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 the elimination of a double chin. After the operation, the skin becomes elastic and toned.

Many experts argue that rhytidectomy should not be performed more than twice. There is an explanation for this: with each subsequent operation, the probability of resuming normal blood flow in the place where the surgical intervention was performed decreases. Therefore, operations should be carried out no more 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 is the operation

Before performing a circular facelift, the doctor first of all determines the factors that can provoke complications during the operation or during the rehabilitation period. The doctor will definitely ask the patient if she is taking pharmacological drugs, how often she drinks alcohol, 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, face shape;
muscle condition;
condition of the epidermis.

It is mandatory to discuss the results that can be achieved with the help of surgical intervention, as well as specific goals that interest the patient.

Prepare for a circular lift should be 2 weeks in advance. The process implies a complete rejection of:

Drinking alcoholic beverages;
taking medications;
smoking.

For 24 hours before the rhytidectomy, you can not eat heavy food. There are small portions, only dietary products. On the day of the operation, the patient is forbidden to drink liquids, as well as eat.

Facelift: stages

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

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

3. The skin is redistributed, the movement of fatty tissues, as well as muscles, is carried out. This is necessary in order to remove sagging areas.

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

Based on all the above procedures, you can clearly describe the essence of the operation:

Redistribution of the skin;
cutting off unnecessary skin;
muscle strengthening;
the formation of an 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 procedures 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 "circular facelift", but as such, a circular facelift without surgery cannot be. These procedures are much less effective and do not provide long-term lifting and rejuvenation by 10 years.

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 taut.

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

Elimination of the second chin, due to which the face looks thinner visually;
restoration of the oval of the face;
correction of the shape, as well as the location of the eyebrows;
lifting drooping eyelids;
smoothing nasolabial folds;
restoration of the 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 circular facelift is performed on the patient only if the doctor during the examination does not detect serious pathologies, dermatological ailments, and problems with blood clotting.

If the patient decides to have a facelift not only of the face, but also of the neck, in such cases all procedures are performed simultaneously. Reviews of 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

Consider in which cases the procedure will be relevant to carry out:

sagging 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 adipose 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 facelift is a major operation. The doctor must be sure that the rhytidectomy will not become a threat to the health or life of the patient.

Do not carry out the procedure for the following pathologies:

Diseases of the endocrine system - hypothyroidism, diabetes mellitus, etc.;
the presence of infectious pathologies;
hypertension;
coagulopathy;
oncological diseases;
the presence of benign neoplasms;
tendency to develop 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 puffiness becomes a consequence of a violation of the integrity of the lymphatic vessels, as well as the body's response to tissue damage (an inflammatory process starts). In order to prevent the sutures from opening due to tissue swelling, as well as for maximum patient comfort, the surgeon applies a special compression bandage even in the operating room. Already after 5 days, the swelling will subside - if the rehabilitation process is successful, and the patient follows all the doctor's instructions.

Many 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 soreness and discomfort can be easily stopped 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 there is a change in the tension of the dermis, and the volume of the skin also decreases. These sensations will pass - after the severity of the edema decreases, the skin tissues and muscles get used to the new state.

If the rehabilitation is successful, the doctor will remove the stitches for 2-3 days. In their place will be superimposed special strip strips. Many patients worry that scars may remain after wound healing. 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. Also important is the activity of regenerative processes in the body, the features of the operation. On average, rehabilitation lasts about 1-2 months - but again, for each person, the period will be individual.

Are there complications after a circular facelift?

Unforeseen complications may occur in several cases:

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

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

In such cases, such unpleasant phenomena may appear:

Damage to the facial nerve - this can provoke a violation 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;

The imposition of wide sutures - this leads to the fact that scars will be visible on the patient's face;

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

We must not forget that a circular facelift is a serious procedure that requires careful preparation. You can’t be negligent about examinations, otherwise you can get not the result you expected at all.

Market Analytics

An invariable condition is a full-fledged rehabilitation after a circular facelift, as a rejuvenating procedure. A circular facelift has several alternative names - rhytidectomy or facelift. And although this procedure is considered relatively young, it already has many fans around the world. And really - 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 facelift has a number of contraindications and possible side effects. But the quality work of a competent master 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 a complete recovery is individual for each patient. The speed of rehabilitation directly depends on the age of the patient, 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 is fairly quick. 3 weeks after the operation, the patient can start performing her work duties.

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

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

A circular facelift leaves multiple edema on the patient's face. They are the result of disruption of the work of small vessels during the operation. 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, the edema disappears already 4 days after the intervention. Hematomas are much less common for edema. As a rule, all external manifestations of the postoperative period disappear on the 10th day after the operation.
A circular face and neck lift is not considered a complex operation. For this reason, to alleviate a possible pain syndrome, it will be enough to take ordinary painkillers.
As a rule, the stitches are removed already on the 3rd day after the operation. 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 skin tightness at the incision sites. The affected areas may also feel tingling and numbness. Usually these symptoms go away on their own after the skin has completely healed.

You will learn more about recovery from the video:

In order for facelift pull-up not to cause unforeseen complications, simple cosmetic recommendations should be followed in the postoperative period:

The patient is advised to sleep exclusively on her back for at least 2 weeks for faster tissue repair and consolidation of the positive effect obtained.
Within six months after the intervention, it is worth excluding visits to the solarium and exposure to direct sunlight on the face.
Observe the daily routine and nutrition.
Optimal alternation of physical work and rest.
Also, a woman should minimize sports loads 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 a 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.
Within 5 days it is worth taking antibiotics in order to avoid possible inflammatory processes.

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

The first time after the operation, a woman may experience difficulty in eating, especially if the oral cavity has been exposed. During the entire rehabilitation period, the patient is advised to follow a diet, consuming only liquid food. Gradually, a transition is made to softer foods and, finally, a return to the usual diet.

Especially useful during the recovery period are various juices, broths, kissels and yogurts. The latter is especially relevant during this period, because yogurt restores intestinal microflora, which can be disturbed by antibiotics.

The recovery period after a circular facelift involves some changes in the lifestyle and habits of the patient. 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:

For 2-3 days you can wash your hair, a visit to the hairdresser after a total facelift is possible for 7-8 days.
on the 10th day, it is permissible to apply light makeup on the face.
A month later, you can carry out the procedure of lymphatic drainage massage.
At the end of the rehabilitation period, it is permissible to fix the lifting effect with the help of mesotherapy or Botox injections.

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

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

In case of insufficient preliminary examination of the patient's body before the lifting procedure, certain difficulties may arise at the exit. So, the most important side effects after 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 be formed with insufficiently qualified actions of a plastic surgeon.
Facial asymmetry. Occurs due to uneven distribution of tissues.
The appearance of keloid scars. It is considered an individual reaction of the body to making incisions.
In some cases, there is a pronounced severity of postoperative sutures. Usually this problem is solved by the use of absorbable ointments.
Excessively strong 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 tension on the tissues or their detachment. As a result, non-closure of the seam line is observed. The area around the auricles 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.

Suppuration of the wound. Hematomas, necrosis, entry into the wound of various foreign bodies 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.

Deformation of the oval of the face. Sometimes patients complain of persistent subcutaneous seals after surgery. Usually the problem is corrected with a second operation.

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 areas. The main factor is damage to the skin and hair follicles. In most cases, the problem is solved on its own 3-4 months after the lift. If this does not happen, it is necessary to excise the scar that interferes with growth or transplant skin from other areas.

Real photos of the results of a circular facelift will help to evaluate the effectiveness of the procedure. It is easy to notice the amazing effect after applying this anti-aging technique.

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 and qualification actions of the doctor are observed. Therefore, the patient should approach the choice of a lifting 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 your choice falls on, the rehabilitation period will excite you more than the process of the operation itself. That is why in this article we decided to highlight the most burning aspects of the recovery period. Our leading aesthetic surgeon Oleg Banizh performs almost all facelift surgeries. He will give you valuable advice on healing and will make every effort to ensure that regeneration is quick and painless.

Painkillers

We often hear from patients the question: is it possible to take painkillers 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 action in case of unforeseen complications. After the operation, you may feel pain and tension in the treated areas of the skin. You will be given a mild analgesic to relieve any discomfort. Usually, patients quickly refuse pain medication, but if you have a low pain threshold and discomfort does not leave you, contact your doctor for a prescription for a gentle drug that you can take at home.

Within a week, it is better to give up painkillers, as they can provoke swelling and, as a result, slow down the healing process. Aggressive fast-acting drugs are strictly prohibited. Remember: taking any medication after plastic surgery should be carried out only with the personal permission of the doctor, or under his control.

Meals

How soon after the facelift can I eat? What should she be?

In no case will we 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 feed on energy. However, one point is important here: after waking up after plastic surgery, try to minimize jaw movements so as not to disturb the injured tissues. Immediately after, refresh yourself with broth, smoothies, yogurt, fermented baked milk, kefir or pureed soup. It is desirable to take these products through a tube. A few hours after the operation, you can start eating light meals.

Please note: in the first week after lifting, it is better to completely exclude tough meat, raw vegetables and fruits (especially carrots and apples), nuts and other foods that are hard to chew from the diet. Give preference to meat soufflés, cream soups, vegetable purees, stews, cereals. 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 adversely affects the healing of tissues.

Car driving

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

Driving after a facelift is strictly prohibited for the first few days. Firstly, your condition does not yet correspond to the norm, at which you can drive and concentrate on the road. This is especially true for the operation under general anesthesia. Secondly, postoperative edema, which occurs in any case, temporarily reduces visual functions. As a result, you may get into an accident or lose control of the vehicle. In addition, physical activity is not recommended during the initial rehabilitation process, and driving a car is a laborious process, and it 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 that you discuss this issue with your doctor on a case-by-case basis. The optimal time for the first independent driving is 2-3 weeks after plastic surgery.

Help from loved ones

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

No. In the rehabilitation process, you will need help even in everyday life. It is better not to bend down, not to lift weights, not to expose yourself to various risks at home. After plastic surgery, you should be completely at rest for several days. Therefore, the help of loved ones is literally necessary for you. In addition, you must be "supervised" by at least one adult who can arrange for emergency hospitalization or first aid in case of unforeseen circumstances and complications. Of course, the leading doctor of our clinic minimizes such risks and performs his work with high quality, but no one can say for sure what side effects you may encounter specifically. Reinsurance in this case is simply necessary.

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 really reduce pain and prevent severe swelling, but this is only true in the first 1-3 days after facefitting. Next, 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 the sense of proportion. Do not keep 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, of course, very difficult. However, we advise you to create for yourself all comfortable conditions in order to take the correct position during a night's rest. Try not to sleep on your side or lie down on your incisions. 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. In no case should you sleep on your stomach: this way you risk not only "disturbing" the seams, but also provoking intense swelling. Sleeping on your side is also best avoided. Preference should be given to sleeping on your back, so try to arrange your pillows in such a way that you do not have to change positions at night. You can return to your favorite resting positions after complete healing - 2-3 weeks after.

Water procedures

When can I wash my hair, take a shower, wash my face with soap, swim in the bathroom and pool?

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

Choose delicate products according to, 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 toothbrush. You can use floss and a special mouthwash.
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.
It is allowed to use a hair dryer only on the fifth day after facelift.
Bathing and swimming in the pool are prohibited for two weeks after the operation. You can forget about the sauna and bath for the next month.
The same situation with sunbathing: you should avoid any sun exposure for 2-3 months. So it’s worth delaying trips to the sea or organizing an island vacation on the eve of plastic surgery.

Cosmetic procedures

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

It's better not to risk it. We recommend limiting any injections and peels for at least a few weeks. Another thing is hardware and physiotherapy procedures aimed directly at the speedy regeneration and healing of tissues. Cosmetic scrubs and heavy creams should also be postponed for the time being. Let them give way to ointments with a resolving and healing effect. Decorative cosmetics should be canceled at least for 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 disappear, and the unpleasant feeling of tightness of the skin will cease to make itself 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 fully strengthened, you can start the usual way of life 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 will conduct a conversation with you, during which you can ask all the additional questions you are interested in. Turning to a competent doctor, you can be sure that 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 appearance 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 only with cosmetics.

The facelift procedure will come to the rescue, not everyone probably knows that this operation is aimed at smoothing wrinkles by tightening muscles, as well as excising 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 fatty tissue in those places where the skin began 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, only in certain areas.

Endoscopic facelift is performed using small incisions that are made along the hairline. During the operation, endoscopic equipment and special instruments are used.

Radiofrequency facelift is also performed - this is a 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 face lifting, then everyone will see the effect. It is worth noting that if lifting is done at more than 50 years, then significant rejuvenation cannot be achieved 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 can in no case be carried out:

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 will take place after facelift, the patient will definitely be in the hospital under the supervision of surgeons. Specialists will monitor your condition and how your recovery is progressing after surgery. If any complications arise, the doctor will increase the length of the patient's stay in the hospital.

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

After a couple of weeks, in the absence of complications, swelling will disappear.

After the plastic surgery of the face, the patient is not allowed to:

To dye hair;
Do massage;
smoke;
visit the bath;
consume alcoholic beverages.

Also, strong physical overstrain should not be allowed.

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

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

Complications after facelift

In some cases, patients lost hair near the forehead after surgery. Hair grows back naturally after a while.

Hematomas and edema are considered a common manifestation after lifting, but only if they are weakly expressed.

If the patient has very sensitive skin, then due to intradermal hemorrhage, pigmentation is possible. Often this symptom disappears within six months on its own.

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

In order to prevent a repeated facelift, it is necessary to take care not only of the condition of the skin, but also of your health in general.

Video materials on the topic of the article

Where are the incisions...

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 “frontal” area - always in front of the tragus, otherwise problems cannot be avoided. Further, it borders the earlobe and goes behind the ear crease to the back of the head.
If a classic SMAS lift is performed, which includes 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 higher.
The overall size of the suture is not determined by the mood of the patient or the desire of the doctor. 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, then 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.

In general, 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 that they pass inside the ear, then all surgeons would have operated this way for a long time! But today, all attempts to move away from traditional technology end in failure. So, just the other day, a patient came to me who had a facelift in Belarus. Local "specialists" are apparently also prone to innovation: they made a woman an incision from the corner of her eye to her temple - right in the most visible place! And, of course, there was a scar to eliminate which is now impossible in principle.

...and how to make them right?

The anatomy of our face is very complex - here are the bones, and the ligamentous apparatus, and 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 impose a neat and imperceptible 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 seam is located exactly behind the tragus. In fact, the first such technique was invented by the German plastic surgeon Jacques Josef in 1931. He described this technique in detail in his book, and a couple of years later he was the first to refuse 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 evident if we make a lifting in this way not for a woman, but for a man. We stretch the cheek on the tragus of the ear and sew it there. What will happen? Well, at the very least, this patient will start to grow a beard on his ear and have to shave it every day. But that's not the worst part. Due to the tension of the skin, an uncharacteristic load will fall on the tragus. After a few months, it will not withstand, deform or even completely disappear!
So that the incisions in the scalp are not noticeable, I do not draw them straight, but in the form of an arc that curves at the temples and above the forehead. Such a wavy line does not create a parting where we do not need, and hides perfectly in the hair.
Partially, the seams are located in natural folds (for example, in the behind-the-ear area), they also cannot be seen from the side. But a part, inevitably, will pass on the open areas of the face, in front of the ear tragus. For the subsequent concealment of these scars, I use special techniques, which will be discussed later.

Sew so that there are no traces

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 properly suture and care for them. Here, each doctor has his own secrets and methods, which they adopt from their teachers, develop during their lives and pass on to the best of their students.

Each section of the incision is sutured differently. - says Dr. Kudinova.- 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 an increased load falls on this area. It is very important that the patient is comfortable during rehabilitation.
But I pay the most attention, of course, to the seam in the open area in front of the ear. Here the thick skin of the cheek and the thin, delicate skin in front of the tragus meet - it is extremely important to make the cut correctly! When joining the fabrics further, I use several hidden "relief" seams to prevent overload and deformation in this delicate area. Thus, we allow the scar not to stretch and remain as thin as possible. This author's technique was given to me by my beloved teacher,.

My own special secret is in the care of the sutures immediately after operations. We remove the threads in open and closed areas not simultaneously, but in stages, at different strictly defined times. We are gradually replacing them with special glues. Thus, we completely avoid the pressure of the threads on the skin and the formation of scars from microdecubitus. As a result, after healing from the incision, there is not the slightest visible trace. 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 of a plastic surgeon!

To form a very thin, inconspicuous 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 provoke the formation of microdecubitus and make it rougher.
The first week there will be a bandage on the head, and then another 3 weeks I recommend a supportive elastic bandage that fixes the tissues in the correct position. In 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 is not difficult for you to go to the physio - do it. But if such a trip is difficult for you, inconvenient - that's okay. In this case, the result will not be worse, just rehabilitation will 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 photographs in search of traces of plastic surgery. They could not find any traces on the photo or on the video, but nevertheless they came to the conclusion that there was plastic surgery: after all, a woman over 50 cannot look so young! Perhaps this is the best compliment to my work.