IndicationsEndoscopic correctionAdvantagesForehead correction with endotinsSpecifics of the recovery period
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Local facial plastic surgery is gaining increasing popularity. Unlike total circumferential lifts, they are completely safe and do not require long-term rehabilitation. To correct the upper area of the face, we offer several techniques, which are selected based on individual indications.
Indications for brow lift
Aesthetic surgeons recommend lifting the upper part of the face:
- when sagging, sagging skin appears (including on the temples);
- drooping eyebrow line (both along the entire length and in the inner or outer part);
- downward displacement of the outer corners of the eyes;
- pronounced wrinkles, folds localized in the forehead and bridge of the nose;
- age-related ptosis, tissue deformation or genetically low eyebrows and heavy eyelids;
- facial network of wrinkles around the eyes (it is effectively eliminated when using the temporal lifting technique).
The main goals of plastic surgery in the upper third of the face are:
- Forehead lift
- Eyebrow lifting
- Eyelid correction
Today, traditional “open” plastic surgery is gradually becoming a thing of the past. They are being replaced by complex minimally invasive interventions that can produce better results while simultaneously reducing risks and reducing the duration of the rehabilitation period.
Let's look at the most promising modern methods of anti-aging plastic surgery of the upper face, which allow you to tighten the forehead, lift the eyebrows and rejuvenate the look by removing the sagging of the upper and/or lower eyelids.
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Forehead and eyelid lift - a complex minimally invasive surgery
All photos of lifting results
Patients often do not realize how drooping eyebrows age them; they give their face a tired, angry or perpetually dissatisfied look. Often people turn to a plastic surgeon for blepharoplasty, although another operation is required - a forehead lift and eyebrow lift.
Go to the mirror and try to pull your skin up a little. Have you noticed how your eyes have changed, your eyelids have stopped drooping, and your face has acquired a more optimistic expression? This is exactly the effect that forehead plastic surgery gives.
Typically, the need for this operation arises in patients over 35 years of age (forehead and eyebrow lifts are popular not only among women, but also among men), but in some cases (for example, if you have naturally heavy eyelids or deep-set eyes), this procedure is resorted to and very young people.
Often eyebrow and eyelid correction is performed as one complex operation. This approach has its advantages:
- Simultaneous lifting gives the most complete and natural effect, as all signs of aging are eliminated without exception.
- This operation can be done in a minimally invasive manner without unnecessary incisions, the risk of nerve damage and the need for long-term rehabilitation. After a week, the patient can return to his normal lifestyle!
How is a brow lift with simultaneous eyelid correction performed?
Photo: Dr. Bely’s original technique is used.
Upper blepharoplasty and brow lift are performed through one small incision in the crease of the upper eyelid. In terms of complexity and trauma, this complex plastic surgery is practically no different from classic eyelid lifting and at the same time is much less invasive than traditional surgical correction of the forehead, which is done through a long incision along the hairline. Of course, a complex eyelid and eyebrow lift operation is much simpler and easier than two separate ones (we mean blepharoplasty and forehead lift).
Endoscopic correction of forehead and eyebrows
If eyelid correction is not required, an endoscopic forehead lift is performed. This method is also called “no-incision surgery”, since the intervention is carried out through punctures of a few millimeters and leaves virtually no traces. The endoscopic method at one time became a real breakthrough in facial plastic surgery, and now this procedure is a common daily practice, which has almost completely replaced the classic method of open surgery with a bicoronal incision, which leaves a long scar along the hair growth from ear to ear.
As we have already said, an endoscopic forehead lift is performed without classic incisions and excision of excess skin tissue. Instead, plastic surgeons perform detachment surgery and then move and fix the soft tissue in a higher position. Small punctures through which endoscopic instruments are inserted are placed in the scalp, so there is no need to worry about noticeable scars.
Despite the fact that endoscopic surgery is performed without incisions, the surgeon has a clear view of everything that is happening in the surgical field thanks to a tiny camera that is inserted through a separate puncture. The image is enlarged and transferred to a large screen.
Thanks to the advent of endoscopic techniques, it was possible not only to completely rid the patient of scars and reduce the duration of the recovery period, but also to reduce the risks of postoperative complications such as innervation and vascularization disorders.
What material is used
For safe skin tightening that does not involve any incisions, cosmetology uses special surgical threads, which the specialist selects individually for each client, guided by the area of application, skin characteristics and the desired result. They are made from biocompatible hypoallergenic materials that, when introduced into the dermis, can form scar tissue - an internal fixation adhesion between the skin and muscles, stimulate the production of collagen types 1 and 3, and rejuvenate the skin at the cellular level, i.e. from the inside. They are inserted with the thinnest needles or cannulas.
There are two types of threads:
- biodegradable - resorbable. They are produced from a copolymer of L-lactide and e-caprolactone. This material is friendly to the human body and is an activator of collagen production, restoring youthful skin at the cellular level. The threads remain in the tissues for more than a year, and then, when they dissolve, they are excreted naturally. But the rejuvenating mechanism she launched continues to work;
- non-absorbable. Made from synthetic material polypropylene, used in surgery for almost half a century. Such threads have been tested for a long time, are safe, are not rejected by the body and help to obtain a long-lasting effect.
VIRTUSCLINIC specialists choose Aptos thread lifting technology and the material produced. The technique was created in 1996 by plastic surgeon M.A. Sulamanidze - the inventor of threads for tightening soft tissues. Its name is composed of the Latin “a” - “negation” and ptos - “omission”.
Absorbable for more than 360 days, Aptos threads have a unique composition and excellent rejuvenating properties. They are introduced through pinpoint punctures and reliably fix soft tissues in the required position thanks to special retaining notches until a reliable framework of its own collagen is formed in the skin. In assortment:
- Aptos Light Lift Thread 2G and Light Lift Needle 2G (classic and Soft, Blunt modifications) – threads are inserted with two double-edged needles through one puncture and distributed along the required contour in different directions. The tissues are tightened and the arch of the eyebrow gets the desired shape;
- Aptos Visage in Excellence Soft or Nano variants. Tightens, restores, reinforces tissues, moisturizes the skin of people of different ages;
- Aptos Nano Spring is an ideal delicate option for those with thin, delicate skin in the eyebrow area.
The cosmetology clinic offers you the following procedures:
- drug Laennec for rejuvenation;
- removal of blood vessels on the face;
- drug melsmon for rejuvenation;
- facial photorejuvenation;
- etc.
Forehead correction with endotins
Endoscopic forehead lift surgery can be performed using endotins. These are thin, absorbable strips equipped with sharp teeth to secure tissue (see detailed information on the use of endotins in facial plastic surgery).
Endotins make it possible to solve the problem of reliable and uniform tissue fixation without overload and the risk of tearing inherent in point fixation. Otherwise, the operation is the same as a regular endoscopic forehead lift.
The main stage of thread implantation
First of all, the doctor takes pictures of the patient in five projections for subsequent comparison with the results of using thread technology. Next step by step:
1. The patient’s hair is tucked under a cap, and the skin is cleaned of cosmetics and other contaminants. Next, thoroughly treat with an antiseptic solution (betadine, chlorhesidine, etc.) to disinfect the skin.
2. Now it comes to anesthesia. Lidocaine cream or ultracaine solution is used for long-term anesthesia.
3. The doctor marks with a marker the points where the threads will be inserted.
4. The package with threads is opened. This is done in front of the patient.
5. The thread is implanted using a microscopic needle puncture - it is inserted under the skin to a depth of 2 - 3 mm and removed through another puncture.
6. To fix the fabric with notches, the thread is pulled.
7. The needles are removed from the skin, the puncture sites are inspected, and cooling packs are applied to them.
8. After some time, the skin is once again treated with antiseptics.
Specifics of the recovery period
The duration of rehabilitation, the rate of subsidence of swelling and hematomas depend on the technique used, the volume and complexity of the correction. On average, soft tissue recovery takes 2 weeks. Loss of sensitivity may persist for up to 3 weeks, but it goes away on its own without additional treatment.
If the surgical approach was carried out using incisions and subsequent suturing of the wound, the sutures are usually removed after 10 days. Limitations after surgical brow lift (within 1 month) are:
- intense sports, increased physical activity;
- insolation;
- alcohol, smoking;
- thermal procedures and mechanical effects on the operated area.
Sometimes a special elastic tape is applied to the correction area (for up to 3 weeks) to fix the displaced tissues and secured in a new position. Individually, according to indications, medicinal antibacterial therapy and painkillers may be prescribed to prevent inflammatory lesions and relieve pain.
Additional measures
Three days before the thread lifting procedure, implantation of threads requires:
- stop taking vasodilators and painkillers and alcohol
- do not visit the solarium, sauna or bathhouse, swimming pool;
- do not engage in active sports.
One day before, eliminate foods that cause swelling.
On the day of the event, 2 hours before the procedure, you should not smoke, as nicotine promotes vasospasm and impairs the access of oxygen to the body.
Possible complications after a brow lift
Negative postoperative consequences are usually associated with insufficient qualifications of the doctor who performed the correction, or patients’ failure to comply with recommendations during rehabilitation. May occur:
- feeling of pain, numbness in the forehead area;
- change in symmetry, unnaturalness of facial movements;
- damage to nerve endings;
- hair loss and impaired hair growth;
- scarring or infection of the suture.
When surgical lifting is performed correctly, the percentage of complications is minimal (about 1%), and the aesthetic result (a rejuvenated, open face) completely transforms the patient.
Forehead lift, eyebrow lifting and eyelid correction are available not only to Moscow residents. Patients come to us from Perm, Volgograd, Rostov-on-Don, Voronezh, Yekaterinburg, Kazan, Krasnoyarsk, Nizhny Novgorod, Novosibirsk, Omsk, Samara, Ufa, Chelyabinsk and other cities throughout Russia.
Forehead, eyebrow and eyelid lifts can be performed in various ways in our clinic. The specific technique is chosen by the plastic surgeon based on existing indications and taking into account the wishes of the patient. These operations at the DOCTORPLASTIC clinic are performed not only by leading Russian facial plastic specialists, but also by such stars of world plastic surgery as Professor Samuelsson, President of the Swedish Association of Plastic Surgeons.
