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Face and Neck Skin Lift (Face-lifting)

Face-lifting is one of the most important surgical operations in the field of aesthetic surgery, and is frequently used as a synonym for the aesthetic face surgery itself. In the procedure of the surgical operation, sagging skin of the face and neck region is pulled tight along with the removal of its excess. So that the results of the surgical operation are as better and as permanent as possible, usually the face muscles’ membrane is also lifted (SMAS). This surgical operation belongs to the group of surgical rejuvenation treatments, with which a sagging and weary face is refreshed, by getting a new and more serene and brisk appearance. The surgical treatment in its aesthetic sense gives back and preserves beauty.

The age limit for this surgical operation was formerly around the age of fifty, but today it has been moved back to the age near forties, because of the continuity in preserving the beauty and freshness of the face. Pre-operational treatment includes health condition evaluation by laboratory tests and ECG. The surgical treatment is usually performed under local intensified anaesthesia, but can also be done under general anaesthesia in according to the agreed procedure by anaesthesiologist and at the request of the patient. The patient stays for one day under the medical care at the in-patient clinic of the Polyclinic. Catguts are removed in a week, which is the period in when post-operative swelling and possible haematoma should decrease. The scar is found in front and at the back of the ear, after the surgical operation, and partly in the area of the hair root. The operator make efforst to fit in a part of the scar in front of the ear with anatomical wrinkle, and the one behind the ear and in the area of the hair root is properly disguised.

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With facelifting, an appearance of freshness of a face is achieved, but tiny wrinkles remain. The treatment of them can be put into affect by the process of abrasion (by chemical treatment – chemical peel, or by mechanical abrasion, polishing), or by using Botulinum toxin injections and Restylanea (hyaluronic acid). Mechanical abrasion treatment is performed with a high r. p. m. grinder, usually under local anaesthesia. Skin convalescence after this treatment is normally to happen after about two weeks. With the treatment of chemical peel, the surface skin layer is also removed by coating it with an acid (e.g. acetic trichloroacetic acid) of a specific solution dilute. The recuperation period is about a week. Both treatments are performed on an outpatient basis.

After applying these methods, one should avoid to expose the treated skin to sunlight for the next three months. Botulinum toxin injections act in such a way that they paralyse muscles that then by contractions and face mimic produce wrinkles. So, they are usually applied on the upper third part of the facial region, namely on forehead wrinkles and temporal region wrinkles. The application is performed on an outpatient basis. The resulting effect lasts about six weeks, and after that the procedure should be repeated. Restylan injections are also applied for filling up wrinkles, and also for lips augmentation. The resulting effect is also limited to the period of six months, and after the period it should be repeated. The treatment is performed on an outpatient basis.

Nowadays, the method of microlipoinjection becomes more and more popular exactly for filling up wrinkles. With this method, fat tissue is removed from a particular region where it is present in excess, and then it is treated and centrifuged, and finally injected into the skin under the wrinkle. The treatment is performed under local anaesthesia and on an outpatient basis, and sterile conditions of the treatment should be applied to the whole of the process. The resulting effects of this procedure are long lasting ones.

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