Circular face lifting
Circular face lifting (ritidektomiya or face lifting) – plastic surgery on correction of nasolabial folds, elimination of wrinkles, an otvisaniye of skin and other signs of its aging. Process of circular face lifting consists in pulling up of skin and subjects of muscles, and also in redistribution of skin of a neck and person by excision of its surplus.
Kinds of circular face lifting
Deep, open cervical and front tightening is carried out to patients after forty years, at the expressed age changes. At the same time excesses of skin and a hypodermic fatty tissue are removed, the layer of connecting fabric of a part of a neck and person is tightened and again is positioned. Ritidektomiya will be seen off to patients to forty years when age changes are poorly expressed. At the same time skin of a neck and a forehead is tightened. Minilifting – lifting of skin of the upper, middle and lower part of the person through a section of a lower eyelid. At the closed, endoscopic tightening cuts become in temples and mucous a mouth.
Order of carrying out circular face lifting
Before a feysling the general examination of an organism, as well as before any plastic surgery is usually conducted. Also details and the purposes, expectations from plastic surgery and real opportunities are discussed with the patient. In two weeks prior to tightening it is recommended to refuse completely any hormonal drugs and the drugs influencing coagulability of blood from smoking. In day of plastic surgery it is necessary not to drink and is not.
In reviews of circular face lifting it is said that this operation quite long. Usually it lasts not less than four-five hours. Tightening is carried out under the general anesthesia (an inhalation anesthesia). Ritidektomiya of certain areas of the person is carried out under an intravenous anesthesia or under local anesthesia. During operation the surgeon excises excess tissues of skin and tightens muscular and fascial system of the person, redistributing skin.
The first two-three days after circular tightening the patient has to be in a hospital under observation of doctors. After operation the anesthetizing drugs and antibiotics are usually appointed. Seams are removed approximately in a week after operation. Postoperative hypostasis decreases in ten-twenty days, however coloring of hair, facial massage, exercise stresses and visit of a sauna are contraindicated on an extent of one and a half months.
The final result of operation is estimated approximately in a year. It depends on an initial condition of skin, age of the patient, existence of addictions and the accompanying diseases, and also on features of a way of life of the patient. Repeated tightening it is possible to spend five-ten years with an interval.
Indications for circular face lifting
The circular face lifting should be done at a ptosis of soft tissues lower than edge of a mandible, at deep nasolabial folds, lowering of outside corners of eyes, sagging of skin of eyebrows and a forehead, deep vertical wrinkles on cheeks, and also when forming of the expressed folds and wrinkles on a neck, in temporomalar area, in a nose bridge.
Contraindications for circular tightening
Ritidektomiya cannot be seen off at oncological diseases, a serious illness of internals, infectious diseases, disturbances of coagulability of blood.
After operation bruises and a cutaneous dropsy of the person, a xanthopathy at intradermal hemorrhages at people with gentle and sensitive skin can develop. The xanthopathy usually disappears in half a year after tightening.
For optimum effect liposuction in a chin and a blepharoplasty can accompany circular face lifting. Laser grinding of face skin can be in addition carried out.
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