Facelifting combines several types of rejuvenating plastic surgeries. After eliminating excess skin and fat, the face looks natural, the skin is smooth and elastic, contours and proportions retain a harmonious appearance and clearly pronounced anti-aging effect for “minus 10-15 years”.
TYPES OF FACELIFTING
Classic lifting — the most popular type of surgical lifting. In the process of surgery eliminates wrinkles in the corners of the eyes, reduces the depth of nasolabial folds, corrects the chin line, tightens the oval of the face. The result is achieved by redistributing subcutaneous fatty tissue, removing areas of stretched thinning skin. Depending on the condition of the skin is performed deep, superficial or combined lift.
SMAS-lifting — incisions are made in the same places as in the circular lift, but the main impact is directed at deeper layers. Advantages of SMAS-lifting — complete elimination of deep age wrinkles, or those caused by dramatic weight loss. Facial features fully retain their natural clarity and relief. The effect of the surgery is maintained for 10-12 years.
Endoscopic lifting — is carried out without excision of the skin. Through minimal incisions in the area of hair growth or in the oral cavity introduce an endoscope and remove excess fatty tissue, stretching the skin. Self-absorbing sutures are then applied. The procedure allows you to get rid of wrinkles and, if necessary, to change the contours of the face. The surgery can be complex, or affect one of the zones — the upper (forehead and eyebrows), middle (the area from the nostrils to the eyebrows). Endoscopic lift is performed at the age of 35-50 years. The result after the surgery lasts up to 10 years.
COURSE OF SURGERY
- Surgical facelift is performed under general anesthesia with the use of effective safe drugs that eliminate the risk of side effects.
- After immersion in anesthesia, I make incisions in the scalp, in the area of the ear flaps, so the scars after the surgery will be invisible.
- With the help of special instruments, the skin is peeled off, after which the excess is cut off. If necessary, the subcutaneous fatty tissue is removed or redistributed, muscle excision in the specified areas.
- Tissues are fixed with special staples, for the outflow of lymph and blood vessels are installed drainage tubes.
- Cosmetic sutures are made strong and thin suture material.
- A compression mask is applied to the face to reduce swelling and prevent hematoma formation.
- In normal mode, the surgery lasts 3-4 hours.
Facelifting perfectly eliminates age-related changes — deep wrinkles, skin folds, gravitational drooping on the face.
Facelifting is a serious surgical procedure and I will not be able to perform it if you have any of the following diseases and conditions:
- under 18 years of age (except in cases of repair of trauma, burns, cuts, etc.);
- mental disorders, including borderline personality disorder;
- exacerbation and decompensation stage of severe somatic pathologies;
- uncertainty about the need for surgery or unrealistic expectations;
- acute and chronic diseases of internal organs;
- oncological diseases of any localization;
- autoimmune diseases;
- dermatologic diseases (inflammatory, infectious, fungal);
- herpes-virus infection in the stage of exacerbation;
- presence of acute inflammatory or infectious processes, acute respiratory viral infections;
- acute or decompensated diseases of the cardiovascular system, kidneys, liver, diabetes mellitus;
- trauma in the area of surgery;
- congenital hemophilia or the state after taking anticoagulants (blood clotting disorders);
- endocrine disorders;
- severe deviations from the normal shape of the face, requiring complete facial plastic surgery;
- intolerance to anesthesia due to severe comorbidities, advanced age;
- the presence of allergic rashes, redness, etc.;
- period of pregnancy and lactation.
Preoperative examination is an important stage of preparation. The optimal period for all tests and additional examinations is 14 days before the scheduled date of surgery.
BEFORE SURGERY
- follow all my recommendations during the preparation phase, this is the most important thing;
- the key to the success of the surgery is the stable state of your health and optimistic attitude;
- do not hesitate to ask clarifying questions about the processes and stages of the surgery, which you do not understand or cause fear, it will add confidence in the successful result;
- postpone surgery even if you have minor symptoms of acute respiratory infections until you are fully recovered;
- smoking and alcohol consumption can impair your health and affect the rehabilitation process;
- if you are prone to bleeding or if you bruise frequently, tell me at your first consultation;
- inform me in advance if you are taking any medications, including oral contraceptives.
The most important stage of preparation for any surgery – preliminary diagnostics. Only after taking the mandatory tests and undergoing examinations that will determine the presence or absence of contraindications to the surgery, you and I will be able to discuss the date of the surgery.
Diagnostic examinations:
- ECG with a cardiologist’s report;
- fluorography or chest X-ray;
- in the presence of concomitant diseases – the conclusion of a specialized doctor about the absence of contraindications to surgical treatment.
- according to the results of the examination requires consultation of a therapist.
Laboratory tests:
- general blood test (not older than 10 days);
- urinalysis (not older than 10 days);
- Coagulogram (not older than 10 days: ACTH, INR, prothrombin, fibrinogen, thrombin time);
- blood group, Rh factor;
- RW (Wasserman reaction), HIV, Hepatitis B and C (HBS, HCV), (not older than 3 months);
- Biochemical blood test (AlAT, AsAT, total protein, glucose, total bilirubin, creatinine, urea, electrolytes (K, Na, Cl), (not older than 10 days).
If minor abnormalities are detected, such as in biochemistry, the surgery is still performed, but after prior medication to normalize the indicators. If there are unforeseen, temporary or other health problems, the surgery should be postponed for your safety. Please do not forget to mention any “minor” health problems you may have.
Your health and safety are the most important things to me, that is why I only perform surgery when I am 100% sure there are no contraindications and I know your full medical history.
10 days before the scheduled date of surgery, I recommend completely exclude alcohol and 3 days — smoking cigarettes, which worsen healing and can provoke complications, as well as negatively affect the final result of the surgery.
Cosmetic procedures that aggressively affect the skin (chemical or deep peeling) are not recommended 14 days before the surgery, and 7 days before — visiting a solarium. If possible, eliminate inflammation or irritation on the face.
Also for 14 days you should temporarily suspend the use of anticoagulants (aspirin, heparin, vitamin C, cardiomagnil, thrombo-ACS, painkillers and antipyretics) and hormonal drugs, including contraception. If it is impossible to refuse any medication, be sure to inform me about it at the first consultation, so that I can give recommendations on how best to proceed in such a case: to exclude the drug, replace it or leave it as it is.
The surgery is performed on an empty stomach, so on the eve of the surgery after 8 pm nothing can be eaten! After 12 at night do not drink, even just water! From coffee and energy drinks I advise you to give up at least a couple of days before the surgery.
Menstrual cycle does not affect the surgery, I recommend my patients to plan the date of surgery on the 6th-8th day from the beginning of the cycle. If menstruation occurs earlier than expected, be sure to inform me and the anesthesiologist.
ON THE DAY OF SURGERY
- When going to the clinic for surgery, do not forget your passport and all tests in printed form (make copies in advance if you need a second copy).
- Do not use perfume, cosmetics and any means with a pronounced fragrance. Leave jewelry, valuables and money at home. You will definitely not need them at the surgery 😉
- Remove everything from the nail of the forefinger on your left hand, including the false nail. This is necessary for attaching the pulse oximeter (a device to monitor blood oxygen saturation).
- Choose comfortable clothing that you will not have to take off and put on “over your head”. Clothing with zippers or buttons is best.
- If you have varicose veins, you will need compression stockings.
Take care in advance how you will get home from the clinic, because you will not be able to drive after the surgery.
Swelling, bruising, facial muscle stiffness and soreness may occur after surgery. Follow all my recommendations, and the rehabilitation will be quick and unnoticeable.
POST-SURGERY REHABILITATION
During the facelifting surgery seriously traumatized soft tissues, so some discomfort in the postoperative period is inevitable. And in the first few days you should not expect a visible effect from the operation.
- During the rehabilitation period you will need a calm environment, support and understanding of loved ones. The formation of neat postoperative scar largely depends on you and on compliance with all my recommendations.
- The first day after plastic surgery should remain in the hospital clinic under the supervision of medical staff. This is required to exclude the risks of possible complications and negative reactions of the body. If after 24 hours you feel well and have no complaints, you can return home to normal life, but with postoperative restrictions.
- The first hours after surgery, you will spend in the intensive care ward under the close supervision of medical staff. After 3-4 hours, you will be transferred to a regular room and you will be able to have a light snack. After a couple more hours you can get up and move around gently.
- The next day you will have your first dressing and if you are feeling well, you will be discharged home. To avoid infection and discomfort from painful sensations you will be prescribed antibacterial therapy and painkillers.
- Showering is already possible, but very carefully, avoiding water on the bandage.
- For the first week, you must visit the clinic daily for dressings. After that, on the seventh day, at the control appointment, I will remove the stitches and apply the squeak strips, which prevent the formation of scars and scars.
- Full tissue recovery usually occurs within three months. Swelling and bruising disappear, and you become accustomed to your new facial contour. Physiotherapy may be prescribed to speed up the healing process.
You deserve to be the best version of yourself, and my qualifications and experience guarantee a successful outcome! Just make an appointment for a free consultation, it will be the first step towards perfection.
HOW TO MAKE THE PHOTOS RIGHT
You need good quality photos for modeling (selfies are not suitable 😢, ask someone to take a picture of you with the main camera). They should be taken in good even lighting, on a solid color background and should not be blurry. Send photos only through the form below, as any messengers will compress the photos and degrade their quality.
Send photos in all the angles shown in the example below ☝ and make sure that the hair does not cover the parts of the face we are interested in.
