Cheekbone plastic surgery from the best plastic surgeon in Moscow

The passing of the years inevitably leaves an imprint on the face. In order for the mirror to continue to please even in adulthood, you can and should use all the resources of your own body, in particular, fat cells. Specialists at the Medial aesthetic medicine clinic invite you to a lipofilling procedure that will help get rid of unwanted age-related changes. By resorting to injections of your own fat, you can correct congenital asymmetry of the face, eliminate cosmetic defects in the temporal zone, cheekbones and cheeks, lower eyelids and chin.

Benefits of the procedure:

• minimum risk:
  During the procedure, it is not a foreign graft that is used, but the patient’s adipose tissue, which is not rejected by the body and does not cause allergic reactions. Even if some of the fat cells do not take root, they will be eliminated from the body without any health consequences;
• natural result:
  After the procedure, regardless of which area of ​​the face the procedure is performed on (eyelids, cheekbones and cheeks, chin or all problem areas), the “tweaked” area will look as natural as possible;
• long-lasting effect:
  Unlike a number of other cosmetic procedures that require periodic correction, the results of volumetric modeling last for many years;
• quick recovery:
  The procedure does not require general anesthesia. All manipulations in the temporal region, cheekbones and cheeks, eyelids and chin are performed under local anesthesia. The procedure is low-traumatic, well tolerated and does not require long-term rehabilitation;
• Deep skin rejuvenation:
  Adipose tissue is rich in stem cells. After the procedure, metabolic processes are activated, as a result of which local blood flow improves, the number of facial wrinkles decreases, skin turgor increases, and the face looks healthy and fresh.

Correction zones

• Lips. Procedures to enlarge and reshape lips are now at the peak of popularity. However, correction with gels has to be repeated constantly, but lipofilling will only need to be done once. This is especially true if you do not want to increase the volume of your lips, but would not mind returning them to their former juiciness.
• Dark circles under the eyes. “Dips” and dark circles under the eyes are usually difficult to correct, but lipofilling easily copes with this task: in addition to replenishing volume, fat transfer leads to a noticeable improvement in the quality of the skin.
• Cheeks and cheekbones. The drooping of the tissues of the middle zone of the face leads to the appearance of jowls and deep nasolabial folds, blurring the contours of the lower jaw. To return a clear contour to the oval of the face, you will need to uniformly inject fat into the recessed areas.

Point injections smooth out nasolabial folds, nasolacrimal depressions, “dips” in the cheekbones and temples, create a gentle oval on thin, pointed faces, and improve the relief of the neck and décolleté. Lipofilling is absolutely indispensable for rejuvenating the hands when you need to smooth out protruding veins and tendons.

Contraindications to the procedure:

• chronic diseases in the acute stage;
• acute diseases of viral and infectious etiology;
• oncological diseases;
• diabetes mellitus type I and II, other endocrine disorders;
• connective tissue pathologies,
• disorders of the blood clotting system,
• lack of sufficient adipose tissue in the patient.

Please make an appointment for a medical consultation in advance and provide the doctor with truthful and as detailed information as possible about your medical condition. This will not only avoid possible complications, but will also increase the effectiveness of the procedure.

Features of rehabilitation

When speaking about the pros and cons of lipofilling, the first thing we can mention is safety and a short rehabilitation period. From the body's point of view, its own adipose tissue is not a foreign body. Thanks to this feature, the risks of rejection, allergies or other unusual reactions to injections are minimized.

In addition, injections require several small punctures in the donor and recipient areas, so the tissue is slightly injured during the intervention. Of course, damaged tissue still needs time to grow new vasculature. But the healing process is quite easy. At this time, the patient must comply with all recommendations and prescriptions of his doctor, and also not violate the prohibitions. Attention is the key to good results and quick recovery.

List of necessary tests

Procedures on certain areas of the face are performed under local anesthesia. So that the doctor can predict the result as accurately as possible and assess the condition of your body, you will need to undergo the following tests:

• general clinical blood test (complete + platelets);
• coagulogram (blood clotting time, bleeding time, INR, prothrombin index, fibrinogen, APTT);
• blood sugar (glucose) test;
• examinations for hepatitis B, hepatitis C, HIV, syphilis

*To assess the condition of the body and outline the optimal amount of correction, the doctor can individually prescribe an extended list of studies for you.

Complications

After surgery, some complications are possible, which are divided into ordinary postoperative effects and real complications. The first include:

• swelling,
• bruises,
• pain in the treated areas,
• increased or decreased sensitivity,
• slight rise in temperature.

These phenomena accompany every operation, and there is nothing terrible or abnormal about them. More unpleasant complications:

• l getting an infection,
• l appearance of seromas and hematomas,
• l uneven distribution of donor material,
• l the appearance of asymmetry.

In these cases, it is necessary to urgently consult a doctor to stop the problem at an early stage. But such complications are rather rare. Some of them appear due to the individual characteristics of the body, while others are the result of the work of an insufficiently qualified surgeon.

Stages of the procedure

Volume modeling of the face using your own fat is carried out according to an approved medical protocol, which includes 3 stages: sampling of fat cells, cleaning the donor tissue and introducing it into the problem area.

1. The doctor selects a donor area and manually removes fat tissue through a thin cannula with a blunt tip. The puncture size is about 3 mm; no hematomas are formed during fat sampling; the subcutaneous vessels maintain their integrity.
2. Only intact, well-cleaned cells with high survival rates are suitable for the procedure. Therefore, adipose tissue must be cleaned and washed with special solutions.
3. The introduction of purified donor tissue into the problem area is carried out by injection. 2-3 mm punctures are made in natural skin folds or hair growth areas. To perform the procedure, a special thin cannula is used, which allows the dosage of the injected filler to be calculated as accurately as possible. By evenly distributing fat cells, you can achieve impressive long-lasting results.

What percentage of fat survives after lipofilling?

Even 10 years ago, at plastic surgery conferences there were very active discussions about the percentage of fat engraftment: one part of the surgeons claimed that the engraftment rate was about 10-20%, the second - about 50%, the third - up to 70%. And each of them was actually right. The problem was that each doctor’s method of collecting and injecting fat was different.

Fat grafting seems to be a fairly simple plastic surgery at first glance, but in fact the fat transfer process has a lot of nuances, which subsequently affect the percentage of engrafted fat:

1. Incorrect fat intake. If you introduce too much solution at the liposuction stage (which makes fat collection easier and bleeds less), then the percentage of fat cells per ml of the injected component will be much less, and accordingly the engraftment result will be worse.
2. Using a centrifuge after fat collection. Nowadays, the use of a centrifuge is not recommended, since it separates fat cells (adipocytes) from stem cells, which end up at the bottom along with the solution and then merge, which also leads to a lower percentage of engraftment.
3. After collecting the fat and placing it in a container, it is extremely important to stir it! If this is not done, the fat is divided into fractions and quickly, literally in 2 minutes it is already fragmented: at the top - oil, in the middle - fat cells, at the bottom - blood. For example, if a nurse who gives a ready-filled syringe to the doctor took one portion from the bottom, where there will be blood, and took the second portion from the middle, where there are a lot of fat cells, then naturally the result after administering the 1st portion will be almost unnoticeable.
4. Bolus administration. If you inject fat with a thick cannula, as a bolus, you will get a large ball and naturally there will be a large percentage of fat cells that simply do not contact living tissue and therefore cannot take root. Fat needs to be injected in micro portions, and even with a thin cannula; this is very painstaking work. A thin millimeter cannula makes microchannels and with each pass we introduce no more than 1/20 of one cube. Imagine the difference of 1/20 of a cube or 10 cubes at once with a bolus injection. Doctors often sin with bolus injection, who perform several operations in one cut (for example, rhinoplasty + liposculpture) in order to save time. refilling the area under the eyes, cheeks and cheekbones

Rehabilitation period:

• To prevent complications, antibacterial strips are applied to the sites where adipose tissue is collected and where cells are introduced into problem areas. When correcting large volumes, the doctor may recommend a hospital stay for 24 hours, but most patients return home within a few hours.
• Swelling and local hematomas may remain at the puncture sites for 3-6 days. To quickly eliminate these defects, take medications prescribed by your doctor and follow the recommended regimen.
• To speed up the survival of fat cells and maintain the results of the procedure for a long time, limit physical activity for 2-3 weeks and avoid exposure to high temperatures (bath, hot tub, sauna). You can take a shower. The result can be assessed 30 days after the operation.

The Medial Clinic offers favorable prices for volume modeling using your own adipose tissue: the cost of correcting one zone is 20,000 rubles. (excluding discounts and special promotional offers).

Flaws

There is a lot of talk about the advantages of the technique, but patients are concerned about whether lipofilling has disadvantages. Like any other plastic surgery, this correction is not ideal and has some disadvantages. For example, not everyone is satisfied with the period for which the effect lasts. It is very difficult to predict the exact period for maintaining the result. Competent care during rehabilitation and maintaining current weight have a beneficial effect on preservation. But individual characteristics and genetics can shorten the duration of the operation.

Among the disadvantages, one can note the small volumes of increase. This method will not allow you to greatly enlarge your breasts or buttocks. Breasts can only be increased by 1-1.5 sizes, no more. If the patient wants to increase her bust or buttocks by several sizes at once, the installation of implants will be required.

To achieve outstanding shapes, implants are needed.

Is it worth having surgery?

Due to such nuances as the impossibility of strong enlargement or possible complications, patients sometimes doubt the need for surgery. Sometimes, instead of lipofilling, it is better to turn to other procedures - for example, using fillers instead of fat or performing another operation (blepharoplasty, augmentation with implants, and so on).

The appropriateness of the correction is determined by the surgeon. The main thing is to go to a trusted clinic and see qualified specialists. If the doctor recommended this method, you should be careful about caring for your body during the rehabilitation period. Only joint work between the doctor and the patient will allow achieving decent results and avoiding unpleasant consequences.

Lipofilling of nasolabial folds

Nasolabial folds that are too pronounced or very deep bring a lot of disappointment to their owners, however, this is an area that lends itself well to correction using both cosmetic and surgical methods.

Often, when asking the question about the need to correct the nasolabial fold, the patient implies the need to smooth it out by filling it.

It is believed that when correcting this zone, it is necessary to level the level of the fold itself to the level of the adjacent tissues. But you need to understand that the nasolabial fold is not always formed as a result of tissue creases and has its own natural depression. Sometimes its origin, on the contrary, is associated with overhanging tissue as a result of drooping subcutaneous fat, resulting in the formation of a so-called roller located just above the nasolabial fold and aggravating its depth and size.

With the help of lipofilling, you can achieve two goals simultaneously: remove fat accumulations from problem areas of the body and fill the areas that need volume with the resulting fat tissue. You can increase the volume of your breasts by receiving a thin waist as a gift, give a rounded and seductive shape to your buttocks, and eliminate the problem of curvature of your legs.

Insufficient volumes and imperfect proportions of the buttocks cause a lot of grief to their owners and serve as an object for constant improvement. There are 4 types of buttock shapes: A-shaped, V-shaped, round and square. For each of them, you can identify areas that require correction: the so-called “ears”, “dimples”, sagging areas, asymmetry, “smoothness”. The fat grafting technique, as lipofilling of the buttocks is also called, allows you to safely enlarge this part of the body and give it an ideal shape by introducing your own fat into the tissue. After analyzing all the nuances of the shape, plastic surgeons determine the correct tactics for fat transplantation. The result of the work is beautiful, proportionally developed, elastic and toned buttocks.

The volume and shape of the legs are determined by the thickness of the bones, muscle development, and the amount of fatty tissue. When determining the parameters of ideal legs, the “three windows” principle is used, when legs placed together should form 3 spindle-shaped defects: between the ankles and calves, between the calves and knees, between the knee joints and the upper third of the thigh. The shape of the legs is corrected through fat tissue transplantation - the introduction of prepared fat material into certain areas effectively eliminates the problem of curvature: deficiency of muscle and fat tissue in the perineal area; excessively thin, closed knee joints; obvious insufficiency of the soft tissue mass in the upper third of the leg and ankles.

Lipofilling can solve many problems with restoring the shape and volume of the breast. The procedure improves the appearance of breasts with noticeable asymmetry. To correct the shape of the mammary glands lost after pregnancy and lactation, fat injections are injected into the subcutaneous or intermuscular space without affecting the gland itself. By injecting adipose tissue, you can achieve breast enlargement by 0.5-1 size. For greater mammary gland enlargement, lipofilling is not only not recommended, but also dangerous, since after a certain period of time the transplanted fat cells can be distributed unevenly and even turn into unsightly scar tissue. To increase breast volume, a large amount of fat is required, which gradually takes root. The growth of blood vessels and capillaries into it requires a certain time, and its own tissue cannot function for a long time without appropriate nutrition. When enlarging the mammary glands with implants, the lipofilling technique is used to hide the edges of the artificial material. Very often lipofilling is used in the case of reduction mammoplasty.

Plastic surgeons at the clinic

Yakimov Dmitry Konstantinovich

Experience - 38 years

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.

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.