Surgical facelift. Price, how to choose a doctor, types of surgery

A facelift can be done in a variety of ways. With minor age-related changes in the skin, you can use cosmetics (creams with a lifting effect), if the wrinkles are more pronounced, then hardware methods (laser procedures) or cosmetic injections with fillers are recommended.

But when there are deep folds of the skin, then surgical intervention is recommended for their successful elimination. Depending on the selected method, the duration of the effect and the price change.

Indications for operating a facelift

Operational lift is used only if there is no effect from other methods of restoring the tightening of the face oval. This method is more dangerous and requires a highly qualified specialist.

Surgical intervention on the face is allowed if the following indications are present:

• deep folds of skin on the face and neck;
• pronounced wrinkles in the nasolabial area;
• drooping of the upper eyelids or "bags" under the eyes;
• double chin due to loss of elasticity of the epidermis;
• drooping of the eyebrows and corners of the eyes or lips;
• increased flabbiness of the epidermis;
• sagging cheeks (like a bulldog).

The operation can be performed for both women and men. Before the appointment of a surgical intervention, there are not enough indications and the client's wishes. The specialist must exclude the presence of contraindications.

Contraindications

Surgical facelift (the price is discussed with a specialist immediately after the elimination of contraindications) is a dangerous procedure, therefore it is carried out only in the absence of the following pathologies.

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• endocrine system diseases (diabetes mellitus, thyroid dysfunction);
• chronic diseases in the acute stage;
• infectious pathologies, including dermatological;
• increased or decreased pressure indicator (as well as with regular jumps in value);
• violation of blood clotting;
• malignant or benign formations;
• diseases of the cardiovascular system;
• liver and kidney pathology;
• tendency to scarring from incisions;
• violation of the integrity of the skin or the development of an inflammatory reaction in the area of ​​surgery;
• psychological deviations;
• period of gestation and lactation.

The operation is not recommended after 65 years, since the effect of the operation does not last long due to the deterioration of the body. And also up to 20 years of age, surgical tightening can be performed only if there are strict indications. If contraindications are ignored, then the operation can lead to an exacerbation of diseases and cause the development of complications.

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Varieties

Operational facelift can be performed by 2 methods (SMAS lifting or subcutaneous lifting), which differ in tissue trauma, the duration of the recovery period and the duration of the effect.

Brief description of methods:

The type of surgical intervention is determined by a specialist after examination.

Advantages and disadvantages of the methods

Surgical facelift (the price depends on the chosen method of face contour restoration) has both advantages and disadvantages when compared with other methods.

The severity of the advantages and disadvantages of the methods depends on the qualifications of specialists and compliance with the rules during the recovery period.

Carrying out SMAS lifting

A facelift by SMAS lifting is a highly complex surgical procedure. When choosing this method of rejuvenation, the correct choice of a clinic and a specialist (with high experience and qualifications) plays an important role. The higher the rating of the medical center and the reputation of the doctor, the higher the price for the service.

Preparation for surgery and stages of

SMAS lifting is carried out only after a complete examination of the client (from urinalysis to electrocardiogram) in order to exclude the presence of contraindications.

If they are absent and the need for surgical intervention is approved, the doctor discusses the rules for preparing for the operation:

• alcohol and nicotine are prohibited 2 weeks before surgery. These substances affect blood clotting and can cause the development of side effects;
  
• for 14 days it is required to cancel the intake of hormonal drugs, including contraceptives;
• in 10 days any medications are canceled, especially medications affecting blood coagulation;
• for women, it is recommended to choose the date of surgery after menstruation;
• food intake is allowed no later than 8 hours before the operation (due to anesthesia, it can cause gag reflexes);
• the use of cosmetics of any kind on the day of the operation is prohibited.

On average, preparation for the operation takes up to 2 months.

Surgical intervention SMAS lifting (with the classic method) is performed in the following stages:

1. The patient is placed on the operating table.
2. The skin is cleaned of impurities with a special composition.
3. The client is put to sleep under general anesthesia.
4. The incision area is treated with a disinfectant.
5. The doctor will mark the face (future incision sites). The incisions can be along the hairline, around the ears, temples, or chin.
6. Cuts are made. Next, the surgeon pulls and tightens the muscle and skin tissue. The surplus is excised. If there is an excess fat layer, liposuction is performed.
   
7. After completion, the doctor applies stitches, then a special bandage is bandaged on the face.

For the period of manipulation, the client's condition is monitored by an anesthesiologist and a nurse, devices record the work of the heart. This allows you to respond in a timely manner to the development of unforeseen situations.

Endoscopic SMAS lifting has the following differences:

• it is allowed to use local anesthesia;
• incisions are replaced with punctures for the introduction of the endoscope;
• no stitches required.

In the classical version of the surgical intervention, the duration of the operation is 2-3 hours, with the endoscopic one - up to 4 hours.

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Rehabilitation by days, weeks

Features of the rehabilitation period are discussed by the doctor before the operation.

The process of tissue restoration and the effectiveness of the procedure depend on compliance with the rules:

• for the duration of the inpatient treatment (lasts from 4 to 14 days, depending on the method of carrying out and the development of complications), the treatment of the stitches is carried out by medical personnel. The patient for this period should only be at rest;
• the sutures are removed by the doctor 4-7 days after the operation. Puffiness and hematomas disappear within 20 days;
• for the recovery period (on average, it lasts 45-60 days), it is forbidden to drink alcohol;
• after discharge, visit the clinic in a timely manner to process stitches and change dressings. It is prohibited to perform procedures on your own;
• it is forbidden to take sun baths, visit the solarium and saunas until the doctor's permission;
  
• after removing the dressings, you can not soak the crusts at the seams;
• do not use decorative and caring cosmetics until the permission of a specialist;
• do not comb the seams, during the recovery process, they can cause severe itching;
• when washing, use a cleansing antiseptic agent approved by your doctor. Make sure that the seams do not get tired;
• for 60 days during sleep, the head should be in an elevated state. And it is also forbidden to be in a position with the head tilted for a long time;
• you must not dye your hair until 3 months after the operation;
• avoid physical exertion and sports for 2 months, and peeling and other manipulations on the face are prohibited.

Until the tissues are completely restored, specialists do not recommend short haircuts. Hair allows you to hide unhealed seams and additionally protects from exposure to sunlight.

How long does the recovery take, possible complications

The period of tissue repair can take up to 2-3 months (depending on the age and individual characteristics of the organism).

If the rules are violated during the recovery period or due to the low qualifications of the surgeon, the following complications may develop:

• necrosis of tissues (possibly due to impaired blood circulation or severe tissue thinning;
• inflammation and suppuration of the seams. It develops due to the penetration of infection or irritation of the seam by constant contact with the hair;
• the formation of pronounced scars (improper care or violation of the technique of suturing by a doctor;
• increased pigmentation;
• asymmetry, partial loss of sensitivity or change in the contour of the face (nerve damage during surgery);
• hair loss at the suture site.

If a negative reaction is detected, it is required to contact the clinic as soon as possible to correct the defects. If complications have arisen through the fault of the surgeon, then it is not recommended to reapply to the same clinic to correct them.

Carrying out subcutaneous lifting

Surgical facelift (the price of subcutaneous lifting is significantly lower than the classical SMAS lifting method) with the use of this method is distinguished by less trauma, operation time and recovery period.

Preparation for surgery and stages of

Preparation for surgery is the same as for SMAS lifting. In high-level clinics, the examination is included in the cost of the procedure and takes place at the institution itself. For this, the patient must go to surgery 2 days earlier before the planned surgery.

Surveys include:

• delivery of feces and urine analyzes;
• general and biochemical blood tests, including sugar;
• electrocardiogram;
• liver and kidney examination;
• tests for syphilis, HIV and oncology;
• fluorography (if absent).

When passing the examination outside the clinic, it should be borne in mind that they are suitable for up to 7 days.

The operation with the use of subcutaneous lifting is performed in the following stages:

1. The client takes a recumbent position on the operating table.
2. The skin is cleaned with a special composition, followed by disinfection.
3. Places of skin incision are marked with a special marker. From the temple area to the auricle (an incision is also possible behind the ear).
   
4. After the onset of the anesthetic, the operation is performed.
5. Incisions are made in the targeted area and the epidermis is slightly stretched. Sutures are applied, which, after scarring, can be removed with a laser (if necessary).
6. To prevent the penetration of infection, the sutures are closed with surgical tape.

During the operation, the patient's condition is monitored by a nurse, an anesthesiologist. If necessary, equipment is used to signal the work of the heart.

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Rehabilitation by days, weeks

The rehabilitation period begins immediately after the patient is transferred to the ward from the operating room.

During recovery, the following rules must be observed:

• Do not remove the surgical tape or process the stitches yourself during your hospital stay. This is done by the medical staff;
• less hands touching the seams. Otherwise, you can get an infection;
• do not comb scars, even after skin regeneration;
• do not remove the crusts, they must fall off on their own;
• disinfect the seams at least 5 times in the first 3 days. Further, it is enough in the morning and evening until the epidermis is restored. The remedy is prescribed by a doctor;
• do not wash with hot water for 2-3 days after the operation;
• it is forbidden to visit the bathhouse, solarium and sauna for up to 2 months;
• avoid physical activity and sports for up to 1.5 months;
• it is prohibited to use cosmetics for up to 2 months;
• when washing, use non-aggressive products. Use a soft towel or napkins to wipe your face;
• if a noticeable scar remains at the seam site, then it can be removed after 2 months using a laser.

Alcoholic drinks and nicotine are allowed after the restoration of the skin (no earlier than 30 days.

How long does the recovery take, possible complications

The duration of the recovery process depends on compliance with the rules prescribed by the doctor during the rehabilitation period and the individual characteristics of the organism. On average, the duration of the period is 20-30 days.

The duration of recovery can be increased by the development of the following complications:

• inflammation of the seams or their suppuration;
• divergence of seams (in extremely rare cases);
• asymmetry of the face with incorrect tension of the epidermis;
• the formation of protruding rough scars;
• tissue necrosis (in rare cases);
• exacerbation of chronic pathologies, if they are ignored before surgery.

Swelling of tissues and hematomas are moderately expressed and disappear in 7-10 days.

Alternative methods of facelift

Surgical facelift (price, as well as contraindications are the only limiting factors for surgical intervention) is prescribed in extreme cases, only if there is no effect from other methods.

A quick overview of alternative methods:

• mesotherapy. To eliminate wrinkles, a subcutaneous injection of medicinal formulations is performed, which activate the production of collagen and elastin, as a result, the elasticity of the skin is restored naturally;
  
• deep peeling. The method consists in a special injury to the skin (laser, acids or ultrasound). As a result, the body activates cell regeneration, accelerating their renewal, and improves blood circulation. Together, this leads to a rejuvenation of the skin;
• exposure to microcurrents. Electric discharges help to activate blood supply and improve tissue nutrition, which helps to smooth mimic wrinkles;
• contour plastic. The method is similar to mesotherapy. Special formulations are injected subcutaneously, which fill the voids under the skin and level the epidermis;
• thread lifting. The threads are inserted subcutaneously and, depending on the composition, can prevent sagging of the epidermis or activate the production of collagen with elastin. The effect of the procedure can last at least 5 years.

These procedures do not require special preparation, have a smaller list of contraindications and a short rehabilitation period. And also their cost is more than 10 times lower.

Facelift surgery cost

The price for the operation depends on the region of residence, the rating of the clinic and the qualifications of the specialist. Additionally, the price may include examination and time spent in the clinic.

The minimum cost for a surgical facelift in Russia:

• SMAS lifting in classic execution from 400,000 rubles;
• Endoscopic SMAS lifting from 80,000 rubles;
• subcutaneous lifting from 50,000 rubles.

Minimum prices for non-surgical methods (for comparison):

Important. When choosing these procedures, it is necessary to take into account that at least 3 sessions are required to achieve the effect. A facelift through surgery can effectively eliminate deep wrinkles for a long time.

The procedure is carried out under anesthesia (therefore painless) and requires a highly qualified surgeon. Before carrying out a surgical intervention, it is important to completely exclude the presence of contraindications. Additionally, a distinctive feature of the operation is a long recovery period and high cost.

Author: Kotlyachkova Svetlana

Article design:Lozinsky Oleg

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