Age-related changes happen to everyone. They first manifest themselves in the appearance of wrinkles, deepening of nasolabial folds, or drooping of the corners of the lips and eyes. All these are changes in the upper and middle thirds of the face.
The bottom third ages last. Signs appear after 35 years. The most striking of them are a double chin and sagging skin on the neck. Today I want to tell you how you can reverse these changes and regain your youth and beauty.
Prices for services
| Price | On credit* | |
| SMAS-MACS lifting of the middle, lower third of the face and neck (age up to 45 years, without previous cosmetologist interventions) | 125,000 rub. | from RUB 12,491/month |
| SMAS-MACS lifting of the middle, lower third of the face and neck (patients’ age from 45 to 55 years, previously performed space procedures) | 180,000 rub. | from RUB 17,988/month |
| SMAS-MACS lifting of the middle, lower third of the face and neck (patients’ age over 55 years, previously performed space procedures) | 240,000 rub. | from RUB 23,984/month |
| SMAS-lifting of the middle, lower third of the face, neck with liposuction of the submental area, (age up to 45 years, without previous cosmetologist interventions) | 220,000 rub. | from RUB 21,985/month |
| SMAS-lifting of the middle, lower third of the face, neck with liposuction of the submental area (patients’ age from 45 to 55 years, previous cosmetic interventions) | 250,000 rub. | from RUB 24,983/month |
| Endoscopic forehead and eyebrow lift (frontotemporal lifting), category I | 60,000 rub. | from RUB 5,996/month |
| Endoscopic forehead and eyebrow lift (frontotemporal lifting), category II | 100,000 rub. | from RUB 9,993/month |
| Direct brow lift | 60,000 rub. | from RUB 5,996/month |
| Direct brow lift (repeated) | 80,000 rub. | from RUB 7,995/month |
| Secondary face and neck lift | 300,000 rub. | from RUB 29,980/month |
| Consultation with a plastic surgeon for surgery | 0 rub. | — |
| show all | ||
Average cost of services
You can find out how much our plastic surgery services cost on average by calling in St. Petersburg: +7
SM-Clinic surgeons will develop an individual operation plan for you, since surgical body correction is often planned and carried out in a complex manner. The exact cost is calculated individually after consultation with a doctor.
Plastic surgery on credit and in installments
Indications
Endoscopic, SMAS lift, thread lifting and other types of anti-aging surgical interventions on the lower third of the face have a general list of indications:
- age-related changes of pronounced and moderate nature;
- age over 35 years;
- drooping corners of the mouth;
- fuzzy oval of the face in the lower third;
- lack of a clear cervical-mental angle;
- thickening and change in the contour of the neck;
- sagging, sagging, wrinkles on the neck;
- double chin.
Kinds
Plastic surgery offers several options for face and neck lifts. The choice of technique depends on the condition of the skin and the needs of the individual patient. The most common:
- A general circumferential facelift is performed by making an incision in the skin along the hairline and removing excess skin. The incisions are closed with sutures, which dissolve after 2 weeks. The operation gives a good result even with severe age-related changes.
- SMAS lifting will help you get rid of deep wrinkles and sagging tissue. The surgeon makes an incision from the front edge of the ear to the back of the head, moves the muscular aponeurotic subcutaneous layer and fixes it in a new place.
- Endoscopic facelift is a minimally invasive technique (lifting is performed through 2-3 small incisions). It is used to eliminate imperfections in the upper and middle part of the face.
- A thread lift is an operation during which the doctor inserts special barbed threads under the skin that cling to the soft tissue and return them to their place.
Tightening methods
Lifting the lower third of the face is carried out using three methods: SMAS lifting, endoscopic technique, and the use of endotins or threads.
The SMAS technique is based on working not only with the skin, but also with the muscles and aponeurosis. During a facelift, the tissue array is repositioned and secured in the desired position. The method provides a lasting and pronounced result and is effective for significant age-related defects.
Endoscopic surgery involves a minimum number of incisions of up to 15 mm in inconspicuous places. An endoscope (a flexible device with a video camera and lighting that displays an enlarged image on a monitor) is inserted through one of them, and instruments are inserted through the others. The tissues are separated from the bone, stretched, and fixed in a new position. The excess is excised. SMAS lifting can be performed using an endoscope.
Endotins are a replacement for sutures; they serve to fix tissues. They are plates or tapes with jagged edges to which soft tissues cling. Endotins are absorbed during the healing process. They are installed through an incision in the desired position between the muscles and the skin, and fixed to the periosteum. Excess skin is removed and external sutures are applied.
Plastic surgeons at the clinic
Davydov Alexander Sergeevich
Experience - 14 years
Head of the Department of Plastic Surgery. Leading plastic surgeon. Certified specialist in plastic surgery and general surgery. Participant in master classes on plastic surgery.
Gvaramiya Eka Yurievna
Experience - 17 years
Participant of congresses, conferences and seminars on plastic surgery. Priority areas: mammoplasty (breast plastic), blepharoplasty, tummy tuck (abdominoplasty), liposuction, lipofilling, face lift, lip plastic, ear plastic, intimate plastic, body plastic, reconstructive plastic, solving aesthetic problems.
Abzaleva Guzel Rinatovna
Experience - 15 years
Participant of congresses, conferences and seminars on plastic surgery. Priority areas: blepharoplasty, lipofilling, intimate plastic surgery, abdominoplasty, breast plastic surgery.
Kalita Valeria Denisovna
Experience - 4 years
Participant of congresses, conferences and seminars on plastic surgery. Priority areas: mammoplasty, blepharoplasty, liposuction, abdominoplasty.
Makarov Andrey Vitalievich
Experience - 18 years
Certified specialist in plastic surgery, maxillofacial surgery, otolaryngology, general surgery. Participant in master classes on facial plastic surgery and rhinoplasty in Russia and abroad.
Garifulin Marat Sagitovich
Experience - 19 years
Priority areas: mammoplasty and gynecomastia (including in men), waist shaping, blepharoplasty, otoplasty, abdominoplasty.
Karpuschenko Maxim Alekseevich
Experience - 18 years
Specializes in nasal plastic surgery: rhinoplasty, septum correction, surgery after a nasal fracture.
Preparing for surgery
Before the operation, the patient must consult with specialists (therapist, surgeon, anesthesiologist), provide the most complete picture of his state of health, as well as undergo tests and procedures (blood test, urine test, chest x-ray, ECG).
It is recommended to give up smoking, alcohol, medications that affect blood clotting, and hormonal drugs at least 2 weeks in advance. The day before the operation you need to limit yourself to food, and on the day of the operation you should not eat at all.
Memo for preparing for facial plastic surgery: tests, prohibitions, recommendations
Operation
Typically, a lift is performed under general anesthesia. However, local lifting takes place under local anesthesia. The duration of the operation depends on the chosen technique, but does not exceed 4-5 hours.
| In our clinic it is possible to correct several aesthetic imperfections at once in one operation, reducing recovery time. Simultaneous operations are the simultaneous performance of several surgical interventions on different parts of the body, for example, breast augmentation in parallel with a facelift. During the consultation, the surgeon will determine which operations can be combined taking into account the individual characteristics of the patient. |
Strengths of Altera Therapy
1. In general, the skin reacts to ultrasound in the same way as to laser or radio frequency radiation. As the temperature rises, the processes of regeneration of the most important proteins - collagen and elastin - begin. But Altera’s strength is that the device is able to reach the deep layers of tissue. After all, ultrasound in the Altera apparatus operates at such anatomical levels, the transformation of which can quite effectively rejuvenate the skin.
2. A huge plus of SMAS-lifting is the concentration of ultrasonic energy. It does not dissipate during the procedure. Almost 90% is concentrated at the beam focusing point. This fact serves as an argument to talk about the benefits and safety of the technique. The focused ultrasound beam does not affect adjacent tissue.
3. Another proof of the high level of process controllability is the presence of a visualization mode in the device. It allows you to display an ultrasound image of tissue, scanning the image to a significant depth (up to 8 mm).
4. The advantage is that the procedure is less traumatic. If, during surgical plastic surgery, stretched muscles and skin are subject to excision, then Altera produces a multi-level effect on the skin and muscles without damaging them.
5. No need for anesthesia. During the procedure, no anesthesia, no cooling, much less anesthesia is required.
6. It is important that the procedure is carried out once. And the effect lasts for several years. For business people whose work schedules are drawn up months in advance, this is a powerful argument. Such people take care of their appearance, but cannot spend much time visiting clinics.
7. There is no rehabilitation period. This is the “lunch break” procedure. Immediately after it is held, you can go to a business meeting.
Before and after
SMAS lifting
Mendelssohn lifting (space lifting)
Anterior platysmoplasty
Platysma are the muscles of the neck. Platysmoplasty - suturing of the neck muscles:
Anterior platysmaplasty - diagram
The operation, together with neck liposuction, SMAS lift or modified Mendelssohn lift, allows you to remove a double chin, tighten your neck and eliminate wrinkles.
Read more about platysmaplasty in the article.
How to remove a double chin and tighten your neck?
Recovery
After surgery, the patient spends several days in the hospital. The first dressing is done on days 3-5. To prevent infection, the doctor prescribes a course of antibiotics.
For 10 days after surgery, you should not use cosmetics or wash your hair. The swelling subsides after 2-3 weeks, by which time the patient will be able to return to his normal lifestyle, but full recovery will take at least 2 months. During this time, the patient is prohibited from visiting the pool, bathhouse, solarium, playing sports, dyeing hair, smoking and drinking alcohol.
To speed up recovery, doctors recommend physiotherapeutic procedures and massage, but not earlier than a month after surgery.
As with any surgical procedure, complications are possible after a facelift. You can minimize the likelihood of negative consequences by contacting an experienced plastic surgeon. Medical specialists will provide a full range of services related to the preparation, conduct of the operation and the recovery period.
A facelift allows you to look 5-10 years younger, remove folds and wrinkles on the forehead, bags and circles under the eyes, as well as correct other age-related imperfections common among men and women. The effect remains for many years.
Yakimov Dmitry Konstantinovich
Doctor of the highest category. Candidate of Medical Sciences. Member of the Society of Plastic Surgeons. Author of more than 30 works in the field of surgery, teacher at the Military Medical Academy.
Contraindications
- pregnancy and breastfeeding;
- impaired blood clotting;
- cardiovascular diseases;
- diabetes;
- acute infections;
- oncology;
- chronic diseases in the acute stage;
- local inflammation in the intervention area.
Surgical operations to lift the lower third of the face are lifting technologies that help you look 10-15 years younger. As a result of the procedure, the skin becomes tightened, the oval of the face becomes clear, wrinkles and other age-related defects disappear. The face is rejuvenated, the chin becomes more defined, folds and ptosis disappear from the neck.
