. With the help of mammoplasty, you can both correct the shape and size of the breast, and restore the mammary glands after partial or complete amputation due to injury or surgical treatment of a tumor disease.

Briefly about the treatment method

Elimination of skin defects using nearby tissues is called local plastic surgery. Local plastic surgery is used, in particular, in the presence of fresh injuries, cicatricial deformities after traumatic injuries, congenital defects, and also defects after removal of tumors in the skin and subcutaneous tissue. As defined by A.A. Limberg (1963), local plastic surgery is the main method of treating scar deformities or defects, as well as an additional method of plastic surgery after tissue transplantation from distant areas of the body.

Question answer

Plastic surgery can help in this situation (but more than six months must pass after this trouble). It is worth visiting a specialist, as conservative methods for removing scars may be sufficient. For example, laser resurfacing.

To answer this question, you need to consult a plastic surgeon. But usually surgical lifting is recommended after 35 years. If the sagging is very minor, then you should pay attention to hardware cosmetology.

Often, such surgical interventions are performed together. For example, it is almost impossible to tighten the neck without lifting the lower third of the face.

Indications and contraindications for the treatment method

Indications for plastic surgery using local tissues:
– minor congenital defects and deformities of the maxillofacial area;

– defects that formed after surgical removal of the tumor;

– scars of various etiologies;

– fresh wounds

- firearms, non-firearms, operating rooms

Contraindications to plastic surgery with local tissues:

– the presence of pathological processes (hemangioma, lymphangioma, neurofibromatosis, age spots, scars, etc.);

– insufficient amount of tissue adjacent to the defect or located next to it;

– if plastic surgery with local tissues leads to deformation and disruption of the functions of neighboring organs.

How the treatment method works

When planning local plastic surgery, it is necessary to determine the functional significance of the area of ​​the defect to be closed, its size and relief, as well as the condition and reserves of adjacent tissues. When using methods of local plastic surgery, it is necessary to follow the general rules for this type of plastic surgery:

1) the skin and subcutaneous fatty tissue should be dissected at the same level, within healthy tissues, 3-5 mm away from the edge of the defect;

2) when mobilizing the edges of a wound or a displaced flap, subcutaneous fatty tissue must be completely included in the thickness of the mobilized tissue, separating it directly from the fascia;

3) sutures on the edges of the wound must be applied without tension, which can be judged by the color of the skin after applying the sutures. In order to ease the tension of the skin, it is permissible to tighten the tissue by placing sutures on the subcutaneous fatty tissue, and also to apply incisions to the entire thickness of the skin without damaging the underlying tissue;

4) if there is significant tension on the edges of the wound, causing concern for the outcome of the operation, another type of plastic surgery should be used. Simple approximation of the edges of the wound is applicable when closing a defect if the tissue around it is displaced. Good mobility of the skin is observed with prolonged use of prostheses. In this case, the delimited defects of the stump close freely, without tension on the edges of the wound. Approaching the edges of the wound after their mobilization with possible additional incisions is carried out with limited displacement of the skin of the stump surrounding the defect. To mobilize the edges of the wound, the skin with subcutaneous fatty tissue is separated from the fascia itself for a distance of 4-6 cm. Blood circulation and innervation are usually not disturbed. If there is a lack of plastic material, extended, parallel or unloading incisions are additionally made, which allow a more rational distribution of the mobilized tissues or an increase in their area. The shape of the cut depends on the specific conditions. Applying unnecessary incisions or a large number of unloading notches leads to the formation of unwanted additional scars on the skin of the stump.

TOP 9 facial surgeries to correct blemishes

Sometimes for rejuvenation it is enough to correct the eye area. You may also need to change the shape of your ears and nose. In all these cases, plastic surgery can help.

Blepharoplasty

Blepharoplasty is eyelid correction, which involves changing the shape or shape of the eyes. Today, many people undergo such an operation. It is recommended for those whose lower eyelids have begun to sag and their upper eyelids to droop. The surgeon removes excess skin and fatty tissue. There are such types of blepharoplasty:

  1. Upper. It is performed on the upper eyelid.
  2. Bottom. The correction is carried out on the lower eyelid.
  3. Circular. Defects on both eyelids are corrected.


Initially, a person undergoes the necessary examinations and visits an ophthalmologist. In Photoshop, the surgeon can show an approximate future result. To perform the operation, a specialist will need about 40-60 minutes. After this, the patient does not need to stay in the hospital, he can go home. It is forbidden to wear lenses for 7 days after the intervention. Initially, swelling will appear, minor hemorrhages may be present, but they disappear after 10 days. There is also transconjunctival blepharoplasty. It is carried out without removing excess skin. The doctor corrects “bags under the eyes”. This type of operation is especially relevant for young patients for whom classic blepharoplasty is not yet indicated. For blepharoplasty you need to pay 30-80 thousand rubles. But the result after such facial plastic surgery is impressive, as evidenced by the before and after photos.

Canthopexy and canthoplasty

These are the names given to operations that correct the shape of the lower eyelid. Age-related changes can cause inversion of this part of the face. Canthoplasty is used to shorten the cartilaginous plate of the eyelid. Canthopexy is a surgical procedure during which the eyelid ligaments are fixed to the periosteum. The results of the work done by the surgeon do not disappear for 5-10 years. Recovery will only take 5-7 days. At this time, swelling in the eye area may appear. The cost of lower eyelid correction is about 45 thousand rubles.

Liposuction

Liposuction is recommended for those people who have excess fat in the facial area. To get rid of it, the doctor makes small pinhole punctures. Liposuction lasts about a third of an hour, after which the patient needs to stay in a hospital setting. In order for the effect to last for a long time, you must follow a diet. If you return to your previous diet, excess fat cells will begin to appear again. For liposuction of one part you need to pay about 65 thousand rubles.

Rhinoplasty

This is the name given to plastic surgery that involves changing the shape of the nose. Before the intervention, the patient is sent for various examinations, for example, computed tomography, examination by an ENT specialist. Before rhinoplasty, a person can be shown an approximate future result using an online photo editor.


The doctor performs all manipulations under general anesthesia. Its work takes approximately 1-2 hours, depending on the complexity of the intervention. After this, the patient needs to prepare himself mentally for a fairly long rehabilitation period. The price in Moscow for such facial plastic surgery is 130-250 thousand rubles.

Otoplasty

Otoplasty is a surgical procedure that involves changing the shape and size of the ears. It is carried out for defects of the ears, as well as for protruding ears. After such an operation, self-esteem rises, the person looks much more attractive, as evidenced by the before and after photos. The surgeon works on the back of the ear. General or local anesthesia may be used. The operation takes 1-2 hours. When 10 days have passed, the patient's stitches are removed.

To get excellent results, experts prescribe a bandage that must be worn for 2 weeks.

Prices in Krasnodar, Moscow, etc. for similar facial plastic surgery are different. They reach up to 100 thousand rubles.

Lip surgery

If you want to correct the shape and volume of the lips, or eliminate defects in this area, cheiloplasty is performed. Today, a huge number of people are inclined to contour plastic surgery when they want to enlarge their lips. But there are also a lot of surgical techniques. Lip correction costs from 45 thousand rubles.

Removing Bisha's lumps

Every person has Bish's lumps. What it is? Bisha's lumps are fatty accumulations that are located in the cheek area. They are beneficial for newborns, helping them with the process of sucking and later chewing. Their further role is to protect the cheekbones from injury. But this function is not particularly important. For some people they are very noticeable. In this case, the plastic surgeon may recommend removing these lumps.


In addition, such an operation should be considered by people who have lost weight, but Bish’s lumps remain clearly visible. The fact is that in this area it is impossible to get rid of fat cells through physical activity.

Many stars have had this operation. For example, Angelina Jolie. The result is an emphasis on the cheekbones, which improves the appearance of the face.

The doctor gets to Bisha's lumps through the mucous membrane of the mouth, as well as through the skin on the cheek. But recently, more and more surgeons are leaning towards the endoscopic method. For such an operation you need to pay from 30 thousand rubles.

Hair transplant

Using this method, you can restore hair that has fallen out by transplanting your own hairs from the back of your head and temples. Some medical institutions practice transplantation of synthetic microfiber material. But we can highlight a number of disadvantages of the technique:

  • severe itching appears;
  • scars form;
  • You may encounter purulent manifestations and other complications.

Ultimately, such hair will fall out because the body will not accept it. Therefore, it is better to think about transplanting your own natural hair.

Depending on the complexity of the work, the procedure will cost 20-200 thousand rubles.

Mentoplasty (chin correction)

This operation is performed if the chin is asymmetrical and the patient does not like its size. In addition, intervention may be required for facial reconstruction following trauma or congenital problems.


Implants can be used to enlarge the chin. Another increase can be achieved by building up bone tissue.

In some cases, you can get by with a non-surgical method – contour plastic surgery. But it doesn't always turn out to be useful.

The chin is reduced by grinding down the bone. The price of the operation is 70-200 thousand rubles.

Possible complications during treatment

Possible complications:

1. The danger of thrombosis is greatest within 20 minutes after restoration of blood flow through the anastomosed vessels. This time should be waited out, observing the pulsation of the stitched arteries.

2. A slow capillary reaction of the tissues of the transplanted flap indicates inadequate blood flow; its cyanosis indicates difficulty in venous outflow.

3. If the anastomosis is performed incorrectly, microvascular thrombosis cannot be prevented in any way, including the use of medications.

4. Vascular sutures, especially on vessels less than 5 mm in diameter, should not be attempted by a surgeon who has not been trained in microsurgery.

Prognosis after treatment method

Postoperative monitoring should be as close as operative monitoring. It is necessary to maintain body temperature and fluid balance. Pain relief is extremely important. The patient should not experience anxiety or malaise. A high level of observation and care for the patient is required, which is best achieved in the intensive care unit, where the patient should remain for the first 24-48 hours. In addition to monitoring the patient, it is necessary to carefully monitor the condition of the autograft. The surgeon or nurse on duty must constantly monitor the presence of a capillary reaction. In specialized microsurgery departments, monitoring of the patient and the condition of the autograft is carried out by a team on duty. If thrombosis is suspected, an urgent operation is required - thrombectomy. Complications that arise must be corrected as soon as possible, while the viability of the flap is still preserved. If everything goes smoothly during the flap transplant operation after removing the vascular clamps, the likelihood of complications is low. It increases in cases where there were difficulties in applying vascular anastomoses during surgery. A decrease in flap temperature compared to the patient's body temperature indicates arterial or venous insufficiency, or both complications. Blueness of the skin of the flap and accelerated capillary reaction indicate inadequacy of venous outflow, and vice versa: pallor, slower capillary reaction indicate arterial insufficiency. It is incorrect to assume that the success of a flap transplant depends only on the personal skill of the surgeon and on how skillfully he performed the anastomoses. Success, like failure, depends on the choice of the patient, the skill of the surgeons, anesthesiologist, and the staff of the operating room and recovery rooms.

Anna Sedokova - 7 operations

Anna's age is 36 years old

At the age of 19, the girl joined the star cast of the ViaGra group, and from then on her thorny path with plastic surgeons began. The first operation was breast augmentation. After leaving the group, Anna decided to undergo rhinoplasty, face and neck lift, lip augmentation, correction of cheekbones and facial contours in the hope of new projects. Her changes look dignified and not vulgar: Sedokova did not get carried away and was able to maintain her individuality.

Expert tip: Anna looks younger than her age. To maintain the effect, it is better to undergo a course of anti-aging procedures from a cosmetologist; you can hold off on plastic surgery for now.

Observation program after treatment method

Rehabilitation after plastic surgery usually includes a set of measures aimed at reducing swelling, eliminating hemorrhages, increasing muscle tone, and improving the quality of the skin. Rehabilitation programs should be aimed at improving the health of the body as a whole - its detoxification, improving microcirculation, increasing the intensity of metabolic processes, moisturizing and lifting the skin. On the other hand, they should be aimed at restoring the skin in the surgical area. When drawing up a rehabilitation plan, many factors are taken into account, including the patient’s health and age, the presence of chronic diseases, bad habits and other individual characteristics.

Reviews

You can find various reviews about facial plastic surgery after surgery. But if a woman turned to a good specialist, and all the nuances were discussed, then the result is sure to be good. Below are some positive reviews:

VICTORIA, 23 YEARS OLD:

“Since childhood, I have had complexes because my ears stuck out. They teased me, which added to the complexes. Luckily, I learned about otoplasty. I carefully hid my problem behind my hair, but now I can do a variety of hairstyles. Plastic surgery has given me a new lease of life."

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