How to do facial plastic surgery

Facial plastic surgery is the most common type of plastic surgery in Russia, surpassing liposuction and breast augmentation in popularity. The most popular types of plastic surgery are facial rejuvenation surgeries. These include eyelid surgery (blepharoplasty), rhinoplasty (nose job) and facelift.

Before deciding on facial plastic surgery, you need to learn about all the available procedures - their features, indications and contraindications.

Pros and cons

The need for facial plastic surgery is associated with various defects in appearance - both congenital and acquired as a result of age-related changes, injuries or diseases. The most common indications are: age-related changes in the face, pronounced facial asymmetry, ptosis (drooping) of the upper and lower eyelids and soft tissues of the face, sagging skin, deep wrinkles and folds, marks (scars) as a result of previous skin diseases, double chin. As a rule, this is a matter of aesthetics, and by and large there are no objective mandatory indications for plastic surgery.

As for contraindications, their list is quite specific: facial plastic surgery is not recommended if there are inflammatory processes in the correction area, acute and chronic infections, any chronic diseases in the acute stage, cancer, or bleeding disorders. In addition, facial plastic surgery is contraindicated during pregnancy and lactation. Chemical peeling and deep facial resurfacing performed shortly before surgery may become an obstacle.

Types of facial plastic surgery

The concept of facial plastic surgery combines a variety of procedures and operations, each of which has its own characteristics of implementation, preparation and rehabilitation, as well as indications. At the same time, it is not always necessary to focus on age: various types of facial plastic surgery have their own age restrictions.

Procedures without major surgery

Non-surgical facial plastic surgery with threads

Reinforcement - non-surgical thread face lift. It is performed using self-absorbable polydioxanone threads, which are implanted subcutaneously and gradually replaced by their own collagen fibers. Unlike a classic lift, non-surgical thread plastic surgery rejuvenates the skin without changing the natural features of the face. This type of correction is suitable for patients with initial weakening of the skin without changing the contours of the face and excess skin, mild nasolabial folds, purse-string wrinkles, folds on the forehead. Thread lifting can be performed regardless of the patient’s age: the procedure performed at a young age has a pronounced preventive effect, slowing down the aging process. This type of lifting takes from 30 minutes to an hour and does not require hospitalization or special training. The effect lasts up to 2 years. During the postoperative period, slight swelling may persist for several days. The cost of thread lifting varies over a very wide range, depending on the type and number of threads. Usually they install at least 10 threads, each of which costs from 1400 to 3100 rubles.

Beautyification

A non-surgical, injectable facelift technique that can smooth out age-related changes and improve the overall appearance of the face. This is a set of procedures selected based on a person’s individual characteristics and aimed at achieving maximum results in facial rejuvenation and modeling. Beautification can improve any area of ​​the face and neck; the price depends on the number of correction drugs needed. The procedure involves preliminary 3D modeling of the face. The effect appears immediately and lasts more than a year. The procedure does not require hospitalization, does not cause pain, and the recovery period is minimal. Beautyification allows not only to correct facial wrinkles and restore lost volumes of the face, but also to correct the shape of some of its parts.

Contour plastic

This cosmetic manipulation is performed by various means and methods, depending on the specific clinical case. It is carried out using implantation or injections.

Filers. Contour plastic surgery with fillers or gels is a popular method of non-surgical facial rejuvenation. During the procedure, preparations based on hyaluronic acid are injected under the skin. As a result, wrinkles and nasolabial folds are smoothed, the corners of the mouth are raised, and the volume and shape of the lips, cheekbones and chin can be changed. Popular drugs for contouring are Surzhiderm and Juvederm Ultra.

Fat. Fat grafting is a method of facial correction using injections of your own fat taken from another part of the body. Lipofilling allows you to improve your facial contour, smooth out wrinkles and skin folds. The duration of the operation is from 1 to 2 hours, the effect lasts up to several years. After the operation, swelling, bruising in the area of ​​fat tissue sampling, and decreased sensitivity in certain areas are possible, which disappear after 7–10 days. Lipofilling of one zone will cost approximately 65,000 rubles.

Surgical procedures

Blepharoplasty

Eyelid surgery (blepharoplasty) allows you to get rid of wrinkles, folds, swelling under the eyes, and correct sagging of the upper eyelid. It is the third most popular in the USA and the second in the world. Indications for this type of surgery are mainly related to age-related changes. The operation takes forty minutes and does not require a hospital stay. The duration of the effect is from 7 years or more. Before blepharoplasty, it is recommended to undergo an examination by an ophthalmologist, especially if the patient has eye diseases. You should not wear contact lenses for two weeks after surgery. Swelling and minor hemorrhages disappear within 10 days. The average cost of blepharoplasty is from 30,000 to 80,000 rubles, depending on the complexity of the operation.

Browlift

Eyebrow plastic surgery (browlift) allows you to “move” your eyebrows to a higher position. Browlift is usually performed as part of forehead surgery. The operation consists of weakening the muscles and ligaments that fix the eyebrow and moving the skin upward and fixing it in a new place. The procedure smoothes the forehead and gives the face a fresh and rested expression with open eyes. The operation lasts 1 hour and requires a one-day hospital stay. Preparation for surgery is standard and includes routine laboratory examination of the patient to identify possible contraindications. The postoperative period may be accompanied by minor swelling in the forehead and upper eyelids; the duration of the effect ranges from 5 to 15 years. The average cost of a brow lift is 100,000 rubles.

Canthoplasty and canthopexy

These operations are aimed at correcting the shape of the lower eyelid. Ectropion, or inversion of the lower eyelid, can occur as a result of age-related changes in the ligaments of the eye or as a result of previous lower eyelid surgery. During canthoplasty surgery, the cartilaginous plate of the lower eyelid is shortened. Canthopexy is a type of operation on the ligamentous apparatus of the eye, in which the ligament of the lower eyelid is fixed to the periosteum of the periorbital zone, and is used when the tone of the lower eyelid decreases. The operation requires a stay in the surgical hospital for 2 hours, the effect lasts 5–10 years or more. After surgery, you should expect some swelling or puffiness under your eyes. The recovery period does not last long - about 5 days. The cost of canthoplasty is about 45,000 rubles.

Liposuction

During facial liposuction, excess fat is removed through pinpoint punctures of the skin. The duration of the procedure is 20 minutes. A short stay in hospital is required. The effect of the procedure will depend on your diet. After surgery, temporary numbness, inflammation, and swelling are possible. The cost of liposuction of one area on the face is about 65,000 rubles.

Otoplasty

Correction may involve reducing the auricles (middle part and earlobe) or correcting protruding ears. The incisions are located behind the auricle in the crease behind the ear between the auricle and the head. The duration of the operation is 1 hour; a hospital stay of 4 hours is required. Otoplasty is the only plastic surgery that can be performed on patients over the age of 6 years. A prerequisite for achieving a good result after otoplasty is constant wearing of the bandage for 14 days. General contraindications: acute inflammatory processes, diseases of the cardiovascular system, etc. The cost of otoplasty for the correction of two ears is up to 100,000 rubles.

Rhinoplasty

This is a surgical operation to change the shape of the nose. Rhinoplasty is not recommended for those under 18 years of age (with the exception of operations to eliminate the consequences of nasal injuries). Contraindications to rhinoplasty are inflammation of the facial skin, herpes, and colds. Before rhinoplasty, it is advisable to undergo an examination by an ENT specialist and a dentist, as well as a computed tomography scan of the nose and paranasal sinuses. The operation is performed under general anesthesia. Its duration, as a rule, does not exceed 1–1.5 hours. After rhinoplasty, the patient remains in the hospital for 1 day. Subsequent rehabilitation is divided into 2 periods: “before release into public life” - about 2 weeks; final recovery - from 2 to 6 months. Rhinoplasty, depending on the complexity of the problem, can cost from 130,000 to 250,000 rubles.

Neck lift

The procedure involves removing sagging skin and strengthening the internal muscle frame, thereby eliminating wrinkles in the neck and double chin. The operation lasts 1–3 hours, the recovery period is 2 weeks, the effect lasts 5–10 years. There are several options for the procedure; the doctor chooses a specific method based on the individual characteristics of the patient. Depending on the complexity of the operation, a neck lift will cost from 100,000 to 400,000 rubles (if neck plastic surgery is performed as part of facial plastic surgery).

Forehead surgery

It is performed through three centimeter incisions, making the procedure low-traumatic and low-blooded. During the operation, the skin is moved upward and fixed in a new place. An endoscopic forehead lift will cost an average of about 120 thousand rubles. Rehabilitation after surgery lasts about 10 days, the duration of the procedure is 1 hour.

Face oval plastic surgery

Plastic facial skin tightening can be performed using various methods depending on the severity of the changes, the specific wishes of the patient and other reasons.

Plastic surgery with facial implants. Implants are installed on “unexpressed” areas of the facial skeleton - cheekbones, chin, jaw - to add volume. The position of the incision depends on the location of the implant. Silicone implants are the most popular in modern maxillofacial surgery. The duration of the operation is from 1 to 2 hours, a hospital stay is required. The duration of the effect of the operation depends on the type of material used: in the most successful case, the effect can be permanent. After cheekbone surgery, you will experience some discomfort in the area where the surgery was performed, as well as possible numbness, difficulty speaking and chewing, swelling or swelling. The rehabilitation process lasts about a week. The cost of facial contouring using silicone implants is calculated individually in each case, as it depends on the work of the technologist (implant manufacturer) and the plastic surgeon.

SMAS-plasty (space lifting). This method is based on the effect on the superficial muscular aponeurotic system - a set of muscles and membranes covering them. The point of plastic surgery is that not only the skin is tightened, but also the muscle attachment points are locally moved, creating the impression of a youthful face. The operation can be combined with other types of facial plastic surgery, such as blepharoplasty. Skin tone is maintained without excessive tension, and scars are practically invisible. The duration of the operation is up to several hours, the rehabilitation period is up to two months. The effectiveness of the procedure will last up to 10 years. The most modern method of SMAS lifting is spacelifting. Today, there is no more gentle and yet effective method of rejuvenation. Without pain, long-term rehabilitation and virtually no risks, you can look 10–15 years younger, and this result will last forever. The point is that the surgeon does not perform large-scale tissue detachment, but acts locally, within the so-called sliding spaces. “Sagging” tissues are moved and fixed in their original position, characteristic of a young face. The individuality of features is completely preserved, the person looks absolutely natural. The cost of spacelifting ranges from 100,000 to 550,000 rubles.

Circular facelift. Rhytidectomy, or facial skin tightening only. This operation is also called a circular lift. This type of facial surgery refers to a corrective procedure after primary facial plastic surgery and is aimed at removing excess skin or correcting scars. Contraindications to surgery are: severe diseases of internal organs, infectious diseases, cancer, bleeding disorders. 1–2 weeks before surgery, you need to stop smoking, taking hormonal medications, and drugs that affect blood clotting; it is recommended not to eat or drink on the day of surgery. The procedure takes about 2 hours if performed professionally. The first day after the operation the patient is in the hospital. The swelling of the skin finally subsides after an average of a month. Repeated surgery can be performed after 5–10 years. The cost of the operation is 140,000–200,000 rubles.

Endoscopic facelift. This procedure is also called 3D lifting - due to the possibility of restoring lost facial volumes. The operation is performed under endoscope control through small incisions on the scalp and in the mouth. This type of lift has no age restrictions, but the need for it does not arise earlier than 35–40 years. The operation is performed under general anesthesia and lasts from 1 to 2 hours. You can return to a normal lifestyle within 10 days after surgery, and the positive effect will last for a long time: at least 5 years. The cost of a facelift operation in Moscow is 105,000–175,000 rubles.

Lip reduction

Reducing the size of the upper or lower lip is achieved by removing a thin layer of tissue. The incision is made on the inner surface of the lips or along the outer edge of the lip. The duration of the operation is 1–2 hours, rehabilitation will take about a week, the result of the operation is permanent. The procedure will cost about 56,000 rubles.

Correcting your appearance through plastic surgery is a bold and rather radical decision. If you take it, you should carefully follow your doctor's recommendations. Remember that your satisfaction with the result will depend not only on the skill of the surgeon, but also on the realisticity of your expectations.

Where can you go in Moscow regarding facial plastic surgery?

“Today in Moscow there are many clinics offering practical surgery services,” says Gaik Pavlovich Babayan, a plastic surgeon with 26 years of experience, leading surgeon at the Sharm clinic, - It’s no wonder for an ordinary person to get confused.

You should start your search for a clinic by checking the license to carry out medical activities. According to the law, no medical institution has the right to operate without it.

Then you need to look at the doctors’ profiles on the clinic’s website, pay attention to how often they attend various courses, seminars, scientific and practical conferences. In modern medicine, especially in aesthetic medicine, information is updated very quickly, and constant learning is an indispensable part of a doctor’s work. At our clinic, specialists attend scientific and practical conferences 2–3 times a year and exchange experiences with colleagues. You can also look for the profiles of the doctor you are interested in on social networks to expand your understanding of him. Indeed, in such a delicate area as facial plastic surgery, contact between doctor and patient, the absence of inflated expectations, or any understatement is extremely important.

You should pay attention to whether the clinic supports its patients after surgery. With most interventions, the final result is formed after quite a long time: six months to a year after the operation, when the swelling goes away and the tissues are finally restored. Therefore, it is very important to control the recovery process. We invite our patients to a scheduled examination every month during the first year after surgery - and these examinations are free for them. In general, we support our patients up to three years after the intervention.

An important issue is pricing. In all good clinics, prices are approximately the same; there may be a slight difference due to the location of the institution (cheaper on the outskirts than in the center). But the cost of qualified doctors, high-quality materials, and postoperative care is approximately the same. And if some clinic offers to perform an operation much cheaper than others, think about how they are going to save money?

And of course, the inside of the clinic must be clean and comfortable, so as not to aggravate the stress of the operation with the stress of being in unpleasant conditions.”

License to carry out medical activities No. LO-77-01-016586 dated August 29, 2018, issued by the Moscow Department of Health.

Plastic surgery has long become a reality and a common occurrence in our society. Innovations in medicine have made it possible to achieve impressive successes in the struggle for the beauty of the human body.

Types of plastic surgery ↑

Today, facial plastic surgery can offer a wide range of different procedures, differing in the level of complexity, technologies used, areas operated on, and prices. The most popular, according to reviews, are the following facial plastic surgeries:

1. General contour correction of the facial area, including the lower part. Includes various types of seamless lifting, circular and endoscopic lifting. This also includes more exotic methods of plastic surgery, such as beautification and facial implantation.
2. Lipofilling. It is aimed not so much at removing standard age-related problems such as wrinkles or folds, but at eliminating fat deposits. In addition, the contour lipofilling complex includes procedures to eliminate the consequences of liposuction, for example, resection of sagging skin.
3. Blepharo-, Rhino-, Otoplasty – correction, respectively, of the eyelids, nose and ears. Highly specialized plastic surgery of individual areas of the face, which is distinguished by some auxiliary technologies.

Video about the procedure:

Planning and preparation for plastic surgery ↑

It is important to be clear that facial surgery is a major surgical procedure that can have a major impact on your future health. Therefore, before such an important matter, it is necessary to conduct a thorough consultation with the operating doctor. The specialist is required to assess the condition of your skin, head bones, especially in the lower area, and general health. To do this, it would not hurt to undergo a complete basic medical examination.

In addition, using computer visualization, it is necessary to draw up a plan for facial contour correction. After all, aesthetics is a subjective matter, and the possibilities that modern cosmetic surgery can provide are quite wide. Therefore, before surgery, especially in the lower part of the face, the doctor must clearly outline the scope of future work in order to carry out the most acceptable adjustment for the patient and agree on the price of the work.

According to reviews, heavy smokers, as well as those who use any potent substances, should be especially careful when starting contour correction. According to generally accepted regulations, smoking is prohibited for the patient for a period of up to two weeks before surgery, and for about the same amount during the recovery stage. You should definitely inform your doctor about taking any medications.

Carrying out plastic surgery ↑

The features of such a procedure as facial plastic surgery vary depending on the individual characteristics of the patient and the desired effects that the doctor seeks to realize. The entire operation lasts 3-4 hours; In this case, the patient is under general anesthesia. Facelift incisions are made in the most inconspicuous parts of the head - in the hairy area and in the lower ear region. Thus, all the scars that remain after the surgeon’s intervention will be quite inconspicuous.

If there are large fat deposits in the neck area, a deep incision is made in the lateral-posterior direction of the neck, which allows liposuction to be performed. Immediately after the operation, the patient has a drainage tube inserted in the ear area, which serves to drain interstitial fluid, and is removed after a couple of days. A bandage is applied to all open incisions to prevent bleeding. In general terms, all stages of contour correction can be represented as follows:

1. intravenous anesthesia;
2. incisions in the area behind the ear;
3. removal of ptotic soft tissues;
4. plastic correction of SMAS;
5. application of special cosmetic sutures;
6. completion of the operation - drainage, bandage.

As they say in the reviews, a professional surgeon in a good clinic will perform plastic surgery on the lower part of the face quite confidently and reliably, therefore, you should not be afraid of it. The price of a specialist’s work, in this case, is completely justified.

Recovery period after plastic surgery ↑

For two to three days after an operation such as facial plastic surgery, the patient remains strictly in a hospital setting. This is necessary in order to prevent infectious invasion or the development of inflammatory processes in injured areas. The doctor monitors the gradual healing of the wounds, and if all is well, by the end of the second day he removes the drainage tubes.

Video: rehabilitation after plastic surgery

After which, the patient can be transferred to an outpatient status - within two weeks he visits a doctor for an examination. The final step is removal of sutures 12-15 days after facial surgery. The results of the plastic surgery will be first noticeable after three to four weeks. During the entire recovery period, the patient is recommended to:

1. do not tilt your head too much;
2. do not engage in heavy physical work;
3. avoid active types of recreation;
4. do not overheat the facial area;
5. make trips to a beauty salon for myo stimulation.

After contour correction, the skin of the face, especially in the lower part, may acquire, for some time, an unpleasant tint, as well as lose its former sensitivity. Physiotherapeutic exercises will allow you to quickly get rid of any side effects, the main thing is to coordinate the procedures with your doctor, as reviews advise.

Possible complications and future prospects ↑

Despite all the complexity and cost, modern facial plastic surgery can more or less guarantee a high-quality result that will not be overshadowed by minor side effects and will last for a long time.

In the absence of any serious somatic diseases, complications after facial plastic surgery are extremely rare. According to patient reviews, minor problems such as:

1. swelling of the facial area;
2. redness of certain areas of the face;
3. bruises and hematomas;
4. clots of hardened blood mass in the form of nodules.

All of the above complications of facial surgery, according to reviews, are easily resolved - if they do not go away on their own, they can be removed with medication. The main thing is that they practically do not affect the final effect of the operation.

Plastic surgery is performed with fairly thin instruments, using many of the latest technologies. This allows you to reliably avoid scars, for example, so the cost of new equipment is completely justified. After plastic surgery, only an inconspicuous spot behind the ear remains, often hidden by hair.

The rejuvenation effect lasts for 7-10 years, depending on the patient’s lifestyle. In any case, plastic surgery, no matter how much it costs, not only provides one-time rejuvenation, but also significantly slows down the natural aging process. This means that 10 years after the operation the patient will look better than if there had been no plastic surgery at all.

Pricing policy for plastic surgery ↑

Today, the cost of general plastic surgery is quite high, but we must not forget that this is a very serious surgical intervention that requires the use of many expensive materials and the highest professionalism of the doctor. In addition, there is a tendency towards a gradual decrease in cost. General average prices are presented in the table:

Prices vary quite widely from clinic to clinic, but it should be noted that the indicator of quality service delivery is not the cost of the work, but rather customer reviews.

Video review of the procedure:

With age, almost every woman begins to notice that her skin becomes less elastic, the oval of her face loses its definition, and more wrinkles appear. Anti-aging creams and masks do not help in the fight against deep wrinkles on the face and sagging skin, and then, in order to maintain a youthful face, a woman turns to a procedure such as plastic surgery.

Facial plastic surgery is an operation aimed at eliminating all signs of age-related changes in facial skin by removing excess fatty tissue and tightening certain muscles.

Who needs facial plastic surgery

Recommendations for plastic surgery are largely individual and are related to the genetic characteristics of the skin structure. At the age of 40-60 years, the first traces of the aging process become noticeable on the face and neck, although the elasticity of the skin is generally preserved, and the bone structures of the face have not yet undergone gross age-related changes. Anti-aging procedures are more in demand, although plastic surgery is also done by people who would like to radically change something in their appearance.

Indications for facial plastic surgery most often include the following changes:

1. drooping soft tissue of the eyelids
2. drooping of the outer corners of the eyes
3. sagging forehead and eyebrow skin
4. deep nasolabial folds
5. vertical wrinkles on the cheeks
6. double chin

At the same time, a number of factors may prevent facial plastic surgery. These include: high blood pressure, cardiovascular diseases, chronic diseases in the acute stage, disorders associated with blood clotting, ongoing infectious processes, as well as existing signs of cancer. In addition, individual characteristics of the patient may be contraindications to plastic surgery.

Preparation and performance of facial plastic surgery

In order to competently perform the operation and eliminate possible contraindications, during the preparation the patient is offered to undergo a series of clinical studies. During the operation, the surgeon performs manipulations to eliminate wrinkles and restore the contour of the lower part of the face and the chin-cervical angle.

The main goal of facial plastic surgery is to correct the shape and contours of the face and neck, returning elasticity to the skin and elasticity to the muscles. Today, aesthetic surgery offers various types of facial plastic surgery: lower or upper face lift, endoscopic face lift, circular face lift, implantation of gold threads, etc. In addition, facial plastic surgery varies in degree of complexity. The most complex operation is considered a facelift, which is performed under general anesthesia. Because every aspect of the face has its own unique shape, facelift surgery will always be slightly different for each individual patient.

Result and rehabilitation after facial plastic surgery

After plastic surgery, the patient remains in the hospital for 1-2 days under the supervision of doctors. In the first few days after surgery, hematomas and slight swelling may remain at the site where the plastic surgery was done, and minor pain is also possible. These symptoms completely disappear within 2-3 weeks. The first dressing is carried out on the 5-6th day after surgery, antibiotics and painkillers are prescribed.

The aesthetic result obtained as a result of plastic surgery more than compensates for the physical inconveniences associated with the postoperative period.