Personal experience: facelift and rehabilitation after it. Circular facelift Care after facelift

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Circular facelift

The main task is to reduce the severity of wrinkles, nasolabial folds, and eliminate double chin. After the operation, the skin becomes elastic and tightened.

Many experts argue that rhytidectomy should not be performed more than twice. There is an explanation for this: with each subsequent operation, the likelihood of resuming normal blood flow where surgery was performed decreases. Therefore, operations should be performed no more often than once every 5-6 years, while the third procedure most often turns out to be ineffective. Moreover, the intervention is fraught with danger - facial features may change unnaturally.

Circular facelift: how the operation works

Before performing a circular facelift, the doctor first determines the factors that can cause complications during the operation or during the rehabilitation period. The doctor will definitely ask the patient whether she takes pharmacological medications, how often she drinks alcohol, and whether she smokes. Also, at this stage, it is necessary to undergo a comprehensive medical examination in order to find out about all possible contraindications to the operation.

Condition of subcutaneous fat;
structure, shape of the face;
muscle condition;
condition of the epidermis.

The results that can be achieved with surgery, as well as the specific goals that interest the patient, are necessarily discussed.

You should prepare for a circular lift 2 weeks in advance. The process involves a complete rejection of:

Drinking alcoholic beverages;
taking medications;
smoking.

24 hours before rhytidectomy you should not eat heavy food. Eat in small portions, only dietary foods. On the day of surgery, the patient is prohibited from drinking liquids or eating.

Facelift: stages

The operation allows you to achieve amazing results - you can see before and after photos on the Internet for comparison. However, rhytidectomy is considered a rather difficult procedure, for which it is necessary to seriously prepare, as well as undergo a course of rehabilitation. The process is performed under general anesthesia. Consider the execution sequence:

1. The doctor makes an incision - it will begin in the temporal region and continue to the anterior border of the auricle. If the patient also wants to have a neck lift, then an incision will also be made on the chin.

3. The skin is redistributed, fatty tissues and muscles are moved. This is necessary in order to remove sagging areas.

6. At the final stage, the skin is tightened back and up, and a special compression bandage is applied.

Based on all the procedures described above, the essence of the operation can be clearly described:

Skin redistribution;
cutting off unnecessary skin;
muscle strengthening;
formation of the oval face.

The price of rhytidectomy depends on the complexity of the work to be done, as well as its volume. It is very important to find a good specialist with extensive experience who can perform the operation at the highest level and not harm the patient.

Types of circular facelift

In total, two types of procedure can be distinguished:

1. Circular facelift using the SMAS technique. It is used if the patient already has strong age-related changes, which cannot be eliminated if only the epidermis is affected.

2. Subcutaneous lifting. They are used if the patient does not yet have too serious age-related changes, and they can be eliminated simply by acting on the skin.

Many cosmetic procedures are called “circumferential facelifts,” but as such, there cannot be a circumferential facelift without surgery. These procedures are much less effective and do not provide long-term lifting and 10-year rejuvenation.

What results can be achieved with a circular facelift?

After the intervention, the cheeks and neck acquire clearly defined contours, while the chin and cheekbones become sharper, and the skin acquires elasticity and becomes toned.

The circular lift is designed to solve age-related problems, namely:

Elimination of the double chin, making the face look thinner visually;
restoration of facial oval;
correction of the shape and location of the eyebrows;
raising drooping eyelids;
smoothing nasolabial folds;
restoration of elasticity of the soft tissues of the cheeks - due to this they will not sag;
restoration of the contours of the neck, giving it a beautiful shape.

A patient is given a circular facelift only if the doctor, during the examination, does not find any serious pathologies, dermatological ailments, or problems with blood clotting.

If the patient decides to have not only a face lift, but also a neck lift, in such cases all procedures are performed simultaneously. Reviews about the procedure confirm its effectiveness - if all the manipulations were carried out by the doctor correctly, the patient’s appearance is transformed.

Indications for a circular facelift

Let's consider in what cases it would be important to carry out the procedure:

Sagging of the dermis;
the presence of pronounced nasolabial wrinkles;
lack of clarity of the oval of the face;
cheek creases;
the presence of deep facial wrinkles;
loose skin;
the presence of fatty tissue on the neck and face.

Contraindications

In some cases, the patient does not receive permission for the procedure - and there is an explanation for this. A circumferential lift is a serious operation. The doctor must be sure that rhytidectomy will not pose a threat to the health or life of the patient.

The procedure is not performed for the following pathologies:

Diseases of the endocrine system – hypothyroidism, diabetes, etc.;
the presence of infectious pathologies;
hypertension;
coagulopathy;
oncological diseases;
the presence of benign neoplasms;
tendency to the appearance of keloids;
inelastic skin.

What are the features of rehabilitation after a circular facelift?

Always after the procedure, the tissues become swollen - this is a normal process, but at the same time it becomes one of the most unpleasant moments. Edema is most pronounced in the paraorbital region. The appearance of swelling is a consequence of a violation of the integrity of the lymphatic vessels, as well as the body’s reaction to tissue damage (an inflammatory process is triggered). In order to prevent the sutures from coming apart due to tissue swelling, and also for maximum patient comfort, the surgeon applies a special compression bandage while still in the operating room. After 5 days, the swelling will go away - if the rehabilitation process is successful and the patient follows all the doctor’s instructions.

Many people are afraid of the pain that may occur after surgery. It is worth noting here that rehabilitation is not difficult - due to the fact that facelift is not a traumatic, extensive operation. The feeling of pain and discomfort can be easily relieved with standard painkillers.

Sometimes after the procedure, the patient notes an unpleasant, pulling feeling in the area where the incision was made (tingling, numbness). This is due to the fact that the tension of the dermis changes and the volume of the skin decreases. These sensations will pass - after the severity of the swelling decreases, the skin tissues and muscles get used to the new condition.

If rehabilitation is successful, the doctor will remove the stitches within 2-3 days. In their place special strip strips will be applied. Many patients worry that scars may remain after their wounds heal. If the operation is performed by a real specialist, a professional in his field, nothing will be noticeable. The scars are thin, neat and only a surgeon can see them.

The duration of the rehabilitation period directly depends on the age and health status of the patient. The activity of regeneration processes in the body and the characteristics of the operation are also important. On average, rehabilitation lasts approximately 1-2 months - but again, the period will be individual for each person.

Are there complications after a circular facelift?

Unforeseen complications may arise in several cases:

The plastic surgeon is incompetent and made mistakes during the procedure;

The patient was not examined well enough at the very first stage of preparation for the operation.

In such cases, the following unpleasant phenomena may appear:

Damage to the facial nerve - this can provoke a disruption of the innervation of the muscles responsible for facial expressions;

Asymmetry of the face or overstretching of the skin as a result of incorrect fixation of the dermis and muscles;

Application of wide sutures - this leads to visible scars on the patient’s face;

The formation of keloid scars - this complication occurs as a result of incorrect examination and is a consequence of the characteristics of the body.

We must not forget that a circular lift is a serious procedure that requires careful preparation. You cannot be negligent in your examinations, otherwise you may not get the result you expected.

Market Analytics

Full rehabilitation after a circular facelift as a rejuvenating procedure is considered an invariable condition. The circumferential lift has several alternative names - rhytidectomy or facelift. And although this procedure is considered relatively new, it already has many fans around the world. And indeed, why go under the knife of a plastic surgeon if there is the safest and most effective tightening technique?

Of course, like most cosmetic procedures, a circular lift has a number of contraindications and possible side effects. But the high-quality work of a competent craftsman will negate all possible risks. And some of the difficulties of the rehabilitation period are forgotten at the sight of young and beautiful facial skin.

How long does rehabilitation take?

The rehabilitation period after a circular facelift can take some time. Moreover, the time period required for complete recovery is individual for each patient. The speed of rehabilitation directly depends on the patient’s age, the characteristics of her skin and general health.

As a rule, if the operation was successful and did not cause any side effects, rehabilitation after a facelift goes quite quickly. 3 weeks after the operation, the patient can begin to perform her work duties.

The average duration of the rehabilitation period after a circular lift takes 1-2 months.

The recovery period after the facelift procedure has a number of features:

A circular facelift leaves multiple swelling on the patient’s face. They are the result of disruption of small vessels during surgery. To solve this problem, a special compression bandage is applied to the woman’s face. In the case of normal functioning of the body, with the help of this bandage, swelling disappears already 4 days after the intervention. Hematomas appear much less frequently than edema. As a rule, all external manifestations of the postoperative period disappear on the 10th day after surgery.
A circumferential face and neck lift is not considered a complex operation. For this reason, to relieve possible pain, it will be enough to take regular painkillers.
As a rule, sutures are removed on the 3rd day after surgery. They are replaced with special strip strips.

Due to the tightening of the dermis and the removal of excess fat from the subcutaneous space, the patient may feel discomfort in the form of tightness of the skin at the incision sites. The affected areas may also experience tingling and numbness. Usually these symptoms go away on their own after the skin has completely healed.

You will learn more about restoration from the video:

To ensure that facelift tightening does not cause unforeseen complications, you should follow simple cosmetic recommendations in the postoperative period:

The patient is recommended to sleep exclusively on her back for at least 2 weeks for faster tissue restoration and consolidation of the positive effect obtained.
For six months after the intervention, you should avoid visiting the solarium and exposing your face to direct sunlight.
Follow a daily routine and diet.
Optimal alternation of physical work and rest.
Also, a woman should minimize sports activities at least for the first time after a facelift.
It is not recommended to use aspirin and other anti-inflammatory drugs 2 weeks before and after surgery.
Cold compresses for the eyes using gauze or soft cloth will have a good effect.
The first time after the procedure, it is recommended to sit, stand and walk more to consolidate the resulting tightening effect.
It is worth taking antibiotics for 5 days to avoid possible inflammatory processes.

Compliance with all the basic rules of the recovery period will help the skin remain beautiful and tight for a long time after the rhytidectomy procedure.

During the first time after surgery, a woman may experience difficulty eating, especially if the oral cavity has been affected. During the entire rehabilitation period, the patient is recommended to adhere to a diet, eating only liquid food. Gradually, a transition is made to softer foods and, finally, a return to the usual diet.

Various juices, broths, jelly and yoghurts are especially useful during the recovery period. The latter is especially relevant during this period, because yogurt restores intestinal microflora, which can be disrupted by taking antibiotics.

The recovery period after a circular facelift involves some changes in the patient's lifestyle and habits. In order for the recovery to be as quick and successful as possible, a woman should take into account some subtleties. So, in the postoperative period, the patient is allowed to:

On day 2-3 you can wash your hair; a visit to the hairdresser after a total facelift is possible on day 7-8.
On the 10th day, it is permissible to apply light makeup to the face.
After a month, you can perform a lymphatic drainage massage procedure.
At the end of the rehabilitation period, it is permissible to consolidate the tightening effect with the help of mesotherapy or Botox injections.

The rehabilitation period after rhytidectomy imposes certain restrictions on the patient. So, at first it is not recommended for her:

Drive a car (the first week after the procedure);
Do a facial massage;
Swim in pools and open water;
Smoking and drinking alcohol;
Lighten and dye hair.

In case of insufficient preliminary examination of the patient’s body before the tightening procedure, certain difficulties may arise at the exit. Thus, the most important side effects after a circular facelift surgery are:

Inflammation at the incision sites. Formed as a result of insufficient preliminary disinfection of work areas.
Damage to the facial nerve. It can form due to insufficiently qualified actions of a plastic surgeon.
Facial asymmetry. Occurs due to uneven tissue distribution.
The appearance of keloid scars. It is considered an individual reaction of the body to making incisions.
In some cases, postoperative sutures are clearly visible. Usually this problem is solved by using absorbable ointments.
Excessive stretching of the skin.

In addition to scarring, swelling and possible bruising, the following complications may occur after a circular facelift:

Necrosis. Ignoring problems with sutures can cause a complication in the form of necrosis - tissue death. This problem can occur as a result of too much tissue tension or detachment. As a result, the seam line does not close. The area around the ears is especially susceptible to necrosis. In addition to medical errors, the cause of necrosis can be the presence of diabetes mellitus or atherosclerosis in the patient.

Wound suppuration. Hematomas, necrosis, and the entry of various foreign bodies into the wound provoke inflammatory processes and the release of purulent fluid. To avoid such a problem, the wound area is washed several times during the operation, and upon completion, a drainage system is installed to drain excess fluid.

Facial oval deformation. Sometimes patients complain of persistent subcutaneous lumps after surgery. The problem is usually corrected with repeat surgery.

Hair loss. Postoperative sutures are often located on the scalp. For this reason, there is often a significant reduction in the amount of hair in the parotid and temporal zones. The main factor is considered to be damage to the skin and hair follicles. In most cases, the problem resolves on its own 3-4 months after the lift. If this does not happen, it is necessary to excise the scar interfering with growth or transplant skin from other areas.

Real photos of the results of a circular facelift will help you evaluate the effectiveness of the procedure. It is easy to notice the amazing effect after using this rejuvenating technique.

A circular facelift is a modern, safe and effective way to correct facial contours and problem areas. Of course, the maximum effect will be achieved if all safety rules are observed and the doctor’s qualifications are followed. Therefore, the patient should approach the choice of a lift specialist as carefully as possible.

Designed to tighten and fix not only the skin, but also the muscles of the face, thereby providing a deep anti-aging effect. Whichever of these operations you choose, the rehabilitation period will worry you more than the operation process itself. That is why in this article we decided to highlight the most pressing aspects of the recovery period. Our leading aesthetic surgeon Oleg Banizh performs almost all facelift operations. He will give you valuable recommendations regarding healing and will make every effort to ensure that regeneration is quick and painless.

Painkillers

We often hear the question from patients: is it possible to take medications with an analgesic effect immediately after a facelift?

You will certainly spend the first day after plastic surgery in our hospital. This is necessary so that the doctor personally monitors your condition and can take timely measures in case of unforeseen complications. After surgery, you may feel pain and tension in the treated areas of the skin. To relieve discomfort, you will be given a mild analgesic. Typically, patients quickly refuse pain medication, but if you have a low pain threshold and discomfort does not leave you, contact your doctor to prescribe a gentle drug that you can take at home.

It is better to avoid painkillers for a week, as they can cause swelling and, as a result, slow down the healing process. Aggressive fast-acting medications are strictly prohibited. Remember: taking any medications after plastic surgery should only be done with the personal permission of the doctor, or under his supervision.

Meals

How soon after a facelift can I eat? What should it be like?

We will under no circumstances starve you in the first hours after plastic surgery. On the contrary: it will be useful for you to eat to restore the body's strength after anesthesia and replenish energy. However, one point is important here: when you wake up after plastic surgery, try to minimize jaw movements so as not to disturb the injured tissues. Immediately after, refresh yourself with broth, smoothie, yogurt, fermented baked milk, kefir or pureed soup. It is advisable to take these products through a straw. A few hours after surgery, you can begin to eat light meals.

Please note: in the first week after lifting, it is better to completely exclude hard meat, raw vegetables and fruits (especially carrots and apples), nuts and other foods that are difficult to chew from your diet. Give preference to meat soufflés, cream soups, vegetable purees, stews, and porridges. It is also worth limiting the consumption of natural stimulants: strong tea, coffee, chocolate, various spices and smoked meats. You will have to completely forget about alcohol for 2-4 weeks. Tobacco should also be excluded: smoking has a detrimental effect on tissue healing.

Car driving

Is it possible to drive a car immediately after plastic surgery?

Driving a car after a facelift is strictly prohibited in the first few days. Firstly, your condition does not yet correspond to the norm in which you can get behind the wheel and concentrate on the road. This is especially true when performing an operation under general anesthesia. Secondly, postoperative swelling, which occurs in any case, temporarily reduces visual function. As a result, you may get into an accident or lose control. In addition, physical activity is not recommended during the initial rehabilitation process, and driving a car is labor-intensive and can cause you a lot of inconvenience and anxiety.

You may be ready to drive again 4-5 days after plastic surgery. However, we recommend discussing this issue with your doctor in each individual case. The optimal time for the first independent driving trip is 2-3 weeks after plastic surgery.

Help from loved ones

Is it possible to be completely alone after undergoing plastic surgery for a facelift?

No. During the rehabilitation process, you will need help even in everyday life. It is better not to bend over, not to lift heavy objects, and not to expose yourself to various risks at home. After plastic surgery, you should remain completely at rest for several days. Therefore, you literally need the help of loved ones. In addition, you must be “looked after” by at least one adult who can take measures for urgent hospitalization or first aid in case of unforeseen circumstances and complications. Of course, the leading doctor at our clinic minimizes such risks and does his job efficiently, but no one can say for sure what side effects you may encounter specifically. In this case, it is simply necessary to play it safe.

Ice therapy

Is it possible to apply ice to the face to eliminate severe swelling?

In most cases, this is acceptable if there are no individual contraindications such as an allergy to cold. Ice compresses can indeed reduce pain and prevent severe swelling, but this is only relevant in the first 1-3 days after facefitting. Then other mechanisms are launched in the tissues, and all attempts to “cool” the sore spots will be in vain. By the way, do not forget about a sense of proportion. You should not keep the ice for more than 10-15 minutes, otherwise you risk catching a cold. A cold compress can be used every 2-3 hours.

Restful sleep

What is the best position to sleep in after a facelift?

Controlling yourself in a dream is certainly very difficult. However, we advise you to create all the comfortable conditions for yourself in order to take the correct position during the night's rest. Try not to sleep on your side or lie down on the incision sites. Despite the fact that in the first days after plastic surgery they will be reliably protected by a special compression bandage, it is better to limit the load on the operated areas of the face and head. Under no circumstances should you sleep on your stomach: this way you risk not only “disturbing” the stitches, but also causing intense swelling. It is also better to avoid sleeping on your side. Preference should be given to sleeping on your back, so try to arrange your pillows in such a way that you cannot assume a different position at night. You will be able to return to your favorite resting positions after complete healing - 2-3 weeks after.

Water procedures

When can you wash your hair, take a shower, wash your face with soap, or swim in the bathtub or pool?

Of course, hygiene issues are of real concern to each of our patients. A day after the operation, you can already wash and shower, observing certain precautions.

Choose delicate products, exclude aggressive soaps and gels with a high content of sulfates and fragrances.
If you have difficulty opening your mouth, use a small toothbrush, ideally a child's one. You can use floss and a special mouth rinse.
It is better to refrain from washing your hair for 3-4 days, but if there is an urgent need, you can wash your hair with the help of loved ones.
Hair coloring must be done before plastic surgery, otherwise you will not be able to resort to it in the next month.
Using a hairdryer is allowed only on the fifth day after the facelift.
Taking a bath or swimming in the pool is prohibited for two weeks after surgery. You can forget about the sauna and steam bath for the next month.
The same situation is with sunbathing: you should avoid any sun exposure for 2-3 months. So it’s worth holding off on trips to the sea or organizing an island vacation in anticipation of plastic surgery.

Cosmetology procedures

Is it possible to start visiting a cosmetologist immediately after plastic surgery?

It's better not to take risks. We recommend limiting any injections and peelings for at least a few weeks. Another thing is hardware and physiotherapeutic procedures aimed directly at rapid tissue regeneration and healing. It is better to put off cosmetic scrubs and heavy creams for now. Let them give way to ointments with absorbable and healing effects. Decorative cosmetics should be canceled for at least a week. Now it is inappropriate for you to use heavy foundation and powder: your skin needs to breathe and be saturated with oxygen.

Normally, the rehabilitation process after any type of facelift should last no more than 2-3 weeks. After this period, the pain will leave you, the swelling will finally go away, and the unpleasant feeling of skin tightness will no longer be felt. However, this does not mean that all restrictions end there. We recommend that you consult a doctor about any issue that concerns your future lifestyle. Only when you are completely stronger can you begin the usual lifestyle that you led before your global transformation. Listen to your feelings: if some habitual actions cause you pain, discuss it again with the surgeon. Our qualified person will have a conversation with you, during which you can ask all additional questions that interest you. By contacting a competent doctor, you can be sure: your rehabilitation will be easy and without complications, and an excellent result will delight you and those around you just a few weeks after the operation.

Aging is an inevitable biological process. The occurrence of wrinkles is influenced by factors such as bad habits, various diseases, and poor ecology. Therefore, over the years, it is simply impossible to fight wrinkles with cosmetics alone.

The facelift procedure will come to the rescue; not everyone probably knows that this operation is aimed at smoothing out wrinkles by tightening muscles, as well as excision of excess skin. From this article you can learn how to recover after the procedure and what complications may arise.

The essence of the procedure

Facial plastic surgery means the elimination of excess fat in places where the skin has begun to sag.

You can do a whole face lift or, as it is called, a full face lift, as well as a mini-lift, that is, exclusively in certain areas.

An endoscopic facelift is performed using small incisions along the hairline. During the operation, endoscopic techniques and special instruments are used.

Radiofrequency facelift is also performed - this is skin tightening without surgery. This type of lifting is performed without incisions and under local anesthesia.

Regardless of the type of facelift, it should be carried out only in cases of the first signs of aging. It is best if the procedure is carried out no earlier than 45 years. At this age, the result will be most effective. If you compare the photos before and after a face lift, everyone will see the effect. It is worth noting that if you do lifting at more than 50 years of age, you will not be able to achieve significant rejuvenation due to a decrease in skin elasticity.

Contraindications for facial plastic surgery

If there is at least one contraindication from the following, then the manipulation cannot be carried out under any circumstances:

inflammation of an infectious nature;
oncology;
diseases of internal organs;
allergic rashes;
diabetes;
hypertension.

How to recover after a facelift

In the first days, when rehabilitation after a facelift occurs, the patient will definitely be in the hospital under the supervision of surgeons. Specialists will monitor your condition and how your recovery progresses after surgery. If any complications arise, the doctor will increase the patient’s stay in the hospital.

Approximately on the fifth day of rehabilitation, the first dressing will be performed. Sedatives and painkillers, if necessary, will be prescribed.

In a couple of weeks, if there are no complications, the swelling will go away.

After undergoing facial plastic surgery, the patient cannot:

To dye hair;
Do massage;
smoke;
visit the bathhouse;
drink alcoholic beverages.

Also, severe physical strain should not be allowed.

You can wash your hair a week after the operation, and if the surgeon allows, then use cosmetics.

The patient can return to the normal rhythm of life within three weeks.

Complications after facelift

In some cases, patients lost hair near their forehead after surgery. Hair grows back naturally after some time.

Hematomas and swelling are considered a common manifestation after lifting, but only if they are mild.

If the patient has very sensitive skin, then due to intradermal hemorrhage, pigmentation may occur. This symptom often disappears on its own within six months.

Many people believe that this is an instant effect, but the result can be assessed no earlier than a year after the procedure. The result depends on the lifestyle the patient led, what type of skin he has, age, and diseases. The duration of the effect depends on these factors.

To prevent a repeat facelift, you need to take care not only of the condition of your skin, but also of your health in general.

Video materials on the topic of the article

Where are the cuts...

If we are talking about lifting the face and neck (without the need for a forehead lift), the seam begins in the temporal zone, then continues in the “pre-auricular” area - always in front of the tragus, otherwise problems cannot be avoided. Next, it borders the earlobe and goes behind the ear fold to the back of the head.
If a classic SMAS lift is performed, including the forehead, then the incisions in the temple area should be continued, connecting in the scalp above the forehead. Ideally, not along the hairline, but in parallel, about 5 centimeters above.
The overall size of the suture is not determined by the patient’s mood or the doctor’s desire. It depends on the anatomy of the skull and the amount of excess skin that needs to be removed. If you make them too short, it will be impossible to completely remove excess fabric. As a result, we will not get a clear right angle of the chin and neck.

Overall, it is important to understand that the location of the suture in a facelift is critical. This is a great science, repeatedly tested by the practice of tens of thousands of doctors, hundreds of thousands, millions of operations. If it were possible to find some other way - with very small incisions or so that they went inside the ear, then all surgeons would have operated this way long ago! But today all attempts to move away from traditional technology end in failure. So, just the other day a patient came to see me who had a facelift in Belarus. Local “specialists” apparently also tend to innovate: they made a cut for the woman from the corner of her eye to her temple - right in the most visible place! And, of course, there was a scar left there that is now impossible to remove in principle.

...and how to make them correctly?

The anatomy of our face is very complex - there are bones, ligaments, many muscles, and even the skin in different areas has different density, texture and color. It is necessary to work with a scalpel taking into account all these nuances. Only then will it be possible to apply a neat and invisible seam in the future.

Most often, patients are interested in why the incision is made in front of the tragus and not behind it, because in the latter case it will be less noticeable? There are good reasons for this. Approximately every 10 years, one of the young plastic surgeons makes a “great discovery” - a new method of facelift, in which the suture is located precisely behind the tragus. In fact, the first such technique was invented by the German plastic surgeon Jacques Joseph back in 1931. He described this technique in detail in his book, and a couple of years later he was the first to abandon it. The fact is that the skin of the ear is very specific. It is thin, has no pores and in general is very different from the skin of the cheek. This problem is especially obvious if we do lifting in this way not for a woman, but for a man. Let's stretch the cheek onto the tragus of the ear and sew it there. What will happen? Well, at a minimum, a beard will start to grow on this patient's ear and he will have to shave it every day. But this is not the most unpleasant thing. Due to the tension of the skin, an uncharacteristic load will be placed on the tragus. In a few months it will not hold up, become deformed or even disappear completely!
So that the incisions in the scalp are not noticeable, I do not make them straight, but in the shape of an arc that curves at the temples and above the forehead. Such a wavy line does not create a parting where we don’t want it, and hides perfectly in the hair.
Partially the seams are located in natural folds (for example, in the area behind the ear), and they also cannot be seen from the outside. But some of it will inevitably take place in open areas of the face, in front of the tragus of the ear. To subsequently hide these scars, I use special techniques, which will be discussed below.

Sew so that no traces remain

After the “cutting” has been carried out, taking into account the features of the anatomy of the face and skin in different areas, and completed, it is important to apply the stitches correctly and care for them. Here, each doctor has his own secrets and methods, which they adopt from their teachers, develop throughout their lives and pass on to the best of their students.

Each section of the incision is stitched differently. - Doctor Kudinova tells.- I use threads of different thicknesses and properties, different techniques. For example, in the scalp it is important not to damage the follicles, so here I do not use an intradermal suture. And when working with an incision behind the patient’s ear, it is important to remember that increased stress falls on this area. It is very important that the patient is comfortable during rehabilitation.
But, of course, I pay the most attention to the seam in the open area in front of the ear. This is where the thick skin of the cheek meets the thin, delicate skin in front of the tragus - it is extremely important to make the cut correctly! When joining fabrics further, I use several hidden “relief” seams to prevent overload and distortion in this delicate area. Thus, we allow the scar not to stretch and remain as thin as possible. This author's technique was passed on to me by my favorite teacher, .

My own special secret is in caring for sutures immediately after operations. We remove threads in open and closed areas not simultaneously, but in stages, at different strictly defined times. We are gradually replacing them with special glues. In this way, we completely avoid the pressure of the threads on the skin and the formation of scars from microbedsores. As a result, after healing, not the slightest visible trace remains from the incision. This invisible suture technology - my personal know-how - was loved by all my patients. After all, in this way we not only manage to get a spectacular result of facial rejuvenation, but also make sure that no one guesses about the intervention on the part of a plastic surgeon!

To form a very thin, invisible seam, many tricks are important. For example, I know that hygiene contributes to this. And I recommend that my patients start washing their hair as early as possible - already on the 3-4th day you need to wash your hair and free the scar from crusts, which can trigger the formation of microbedsores and make it rougher.
The first week will be a bandage on the head, and then for another 3 weeks I recommend a supportive elastic bandage that fixes the tissues in the correct position. After a month, you can add rehabilitation procedures, but if the surgeon did everything correctly and efficiently, and the patient followed all the recommendations of his doctor, you can do without them. That is, if it’s not difficult for you to go to physio, do it. But if such a trip is difficult or inconvenient for you, it’s okay. In this case, the result will not be worse, the rehabilitation will just go a little slower.
On one site about the life of stars, I recently saw how my client, a famous actress, was discussed. On several pages of comments, visitors looked at the photographs in search of signs of plastic surgery. They couldn’t find traces either in the photo or in the video, but they still came to the conclusion that there was plastic surgery: after all, a woman over 50 can’t look so young! This is perhaps the best compliment I can give to my work.