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Lifting of the middle and lower third of the face

Lifting of the middle and lower third of the face
The relaxation of the skin on the face and the reduction of adipose tissue leads to a loss of tone due to the fact that collagen fibers constantly lose their elastic properties of shrinkage and tightening. This makes the face look old and tired. Sagging skin in the middle of the face creates a deep fold under the lower eyelid, between the nose and mouth - nasolabial fold, loss of muscle tone and fat in the lower part of the face leads to the appearance of goiter - double chin.This operation corrects sagging skin and facial muscles, removes excess fat and restores firmness to achieve a more youthful, relaxed and vibrant appearance. The effect is strictly individual. On average, the effect of facelifting lasts about 10 years. It is usually done in middle-aged people.

Operative intervention:
This is one of the most complex operations in cosmetic surgery. The facelift procedure takes two to four hours. The incisions are made along pre-marked lines in the shape of the letter "omega". There are different types of facelifts: For loose skin, a classic facelift - excess skin is removed after pre-tightening the facial muscles with various surgical techniques. With preserved skin elasticity - endoscopic facelift is recommended. The facelift can be partial or complete. In the first case it is localized in a certain, desired by the patient, part of the face:

Frontlift, which removes wrinkles on the forehead Temporal - to correct crow's feet and eye shape;
Medium - to correct wrinkles around the nose and lips
Lower - to correct the relaxation around the lower jaw and neck.
The total facelift corrects all parts of the face.
Depending on the depth at which the facelift is operated, it should be:

Subcutaneous
Under the facial muscles
Under the periosteum
Masclift is a subperiosteal correction of the forehead and middle third of the face, allowing for intervention on the bone, which results in both more radical and drastic changes in the appearance of the face.
For maximum results, the operation can be combined with, correction of the eyelids, filling or treatment of small wrinkles. In many cases, along with the facelift, a neck lift is performed.
The double chin can be removed in the same operation by sucking the fat (liposuction).
It is mandatory to wear an elastic bandage 24 hours after the operation to prevent the formation of hematomas. Thread removal is on the 14th day. Smoking seriously slows wound healing.

Anesthesia: general endotracheal

Stay: The operation can be performed on an outpatient basis or with a stay of up to 2 days in a health facility.

Postoperative effects
Temporary discomfort, pain, swelling, bruising. Temporarily altered sensitivity of facial skin. The only visible scar passes behind the ear to the scalp and can be easily hidden from the hair. It is rarely seen after a period of six months.

Complications
Asymmetry. Infection. Bleeding. Trauma of motor or sensory nerves - most often with a temporary effect, very rarely with a permanent one.

Recovery
The patient can return to work after 10 days to two weeks. Exercise within 1 month should be avoided. Facial skin should be protected from the sun for up to 3 months after surgery, using creams containing photoprotectors.

Small wrinkles around the lips on the nasolabial folds, crow's feet and under and between the eyebrows can be corrected by one of the following methods:

Lipofilling - through liposuction fat is taken from any part of the patient's body and after treatment, it is injected into the desired area.
Wrinkle correction by injecting dermal implants - fillers
Paralysis of the underlying muscles by injection of Botox - by blocking the movements of the facial muscles, the proper wrinkles of the skin are eliminated
Laser resurfacing - the method consists in removing the epidermal layer of the skin with the help of a laser.
Dermabrasion - a mechanical method for removing the epidermis with the help of diamond stones.
Lifting of the middle and lower third of the face