How can tattooing change your appearance?
The list of what can be done with tattooing includes a long list of corrections in almost all areas.
The most popular tattoos are lips, eyebrows and eyelids. Thanks to the permanent, you can change the shape, color, visually add volume, expressiveness, and place the necessary accents. The appearance becomes brighter, pallor disappears, and age-related defects are hidden. Modern permanent has almost limitless possibilities. Pigment application techniques allow you to improve your appearance without surgery or fillers. A new image is the result of a play of light, shadows, and contour. If the artist works professionally, the tattoo does not look like a flashy design, but only delicately changes the appearance, slightly corrects the features and is not distinguishable even at close range. The effect of the procedure looks natural, in contrast to radical cosmetic or surgical interventions. Moreover, it will take only a few hours to correct your appearance, not days or years.
Olga Borisovna Dobryakova
According to Olga Borisovna, the demand for the services of plastic surgeons existed in the city twenty and twenty-five years ago. When she entered the profession, she had to stand at the operating table for days, and the appointment was a year in advance. Now there are many private clinics operating in Novosibirsk - although there are still waiting lists for some surgeons.
– As a hereditary surgeon, you probably didn’t have a question about choosing a profession. But why plastic surgery?
– While still studying at the university, I understood that success can be achieved if you engage in an exclusive field. In addition, I had an artistic education - I graduated from art school, I knew how and loved to draw. Therefore, aesthetic medicine attracted me from the very beginning. I also received surgical education from the cradle. Everyone in my family - parents, grandmother - were surgeons, and I studied not from an ABC book, but from an anatomy atlas.
– The first institute, it turns out, was my home. And then how was the path built?
– After graduating from the institute, while studying in internship, I studied with cosmetologist Vasily Ivanovich Sanyuk, who at that moment was the only one in the city who performed plastic surgery. His specialty was facial surgery - rhinoplasty, blepharoplasty, facelift, and I learned a lot from him. Then I went to Moscow, where I underwent retraining at the Beauty Institute. Then she returned to Novosibirsk and began to operate.
The first department of paid services was opened on the basis of hospital No. 12 in 1989. There was a lot of work then - the niche was not occupied, and we carried out a huge number of operations. Hundreds, thousands of patients - over the years I have gained enormous experience.
– You have always had many trips abroad. Does this mean that plastic surgery trends, in any case, originate abroad, in the West?
– I traveled a lot, because knowledge needs to be assimilated in different places: I studied technologies, communicated with colleagues, worked on my own methods. We have many successful inventors in Russia.
In addition, now not only the West dictates fashion, but also the East. Koreans and Chinese are actively developing and can do unusual things. It cannot be said that there is one point from which everything emanates - methods, technologies, equipment are distributed throughout the world from a variety of geographical locations.
– What did you share with your foreign colleagues? What proprietary techniques do you use in your practice?
– We have several patented techniques that we use to operate. For example, the technique of anti-aging therapy with one’s own stem cells, laser rejuvenation, blepharoplasty to rejuvenate or change the shape of the eyelids. The list of scientific developments of the Siberian Institute of Beauty is quite wide - we recently took part in a television project, where we talked about our method of treating transsexualism.
In the clinic we carry out absolutely all aesthetic corrections. And we are ready to replenish this number.
– Are you planning to develop the reconstructive direction?
– I am partly involved in reconstruction – breast reconstruction, post-traumatic correction. I can do this, but questions arise about payment for such services. On the one hand, it is incorrect to take money from a person who has suffered as a result of injuries or illnesses; on the other hand, reconstructive surgery is very expensive, and even the actual costs are too high. It is not profitable for private clinics.
In our city, a department for reconstructive operations was opened in the Regional Hospital, and there is also a department for paid services in the Immunopathology Clinic. By the way, I am listed there as a plastic surgeon.
– If we compare plastic surgery 10 years ago and now – what has changed?
– Approaches have changed. Now we consider the face as a three-dimensional structure, and determine the aging process by the state of its shape, volume and relief. These are the three main “points” that need to be corrected.
How do we work with volume? Previously, we excised excess tissue and stretched the skin - now this is considered insufficient and simplistic. Because some parts of the face lose volume, while others, on the contrary, increase. And we don’t need to remove, but “harmonize” the face: move tissue from areas where there is a lot of fat to where there is not enough of it.
I perform blepharoplasty by filling the medial part of the eyelids with my own tissues using my own proprietary method, which provides a permanent effect, unlike fillers, which dissolve over time.
There is a theory that suggests that the eyelids should be imagined as a frame framing the eyes. If the “frame” is deformed, an anxious, sad or dejected facial expression appears. We correct the “frame” of the eyes using modern technologies that provide a permanent effect.
Aging manifests itself not only in wrinkles, but also in “floating” contours. What do we do with the shape, which also changes with age? To give the face a youthful face shape, we can use photographs of patients taken when they were young or photographs of their children. So, by correcting individual small details, we create not just an immobilized mannequin - but a “living”, young face.
We often use a surgical roller to improve skin texture. It is more effective compared to cosmetic ones due to the length of the needles. After this procedure, the skin contracts very strongly, providing excellent results.
Today, the face is viewed as a three-dimensional structure. Its appearance and condition are assessed “in its entirety”: volume, shape, relief. We correct them during operations and cosmetic procedures.
– Is it possible to perform a comprehensive correction of the face and body in one operation? I mean dual operations.
– You can carry out several operations at a time. But! The surgeon must feel when to stop. The longer the operation, the higher the risk of complications. And serious complications can become life-threatening. I am an expert at the regional forensic medical examination and an expert at Roszdravnadzor: all the complaints coming from plastic surgery patients flock to me. There is a clear relationship - the longer the operation lasts, the more complications there are.
Interestingly, nowhere is it regulated how long plastic surgery should last. The surgeon needs to weigh everything and not perform operations that are fraught with complications.
– How often do you refuse patients?
– When a patient expresses his wishes, I try to understand him. Sometimes the message seems absurd, and you want to immediately refuse - but you shouldn’t do this. And very often it happens that patients with “strange” desires become sources of inspiration for me, and based on their requirements I create new operations.
You can't refuse right away. We sometimes meet with the patient multiple times - we do computer modeling, draw, select and analyze photographs - and as a result, I do what he likes.
It often happens that patients with “strange” desires become sources of inspiration for me, and based on their requirements I create new operations.
Of course, there are patients with unreasonable desires. Requirements that go against aesthetic canons. Then, again, to convince them that surgical interventions are unjustified, we draw, model and demonstrate gross violations in proportions. For example, a patient has a small nose, but he still wants to reduce it. Or a person with a wide chest wants to have liposuction on their legs to make them slimmer and narrower.
After all, if you don’t convey all this to the patient, he may say later: you said something different and that’s not what I wanted.
– Do you also think that plastic surgery can change your life?
– Personal life, professional. If a person is happy with himself, he is able to make others fall in love with him - to carry himself proudly.
In addition, when a person becomes younger externally, he also rejuvenates internally, his health improves. He experiences an emotional uplift, which is also important for health.
Plastic surgery is not a fad at all. They can have a therapeutic, healing effect and be socially significant for a person.
Olga Dobryakova: “When a person becomes younger and more beautiful, his health improves.”
Siberian Institute of Beauty:
st. Novaya Zarya, 17 A;
+7 (383) 291–09–46;
dobryakova.ru
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When permanent makeup is a salvation
The possibilities of permanent makeup have made it an important part of cosmetology and medical practice.
In many cases, it becomes a real salvation, helping to restore appearance or get rid of congenital or acquired defects. Permanent makeup is indispensable if necessary:
- Disguise and make natural defects in appearance less noticeable. Correcting asymmetry and hiding congenital defects is not all that tattooing can do.
- Correct the consequences of operations, burns, injuries, solve problems for medical reasons. The procedure hides scars and relieves a person from complexes and discomfort about this.
- Hide age-related changes. Fine wrinkles, drooping eyelids, drooping corners of the lips, and other imperfections that appear with age become visually less noticeable after the procedure.
- Carry out aesthetic correction and improve appearance. The procedure adds expressiveness and brightness to the appearance, emphasizes advantages and hides flaws.
- Get rid of the need to apply makeup every day. The permanent stays on the skin for several years, during which the appearance remains well-groomed even without makeup. Thanks to this, you don't have to get up early in the morning to do your daily makeup or worry about mascara running or lipstick smudging.
Vardan Aramaisovich Arshakyan
In most cases, aesthetic surgery is a “whim” of the patient. Somatically healthy people turn to plastic surgeons, and it is important, while changing their appearance, to maintain full health. Dr. Arshakyan is convinced that you should not undertake an operation just because the client can go to another clinic.
– Vardan Aramaisovich, what influenced the decision to provide medical care to healthy people?
– Having plunged into the field of surgery, I almost immediately determined my priorities. I realized that I am closer to a direction in which there is no emergency - where there are planned operations and a creative approach. I was confident that aesthetic surgery would give me the job satisfaction I wanted. And so it happened.
Of course, I didn’t become a plastic surgeon right away: I completed an internship in general surgery, then in oncology, then a residency in surgery, and completed graduate school ahead of schedule... Then there was also retraining in plastic surgery, after which I could officially declare myself a plastic surgeon. All this time I worked with leading specialists of the city - my supervisor and teacher was Professor Dobryakova.
– Do you fulfill all the “whims” of your patients? Which operations do you perform most often?
– Our plastic surgeons, unlike their Western colleagues who have narrow specializations, usually work with all areas of the body and face. I also perform different types of surgeries.
Another question is which operations are in more demand? As a rule, each geographic area of residence has its own top aesthetic operations. It depends on ethnic characteristics, on genetics - some are given too much, some are given too little. In our area, and in my personal practice, this top looks like this: the most popular operation is mammoplasty, followed by body contouring, and the third is facial plastic surgery with lifting and eyelid correction.
Aesthetic canons and needs of people are determined by their area of residence and ethnic characteristics. In our country, the first place in demand is breast surgery, the second is body contouring, and the third is facial surgery.
– Which operations arouse your greatest professional interest today?
– I am actively developing a direction related to body contouring – liposculpture, lipofilling, lipotransfer. I really like this new trend - here I, as a plastic surgeon, can express myself to the fullest. Liposculpture requires enormous knowledge of anatomy and artistic canons. The doctor must understand how the muscles are located, what they should look like, what their lines and proportions are. Thus, here surgery takes on a special meaning - an element of creativity appears in it. Operations that can be said to be the height of aestheticism give me maximum satisfaction after the work is completed.
Operations with an artistic component, which can be said to be the height of aestheticism, give me maximum satisfaction after the work is completed.
– What techniques are used today in liposculpture? What are the advantages of modern technology?
– Now with the help of devices we can reduce the skin without excision. If earlier we talked about how we needed to cut off this excess skin, today we are cutting it off without making any cuts.
My percentage of abdominoplasties has dropped by 90% - I practically don’t perform them. If a person comes for abdominoplasty with large volumes, and he really needs it, then this is not a matter of private surgery: he should have the operation in a large hospital, with an intensive care unit, where he will be rehabilitated according to all the rules and canons.
And what patients come to me with is completely amenable to low-traumatic, minimally invasive modern techniques. And the result is no worse, and even better, than in traditional abdominoplasty.
– Can we say that new hardware technologies have made the work of surgeons easier?
– You need to understand that the device is just a tool in the hands of a surgeon. The specialist must be trained and have an ideal knowledge of physiology and pathophysiology. He must understand not only what is happening now, but also what will happen to the patient in the postoperative period.
With hardware liposuction, the tissue on the operating table is reduced by 30%, and after that the reduction processes continue for another six months. The doctor must control all processes in order to consolidate and maintain the effect.
– Surely the approach to correcting age-related changes on the face has changed?
– When working with the face, I always try to find a balance in terms of the use of hardware technologies. Today we successfully carry out operations that allow us to perform a facelift using small punctures, without large-scale trauma. Aggressive and traumatic methods, such as “smas-lifting”, are used less and less today.
Minimally invasive lifting operations and thread lifts today allow you to get maximum results with minimal risks. The bottom line is that after two weeks the patient can return to his normal life, the rehabilitation period is shortened as much as possible. Previously, this period could last up to six months.
Working in tandem with cosmetologists helps shorten the rehabilitation period. They master many techniques that affect the quality and condition of the skin. A cosmetologist helps the surgeon prepare the patient for surgery and quickly recover after it. Teamwork is the new philosophy in rejuvenation.
If the surgeon works alone, there will be no ideal results. We need to work in a team with cosmetologists, which will first help prepare the patient for surgery, and then quickly rehabilitate him.
– Has lipotransfer become an alternative to implants for breast augmentation?
– We use both methods. The fact is that lipotransfer does not provide an immediate effect - there are stages of procedures, there is a process of engraftment of adipose tissue, there are risks that not the entire volume will take root. And clients, as a rule, do not want to wait - they need to get the desired result “here and now.” When we place silicone implants, we can guarantee that the patient will receive the desired breast size, and it will remain that way.
At the same time, lipotransfer is becoming more and more popular. Your own adipose tissue allows you to get maximum comfort and maximum naturalness in sensations. Adipose tissue has a special consistency and weight - it is lighter than silicone, and accordingly, the breasts will be less susceptible to ptosis.
– I would like to ask you a question as an oncologist-mammologist. Are there any studies on the effect of mammoplasty on the development of tumors in the mammary gland?
– There are such studies – they are carried out by the world’s scientific communities. And the fact that a silicone implant does not affect the development of cancer is a scientifically proven fact. True, sometimes we can observe the development of giant cell lymphoma. If this rather rare pathology is detected, the implants are removed and the problem is solved.
– Has the “boom” of buttock enlargement reached Novosibirsk?
– Buttock augmentation using fat is the latest “know-how”. Problems can only arise with survival. We can transplant a lot of fat, but will it all survive? Here you need to understand: where we take fat from, it no longer forms - scars form there. Therefore, the surgeon always predicts when and where to take fat now and at the next stage.
Today we use devices that allow us to remove fat in the most “gentle” way and, at the same time, increase the percentage of its survival rate to serious indicators - 80-90% of the injected volume.
Fat tissue transplantation is a trend in plastic surgery. Thanks to modern techniques, the survival rate of transplanted tissue reaches 90%. Lipotransfer is used for body sculpting, breast and buttock enlargement, as well as facial plastic surgery.
– What documents must a patient provide in order to get to you for surgery?
– We require general surgical tests and examinations. If there are violations in them, a conclusion from narrow specialists is necessary. Sometimes, together with other doctors, we adjust the indicators, take care of the patient’s health, and prepare him for planned surgery.
Vardan Arshakyan: “A person must come to me healthy and must leave healthy - for me this is an immutable rule. Therefore, we minimize risks at the very first stages of working with the patient.”
Doctor Arshakyan Beauty Academy:
st. Lomonosova, 55,
(383) 263-84-82;
drarshakyan.com
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Vadim Anatolyevich Egorov
Dr. Egorov told us about the development of plastic surgery in detail and detail. Information from the lips of a doctor who has performed more than one thousand operations helped to navigate the tendencies of modern plastic surgery and aesthetic trends.
– At what stage of your professional path did you decide on your choice of specialty? What was the level of plastic surgery at that time?
– I have been practicing plastic surgery for more than 30 years. For quite a long time – 20 years – I combined two specialties – plastic and vascular surgery. I had reached my professional ceiling in vascular surgery and it was impossible to progress further. There was more freedom of creativity in aesthetic surgery, so I made my choice in its favor.
In the early 90s, plastic surgery in our city was in its infancy. Strange as it may seem, such a specialty simply did not exist. Aesthetic surgeries were performed by surgeons of various specializations - ophthalmologists, maxillofacial, abdominal, ENT, etc. Therefore, the path to the development of plastic surgery unfolded before my eyes, and I witnessed all the ups and downs that this specialty experienced in our country.
– At the same time, many believe that we cannot catch up with Europe in this matter. It turns out they are wrong?
– Russia has a good level of plastic surgery. It fell on fertile soil for us. Russian surgeons have always been educated, competent and handy - that’s why there has been rapid development. I constantly participate in international conventions, conferences, and master classes. Highly developed countries, of course, are ahead of us in technology. But as a rule, we quickly catch up.
Plastic surgery has fallen on fertile ground in Russia. Surgeons in our country have always been good, competent, and handy - so the development of this area has been rapid.
– What operations does your clinic specialize in?
– We do all the plastic surgeries that exist. There are popular operations that are common all over the world. For example, plastic surgery of the mammary glands. In our country it is also in first place in demand. I really love anti-aging facial surgeries, especially since now there are technologies that allow you to get stunning results. Technologies of new methods of liposuction have largely changed the conceptual approach to liposculpture issues. Abdominoplasty, buttock surgery, correction of the shape of the legs and many others are performed daily by the surgeons of our clinic. In any case, our work cannot be called a routine - it is always creativity. But you need to understand that this creativity is based on deep knowledge of anatomy and understanding of physiological processes, on the development of new operating technologies and often simply jewelry techniques for performing them.
– Nowadays, many clients want to solve several aesthetic problems at once in one operation? Is this possible in your clinic?
– We do this regularly. However, I would like to draw your attention to the fact that to carry out combined operations, good support is required - hardware, medication, anesthesia. And a specialist who operates efficiently and quickly. In a clinic that does not have this, it is dangerous to perform long-term operations.
Technology has opened up new opportunities for us: if in the 90s mammoplasty took 2.5 hours, today it lasts 40 minutes. Therefore, if there is a need to correct other zones, this can be done at once.
The operation should not last more than 2-3 hours - then it is easily tolerated and the risk of complications is lower. Everything plays a role here: the qualifications of the surgeon, the equipment of the operating room, technology - right down to what instruments are used to cut and stitch the tissue.
– What can be attributed to the latest achievements of plastic surgery?
– Cellular technologies are now being actively introduced. The world is racing to replace artificial fillers with its own fabrics. We can already grow something from our own cells using a matrix and various substances. True, the issue with their blood supply has not yet been resolved - but, I think, that will be resolved.
The latest technologies include lipofilling and “fat grafting” - the use of one’s own adipose tissue. Recently, the number of such operations in the world has increased tenfold. I was in Brazil six years ago, and then they talked about it as a new direction - now it’s already a common thing.
If someone has excess fat in the abdominal area, it can be used for the “needs” of the chest, for example. If a woman has a mastectomy, breast removal surgery, we often take fat from other areas of the body to rebuild the glands.
Lipofilling, “fat grafting” is the “last word” in plastic surgery. Using your own adipose tissue for aesthetic correction allows you to avoid artificial materials and fillers.
Now the surgeon at our clinic, Evgeniy Igorevich Savelyev, has prepared a candidate’s dissertation for defense on the topic of using adipose tissue to enlarge the lower leg. Instead of getting implants, you can also use your own material to increase the size of your calf.
– Are patients’ aesthetic needs changing? Do you always do what they ask?
– The surgeon at our clinic, Tatyana Vladimirovna Mikheeva, often visits Atlanta, where she undergoes on-the-job training. She says that now in America the fashion is for an image a la Tim Kardashian: big breasts, thin waist, big butt. Buttock surgery is performed using implants – this is in demand. In Japan, by the way, there is a trend associated with “anime”. Japanese women want to be like their cartoon characters - these are their aesthetic preferences.
But, seriously, our task is to make people happier, more satisfied with themselves, and more adapted to society. However, I can refuse a patient if his wishes do not fit in with my aesthetic ideas.
We value our reputation and do not do anything that should not be done. In plastic surgery it’s like this: if you did the operation well, one more person will come to you, if you did it poorly, ten people won’t come.
– Do you perform only aesthetic or also reconstructive operations?
– Mainly aesthetic. The cost of reconstructive operations is very high; private clinics, as a rule, do not have the ability to perform them.
But there are exceptions. If I understand that I can help a person and no one can do it better than me, then I definitely help. For example, recently a girl with Poland syndrome came to me - one mammary gland was completely absent. This is a serious disease - and, in theory, the state should be involved in the rehabilitation of such patients. But there are problems with this, so sometimes we have to carry out reconstructive operations, working without commercial gain.
