Face lifting

A facelift, technically known as a rhytidectomy (literally, surgical removal of wrinkles), is a type of cosmetic surgery procedure used to give a more youthful appearance. It usually involves the removal of excess facial skin, with or without the tightening of underlying tissues, and the redraping of the skin on the patient's face and neck.

In the traditional facelift procedure: an incision is made in front of the ear extending up into the hairline. The incision curves around the bottom of the ear and then behind it, usually ending near the hairline on the back of the neck. After the skin incision is made, the skin is separated from the deeper tissues with a scalpel or scissors (also called undermining) over the cheeks and neck. At this point, the deeper tissues (SMAS, the fascial suspension system of the face) can be tightened with sutures, with or without removing some of the excess deeper tissues. The skin is then redraped, and the amount of excess skin to be removed is determined by the surgeon's judgement and experience. The excess skin is then removed, and the skin incisions are closed with sutures and staples.
Sublabial incision through which periosteum of maxilla is elevated in an endoscopic midface lift (rhytidectomy).

Facelifts are helpful for eliminating loose skin folds in the neck and laxity of tissues in the cheeks.

Face Lifting duration and anesthesia: 2 - 3 hours under local anesthesia with strong intravenous sedation or general anesthesia. Duration depends on the type of procedure, because today exist various mini facelifts like S - lift, temporal lift, neck lift etc.

Recovery: The bandage and drains will be removed in 1 - 2 days. Stitches will be removed in 2 weeks. Compresses will be recommended for 1 month. Rare complications: Swelling, hematomas, the loss of skin sensation for several months, rare skin necrosis ( especially behind the ears. Most time a result of much smoking), hypertrophy of the scars.

Facial Skin Resurfacing

The purpose of dermabrasion is to smoothen the skin and, in the process, remove small scars (as from acne), moles (nevi), tattoos or fine wrinkles.

Dermabrasion is a surgical procedure that involves the controlled abrasion (wearing away) of the upper layers of the skin with sandpaper or other mechanical means.

The mechanical method remains popular because is the most affordable and has practically the same results as the laser method.

After the Facial Skin Resurfacing treatment vaseline gauzes will be soaked in an antibiotic ointment and will be applied on the facial skin.

Duration and anesthesia: Performed under local anesthesia (5% topical anesthetic cream), analgosedation is usually needed for the chemical peel.

Your recovery and healing time after dermabrasion depends on the size and depth of the area that was treated. Someone who has a full-face dermabrasion, for example, will require a longer recovery time than someone who has just a small area of skin treated. Deeper abrasions take longer to heal.

In general, regrowth of skin occurs within 5 to 8 days. This new skin is a pink or red color, which usually fades within 6 to 12 weeks. Until then, your normal skin tones can be achieved using makeup.

Many people have little or no pain and can get back to their regular activities soon after the procedure. Some people require pain relievers. If swelling occurs, a corticosteroid such as prednisone may be used to reduce the swelling.

Proper care of the treated area while the skin is healing is extremely important. This involves:

• Cleansing the skin several times a day to avoid infection and to get rid of the crusting that sometimes develops.
• Changing the ointment or dressing on the wound to keep the area moist and to promote healing.
• Avoiding sun exposure and, after peeling has stopped, using sunscreen every day. New skin is more susceptible to sun damage.

Liposculpture of the Face

Goal: To reshape the facial contour and to correct asymmetries, irregularities, depressed perioral regions and thin lips with autologous fat grafts.

Liposculpture of the Face surgical technique: With fine gauge cannulas (2-3 mm) through small stab incisions the necessary amount of fat will be aspirated from the abdominal wall or gluteal or sub mental region. After the preparation the fat will be injected in several subcutaneous and intramuscular layers.

Duration and anesthesia: Usually 30 - 45 minutes under local anesthesia.

Recovery: One day after the procedure the patient should refrain intensive facial movements, i.e. laughing or talking too much. The degree of fat resorption is unpredictable, the procedure should be repeated after some time to obtain a better and long-lasting result.

Rare complications: Mild edema and haematomas.

Feather Lift

As we begin to age the tissue becomes weakened, we lose facial fat and the underlying support structure becomes lax and ptotic (sagging). The areas to suffer this sagging is the cheeks, around the eyes, the brows, the jowls, and neck creating a longer, older looking face. Younger patients suffer from cheek and brow ptosis, as well, often prompting them to seek procedure which may be designed for individuals in need of more invasive means.

There is now a less invasive procedure available which can lift, contour and suspend the sagging tissues of the face and neck. The Feather Lift Procedure can provide quick and relatively bloodless lifting for patients who may need only little to moderate rejuvenation. The Feather Lift is also been called the APTOS Lift.

Procedure:

The APTOS threads have cogs or barbs which lie in one direction and open up, so to speak, when implanted into the subcutaneous fat and tugged into place. The tissue is caught slightly in these cogs and the tissue is then suspended and lifted. The threads are placed in carefully predetermined areas if the face to support the tissue and lift it. Even better, the results are improved over time as your collagen encapsulates and "bunches" around the threads causing an even further lifting effect.

This procedure is considered much less invasive than traditional mid-face, face and brow lifts, requiring less operating room time and less downtime. The Feather Lift is also becoming popular with younger persons wishing for subtle changes or to possibly delay the signs of aging such as facial drooping.

Rare complication: swelling, bleeding.

Gold Filaments Implants

What is it?

Gold filament rejuvenation is a technique used for more than 10 years across Europe and Asia, and is a low-impact, highly effective technique for improving the youthfulness of skin. The approach implants a loose matrix of hair-thin gold threads just under the surface of the skin. The gold is medically pure and inert, but stimulates the body to create collagen and gives rise to a network of small, new blood vessels giving the skin a renewed elasticity and firmness. It can be used on any part of the body where skin is beginning to sag or wrinkle.

Procedure:
The cosmetic surgeon threads the gold filaments within the thickness of skin. The procedure creates an imperceptible net-like structure hidden under the surface. It typically only requires one hour, but this will depend on the size of the treated area. The technique is painless, only requires a local anaesthetic, and allows the patient to return home, and resume normal life the following day.

Duration and anesthesia: The procedure is performed under local anesthesia and lasts around 30 minutes. Special cream is applied on the skin and the patient released.

Rare complication: swelling.

Wire Scalpel

The Wire Scalpel procedure improves significantly the deep smile lines beyond the corners of the mouth and the permanent frown lines at the root of the nose. The aim of Wire Scalpel is to produce a more youthful, softer look. In the upper face it improves "sour angry" look by significantly reducing the permanent frown lines. In the lower face it improves the deep heavy concave smile lines that contribute to a tired or aged look or appearance.

The Wire Scalpel procedure is carried out under local anesthesia.
A fine needle with a specially made wire attached at its end is threaded under the frown or smile line region; a seesaw manipulation action releases the deep surface of the skin from the deep fascia. This maneuver separates wrinkles from the deep muscles.

Bruising and swelling is usually slight.

Liposuction of the Neck

Fullness in the neck and under the chin can be very resistant to dieting, and is surprisingly common even amongst young people. It can be hereditary and usually increases with age. Liposculpture to the chin can greatly improve the look of the face, and even though only a small amount of fat is removed the improvement in appearance can be dramatic. Many people feel as though their face looks much younger after the treatment and friends and relatives comment on their rejuvenated appearance, not even realising that any procedure has been performed.

Liposuction of the neck the operative technique: Through small stub incisions on the skin below into the chin, a saline solution with anesthetic and adrenalin will be infiltrated. With special small diameter cannulas the fat will be aspirated and removed.

Liposuction of the neck duration and anesthesia: The procedure is performed under local anesthesia and lasts usually 30-60 min.

Recovery: After 1-2 weeks the elastic compressive bandages will be removed, and the patient is able to return to usual activities. A postoperative massage is recommended.

Rare complications: Transitory bruises and mild edema.

Silhoutte thread lift

The advanced Silhouette Threadlift™ is a minimally invasive, non-surgical approach to a refreshed you new. The procedure is a safe, minimally invasive face-lift alternative. The procedure does not require general anesthesia and is relatively painless through a localized anesthetic.

What are Silhoutte Threads?
Silhouette sutures represent the latest, FDA-approved solution for non-invasive lifting of soft tissues in the face. They are made from a polypropylene substrate and lack the "barbs" of previously-available sutures, which had the potential of weakening the strength of the thread. The hollow cones in Silhouette threads provide better anchorage for longer-lasting tissue suspension. They are further strengthened as they are absorbed and tissue grows around them.

How are they applied?
Silhouette threads are carefully inserted into the subcutaneous layer of the skin using a small needle. This is a non-surgical, minimally invasive procedure with only minor discomfort with use of local anesthesia and, for some patients, a mild sedative.

How long is the recovery time?
Bruising and swelling tends to be minimal and most patients can return normal activities within a few days to one week.

Ultra V Lift

Ultra V Lift technology is taking the world by storm for its safe, fast and effective results.

What exactly is the Ultra V Lift technology?

Ultra V Lift is a unique technology where fine threads that were commonly used in surgery are inserted into targeted areas under the skin to stimulate skin tissue. As a result, the skin tissues create new tissue fibroblasts and collagen, which produces a tightening effect from inside out. When sagging skin is tightened, it creates a more sculpted 'V-shape' face as well as smooth, silky skin.

How is the procedure done?

The entire procedure takes about 20 minutes. There is hardly any pain, bleeding or swelling and the patient can go back to work after the procedure. As the threads are dissolvable, they are slowly absorbed into the body safely.

Who would be suitable candidates?

The procedure is suitable for most people. Most patients are aged from 30-50, when the effects of ageing become apparent. Ageing causes the skin tissue to thin because the collagen and elastin fibers break down, which results in sagging skin, deep creases, folds and wrinkles. Ultra V Lift reverses the effects of ageing.

How long do the effects last?

The results last for 8 months to a year. All you need is an annual touch-up to stay young and beautiful forever.