Ten years ago, plastic surgery was something inaccessible and possible only for "stars" or girlfriends of millionaires. And the range of manipulations carried out by the doctors was small. Today we live in an era when almost everyone can afford to correct the mistakes of nature in appearance. Moreover, a set of issues can be solved at once in one operation. This trend is called "beautification". A plastic surgeon, candidate of medical sciences, a full member of the Russian Society of Plastic, Reconstructive and Aesthetic Surgeons (ROPREH) Dmitry Saratovtsev spoke about the essence of the method.
The essence of the new trend
This direction can be described as a complex of manipulations to harmonize the face, which can be carried out in different areas of the face, with a one-time anesthesia.
When a patient comes to the initial consultation, he identifies the problems that concern him. The surgeon offers options for their solutions that are most suitable for the person who applied. At the same time, the main task facing the doctor is to preserve individuality, to make the face more harmonious, to bring it closer to the canons of beauty, the golden ratio. Therefore, the complex of manipulations in each case is different: someone needs to reduce age-related changes, and then SMAS-lifting is recommended along with blepharoplasty. And some people need rhinoplasty and an upper third of the face to make their eyes more open.
Types of manipulations
All face beautification operations can be divided into two types. The first is work on the soft tissues of the face. This includes lifting the forehead, eyebrows, temporal region (temporoplasty), blepharoplasty and lifting the outer corner of the eye (cantopexy), removal of Bisha's lumps. Treatments to improve the general condition of the skin of the lower face and neck are also in this category.
The second type includes all forms of operations on the bone skeleton: correction of the superciliary arches, an increase in the cheekbones and chin with the help of implants, manipulations on the upper and lower jaw. Operations in the last zone require the simultaneous work of two specialists at once - a plastic and maxillofacial surgeon.
Now let's talk in more detail about each type of manipulation. Let's start with the upper area of the face, or rather, with its facelift. This correction can be carried out in two ways - open, when an incision is made at the border with the scalp, and endoscopic, through several punctures. The choice of access is at the discretion of the surgeon. We recommend such a correction in a situation where the patient has congenital drooping of the eyebrows and, as a result, overhanging of soft tissues.
Next, consider lifting the eyebrow tissue. It is passed through an incision a few centimeters in size in the scalp. This manipulation can be recommended not only to eliminate age-related changes, but also to tighten the tissues of the upper part of the face that are naturally lowered and eliminate the "sad" look that often happens in young patients.
The temporal tightening also solves the same problem. It eliminates the sagging of soft tissues. Access in this operation is through an incision in the temporal zone, which is hidden by the hair, making it invisible to others.
I would like to add a few words about a very popular trend - lipofilling. The method is based on the use of the patient's own refined fat, which is injected into the area of the cheekbones, lips and eyebrows and replenishes the lost volumes.
And, of course, one cannot help but talk about facelifts. Despite the large number of their varieties, they are all based on the principle of SMAS-lifting, or lifting of the superficial muscular-aponeurotic layer. With their help, you can effectively fight age-related changes in the lower, middle zones of the face and neck.
The removal of Bish's lumps - fatty lumps under the cheekbones - also belongs to beautification. This makes a heavy, wide face more harmonious.
Rhinoplasty continues to be one of the most common types of correction, if only because it helps to make dreams of a neat, beautiful nose come true. The surgeon can change its shape, remove the "hump" or shorten the length.
Operations on soft tissues in combination with manipulations on the skeleton of the face give a highly aesthetic result, while the patient only needs one dose of anesthesia, which is a gentle option for the body, and this is a big plus. Today, the trade-offs between beauty and health are a thing of the past.
