How to get rid of jowls? Space-lifting, SMAS-lifting, MACS-lift

Excess tissue in the chin area and on the cheekbones is what is called jowls

. Everyone wants to get rid of them after 40-50 years. Despite the fact that their formation is a natural process associated with gravitational ptosis, you should not put up with a new image. Masks, massage, special exercises - all this is undoubtedly useful, but will not get rid of jowls. Real help can only be obtained at the Seline aesthetic medicine clinic. Cosmetologists work here who practice minimally invasive or completely atraumatic, but effective methods of combating jowls on the face.

Correction methods

The only way to completely remove jowls is through surgery. There are several methods for dealing with sagging cheek skin. Let's look at the main ones:

• skin tightening;
• SMAS-lifting (tightening the muscular aponeurotic layer);
• MASC-lifting (method of influencing the muscular-ligamentous system);
• space lifting (tightening the muscle layer of the middle and lower third of the face).

To understand the advantages and disadvantages of each method, you need to understand the anatomy of the face, the location of muscles and the causes of aging.

How and when the problem manifests itself

How to make cheekbones on your face: exercises

Externally noticeable age-related changes on a woman’s face are observed after 35 years. The natural aging process leads to the formation of wrinkles, jowls, changes in skin color, etc. Sagging cheeks are one of the most unpleasant phenomena of this kind. After 45-50 years, this problem occurs in almost all women. Deformation of the oval of the face occurs due to thinning and weakening of fatty tissue, decreased elasticity of the dermis, and decreased production of elastin and collagen.

On a note. The drooping of the lower part of the cheeks occurs under the influence of natural gravity, due to which the subcutaneous tissue moves downward - it cannot resist gravity.

The following factors contribute to the early appearance of jowls:

1. Lack of skin care; insufficient or improper care for it.
2. Overweight. Obesity causes stretching of the dermis, which becomes even more pronounced after losing weight.
3. Lack of fluid in the body.
4. Rapid weight loss, rapid weight gain.
5. Alcoholism.
6. Regular and prolonged exposure to sunlight.
7. Pregnancy.
8. Hereditary predisposition.
9. Stress.
10. Poor nutrition.

On a note. There are 57 muscles in the human face. The so-called Bisha lumps are also located here - segments of fatty deposits that have the least resistance to gravity. Due to gravitational traction, stigmas are formed in these areas.

Location of the spurs of Bisha's lump

Facial anatomy and causes of jowls

The soft tissues of the face consist of 5 layers:

• Leather. In the mid-20th century, it was generally accepted that the skin sagged. Therefore, for the purpose of rejuvenation, it was she who was tightened. The result was short-lived.
• Subcutaneous fat layer. It includes 2 main components: connective tissue and fat itself. The thickness of this layer varies in different areas and is not the same in different patients. With age, the amount of fat decreases, and the remaining fat clumps into lumps and sank, thus forming jowls and a number of other defects (bags under the lower eyelid, etc.).
• Musculoaponeurotic layer or SMAS. As we age, muscles stretch and sag along with fat. Therefore, tightening the skin alone does not give the desired result. A lasting effect can only be achieved by correcting the entire layer, including skin, muscles, fat and connective tissue. This kind of lift is called
• Connections and spaces. The connection of soft tissues to bones (to the skeleton) is made using ligaments. However, the ligaments are not distributed evenly throughout the face. They are located locally in several zones. In the spaces between them, the muscle layer is directly connected to the next fifth layer. In these places, the muscles can move freely along with the skin, which is how facial expressions appear on the face. Ligaments, unlike muscles, do not sag over time, so when looking at yourself in the mirror, it is not difficult to detect the transition between these layers.
• Periosteum and deep fascia. These are tissues fused to bone. They do not affect the formation of jowls.

The next layer is the skeleton. It also undergoes changes over time, its volume decreases.

Thus, as a result of aging, the lower jaw shrinks and the cheek muscles stretch, sagging along with the fat. Which leads to the formation of jowls.

Getting rid of drooping jowls

Drooping of the jowls is one of the signs of aging associated with age-related changes that occur at the cellular level. Facial skin is kept in perfect condition thanks to elastin and collagen. However, over the years, they cease to be produced in the same quantities, and muscle tone decreases. Subsequently, the gravitational factor comes into play - the fatty tissue falls down, pulling the skin. As a result, so-called jowls appear - sagging cheeks, which visually make the face much older.

Causes

The main reason is age. But early aging and the appearance of sagging “bulldog” cheeks can be provoked by an incorrect lifestyle - bad habits, lack of exercise, oxygen and vitamins, a general loss of body tone, chronic fatigue and insomnia, a tendency to edema.

Specialists from the medical network draw the attention of patients that it is easier to prevent sagging cheeks than to later deal with this manifestation of age. The first signs of sagging jowls usually appear after forty to forty-five years. However, women who pay attention to prevention, use high-quality anti-aging cosmetics and regularly visit a cosmetologist, manage to delay the onset of pronounced age-related changes by ten years or more.

Possible inconvenience and risk

At first, the appearance of jowls is not noticeable - this defect can only be noticed with certain movements and tilts of the head. In the absence of proper care, the problem can rapidly progress - the face takes on an exhausted, senile appearance. Sagging cheeks are often accompanied by the appearance of characteristic pigmentation.

Methods for eliminating drooping jowls

• Lift-6 lifting technology - a combination of gentle mechanical massage and vacuum action, based on the principles of reflexology, improves blood circulation, stimulates immune processes in cells, corrects contours and removes jowls.
• Biorevitalization of the face and bioreinforcement - the introduction of active biological components plays the role of a surgical scalpel, allowing you to achieve restoration of the oval of the face in a gentle, non-surgical way.
• Phototherapy and laser therapy - activation of all processes of protection, rejuvenation and regeneration with the help of special penetrating radiation, restores tone and clarity of lines.
• Fractional needle thermolifting – Radiofrequency exposure delivered through needles leads to visible retraction (compression) of collagen, which leads to activation of the processes of neocollagenesis and neoelastogenesis. The lipolytic effect allows you to correct local fat deposits, for example, in the area of ​​the double chin and jowls, and the oval of the face becomes clearer.

In some cases, as an adequate alternative, patients in the medical network may be offered the introduction of mesotherapy threads or contouring using hyaluronic acid gel concentrate. For loss of volume and ptosis in the cheek-zygomatic area, volumetric plastic surgery with Restylane SubQ, Restylane Perlain, Juvederm Voluma is indicated.

If you have any questions, you can contact a specialist.

Prices for procedures to get rid of drooping jowls

Bio-reinforcement of the face
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Biorevitalization

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Drugs

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Contour and volumetric facial plastic surgery

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Facial photorejuvenation

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Laser rejuvenation

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up to 6,000 rubles as a gift

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Non-surgical LPG face lift

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Programs and courses

Program "Comprehensive rejuvenation"

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4 visits, 8 weeks

“Beauty Day” program

“Beauty Day” program

1 visit

Toning and lifting program

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Course “Facial care complex No. 2”

Course “Facial care complex No. 2”

2 weeks, 3 visits

How is space lifting done?

Space lifting allows you not to move the entire SMAS layer, but to work only in spaces where there are no ligaments that increase with age. Suturing the spaces also allows you to remove jowls. In this case, the ligaments are also cut, and the SMAS returns to its original position. In this case, a minimal incision is made on the SMAS layer itself, without which the surgeon cannot do his work. After all the manipulations are completed, the SMAS is simply sutured and the excess skin is excised. To perform a space lift, access is also required through an incision along the ear and above.

The advantages of the method include fixation of spaces, which eliminates the possibility of relapse. While with SMAS the spaces remain stretched, only the muscular aponeurotic layer is tightened. Therefore, jowls may appear again as the space continues to stretch. However, the space method, unlike a full-fledged SMAS, does not make it possible to tighten the neck muscles.

Basic rules of facial gymnastics for wrinkles

There are different views on what exercises the face needs.

Have you heard about Facebook building? This is pumping up facial muscles by analogy with bodybuilding. But the face is not the body. He doesn't need strength training. Moreover, face building harms the face. What better way to pump up muscles that have already shrunk from tension throughout our lives! While we laughed, frowned, wondered, squinted, chewed.

Pumping up the facial muscles can only accelerate age-related changes: wrinkles, creases, folds, nasolabial folds, etc. The subcutaneous fat layer will also become thinner, and it is very important for maintaining beauty.

To get rid of wrinkles, the muscles need to be relaxed and restored to their natural length. Therefore, the basis of work with the face should be self-massage.

Nothing will help your face like your hands. We knead, rub, press, pat. And wrinkles are smoothed out.

Self-massage is the simplest, most accessible and effective way to help your face. But remember a few rules.

1. Do self-massage regularly and systematically.
   Every day, spend 10-15 minutes on your face. Imagine that you started working out to burn fat on your butt and belly, and suddenly you took a break for a few days. What will happen? All efforts will go down the drain. It’s the same with the face, only even stricter. We work without holidays and weekends. About a month.

   If you stop doing the exercises after completing the course, after a few months everything will return to the state it was before you started the exercises. Do you want to maintain the effect for years? Do a maintenance complex at least 2 times a week.

2. We do self-massage taking into account the facial massage lines.
   This is necessary so as not to get the opposite effect - stretched and wrinkled skin.
3. We relax, not tense.
   The set of exercises should be based on relaxation techniques, not muscle tension.
4. Remember the safety precautions.
   There are not many of them. Massage should not be performed in case of skin damage, local inflammation, rashes, herpes, or dilated capillaries.

MASS-lifting

The technique that causes the most controversy is that it is ineffective for most patients. However, with certain deviations it also shows good results. Moreover, it cannot be called a full-fledged facelift.

During the MASC lifting procedure, the doctor makes an incision along the ear and higher along the hairline and pulls the SMAS through the resulting incision using threads. In this case, the muscular aponeurotic layer is not cut, but simply tightened. After the procedure, the SMAS is constantly in a tense position, and therefore quickly stretches again. In addition, with the introduction of thread lifting techniques without an incision, the relevance of this operation naturally came to naught.

Several years ago, a plastic surgeon from France proposed improving the MASC lifting method and using metal staples instead of threads. However, practice has shown that, under constant load, the staples partially unbend, and the facial tissues return to their original state.

Jowl contouring with Juvederm Voluma filler

Juvederm Voluma is an American-made gel filler that is popular all over the world. Removing jowls on the face in honey is carried out using this drug because it is safe for health and highly effective. It includes:

• hyaluronic acid - slows down aging, saturates the skin with moisture;
• lidocaine - makes the procedure painless;
• phosphate buffer - has an anti-inflammatory effect.

Removing jowls on the face using filler gives a noticeable effect in one procedure. The results of Juvederm Voluma injections last up to two years.

How to choose a jowl correction method

The choice of technique should depend on the indications. However, in practice, the surgeon often offers a limited choice, since he does not know all the methods. Therefore, there are many legends among patients about the ineffectiveness of, for example, space lifting. However, in some cases this is indeed the case. Other specialists give information that the space method is too dangerous and traumatic, offering the MASC available to them, which rarely brings the desired result, since it is effective only at the very initial stage.

General recommendations for choosing a method:

• MASC can be used in the same cases as thread lifting.
• The space method is indicated for moderate jowls, when the neck is still in good shape.
• The SMAS lift is most effective for severe problems. However, everything must be done according to indications; you should not rush with heavy artillery if it is not yet necessary.

How to remove jowls and tighten the oval of the face

Jowl lifting is performed only after preparation. To identify contraindications, a cosmetologist examines the medical history, prescribes tests and allergy tests. Before contouring you need:

• exclude foods with high salt content,
• give up alcohol and nicotine,
• reduce physical activity and sports.

You must notify your doctor in advance about taking any medications. This will help eliminate unexpected reactions. Contour plasty of jowls is not performed if:

• pregnancy and lactation;
• inflammation at the sites of intended injections;
• exacerbation of chronic diseases.

Risks associated with a facelift

Women and men choosing a correction method are rightfully concerned about possible complications, primarily the risk of damage to the facial nerve. At the same time, fear is often whipped up by cosmetologists who persuade patients to use thread techniques available to them. In practice, nerve damage occurs, firstly, infrequently, and secondly, it is subject to correction, i.e. the nerve can simply be sewn together. Of course, not all doctors are proficient in this technique, so mistakes made by one specialist are most often made by another, more qualified one. In rare cases, stitching is not possible.

However, this is not the main difficulty in the work of an experienced cosmetic surgeon. The main thing is to determine the patient’s needs so that the aesthetic result does not disappoint. Since the likelihood of fatal complications is negligible.

Preparing the skin and muscles of the face for exercise

The main thing is to choose the right set of exercises, which will be designed primarily to eliminate hypertonicity - the main problem of the facial muscles. And a bonus to this task should be the return of healthy tone to weakened muscles.

If you find such a complex, then no difficulties will arise.

No special preparation is needed. Is your face clean and without makeup? Are your hands clean? It's enough. For convenience, it is better to take your hair back.

You can begin.

How to do facial exercises against wrinkles at home

Try a few anti-wrinkle exercises from MelAnnett right now:

1. Removing the eyebrow area
2. Removing horizontal wrinkles on the forehead
3. Removing wrinkles around the eyes

Did you feel the blood rush to your face? The processes have begun.

If you do the exercises every day, then within half a month you will see the result in the mirror. After a month, he will become noticeable to others.

Also be sure to try vacuum self-massage using Beauty365 glass jars (sold in the online store www.beauty365.ru). They make blood and lymph flow through the vessels, as in youth, and erase wrinkles like an eraser.

Have you received a parcel with vacuum jars? Then turn on the video and repeat:

If you perform at least local self-massage of problem areas, you will already see changes. But for a more pronounced and lasting result, it is also necessary to work with the spine, neck, aponeurosis of the head, and other (non-target) facial muscles.

For what?

Participants in MelAnnett beauty marathons will answer this question without hesitation. The tangle of problems that leads to wrinkles on the face also stems from poor posture. This is where everything that leads to musculocutaneous deformities on the face begins. And you need to start unwinding this ball from the back.

• Relax the muscles of the back and shoulders, return them to their natural length and thereby remove obstacles to straightening the spine.
• Relieve muscle spasms in the cervical region, stretch the “muscle of youth” platysma and clear the way for blood flow to the face and lymph outflow.
• Restore mobility to the aponeurosis of the head (tendon helmet).
• Work on a variety of facial muscles. Even if it seems that they are not related to the area where wrinkles form, there will be some connection. The configuration of the entire muscular system of the face should be the way nature intended it, without distortions.

For example, what are wrinkles on the forehead and between the eyebrows

? They appeared due to spasms of the frontal, pyramidal and pride muscles. But the frontalis muscle works in tandem with the occipital muscle, and is also associated with the aponeurosis of the head and the temporal muscles. And in order to eliminate these spasms, you need to knead other areas: the neck muscles (occipital and trapezius), the masticatory muscle, the tendon helmet.