How to achieve a lasting effect in rejuvenating and tightening facial skin

Before/after photos of a neck lift

SMAS-lift

The abbreviation SMAS stands for “muscular aponeurotic layer.” SMAS is located under the skin and subcutaneous fat.

With this type of lift, an incision is made along the ear, the skin is peeled off along with the SMAS, moved and fixed in a new position, excess skin is excised and sutured.

The SMAS lift is dangerous because the facial nerve passes through this area, damage to which can lead to paralysis of the facial muscles. This is why only 6% of plastic surgeons undertake this type of lift.

Read more about the SMAS-lifting technique in my article.

How to remove a double chin and tighten your neck?

Recovery

After surgery, the patient spends several days in the hospital. The first dressing is done on days 3-5. To prevent infection, the doctor prescribes a course of antibiotics.

For 10 days after surgery, you should not use cosmetics or wash your hair. The swelling subsides after 2-3 weeks, by which time the patient will be able to return to his normal lifestyle, but full recovery will take at least 2 months. During this time, the patient is prohibited from visiting the pool, bathhouse, solarium, playing sports, dyeing hair, smoking and drinking alcohol.

To speed up recovery, doctors recommend physiotherapeutic procedures and massage, but not earlier than a month after surgery.

As with any surgical procedure, complications are possible after a facelift. You can minimize the likelihood of negative consequences by contacting an experienced plastic surgeon. Medical specialists will provide a full range of services related to the preparation, conduct of the operation and the recovery period.

A facelift allows you to look 5-10 years younger, remove folds and wrinkles on the forehead, bags and circles under the eyes, as well as correct other age-related imperfections common among men and women. The effect remains for many years.

Yakimov Dmitry Konstantinovich

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.

Lifting the lower zone of the face and neck according to Mendelssohn in Dikarev’s modification

Lifting the lower zone of the face and neck according to Mendelssohn as modified by Dikarev is an evolutionary development of the SMAS lift.

With a SMAS lift, the entire muscular aponeurotic layer is stretched and moved entirely to one side. But this layer consists of multidirectional muscles, and it would be more logical to move each muscle in isolation.

This is precisely why this approach is good: the surgeon does not work with all SMAS at once, but with each component individually, moving it in different directions, attaching it in different places.

At the moment, a comprehensive lift of the lower area of ​​the face and neck according to Mendelssohn as modified by Dikarev gives the most effective and long-term result.

Read more about the technique in my article.

How to get rid of jowls? Lifting, SMAS-lifting, MACS-lift.

Preparing for surgery

For two weeks, it is recommended to quit smoking or at least halve the number of cigarettes you smoke, and also eliminate blood thinning medications. A few days before the intervention you need to undergo an examination. It includes:

• general urine analysis;
• blood tests - clinical, biochemical, coagulogram, HIV, syphilis, hepatitis B and C;
• fluorography;
• ECG;
• other examinations, depending on the scope of the operation and the doctor’s individual recommendations.

With the results, the patient needs to go to a therapist who, in the absence of contraindications, will give permission for surgical intervention. After this, you need to consult with an anesthesiologist.

Memo for preparing for facial plastic surgery: tests, prohibitions, recommendations

MACS-lift

MAX-lift is an evolutionary development of skin tightening in the lower third of the face.

The skin is peeled away from the SMAS, the SMAS is pierced with a running stitch and tightened.

Excess skin is then excised and a suture is applied.

At first glance, it seems like this is the ideal skin tightening: simple, low-traumatic, with good results. However, this only seems: the effect lasts for a year or two, then SMAS begins to cut through the thread, sink, stretch the skin, and the wrinkles return.

Read more about the MACS-lift technique in my article.

The essence of MAX-lift

Facial contouring

Facial contouring with filler preparations helps restore lost volume, make the contours and oval of the face clearer, and eliminate nasolabial folds in a short time. Minimally invasive, painless injection procedures using fillers last from 40 minutes to an hour. The correction is carried out under local anesthesia, in some cases it does not require pain relief, and gives an excellent effect after the first procedure. This is a simple alternative to contouring, a modern rejuvenation technique without a surgical knife. The changes that occur as a result of filler injections last for a long time: from months to 1.5 years.

Cosmetologists at the NCEM Age Clinic perform contouring using certified drugs that provide excellent aesthetic and medical effects. Dense filler preparations are used for the procedures. Injections allow you to correct age-related changes and trigger more active production of hyaluron in the tissues. As a result, blood circulation improves, wrinkles on the facial skin are smoothed out, the cheekbone line becomes clearer, and the lips gain volume.

Complex facial correction in one session

Correction of the middle third of the face

Reduction of the nasolabial, nasolacrimal and nasobuccal grooves with the drug “Belotero Volume” 1.0 ml on each side, Dr. Zurabyan S.V.

Correction of the middle third of the face

Reduction of the nasolabial, nasolacrimal and nasobuccal grooves with the drug “Belotero Volume” 1.0 ml on each side, Dr. Zurabyan S.V.

Correction of deep nasolabial folds and facial harmonization

Application of dense filler to fill nasolabial folds Belotero and Radiesse for skin strengthening and lifting

Radiesse contouring

Correction of the middle third of the face and chin. The correct dosage and proprietary technique allow you to transform any patient in just one procedure.

Radiesse contouring

Correction of the middle third of the face and chin. The correct dosage and proprietary technique allow you to transform any patient in just one procedure.

Correction of nasolabial wrinkles and small wrinkles above the upper lip

Correction with Belotero Soft or Balance

Repeated vector lifting procedure will be done in a year and a half

Improving skin quality, increasing its tone and elasticity, as well as lifting the middle third of the face

The essence of the procedures

Contour plastic surgery does not require serious preparation from the patient. A couple of days before filler injections, to achieve the desired effect, you just need to give up alcohol and drugs that interfere with blood clotting.

Correction features:

• The doctor selects a drug with a specific composition, taking into account the patient’s goals, skin, and age. For contouring, a preparation with hyaluron or potassium hydroxyapatite can be used.
• Filler compositions based on hyaluronic acid for plastic surgery procedures are not rejected by tissues. Since the compositions are biodegradable, they are removed from cells over time. The effect and period of action of the drug depends on the type of filler used.
• The cosmetologist performs facial contouring procedures with the finest needle. Even without anesthesia, injections of drugs under the skin do not cause severe pain.
• The introduction of acid-based fillers smooths out wrinkles, folds, and allows you to correct individual parts of the face. Due to their composition, fillers nourish tissues from the inside, saturate the skin with hyaluronic acid and beneficial substances. As a result of the correction, wrinkles on the skin are smoothed out, and a rejuvenation effect is achieved at the cellular level after the first procedure. Changes after injections of filler drugs last from 6 months to a year.

Recommendations for facial contour correction

Injection correction procedures help you become more perfect, and therefore more self-confident. Main indications for contour plastic surgery:

• Expression wrinkles of the skin, deep folds.
• Wrinkles, crow's feet in the eye area.
• Lost volume in the cheekbone area, tissue ptosis, sunken cheeks.
• Nasolabial folds.
• Pouch around the mouth.
• Insufficient lip volume.
• Asymmetrical, too small or, on the contrary, massive chin.
• Fuzzy oval face.

Contraindications are standard: oncology, diabetes mellitus, acute infectious diseases, pregnancy, lactation.

The doctor prescribes the number of procedures and the drug for the desired result individually.

How are contouring procedures performed?

The doctor makes marks on the patient’s facial skin and outlines the areas for administering the drug. General stages of contouring:

• Makeup removal, facial cleansing, treatment of the injection area with an antiseptic.
• Pain relief (application of cream).
• Introducing the composition into selected areas on the face.

For several days after drug injections, you need to forget about cosmetics. In the first two weeks after facial plastic surgery, it is important to exclude exposure to heat and ultraviolet radiation - postpone visiting the sauna, steam baths, swimming pools, beaches, solarium, and do not play sports. Otherwise there are no restrictions. After some procedures there is practically no swelling or redness. The patient leads a normal lifestyle.

Benefits and results of contouring

The experience of a cosmetologist and the exquisite precision of introducing a drug based on hyaluronic acid under the skin make it possible to achieve excellent aesthetic results in a short time. Procedures are permitted at any age if indicated. It is possible to correct several problem areas for a comprehensive result.

Contour plastic with fillers with hyaluronic acid allows you to:

• Eliminate wrinkles, creases, eyebrow folds.
• Remove nasolabial folds.
• Harmonize the oval of the face, make the contour of the cheekbones clearer.
• Correct the shape of the nose (non-surgical rhinoplasty).
• Add volume, change the shape and contour of the lips, remove wrinkles (purse) around the mouth.
• Eliminate tissue ptosis, tighten the oval, achieve a lifting effect of the skin.
• Correct the shape of the chin, bringing it into the standard V-shape.

We invite you to a consultation in order to, together with a specialist, outline a correction plan and the number of plastic procedures for the desired effect. A cosmetologist at NCEM Age Clinic will identify contraindications and select a filler drug with hyaluronic acid to correct aesthetic imperfections. You can sign up for a consultation on contour plastic surgery by calling +7 (499) 346-64-35 or using the feedback form on the “Order a call” website.

Prices for the procedure

Skin tightening

Skin tightening is the simplest facial rejuvenation surgery. In this operation, the surgeon works only with the skin and subcutaneous fat, without affecting the deeper structures. This is both good and bad. It’s good because there is minimal trauma and quick rehabilitation. It’s bad because the effect is short-lived: after six months or a year, the wrinkles will return.

They say that some surgeons manage to sell a SMAS lift, but only do skin tightening: for the first six months there is no noticeable difference, and then the surgeon just shrugs his shoulders. But I don’t want to believe it.

Anterior platysmoplasty

Platysma are the muscles of the neck. Platysmoplasty - suturing of the neck muscles:

Anterior platysmaplasty - diagram

The operation, together with neck liposuction, SMAS lift or modified Mendelssohn lift, allows you to remove a double chin, tighten your neck and eliminate wrinkles.

Read more about platysmaplasty in the article.

How to remove a double chin and tighten your neck?

Prices

Plastic surgeons at the clinic

Davydov Alexander Sergeevich

Experience - 14 years

Head of the Department of Plastic Surgery. Leading plastic surgeon. Certified specialist in plastic surgery and general surgery. Participant in master classes on plastic surgery.

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.

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