Plastic surgeon David Grishkyan

Grishkyan David Rubenovich

- leader of a new generation of plastic surgeons. His arsenal includes extensive knowledge and fluency in the best methods of modern plastic surgery and rhinology.

David Rubenovich Grishkyan is a certified plastic surgeon, professor, doctor of medical sciences, full member of the Society of Plastic Reconstructive and Aesthetic Surgeons of Russia. Member of the American Academy of Facial and Reconstructive Surgery (AAFPRS). He is certified as a plastic surgeon (new type) and an oral and maxillofacial surgeon. Over more than 20 years of practice, he has performed a huge number of operations, such as blepharoplasty, lipofilling of the face and eyelids, rhinoplasty, facial and breast plastic surgery.

Grishkyan David Rubenovich

Plastic surgeon, Doctor of Medical Sciences. Full member of the Society of Plastic Reconstructive and Aesthetic Surgeons of Russia (OPREH), the European Society of Plastic Surgeons (ESPRAS) and the European Society of Rhinologists (ERS). Accepts patients in his own “Dr. Grishkyan Clinic”.

Has been practicing plastic surgery since 1993.

David Grishkyan is a brilliantly educated specialist of the new generation of plastic surgeons, whose arsenal includes:

• More than 18 years of experience in the field of plastic surgery. More than 3,000 plastic surgeries, including more than 700 nose jobs - the most complex area of ​​aesthetic surgery
• Highest professionalism, fluency in modern techniques and technologies in the field of rhinology, aesthetic surgery and laser cosmetology
• Modern effective and minimally invasive techniques that open up new opportunities for achieving a new quality of beauty, harmony and naturalness
• Sincere and interested attention to the patient, his individuality, needs and expectations
• Deep understanding of the laws of harmony, the relationship of lines, proportions and volumes of the human face and body. A unique fusion of the artist’s talent and the surgeon’s professionalism allows us to achieve a natural and harmonious result that meets the needs and individuality of the patient

David Rubenovich Grishkyan has repeatedly improved his qualifications in plastic and laser surgery in Russia, England, Germany, Holland, Spain and the USA. Participant in a number of thematic Russian and foreign seminars, congresses and master classes. Author of more than 25 scientific papers on current issues in plastic surgery.

Dr. Grishkyan was the first to introduce modern laser techniques into Russian cosmetology and plastic surgery , which he mastered to perfection in England. As the best Russian specialist in this field, he received an invitation from a famous developer and supplier of laser equipment and became its leading expert and consultant in Russia.

Continuing his education in Europe, he focused on studying minimally invasive methods of rhinosurgery, which allow achieving results unattainable by the methods of the traditional Soviet school.

Working under the guidance of the founders and leaders of European rhinoplasty - the President of the European Academy of Facial Plastic Surgery, Dr. Trinite (founder of the “Dutch School”) and Professor Retinger (President of the European Society of Rhinologists), he perfectly mastered the technologies of delicate surgical correction of the nose. In 2002, David Grishkyan was one of the first in Russia to begin performing rhinoplasty operations using microinstruments . Today the benefits of this technique are widely recognized.

Another revolutionary technique introduced by the doctor into Russian practice is a unique method of breast augmentation by transplanting one’s own fat (without the use of implants). David Grishkyan is the first and so far the only Russian surgeon who has mastered the most effective American method of breast lipofilling, in which up to 95% of transplanted fat cells take root, and this volume is preserved for life.

Specializes in rhinoplasty, facial plastic surgery, mammoplasty, otoplasty, abdominoplasty and liposuction.

Surgeon's publications and additional materials:

• Read more about the qualifications and achievements of D.R. Grishkyan
• Age-related facial problems can be solved using your own fat (article)
• Features of facial rejuvenation in men (article)

Clinic:

• Dr. Grishkyan Clinic Clinic of Plastic Surgery and Cosmetology
• University Surgical Clinic Multidisciplinary clinic

Prices for services:

Training

• 1996 "Aesthetic dermatology and laser cosmetology", London, England;
• 2001 Master class on modern rhinoplasty techniques “8TH International Course in Modern Rhinoplasty Techniques” (Amsterdam, Holland);
• 2001 “Cosmetology and reconstructive surgery”, Russian Medical Academy of Postgraduate Education;
• 2002 "Laser Medicine", England, London;
• 2002 "Rhinoplasty", Germany, Ulm;
• 2003 “Cosmetology and reconstructive surgery”, Russian Medical Academy of Postgraduate Education;
• 2005 Intensive courses in plastic surgery (Austria, Vienna);
• 2006 “Cosmetology and reconstructive surgery”, Russian Medical Academy of Postgraduate Education;
• 2009 “Human Cadaver Dissection courses”, Austria, Vienna;
• 2009 "Beauty Through Science", Stockholm, Sweden;
• 2009 "Endosurgery", Russian State Medical University;
• 2009 “International symposium of Oculoplastic surgery”, Munich, Germany;
• 2010 “Facial implants – aesthetic facial correction”, Moscow, Russia;
• 2010 “Endoscopic technology in plastic surgery”, Moscow, Russia;
• 2010 “Transaxillary video-assisted augmentation mammoplasty”, Kazan, Russia;
• 2010 “Autologous breast augmentation - Are we beyond implants yet”, Milan, Italy;
• 2010 “The evolution Technology Silhouette sutures”, Barcelona, ​​Spain;
• 2011 “Rhinoplasty. Complex cases", Odessa, Ukraine;
• 2012 “International master course on aging science (imcas) Asia”;
• 2012 “Fourth international conference regenerative surgery”;
• 2012 “Rejuvenating facial surgery, body contouring”, Russia, Yekaterinburg;
• 2012 “The Art of Plastic Surgery”, Russia, Moscow;
• 2012 “Full Face Regeneration - Non-surgical reconstruction and complete facial rejuvenation”, Italy, Rome;
• 2012 "Cutting Age: Advanced Body Aesthetics", Geneva, Switzerland;
• 2012 “Building the Aesthetic Future Together”, France, Cannes;
• 2012 "Innovative Cell and Tissue Biotherapies", France, Marseille;
• 2012 3rd central Asian plastic surgery conference;
• 2013 "Anti-Aging Medicine and Facial Plastic Surgery", France, Cannes;
• 2013 “Update in aesthetic surgery of the Face”, Italy, Lake Garda;
• 2013 “The Art of Plastic Surgery”, Russia, Moscow;
• 2013 "Face 2 Face".

Blepharoplasty

is one of the most popular plastic surgeries, and this is not surprising. After all, everyone needs eyelid surgery: sooner or later, everyone experiences age-related changes in the eye area. Some patients have problems even at a young age due to the anatomical features of the facial structure.

Eyelid surgery is an operation that requires an individual approach based on a preliminary diagnosis of the facial structure.

However, first of all, it is necessary to understand what the main goal of patients going for blepharoplasty is. Of course, the main thing that patients, and plastic surgeons, strive for in their work is beauty.

Even in the distant past, the ancient Greek poetess Sappho said: “What is beautiful is good!”

Leonardo da Vinci saw beauty in symmetry, and Sir Francis Bacon asserted that “beauty is in harmony.”

The Oxford Dictionary defines beauty as “something distinguished by grace of form, charm of color; qualities that please the eye and evoke admiration in human faces and other objects.”

Of course, the concept of beauty among different peoples differs and changes depending on time.

I collected a number of the most famous paintings by Russian portrait painters, analyzed them and identified some features in all the women from the “canvases”. They have voluminous lower eyelids, and there is practically no line of transition from the eyelid to the cheek. Volumetric cheekbones. A clear contour of the lower jaw, a pronounced chin.

Having studied this, we radically changed our approach to facial rejuvenation and eyelids in particular. After all, what did eyelid surgery consist of before? In removing fatty protrusions, so-called “hernias” of the eyelids, excision of excess skin, and, practically, everything. Of course, heavy upper eyelids and lower eyelids with hernias and wrinkles began to look different. But have we achieved the rejuvenation that is natural and so desired? In most cases, no.

Moreover, what was considered a satisfactory result of blepharoplasty just a few years ago may today be a reason for correction as a consequence of an incorrectly performed operation. As a rule, a common result after standard blepharoplasty was the effect of the so-called round eye

or the effect of sunken eyes.

This is not a public offer! There are contraindications. Before use, consultation with a specialist is required.

This effect occurs due to a downward displacement of the lower eyelid and an increase in the height of the palpebral fissure, which, as a rule, occurs due to excessive excision of skin and hernias of the lower eyelids. In this case, a white strip of sclera appears between the lower eyelid and the cornea of ​​the eye, and, as is known, normally the lower eyelid should cover the lower edge of the cornea by 1-2 mm.

So, let’s study some of the results of an operation 10-15 years ago and try to analyze them.

It is certainly necessary to remove excess skin in the upper eyelid area, as well as the medial (internal) hernia. But, having removed the hernia of the lower eyelids, we did not shorten the length of the lower eyelid, did not eliminate the tear trough, the transition of the eyelid-cheekbone, eyelid-cheek was preserved.

And here is an example of a modern approach: pronounced changes in the area of ​​the upper eyelids, the lower eyelids were distinguished by large hernias, excess skin and masking bags. And, of course, standard eyelid surgery would not give the desired result. Therefore, we performed a complex of rejuvenating operations in the midface area (lower eyelids – fat-preserving blepharoplasty with the elimination of the tear trough, cheek plastic surgery with the elimination of paint bags and shortening the length of the lower eyelid, myopexy to strengthen the lower eyelid, canthopexy for the same purpose and changes in the shape of the eyes) .

The patient had the same changes, which were less pronounced, but the approach was less radical (the patient did not have enough time for rehabilitation). However, almost all problems have been resolved. The patient refused the proposed canthopexy and myopexy; she did not want to change the position of the lower eyelid. Upper eyelid surgery and fat-sparing lower blepharoplasty were performed.

So why did we analyze previous patients in such detail? Can we conclude that standard blepharoplasty with excision of fat and skin has become obsolete? We think so! At least, the indications for its implementation are narrowed as much as possible. It is extremely rare that standard blepharoplasty is necessary, but, of course, such patients do exist.

For example, patients with minor excess skin, mild hernias of the lower eyelids. When performing standard blepharoplasty, we achieved a good aesthetic result, but it should be noted that the resection of fatty hernias was carried out extremely conservatively.

Today our approach to blepharoplasty is as follows. We do not consider the eyelids as a separate area on the face, but only in the complex of the middle zone of the face. We believe that a rejuvenating effect can only be achieved by preserving the “lower eyelid – cheek – cheekbone” complex, in which there should be no visible boundaries or transitions. And the youth of this zone directly depends on its volume and fullness.

This is not a public offer! There are contraindications. Before use, consultation with a specialist is required.

Here is the most striking example.

A 25-year-old patient with lower eyelid hernias. A number of clinics recommended standard blepharoplasty for her. We offered her and carried out lipofilling of the tear trough, cheeks and cheekbones along the border with the eyelids, since we considered the main problem not the protrusion of hernias, but ptosis and thinning of the midface. That is, our approach in this case, as in many others, was not to delete and excise, but to add and fill.

So, instead of standard blepharoplasty, we use lipofilling as an independent technique in young patients with slight ptosis of the tissues of the midface, the presence of “hernial” protrusions of the lower eyelids. We also perform lipofilling for patients with previous blepharoplasty, a visible eyelid-cheek junction, and a visible lower orbital margin. For patients with the same manifestations of age-related changes in the eyelids, but with the presence of excess skin and weakness of the lower eyelid, we supplemented lipofilling with excision of the skin of the lower eyelids. If necessary, we supplement the operation with lateral canthopexy.

It is lipofilling that can highlight the result of any operation.

And here is an example of plastic surgery of the upper and lower eyelids with the movement of “fat bags”, due to which we perfectly rejuvenated the patient.

In conclusion, I just want to say that a patient, turning to a plastic surgeon, hardly wants to solve one problem at the expense of another: remove hernias of the lower eyelids and reveal the tear trough, or remove hernias of the upper eyelids and get (if not immediately, then in a year and a half guaranteed) sunken eye effect. Youth, naturalness and beauty are the patient’s main requirements for a plastic surgeon and, I am sure, modern approaches and methods can satisfy this request.

This is not a public offer! There are contraindications. Before use, consultation with a specialist is required.

To communicate with patients who have undergone facial rejuvenation, come to our forum, section Anti-aging surgeries