Круговая подтяжка лица и SMAS-лифтинг: особенности методик

It is not uncommon for patients to 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 particular, a circular facelift is popular, although with more detailed questions it turns out that everything is more or less clear to them in this name of the procedure, 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 facelift options, their advantages and disadvantages, recommends estet-portal.com.

What is the difference between a circular facelift and SMAS-lifting

The traditional circular facelift has been known for a very long time and has more than a century of history of use in anti-aging procedures, and therefore almost everyone who is interested in the state of appearance is aware of it. Compared to it, the technology of SMAS lifting is still relatively young, since it appeared only some 30 years ago, and patients are not so deeply aware of it.

The approach to these types of surgical correction of age-related changes in the face differs absolutely radically.

So, when performing a circular facelift, the surgeon performs a detachment of tissues almost along the entire perimeter of the scalp (hence the name – circular), while correcting:

  • frontotemporal region,
  • outer corners of the eyebrows,
  • mid face zone,
  • an area of ​​drooping cheeks and drooping corners of the lips.

In addition, with a circular facelift, the anterior and lateral surfaces of the neck will be corrected. The disadvantage of this type of correction of age-related changes is the fragility of the result and its not always absolute naturalness at the end, since only the skin is tightened and fixed.

During the SMAS-lifting, the facial tissues are lifted at a deeper level. In the process of this lifting, the fibromuscular layer is moved, and due to this, a much longer effect is provided compared to a circular tightening.

Many surgeons generally consider it pointless to lift only one skin and prefer SMAS lifting – operations, although more complex in terms of execution, but much more efficient.  SMAS lifting allows you to achieve the following effects:

  • eliminate sagging facial tissues,
  • remodel the young oval,
  • emphasize the signs of a youthful face.

The main thing for which you should prefer SMAS-lifting – it is an opportunity to save the results of a facelift for many years.

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Volumetric modeling of young facial features during SMAS-lifting

The SMAS-lifting operation involves not just lifting the facial tissues, but also its volumetric modeling. A competent surgeon during the operation is quite capable of restoring his youthful clarity and expressiveness to the face. The problem of age-related changes in the face often consists in the fact that, under the influence of gravity, tissues are lowered, volume is lost on the & nbsp; certain areas of the face.

With the help of SMAS-lifting, the surgeon can literally return 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 in many cases combined with the procedure of lipofilling – sculpting the lost volumes of the face with the help of the patient's auto-fat.

Of course, in order for the facelift operation to be successful and give the desired natural result, a lot depends on the skill, on the qualifications of the doctor. So, for example, sometimes it is worth recommending to the patient instead of surgery to use hardware techniques to combat the signs of aging.

Let's say there are completely  different types of skin aging, and sometimes we can observe the so-called wrinkled variant – when age-related deformations, changes in the face appear in the form of flabbiness and a network of small wrinkles. In this case, a very effective means of preventing aging  skin  become cosmetology hardware procedures.

Today, there are a huge number of effective injection and hardware techniques that can successfully cope with the problem of skin laxity and fine wrinkles due to age. Therefore, it is far from always possible for a patient to be shown a surgical facelift.

Hardware, injection and other cosmetic procedures perfectly help to prevent age-related changes in the early stages of aging, but if the patient already has significant sagging tissues, the formation of excess skin, if frills, «necklaces» wrinkles on the neck, then the most optimal solution in the fight against them would be SMAS-lifting.

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