Non-surgical facelift: an alternative to surgery. Circular facelift: good effect with little bloodshed After a circular facelift

And maximum restoration of its elasticity is the task of modern plastic surgery. Multiple methods used to get the most dramatic results with the least amount of effort side effects, allow you to choose the one that is suitable in a particular case.

However, only plastic surgeon will be able to with more likely name an intervention option that will the best solution specific problem. Among other methods of facial skin rejuvenation, special mention should be made of this method, which enjoys well-deserved interest due to the relatively small degree of injury and the speed of healing.

What is a circular facelift

Being a way of tightening facial skin with certain surgical procedures, a circular lift rhytidectomy requires the mandatory use of anesthesia, which is most often used in the form of inhalation anesthesia (sometimes in the form of an intravenous version). Methodology this method requires a facelift high level professionalism from a plastic surgeon, since it combines the need not only to tighten sagging skin, but also to uniformly distribute the underlying fatty tissue.

A relatively small number of incisions in the skin in the ears and parotid area ensures a minimal number of stitches and reduces the amount of time required for complete healing. And although rhytidectomy, like any other method of facial skin tightening, is a traumatic method of exposure, it is recommended by plastic surgeons for severe loss of elasticity. This is due high quality final result, which is especially important when there are many manifestations age-related changes, poor healing of the skin.

This English-language video will explain in detail the process of skin aging and the use of lifting in this case:

Concept and essence of the technique

The specifics of the method under consideration circular braces facial skin should be considered the need for certain actions by a plastic surgeon to obtain the expected result. The use of anesthesia is mandatory preparation for this surgical intervention.

The preparatory stage includes exclusion for a week before the admission surgery alcoholic drinks and smoking, which thin the blood, as well as taking medicines, as well as contributing to more high degree blood thinning.

On the eve of the operation, you should refrain from eating heavy food; it is better to do a fasting day with intake fresh vegetables and fruits, as well as herbal teas.

The sequence of actions when performing rhytidectomy is as follows:

Before making incisions after the administration of anesthesia, the surface behind the ears, as well as the entire area of facial skin, is disinfected using a disinfectant solution.
An incision is made immediately behind auricle, which continues to the base of the ear along the hairline on the head.
Now the doctor separates the tissue from the periosteum, which allows further more even distribution adipose tissue in this area and provide a more even oval of the face and increase skin tone.
If there is excess fat tissue, which is most often found in the chin area, liposuction surgery (fat removal) is performed.
Next, the skin is tightened; if there is a significant excess of it, the excess skin is excised, which avoids the appearance of signs of ptosis.
At the next stage, the muscles and connective tissue are fixed and connected, for which several stitches are made with a special non-absorbable thread for surgical operations.

If it is necessary to excise fatty tissue in the chin area, as well as to tighten excess skin with lost elasticity, the surgeon makes an incision in the skin on the chin, after which it is removed excess fat and skin.

At the final stage, the execution cosmetic seam along the perimeter postoperative wound, which fixes its edges and allows the resulting suture to heal faster. A compression bandage is applied, which is not removed for the time specified by the plastic surgeon. The period of operation for a circular facelift using the rhytideectomy method is 2.5-4 hours, depending on the area of treatment.

Photos before and after facelift

Age limits

To perform rhytidectomy, the following rule applies: the patient’s age should not be less than 30 years, the recommended age for any method of circular skin tightening is 35-45 years, when the skin already shows signs of aging and loses its natural elasticity. Also When determining the feasibility of performing a circular facelift using a rhytideectomy, the body's ability to quickly recover is determined. This means that before carrying out this method of tightening, the facial skin is examined using various methods state of the body, the presence in it is revealed pathogenic microflora and diseases of any nature are eliminated.

Talks about rhytidectomy this type video:

Indications and contraindications

when pronounced age-related changes occur;
with a significant number of wrinkles on the skin of the face (age-related) with their different locations;
on the face due to a decrease in the amount of fatty tissue, which is responsible for the degree of elasticity of the epidermis;
manifestations of ptosis in the chin, eyelids, eyebrows;
formation of skin folds on the bridge of the nose.

Also, indications for rhytidectomy include severe drooping of the corners of the eyes and decreased skin tone of the upper eyelid. A double chin, formed by decreased skin tone and excess fat deposits, can also be corrected through rhytidectomy.

However, there are a number of situations in which this method correction of facial contour and skin tightening is contraindicated.

For example, if there is a tendency to form after surgery, somatic diseases should be considered situations in which it is recommended to abandon the considered method of circular facelift.
A reduced rate of blood clotting, which significantly slows down healing, is also considered a contraindication.
, stages of exacerbation of inflammatory and chronic processes, decreased body resistance - conditions in which the operation in question should be postponed until full recovery body.

Pros and cons

When weighing the pros and cons, you should take into account the general condition of the skin, the presence of any type of disease, and the severity of negative age-related manifestations on the skin of the face. However, most optimal solution Only a plastic surgeon who can prescribe necessary examinations organism, tests that will provide the most full picture general condition health.

If you have poor blood clotting or a family history of hemophilia, you should inform the doctor who will perform the circular facelift. He will decide on the possibility of using rhytidectomy in a particular case, and will recommend alternative options if there are serious concerns for the patient’s health.

How much does rhytidectomy cost?

The cost of a facelift procedure under consideration can vary significantly depending on medical center in which it is carried out, the materials used and the rehabilitation period. On average, the price of this method of circular facelift ranges from 1900 (with a minimum number of manipulations for rhytidectomy) to 2500 US dollars (with additional manipulations in the chin area, upper eyelids, neck).

Before and after rhytidectomy

Is LP possible without surgery?

Alternative options for a circular facelift are possible, but they can only be effective if there are minor negative changes skin. carried out taking into account massage lines, which are less amenable to mechanical impact when performing massage movements, which are selected depending on the type of skin and its general condition - all these manipulations can also be recommended if the facial skin is prone to increased large quantities wrinkles

However, most effective method at the first signs of age-related changes, you should perform sets of exercises that are aimed at increasing muscle and skin tone, stimulating blood circulation and metabolism in the epidermis, which allows you to promptly remove decay products from it and maintain its attractive appearance appearance.

In case of significant negative changes in the skin, the appearance of numerous and deep wrinkles, the rhytidectomy method makes it possible to quickly and permanently give freshness and elasticity to the facial skin; the duration of the resulting effect lasts from 3 to 5 years, after which this type of surgical intervention for performing a circular skin tightening should be repeated.

The video below will tell you how to remove wrinkles on the bridge of the nose without surgery:

Radiofrequency facelift – real alternative circular facelift. At a certain age, every woman, even those who regularly visit a cosmetologist, undergoes all necessary procedures regarding rejuvenation, she is still thinking about the need for a facelift.

The basis of our skin - collagen and elastin fibers - stretch and lengthen with age, which is why the skin becomes flabby and wrinkles appear. And under the influence of gravity, the muscles weaken, their elasticity decreases, which is why the oval of the face inevitably “creeps” down.

Earlier the only solution was surgery for a circular facelift. But not everyone could decide on it. Firstly, in today's busy pace of life, it is almost impossible to find time for surgery, hospitalization and rehabilitation. Secondly, it’s simply scary: the need to go under the surgeon’s knife is frightening. general anesthesia. And thirdly, an equally important factor is a change in facial features that others may notice after the operation and which you may simply not like.

The developers of the innovative BodyTite platform took into account these three main problems with traditional plastic surgery and opened a new beauty industry procedure - FaceTite radiofrequency facelift (done using a special attachment to the BodyTite device).

Smas lifting is one of modern techniques facelift, allowing you to quickly regain lost beauty and youth. The procedure can restore the oval of the face without changing features or tightening the skin. In this case, the patient is guaranteed a long-term and lasting effect, and the risk of scars is minimized. Thanks to these characteristics, the operation is always popular among women over 35 years of age.

Definition and features of the procedure

The concept of SMAS-lift in surgical cosmetology came from in English and is literally translated as lifting the superficial muscular aponeurotic system. This area of connective tissue on the side of the face is limited by the zygomaticus major muscle and is located on lower limit epidermis.

The SMAS system consists of collagen fibers and is the framework of the face. It is because of its stretching and drooping that the oval “floats” and ptosis occurs.

SMAS lifting involves the separation of muscle-aponeuric tissue with excision of excess and tension along with the skin. In practice, the operation is usually divided into high, with a detachment up to the cheekbones, and a regular one, reaching half of the cheeks. The choice of zone depends on the indications and the presence or absence of additional surgical procedures.

The innovative technologies underlying the SMAS lift do not just erase wrinkles and other age-related defects - they restore the muscular aponeurotic framework that holds the shape of the face.

Types of operation

IN aesthetic surgery Several techniques are used to correct SMAS. Choice optimal option carried out by a cosmetologist, based on the woman’s age, existing problems, skin condition and the presence of contraindications.

Classic surgical method

Surgical plastic surgery is performed in the classic way- using a scalpel. The operation is performed in a hospital setting under general anesthesia and lasts several hours. The specialist opens the connecting layer and excises the excess. After suturing, damaged muscles recover for at least 2 months.

The procedure is very effective and copes well with age-related problems, but has many contraindications and is characterized by a long recovery period. Indicated for women over 40 years of age.

Minimally invasive (endoscopic)

The endoscopic method is different from surgical degree traumatic. The manipulation is performed with an endoscope, inserting it through skin punctures. Rehabilitation with minimally invasive surgery is much faster and takes no more than 3 weeks.

The disadvantages of endoscopic treatment include its effectiveness only in women under 40 years of age.

Non-surgical (ultrasound)

Ultrasonic facelift is considered the most gentle and has many advantages: low trauma, short recovery period, compatibility with other cosmetic procedures. Recommended for women under 35 years of age. Among the disadvantages of the technique, the fragility of the effect should be noted.

Non-surgical lifting is carried out using Doublo HIFU and Ulthera System devices.

The Doublo installation, manufactured in Korea, replaced the outdated Ulthera and has a number of differences that make it more comfortable for patients:

color monitor, which allows you to control not only the layers of the dermis, but also the depth of penetration of the wave;

high radiation power, giving a deeper and longer-lasting effect;

carrying out lifting using HIFU technology (Haifa).

The ultrasonic wave penetrates deep into the SMAS layers and, specifically heating the collagen fibers, forms a new frame. As a result, you see a fresh and rejuvenated face. The effect of such a procedure is no worse than that of circular plastic surgery.

Reviews for facelifts with the Doublo HIFU system are mostly good. If there are negative opinions, they usually indicate the insufficient effect of the procedure.

Therefore, I would like to remind you that ultrasound lifting is suitable for women with slight excess skin or those for whom surgical SMAS is contraindicated.

Laser

It is also an alternative to surgical plastic surgery. The procedure is carried out on the Joule Sciton Skin Tyte platform. The module copes well with ptosis of soft tissues of the face and body, is low-traumatic and does not require a long period of rehabilitation.

The low cost of laser thermal lifting makes the procedure no less popular than ultrasonic lifting. In addition, the installation works not only on the face, but also allows you to get rid of fat deposits.

Benefits and possible risks

SMAS-lift has the greatest rejuvenating effect among facelift techniques and has many advantages:

this is the only technology that affects the muscle-aponeuric layer;

does not leave scars or scars;

For good skin tightening, one procedure is enough;

preserves facial features and facial expressions;

gives a long-lasting and lasting effect.

At the same time, it is necessary to understand that SMAS lifting only affects the patient’s appearance and does not correct the causes of skin aging.

Problems after the procedure may occur in women prone to scarring. Traces of the intervention will most likely not be visible on the surface of the dermis, but subcutaneous proliferation of connective tissue can significantly complicate subsequent plastic surgeries.

The main danger of SMAS lifting is the possibility of affecting people passing nearby. nerve fibers, thereby disrupting neurological connections. In addition, other side effects may occur in the affected area:

hematomas;

loss of sensation in the skin, ear, or nose;

addition of a bacterial infection;

necrosis;

poor healing of sutures.

To protect yourself from the occurrence adverse reactions, entrust this complex and responsible procedure to an experienced plastic surgeon with an appropriate reputation. And reviews of friends or women who have already undergone a facelift and are satisfied with the result will help you choose a specialist.

Indications and contraindications

As stated above, the purpose of SMAS plastic surgery is to correct facial contours, therefore the appearance of facial wrinkles and dull skin color will not be considered indications for the purpose of manipulation. You should focus on tissue ptosis. The main evidence of this process will be:

shaving in the neck and lower jaw;

nasolabial wrinkles;

bags in the infraorbital area;

appearance;

folds on the neck.

Any type of SMAS lift will help get rid of signs of aging, restore clarity to the submandibular angle and correct the shape of the face. However, the final result will depend on the amount of excess skin.

SMAS lifting, like any other cosmetic procedure, has contraindications. Plastic surgery is prohibited in the following cases:

oncology;

pregnancy and breastfeeding;

chronic diseases of the heart, blood vessels and kidneys;

presence of a pacemaker;

tendency to scarring;

acute viral and respiratory infections;

mental illness.

The upper age limit for each type of plastic surgery is set separately, but in any case, the procedure is not recommended after 60–65 years. The reason for this is the deterioration of tissue regeneration, which sharply increases the risk of complications and prolongs the recovery period.

Preparation for the procedure

Before undergoing surgery, you will be referred for a full medical examination and, if necessary, for consultation with specialists. This is necessary in order to timely detect possible contraindications or undiagnosed diseases and reduce the risk of postoperative complications.

2 weeks before plastic surgery, stop taking unnecessary medications, reduce physical and nervous stress to a minimum, and eliminate alcohol. On the eve of the procedure, go to light diet, and on the day of the procedure, completely refuse food. And be sure to tell your doctor about all medications you are taking.

Technique

Surgical SMAS lift is performed in the operating room under the supervision of an anesthesiologist. It lasts from 2 to 3 hours. During the intervention, the plastic surgeon makes a thin incision from the temple to the back of the head, leading it in front of the ear. After skin detachment, the doctor separates connective tissue, excises the excess and gives it a new position.

During the operation, the surgeon simultaneously performs a neck lift along with the face, relieving the patient of a double chin and jowls.

For pronounced nasolabial folds, the doctor performs an extended SMAS-lift, which affects deep tissues up to the periosteum.

It is also performed under general anesthesia and lasts 3–4 hours. During the operation, the surgeon makes small punctures in the temporal region and through them inserts an endoscope, at the end of which there is a miniature video camera. Then he fixes the separated tissues in the desired position and applies sutures.

The hardware procedure is carried out in a cosmetology office. Before manipulation, clean the skin and local anesthesia. After half an hour, the anesthetic is washed off and the specialist begins the ultrasound lift.

Ultrasonic facelift progress:

The cosmetologist marks the patient’s skin with lines along which the treatment will be carried out.

A wave-conducting gel is applied over the drawing.

The specialist treats the skin with a device, capturing two levels of the dermis and the muscle-aponeuric layer. The manipulation is carried out first on one half of the face, then on the other. If the procedure becomes painful, you should tell your doctor.

Ultrasound lifting ends with washing off the gel and applying a regenerating cream.

Process ultrasonic exposure lasts 1–1.5 hours, sometimes longer. The changes that have occurred to the face can be seen immediately, but the final effect will occur after 2-3 months.

Rehabilitation period

After classical or minimally invasive surgery, the patient spends the first few days in the hospital. After a week, the doctor removes the fixing bandage, and on days 10–12 removes the sutures.

The initial rehabilitation period takes 1.5–2 months. At this time it is recommended to reduce physical exercise, do not work bending over, refuse any thermal procedures and visits to the pool or gym. It is advisable to wash your face with cool water and be sure to use sunscreen.

To reduce pain and inflammation during rehabilitation, the doctor prescribes anesthetics and, if necessary, antibiotics. Arnica preparations, magnetic and ultrasound will help eliminate swelling and hematomas.

How long does the effect last?

The longest and most lasting result comes from surgical SMAS lifting - its effect can last for 10–13 years, and even after this period you will look younger than your peers.

Endoscopic face lifting lasts on average 4-5 years, and ultrasound helps get rid of ptosis for 1-2 years. Then you will have to re-correct using this or another method.

Answers on questions

Will a facelift help you get rid of jowls forever?

As a rule, with a high-quality SMAS lift, jowls disappear almost immediately and the oval of the face becomes clear and expressive. But if you start to lose weight, the defect may appear again, although in a less pronounced form. Therefore, if you intend to lose a few pounds, it is better to do this before the procedure.

The risk of jowls returning or persisting exists in older women and women who smoke, as healing skin flaps in their case, it is unpredictable and can lead to residual ptosis.

How long to wait for the final result from classic lifting?

Often women, going for a surgical SMAS lift, sincerely believe that they will see a renewed face in 7-8 weeks, but this is not the case. After the specified period, the scalpel marks heal, hematomas resolve, subcutaneous scars form, that is, the appearance becomes quite decent, and you can go to work.

The main tissue shrinkage lasts 5–7 months after surgery. During this time they dissolve internal damage, the face takes its final shape, floating swelling disappears, tissue sensitivity is restored. Therefore, when deciding on a classic procedure, be patient and do not expect complete rejuvenation 1-2 months after the operation.

How much does the procedure cost?

The price of the procedure depends on the region, the status of the clinic and the qualifications of the specialist and, of course, on the type of SMAS lifting. For example, in Moscow and the Moscow region, the cost of the procedure ranges from 45,000 to 500,000 rubles. In the provinces, the price for a facelift is lower - from 25,000 to 350,000 rubles.

Let's sum it up

SMAS-lift is not a panacea, but one of best practices for correction of facial oval. At the same time, choosing surgical method rejuvenation, get ready not only for wonderful results, but also to for a long period rehabilitation. And believe me, it's worth it.

Have you done SMAS lifting? Tell us what procedure was performed, leave a review about the cosmetologist or plastic surgeon.

Every woman wants to preserve her youth and beauty. Many people despair of surgical intervention for this, many try to tighten their faces on their own using “grandmother’s” methods, while others try to achieve the expected result with a non-surgical facelift in cosmetic clinics.

Modern technologies, discoveries and developments in the field of cosmetology services allow us to offer patients a huge list of ways to combat the first wrinkles and skin aging.

So that you don’t get lost in all these methods, we will present the most popular and effective methods.

Non-surgical lift Facial surgery is an alternative to plastic surgery that eliminates the signs of aging.

Non-surgical lifting is performed different ways, the most important and common methods are:

Thread lift;
Ultrasonic tightening;
Circular lift;
Endoscopic lift;
Masks.

Let's look at the advantages and features of all of the above methods.

Non-surgical thread lift and other ways to restore youth

This method has become widespread due to its action. This procedure partially smoothes out the signs of aging by fixing the tissue. As a result of this procedure, the muscles of the face and neck are tightened and fixed; in addition, unnecessary body fat are deleted.

Flabbiness disappears, the appearance of the skin changes and looks healthier and younger, which visually rejuvenates by 10-15 years! Threads are mainly used by women whose age ranges from 40 to 70 years.

Thin threads made from a special material are installed through soft layers of skin. The essence of this method is to retain tissue on the face that has lost its elasticity and aged over time. Microscopic projections are applied along the entire length of the thread at a special angle.

They allow you to group and shift soft fabrics, lifting them in the right place, and then securely fixing them. Basically, the duration of this procedure takes about 20-30 minutes. After such a tightening, the skin does not require long-term rehabilitation.

Advantages of this procedure:

Proven effectiveness;
Effective and quick results;
No scars;
Maintaining the results obtained for 2 years.

Flaws:

Cost (about 25-40 thousand rubles);
Limited spectrum of action (provides only tightening);
Not suitable for thin skin big amount subcutaneous fat;
Rare manifestations of painful sensations.

Circular lift

Sagging areas of soft tissue of the chin, neck and face are eliminated by a circular facelift, making these areas more attractive by improving the oval. The technique of performing a circular lift is very difficult, which is why this operation must be performed by a qualified and experienced surgeon.

The location of the incisions and the subsequent method of performing the operation depends on the preference of the surgeon and the condition of the patient's face.

Basically, the surgeon makes an incision in the temporal part of the face, then follows the natural folds, going around the ear in front. Completes the incision in the posterior part of the face, thereby allowing postoperative scars more invisible.

Once the surgeon stops cutting, he will begin to peel away the skin and muscle while removing excess fat deposits. After completing this stage, muscle plastic surgery is performed, and then excess skin is removed.

Endoscopic lift

An endoscopic facelift is similar to the circular method, which also involves making subtle incisions, but not in the temporal part of the face, but in the scalp.

This operation is not performed manually, but using special endoscopic equipment.

Duration endoscopic lift Mostly it is about 3 hours. In this case it is used endotracheal anesthesia or general anesthesia.

As a rule, after completion of the procedure, patients are in hospitals under the supervision of doctors for several days.

What effect is expected from an endoscopic facelift:

Vertical wrinkles on the cheeks are removed;
Folds and wrinkles in the forehead, bridge of the nose, necks, cheekbones and temples;
Nasolabial folds and sagging tissues in the neck area disappear;
The double chin disappears;
Sagging areas disappear.

Flaws:

Painful sensations for several days;
Increased level of risk;
You can return to your daily lifestyle after two weeks;
Constant physical activity for 4 weeks;
The result can be assessed only after 2 months.

Ultrasonic lift

Ultrasonic facelift is the impact of high-precision and targeted ultrasound into the deep layers of the skin, namely into the superficial muscular-aponeurotic system, which is responsible for the tightened contours of the face and its elasticity.

Ultrasonic lifting allows:

Improve the quality of the skin and even out its relief;
Tighten the muscles in the neck;
Get rid of “jowls” along the contour of the lower jaw;
Tighten facial skin without long-term rehabilitation.

The main distinctive and positive quality ultrasonic method, is that the result can last for 6-8 years. The secret of ultrasonic rejuvenation is warming up the face before the procedure. The massage is carried out strictly along the lines, which will later be processed with ultrasonic equipment to ensure the most natural tension of the superficial muscular-aponeurotic system.

The ultrasound method is absolutely safe and does not injure the skin, helping to avoid various burns and other long-term complications in the form of swelling.

Many women are afraid to cross the threshold pain, use face masks for tightening, as they help eliminate facial wrinkles, restore elasticity, correct the contour and smooth the facial skin, and also improve collagen synthesis.

In women over 35 years of age, the skin becomes dull and dry, loses elasticity and sags; many turn to clinics for help, while others try to regain their former beauty with anti-aging masks. Take a mask course at a clinic or try making them yourself – it’s up to you.

Every day, you look in the mirror and no longer hope for a miracle? After thirty, the contour of the face loses clarity. The traces of time become more noticeable... You can turn back time! The innovative Silhouette Lift technique can restore the face to its former features - that smile and freshness that are so lacking.

This technique was created for women and men who want to look young, but are not ready for the risks of a serious operation under general anesthesia, pain, extensive swelling and prolonged seclusion.

Suits them Silhouette Elevator, because it:

45 minute outpatient procedure;
local anesthesia;
recovery in 2 – 3 days;
natural result for a long time.

Speaking about long-term results, it is necessary to soberly assess the capabilities of the Silhouette Lift technology and understand that none of the methods existing today can stop the natural aging process. The results of a facelift using the Silhouette Lift method last 2–4 years, depending on the individual characteristics and the patient's lifestyle. But the possibilities Silhouette Elevator are not limited to this period.

The technology allows for repeated “lifts” of facial tissue using threads implanted several years ago. 10 - 15 minutes and you're done!

Silhouette Lift also helps to cope with facial asymmetry. This is the optimal solution for people suffering from paralysis facial nerve(such as Bell's palsy).