SMAS lifting - ultrasonic face cleaning. Features of the procedure, indications, contraindications, expected effect, photo

Smas lifting is a complex of procedures for deep, circular lifting and movement of dense muscle tissue located deep under the skin of the face, front of the neck, and décolleté.

The effect of the restorative manipulations is visible in the photographs before and after the correction, and the rejuvenation and return of the previous contours of the oval occurs without excessive stretching of the skin, changing the lip line and the shape of the eyes. The duration of the period for maintaining the results of the tightening is from 2 to 12 years and depends on the method of correction, the age and physical health of the patient.

Types of Smas lifting

All existing types of smas lifting are divided into operating and non-operating (without the intervention of a plastic surgeon). But all are aimed at creating the desired effect in a specific area, or general rejuvenation of the face, neck and décolleté.

For comparison, the photo captures the view of the site before and after the procedure. The lifting method is determined individually for each client, in order to achieve the best result.

• Plastic surgery are done in case of significant age-related changes, performed in inpatient departments, have a long recovery period.
• Endoscopic method designed for people up to 40 years old, involves the movement of tissues through small incisions up to 2 cm, or puncture punctures. The method is less painful, safer and has a similar effect.
• Hardware and ultrasound methods are non-operating, in which the skin is not disturbed, open wounds are excluded, general anesthesia is not required and the patient's rehabilitation time is significantly reduced. With these types of therapy, the intensity of exposure for each zone is selected separately.

Endoscopic method

Endoscopic smas lifting refers to gentle plastic surgery and consists in the redistribution of subcutaneous fibers by diagonal and vertical movement. With age, facial muscles weaken, become less elastic, and the subcutaneous epidermis shifts downward.

Voids form in the upper cheeks, sagging under the jaws and chin, folds near the nose and lips deepen, and wrinkles in the corners of the eyes. Through short incisions, or punctures, the fibers of the epidermis are straightened and aligned, if necessary, they are shifted into the formed voids, excess lipids and fat deposits are removed.

The process of manipulation in the direction of movement of muscle fibers and the accuracy of the deepening is controlled on the monitor. The incisions are made in a small amount, from 2 to 5 pieces, then they are fixed with staples until the edema is completely healed and disappears.

The operation is seamless, the cuts are hidden in the hair, behind the ears, in the mouth and are almost invisible.

It is performed under general anesthesia, but compared to the classic circular lift, the rehabilitation period is reduced to 10-15 days. Photos before and after the procedure will allow you to accurately assess the results and effectiveness of the lifting.

A few days later:

• slight puffiness disappears
• the oval of the face returns
• even out wrinkles on the forehead and near the eyes
• bags under the eyes and sagging cheeks disappear
• wrinkles between lips and nose are reduced
• cheekbones become expressive
• the blush is restored and the complexion improves.

This method of tightening is recommended for women between the ages of 30 and 45, when the muscles have not yet lost their regenerative functions. Repetition of the manipulation is not required for 8-10 years, and sometimes longer. Endoscopic correction is contraindicated in pregnant women, under the age of 16, people with poor blood clotting, with diseases:

• of cardio-vascular system;
• diabetes mellitus;
• oncology;
• endocrine system.

Ultrasonic method

Ultrasonic lifting is performed by the action of focused impulses of sound waves on the deep layers of the subcutaneous collagen elastic coverings of the facial muscles.

To return clear contours, it is required to reduce the area of ​​the system of the muscular aponeurotic layer (smas) and shift it up to its original place. This type of correction is done without surgery., and the efficiency is similar to plastic surgery.

Point radiation causes heating and contraction of tissues at a depth of 5 mm without damaging the top layer of the skin in the process. As a result of thermal damage to collagen fibers, the renewal and synthesis of new cells begins, and the contours of the face and neck are gradually tightened. A visual increase in the effect is observed within 3-4 months.

Hardware method

Hardware types of lifting involve the use of equipment that affects the skin and the muscular aponeurotic layer of laser energy, microcurrents, radio waves, light-thermal and ultrasonic pulses. Such types of restorative techniques are not traumatic, do not require general anesthesia, hospital observation and long-term rehabilitation.

With laser correction, thermal radiation stimulates blood circulation and collagen synthesis, which helps to naturally rejuvenate and restore a healthy complexion. Microcurrent therapy relieves edema, restores the tone of facial muscles and skin, enhances blood circulation, and improves the functioning of the lymphatic system.

Radio wave correction acts on the skin and fatty tissue through high-frequency current pulses. Heating collagen cells provokes their enhanced synthesis, renewing and rejuvenating connective tissues and skin for several months.

Photolifting is performed by the action of light-heat rays on deep tissues and is intended to remove pigmentation, stars, vascular network. As a result of stimulation of the cell renewal function, the complexion is evened out, wrinkles disappear.

The apparatus method of ultrasonic smas lifting is designed for intensive action on deeply located, two-layer, structural tissues of the face frame, or other parts of the body.

A focused high-intensity ultrasound wave is not scattered onto the skin and a layer of adipose tissue, but selectively produces a point heating of a selected area of ​​the muscular aponeurotic layer at a given depth.

The greater the number of points of influence, the more the tissue of the aponeurosis shrinks and tightens the layer of fatty tissue and skin. Of all the hardware methods, only with the ultrasonic form of correction, the frame fibers of the deep layers of the pitch are pulled up and the best result is achieved.

Doublo and Altera devices (Ulthera Systems)

Nonsurgical lifting equipment was first developed in 2010 in the United States. The Altera System for ultrasonic face lifting has been clinically tested and received the FDA safety and efficacy certificate.

Later, a similar device was released by the Korean company "Doublo", but already improved, with a color image and more powerful. Elimination of age-related changes occurs according to a special computer program, which determines the thickness of each layer of soft tissues to adjust the parameters of the generation of ultrasonic waves in a specific area.

The image is displayed on the monitor and the depth of exposure is selected from the image. The intensity of the radiation is regulated by means of 3 nozzles with different frequencies at different depths. The display shows individual tissue layers and the amount of their contraction under the influence of high-frequency waves.

Advantages over other procedures

Ultrasonic massage lifting has a number of advantages over other methods, which are confirmed by photographs taken before and after the procedure:

• The skin is not disturbed, there are no open wounds, seams, as in the surgical version of plastics, the possibility of infection is excluded;
• Correction of frame tissues can be performed at the desired depth level without cutting off excess parts of the oil layer and skin;
• There is no need for a long rehabilitation period;
• The method is painless, does not require general anesthesia, local anesthetic cream is sufficient;
• The ability to focus the impact on a specific area and depth, without affecting adjacent tissues;
• Full overview and control of the implementation of all actions through the monitor screen;
• No need for a second procedure within 2-3 years;
• Combination and combination with other cosmetic manipulations and hardware procedures is allowed.

Indications. At what age can you carry out

The indications for SMAS lifting are:

• Signs of the beginning of sliding of the subcutaneous layers of the epidermis, causing deformation and disappearance of clear facial contours;
• Drooping of the upper eyelids, eyebrows, the appearance of wrinkles in the corners of the eyes;
• The deepening is sweet above the lips and near the nose;
• Sagging soft tissues of the cheeks, the appearance of a double chin;
• Flabbiness of the face and neck as a result of drastic weight loss;
• Extension time of the previous tightening period;
• Moderate age-related changes in the condition of the skin.

This type of correction is recommended not earlier than 35-40 years. If the patient has any congenital ptosis or facial asymmetry, or if there are genetic or hereditary features that cause early aging, then the procedure is allowed at an earlier age. The method is also suitable for the prevention of age-related changes in the neck, décolleté and face.

How long does the effect last? Before and after photos

A qualitatively performed SMAS lifting, photos before and after will serve as proof of changes in a person's appearance, it does not immediately give a full result.

With different methods, the full effect occurs in 1-4 months and lasts from 2 to 10-12 years. After the ultrasonic method, the changes are immediately noticeable only partially and grow within 2-3 months, and the stable effect is maintained for 2-3 years.

Scars after lifting

With a surgical lift, the excess of stretched subcutaneous tissue and skin is cut off, leaving scars after removing the stitches. They are found in inconspicuous places behind the ears, along the hairline, and sometimes in the mouth. During the ultrasound correction, the skin, subcutaneous and muscle tissues are not injured or damaged, as in plastic surgery.

There are no scars, scars and pigmentation after the procedure.

Contraindications

The correction cannot be performed when:

• pregnancy and breastfeeding;
• the presence of an implanted pacemaker;
• oncological diseases;
• epilepsy;
• all types of infectious diseases;
• diabetes mellitus;
• inflammatory processes of the skin in the processing area;
• the presence of metal implants in the affected area (except for dental crowns, gold threads).

Preparation for the procedure

Preparation for the ultrasonic type of smas lifting begins with cleaning and disinfecting the working area. An anesthetic gel or cream is applied, which is washed off after 15-20 minutes, the face is wiped with an antiseptic.

The markings are drawn, a special gel is applied on top, which promotes the penetration of ultrasonic waves, a snug fit and sliding of the apparatus nozzle.

How is Smas lifting performed?

A two-level system of carrying out the procedure simultaneously with two different sensors is controlled by the image on the monitor of the apparatus. The emitting nozzle is applied and moved strictly along the previously applied markings.

The screen clearly displays the layers of skin, adipose tissue and the depth of the level of occurrence of the muscular aponeurotic layer, which allows you to point the flow of rays to a strictly selected zone and set the depth of wave penetration without touching the nearby areas.

In deep structural collagen fibers, under the influence of concentrated sound radiation, point thermal coagulation occurs.

The dots are of the same size, parallel to each other, and create the smas interlayer wire mesh. At these points, thermal damage to the fibers occurs, which shrink and contract in length, reducing the volume of the oil, while simultaneously pulling up the layer of fatty tissue and the skin covering.

The action of radiation energy stimulates the synthesis of new cells of elastin and collagen, enhancing the strengthening and tightening of the frame, muscle, subcutaneous structures over the next 2-3 months, causing an increase in the effect.

In the process of performing the manipulation, tingling and sensitive warmth is felt. After processing one side of the face, the patient is given the opportunity to evaluate the result in the mirror, then continue to work with the second half. Depending on the amount of adjustment, the process lasts from 30 minutes to 1-1.5 hours.

Rehabilitation period - skin care

Unlike surgical types of smas lifting, in which the rehabilitation period is from 2-3 weeks to 2 months, the ultrasound technique does not require recovery time. Simply washing with cool water and using moisturizers is enough.

What not to do after lifting

After the procedure, it is necessary to exclude physical activity and sports for a week. Postpone baths, saunas, use of a hot hairdryer and washing with warm water to avoid the appearance of edema. Do not sunbathe or use scrubs for 5-7 days.

Don't miss the most popular column article: Plasmolifting of the face - what it is, how it is performed, results, photos before and after the procedure.

Side effects and possible complications

The method of ultrasonic smas lifting is safe, does not cause complications, and the side effects are insignificant:

• Slight soreness of the affected areas with pressure stops within 1-2 weeks;
• For 5-7 days, there may be a partial loss of sensitivity of the treated area, swelling, or discomfort;
• The redness disappears after a few hours.

When swelling goes away

The swelling remains insignificant, can last from a couple of hours to 2-3 days and go away on its own.

How many times can you do and the regularity of the procedures

The ultrasonic type of correction is performed once, it is well combined with other hardware and cosmetic types of appearance restoration. Such therapy can be repeated in 1-3 years, depending on age-related changes in the patient's skin.

Only some areas can be corrected.All smas lifting methods are aimed at rejuvenation, as evidenced by the obligatory comparative photos taken before and after the procedure.

The ultrasound method is offered as an alternative to the surgical method for those patients who do not want, or cannot, for medical reasons, undergo anesthesia or surgery and want to obtain a result similar to plastic surgery.

Video about smas lifting

Doublo ultrasonic massage lifting:

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