Patients often come to a plastic surgeon with ready-made ideas – where and how they would like to tighten their skin to look like in their youth. In facial plastic surgery, circular facelift is popular, although upon closer questioning it turns out that in this name of the procedure they are more or less clear, which is why they prefer it, while, for example, SMAS-lifting sounds scary, and the very idea of intervention at the level of muscle layers is alarming.
How to explain to patients the features of different options for lifting
- The main differences between the circular facelift and SMAS lifting
- What are the alternatives to surgical facelift The main differences between the circular facelift and SMAS-lifting
Lifting is commonly called rhytidectomy, which literally means the removal of wrinkles. The term rhytidectomy is incorrect, because there are other methods to remove wrinkles, for example: injections of fillers, botulinum toxin, deep peels.
The traditional
circular lifthas been known for a very long time, and therefore almost everyone is aware of it. Compared to it, the SMAS-lift technology is still young, as it appeared only 30 years ago.
Read also:Effective methods of facial plastic surgery depending on age So, when performing a circular facelift, the surgeon exfoliates the skin along the entire perimeter of the scalp (hence the name – circular), while correcting:
frontotemporal region,
- outer corners of the eyebrows,
- mid face zone,
- area of hanging cheeks, drooping corners of the lips.
- In addition, the
will correct the front and sides of the neck. The disadvantage of this type of correction of age-related changes is the fragility of the result, the unnaturalness of the output The circular facelift procedure provides lifting only by fixing the skin, reducing its area, but deep tissues are not corrected.
In 1975, scientists first mapped the SMAS layer and studied its anatomy. SMAS stands for Superficial Muscular Aponeurotic System, which means the superficial muscular aponeurotic layer, this structure is a kind of facial frame.
SMAS liftingprovides tissue tightening at a deeper level. In the process of this method, the muscular-aponeurotic layer is moved and fixed, and with it the subcutaneous fat. The edges of the wound during surgery are sutured with a smaller amount of skin, due to this, a lifting effect and rejuvenation of the features are also achieved. Many surgeons consider it pointless to tighten one skin and give preference to SMAS-lifting – operation more complex in terms of execution, but effective.
Read also:Eyelid lift: recipes for youthful eyes Tasks
SMAS-liftinga :
eliminate sagging facial tissues,- remodel the young oval,
- emphasize the signs of youthfulness of the face,
- The main advantage of
and –preservation of the result for many years and a more natural effect. With this surgical intervention, general anesthesia is used intravenously, local anesthesia and sedation are also practiced. The rehabilitation period after
SMAS-lifting takes 2-3 weeks, it is worth warning patients about the possibility of hematomas, paresthesias and discomfort. Patients after surgery should sleep on a high pillow, wear a bandage. Most of the stitches will remain invisible, as they will be hidden behind the hairline and in the natural folds of the skin.
Volumetric modeling of young facial features with
SMAS-liftinge
Read also:SMAS lifting: the latest technique for tightening the soft tissues of the face Surgery
SMAS-liftinga also allows volume modeling. The problem of age-related changes in the face is that under the influence of gravity, ptosis and loss of volume occur in certain areas of the face. With the help of
SMAS-lifting, the surgeon returns all the deformed areas to their place, putting them in the position inherent in a young face. To complete the effect of rejuvenation of the appearance, tissue tightening is combined with the procedure of lipofilling – sculpting lost volumes with the help of patient's autofat. What are the alternatives to surgical facelift
In order for the operation
liftingof the face to be successful and give the desired natural result, it must be carried out according to indications, like any other planned surgical intervention. So, for example, sometimes it is worth recommending to the patient instead of surgery to use hardware techniques to combat the signs of aging. There are completely different types of facial aging, sometimes we see a finely wrinkled version of the patient – ptosis and deformation of tissues are not so pronounced, and the main changes are networks of small wrinkles. In this case, the use of hardware and injection procedures is justified.
Surgical
liftingof the face is not always indicated for the patient. When preventive measures do not have a sufficient effect, and the patient already has significant sagging tissues, the formation of excess skin, frills, "necklaces"
SMAS liftingis the method of choice.
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