With age, facial tissues are gradually beginning to sag, the face appears excess skin that forms wrinkles. All this adversely affects the appearance of the man who today is important. Help comes plastic surgery.

What methods of lifting and carrying his

Lifting - a tightening of tissue. It may be superficial, only skin when stretched, and deeper, with the tightening of the muscles and ligaments. Lifting can be performed or the classical method using a scalpel and excision of excess tissue, or using endoscopic equipment. In the latter case, the skin incisions are not insignificant, they only need to enter therethrough into the skin endoscopic instruments, which significantly reduces the trauma to the tissues of the face. Scars after such cuts are minimal, they are hidden in the scalp, in the natural folds of the skin or in the mouth.

Endoscopic lifting is carried out only in the upper and middle thirds of the face, lifting the lower part of the face and neck is usually performed by a classical method. Purely endoscopic procedures are performed under local anesthesia, but perhaps they are made and under general anesthesia.

Endoscopic lifting upper face

Endoscopic lifting the upper part of the face (forehead and eyebrows) is shown in the overhanging eyebrows which gives the face a gloomy, tired expression in the deep wrinkles between the eyebrows, transverse wrinkles on the forehead. All these features may be not only by age, and birth, so the endoscopic brow lift is performed frequently young people. But the approach is not the lifting of all, as in some patients it may disturb the overall harmony of the face. Therefore, a plastic surgeon before the operation with the patient must be conducted computer simulations of the operation and its results.

During the operation endoskoricheskogo lifting the upper part of the face is held tension facial tissues, resulting in a raised eyebrow, reduced motor activity of facial muscles between the eyebrows and the forehead muscles.

During the operation the skin is only two incision no longer than two centimeters on the scalp. After that, the cuts introduced special endoscopic instruments, manages physician who monitors the entire course of the operation through the monitor. Held detachment of the soft tissues of the forehead and parietal areas under the periosteum, then partially or completely removed facial muscles shifting and lowering his eyebrows. Frontal muscle cut from the periosteum, resulting in occipital muscle tissue begins to pull back, raising his eyebrows and forehead up and making the eyes look more open. Thereafter, in the frontal bone establish special small screws, which fix the tissue to a new position (they are removed after ten days).

The postoperative endoscopic brow lifting milder than the classical lift and ends no later than two weeks.

Endoscopic lifting midface

This type of endoscopic facelift is performed under deep nasolabial folds, drooping soft tissues of the zygomatic areas and corners of the mouth. This operation is a gentle option profound facelift SMAS, when tightened not only skin, but also the muscles, fascia and ligaments.

The aim of the operation is to lift the midface elevation corners of the mouth, smoothing nasolabial folds, lifting fat in the cheeks and a partial lifting of the cheeks, which creates new contours of the oval face.

During the operation on the scalp in the region of the temples two cuts are no more than two centimeters long. Two more cuts were made in the oral cavity. With endoscopic instruments held detachment of soft tissue in the middle part of the face under the periosteum and hanging them to the temporal area (there is a strong temporal fascia).

The recovery period after the operation lasts about ten days. In the first few days, patients are advised not to carry out traumatic procedures in the oral cavity.

Endoscopic lifting the upper and middle part of the face

Such operations can be carried out either separately or simultaneously, and combine them with classical lifting the lower face and neck (including removal by liposuction or fat in this region) Eyelid and outer corners of eyes.

The best effect is obtained with a combination of endoscopic lifting the upper and middle part of the face with a deep lifting (SMAS-lifting), conducted by the classical method in the lower part of the face and neck. Combined All kinds of operations are carried out under general anesthesia.

There may be complications. It is a violation of the mobility of the upper eyebrow and excessive tension of the skin. If these complications do not pass on their own, it requires an additional operation.

Endoscopic lifting - is sparing surgery, which requires a highly skilled plastic surgeon.

Galina Romanenko

Plump, well-defined lips beautiful forms in most cultures have traditionally been considered a sign of sensuality and sexuality Nine ways to experience their sexuality , While thin lips do not meet modern ideals of beauty. In addition, the thin lips from birth to age frown and give the face an arrogant look. So what do those whom nature has not endowed his lips a la Angelina Jolie or Scarlett Johansson? As usual, it will come to the aid of plastic surgery, namely chiloplasty - a procedure to increase the volume and adjust the shape of the lips.

Types cheiloplasty

There are two main types of cheiloplasty: contour and surgery (aesthetic and reconstructive). Contour chiloplasty aimed at correcting the shape, size and volume of the lips, and allows full surgical change their appearance, as well as to eliminate congenital or acquired defects.

To correct the loop shape of the lips used surgical excision of a narrow strip of skin in order to increase red border. This method is used in the thin expressionless lips, scar deformity, cysts, fibroids, angioma.

For lip augmentation fillers are used, for example, preparations for contouring or own fat. This method is used to change the volume and shape of lips, elimination of the asymmetry of the lips, the small age wrinkles on the upper lip.

The most popular contour chiloplasty aimed at increasing the volume of the lips. However, the purpose of this procedure is not only the increase in the volume, but also enhance the aesthetic appeal of the lips (tightening corners, eliminating wrinkles and age-emphasis circuit). For contour cheiloplasty uses several kinds of preparations which are different in composition and effect duration.

• Collagen. Currently, the use of plastic surgery of animal collagen, comprising a natural protein. Swelling after the procedure usually heals within twenty-four hours. However, practice shows that this filler is used less and less often because of the increased risk of allergic reactions Allergic reactions: how to understand why you tickle in the throat .
• Hyaluronic acid. This elastic gel is produced in the laboratory and does not contain allergens. It evenly and naturally distributed in tissues, edema Prevention and treatment of edema - it is important to understand the root cause   after the procedure is minimal. Injection of hyaluronic acid slightly more painful than collagen injections.
• Own fat. Adipose tissue transplant first removed from another part of the body such as the stomach or thigh, usually by liposuction and then was treated and injected into the lips. Swelling after injection usually subsides within forty-eight hours. Allergic reactions are excluded, because it uses its own fat tissue.

Furthermore, to impart additional volume lips frequently used synthetic implants. In this case, the used material remains in the body for a long time.

View cheiloplasty that is right for you depends primarily on what look you want to give the lips, as well as the natural data. A qualified doctor will choose the appropriate procedure and recommend the optimum filler, if you want to increase the volume of lips.

Preparation for the procedure

During the preliminary consultation with a doctor you will discuss, among other things, the desired outcome of the procedure and the best methods to achieve that result. Recommendations are based on the doctor's part of the lips, skin tone and overall proportions of the face.

Depending on the filler you may be asked to undergo an allergy test for four weeks prior to the procedure (especially when using collagen). In addition, it is desirable to chiloplasty undergo a medical examination in order to identify possible health problems and avoid serious complications. Doctors also recommend to refrain from smoking in the day of the procedure. Other specific measures to prepare chiloplasty not, however, specific details should be discussed with your doctor.

Procedure cheiloplasty

Before the procedure, the doctor notes the points on the lips, where he will be made the injection. Then the mouth area cleaned and disinfected.

If you choose an injection under the lip of the filler, the procedure is performed under local anesthesia (an injection into the upper and / or lower lip or surface treatment lip analgesic cream). If you wish, you can plunge into a state of half-sleep, and then using a fine needle into the mouth enter the selected filler. Thanks to local anesthesia, you will not feel pain, but only a slight pressure and mild discomfort. After the procedure lips typically cooled (e.g., ice is applied) to swelling sleep as fast as possible.

If surgical correction of lip shape incision is made along the contour of the upper and lower lips, then the excess skin is removed, and the edges of the sections are connected by joints. This procedure is performed under local anesthesia. Postoperative scars are invisible, as they coincide with the contour of the lips, and after three or four days and completely removed. Subsequently, they are fully absorbed and does not leave traces. Swelling subsides after about two to three days after surgery. Surgical chiloplasty takes place in a hospital. And contouring, and surgical chiloplasty improve the aesthetic appeal of the lips and reduce the distance between the nose and upper lip, thereby harmonizing the facial proportions.