Common features of facial aging changes are loss of volume and ptosis of tissues. Downwards: change of forehead contours, flattening of supraorbital ridge, ptosis of tails of the eyebrows, loss of volume in the supraborw areas, temples and upper eyelids, stretch and weakness of the orbicular muscle of the eye, midface ptosis etc… However, this doesn’t always happen symmetrically and proportionally. Planning any facial changes, a total approach to the whole face is the best solution to recreate a harmonious balance. Although viewpoints on an ideal face are constantly, though slowly, changing, it has certain proportions; a beautiful nose does not necessarily match beautiful eyes and lips taken separately…
Thus, the main directions of aging changes correction are recreating the lost volume (lipofilling, face and body modeling) and repositioning of tissues to the original position or their rearrangement aimed at receiving optimal shape and contour.
Similar principles are applied when modeling a face with the aim of receiving a more aesthetic or specific appearance.
A skilled surgeon is able to foresee the result and devise an optimal plan that will lead to maximum results gained with minimal physical and financial efforts.
Forehead Lift, Temporal Lift
It is used to elevate drooping eyebrows and remove deep lines across the forehead by removing excess tissues and stretching the skin. It is often combined with other facial surgeries. The scars are concealed within the hair-bearing part of the scalp.
The usual technique is to remove excess skin, less often muscle and fat. Taking into account typical ageing changes (loss of volume), this surgery is often combined with lipofilling in order to receive the harmoniuos and natural result.
The area of lower eyelids and midface should be considered as a whole. Traditional blepharoplasty (which removes fat) is considered an outdated method nowadays, which does not lead to rejuvenation. With the age the volume of facial tissues is reducing, and fat removal only accentuates aging changes. The fat in the area of lower eyelids should be rearranged in order to recreate the lost volume in required areas.
At the beginning of aging changes lower transconjunctival blepharoplasty with fat rearrangement is usually enough.
When the aging changes are more considerable, different variants of midface lift are performed.
There is no standard surgical procedure. Each surgery is indicated strictly individually, in accordance with clinical implications and tissues conditions.
In different combinations it allows rejuvenation as a result of complex rearrangement of the deep anatomical structures which leads in postoperative period to their position in the young face.
There is no face lifting technique that is performed through preauricular incision which sufficiently corrects mid face area (appr. from lower eyelashes to upper lip). The operation is indicated in different variations to the majority of face lift seeking patients.
The incision and scar are similar to those left after lower blepharoplasty.
Midface lift is easily tolerated; however, the full recovery may last up to 1-3 months owing to visible traces of the operation (overstraining, an unnatural look of the eyes). These should be taken into consideration when scheduling for the operation.
A face lifting operation performed from the preauricular access affects ageing changes in the neck insufficiently. In this case the incision is made on the underside of your chin through which the excess deeply lying fat, the excess platysma and submaxillary gland may be resected; after that the neck muscles are tightened in order to form a sharp and well-defined jaw neck line.
Rhinoplasty is an operation for correcting the form and size, restoring the function of the nose and operations on the nasal septum.
Implants in facial surgery
Facial skeleton is the base of the face which is as important for the formation of a beautiful face as soft tissues. If minor facial skeleton deformities can be concealed with the help of fillers, the most rational and logical solution to correct major deformities, as well as noticeable aging changes happening predictably, is the use of fat or facial implants. The latter are designed to enhance the profile of the chin, the jawline, cheeks, supraorbital ridges. Also, individual implants production is possible; in this case the future appearance may be quite precisely modeled before the operation.
Thread lift is one of the ways of rejuvenation when special threads are used to hold repositioned facial tissue. The threads are inserted in a certain manner into the face and neck under local anaesthesia.
This method is by no means an alternative to a traditional operation but it gives a real chance to achieve a good result with minimum effort. The result may last up to 1-2 years. The procedure lasts 20-30 minutes, leaves no scars, recovery is generally quick, with most patients returning to work and daily routine after a few days’ rest.
Sometimes the patients with specific problems that are not highlighted on the website apply for a consultation. Significant asymmetry, lipodistrophy, facial paralysis, blepharospasm, etc. Do not hesitate to fill out the contacts form, we will do our best to help you.
Upper lip lift (bullhorn)
Upper lip elongates during the aging process due to the changes in soft tissues and facial skeleton. This negatively affects perioral area: cutaneous upper lip becomes too big, body of the lip, loosing support, rotates inward, decreases in size, upper teeth remain closed under the lip even smiling, nose seems to be disproportional.
Upper lip lift (Bullhorn) in many cases will give a substantial anti-aging effect.