Correction of face shape in modern plastic surgery


"I do not know what to do. My friends say I'm beautiful. Men are courting me. But I look at photos of girls on Instagram and social networks - and cry, how beautiful others are, and how ugly I am.

When I look at my facial features separately, there seem to be no flaws. But, on the other hand, everything is not the way I want it. The face is somewhat rough, quite simple. I want to change my face, but I don’t know how!”

Natalya, 24 years old

Instagram undoubtedly brings celebrities closer. It’s so nice to come in and see how they live, what view they have from the window today, what they eat for breakfast, and how they see themselves in the mirror.

And if on Facebook people are increasingly measuring their intelligence and talents, then Instagram drives us into the narrow boundaries of faces and bodies. And few people at this moment realize the danger - the danger of comparing themselves with others!

Kim Kardashian

Zac Efron

Angelina Jolie

Ryan Gosling

In essence, we know nothing about the star person we follow, but pictures of his life kindly come to us with delivery. We look at them with complete trust and compare them with our real selves. But this is exactly what you don’t need to do.

Firstly, no one posts “raw” photos. You don't even need Photoshop. To make your skin cleaner, your facial features more graceful, and your figure 5 kilograms slimmer, just use filters.

Secondly, pay attention to how similar all Instagram beauties are to each other: just sisters. The fashion for the shape of the nose and the thickness of the lips will change, and at the age of 19 they will go to the dustbin of history, giving way to new fashionable faces.

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“Today, the approach to the concept of beauty has changed a lot.

To be a timeless beauty, you need to be original.

It is the creation of an individual image that I have been doing for the last 10 years of my practice and have developed my own method of harmonizing appearance.

Harmonizing surgery is a modern direction of aesthetic plastic surgery, the so-called “attractive medicine”. It is the term “attractiveness,” and not “beauty,” that is used as an evaluation criterion.

We are all different and all beautiful. It's just that some people's beauty needs to be helped to fully manifest itself. And this is already a matter of science and art, at the intersection of which I practice.”

Andrey Iskornev, plastic surgeon.

Completely change your face?

People often come to see me with the desire to completely change their appearance. They tell me: “I don’t like anything about my face, I hate myself, I want to start a new life in a new guise, is it possible to change my face beyond recognition and how much does the operation cost?”

It’s possible, modern plastic surgery is not even capable of such miracles. But it's important to remember two things.

Firstly, a person who has changed his face changes in many ways internally too - are you ready for radical changes in yourself from the inside?

Secondly, a person’s appearance is not a static picture. Your gestures, gait, facial expressions, speech patterns, demeanor - or any little thing may not match your new, ideally beautiful face. It will seem that you are wearing a mask - that’s all.

Therefore, if you are not a secret agent working undercover, do not rush to “change everything.” The great Michelangelo assured that he makes his beautiful statues by cutting off everything unnecessary from a piece of marble. If it can be done with a stone, then it can be done with a face. It will remain yours, but its attractiveness will increase significantly.

Fix your smile

The desire to correct a smile most often arises among owners of the so-called gummy smile, when the upper lip does not cover the gum. This happens when the upper jaw is overdeveloped, the upper lip is too narrow and the teeth are large. Ideal examples are Cristiano Ronaldo and Ben Affleck at the beginning of their careers.

Another client is the owner of drooping lip corners. So that the sad look no longer worries you, it is enough to introduce 4-8 units into each corner, and Pierrot’s smile will disappear from his face for at least 8 months.

Photos "before" and "after"

Harmonization of appearance. Photos were taken “before” and on the 9th day “after” the operation. Surgeon: Iskornev Andrey.

A Medpor chin implant was installed and Bisha's lumps were partially removed. Completed by: Andrey Iskornev.

“Before” and 10 days “after” rhinoplasty (surgeon Mkhitar Meloyan) and removal of Bisha lumps (surgeon Andrey Iskornev). The lower third of the face stretched out, the heaviness of the cheeks went away. The face looks lighter and more harmonious.

Photos “before” the operation and on the 5th day “after”.

Removal of Bisha's lumps, chin endoprosthetics with a Porex implant (USA), laser liposuction of the chin, thread lifting of the lower third of the face. Surgeon - Iskornev A.A.

This patient came to me through the “Let Them Talk” program. As a result of intranatal trauma and deformation of the facial skeleton, her face before surgery looked asymmetrical, ptosis, with a pronounced drooping of the midface area of ​​the eyebrows on the right, and excess tissue of the lower third of the face. I have performed: endoscopic lifting of the forehead and midface, endoprosthesis replacement of the zygomatico-orbital complex on the left with a Medpor implant, removal of Bichat's lumps, lipofilling, plastic surgery of the lower lip scar.

The photo shows the first stage of facial reconstruction. Surgeons: Iskornev A.A., Vasiliev M.N.

The second stage we plan to do is endoprosthesis replacement of the angle of the lower jaw on the left.

“Before” and “after” surgery to harmonize appearance.
Surgeons - Mkhitar Meloyan (rhinoplasty) and Vasiliev Maxim (removal of Bisha's lumps).

Photo from the patient’s private archive, 1.5 months after surgery to harmonize her appearance.

V-shape facial harmonization using exclusive technology Iskorneva A.A.

Restore youth to your neck

No matter how good your face looks, your neck always reveals your true age. Vertical wrinkles “decorate” it due to the tension of the superficial muscle called platysma. You can independently conduct the following test to detect it: standing in front of a mirror, pull the corners of your lips down and say “y-y-y” - you will see platism. Unfortunately, with age, this muscle loses tone and weakens.

Another common type of wrinkle is the “ring of Venus.” You can also get rid of them with Botox and hyaluronic acid fillers.

How to change your face shape

What is the harmonizing approach?

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“I have created more than 50 protocols in the field of “harmonizing facial surgery.” Harmony is considered to be what is found in nature.

Accordingly, if we talk about harmonizing surgery, then we mean the most natural result of the transformation . Gone are the days of unnatural faces and disproportionate body parts.”

Andrey Iskornev, plastic surgeon.

To change a person's face within the framework of a harmonizing approach, very different degrees of intervention are required. Some people really need to change the oval of their face with plastic surgery, while others can correct their facial features without surgery - for example, enlarge their chin using contour plastic surgery. It all depends on the source data.

I am often asked which part of the face you pay the most attention to. What is its semantic center?

Eyes. Nothing on your face should distract attention from your eyes. Sometimes it is enough to “open” your eyes a little and remove the bags under your eyes to radically change your facial expression and perception.

Even successfully adjusted eyebrows change the face. The most beautiful way to do this is an endoscopic lift of the forehead and eyebrows and fixation of the eyebrows with small absorbable implants - endotins. This procedure has another pleasant effect - it tightens the drooping upper eyelid without the need for upper blepharoplasty.

Sometimes attention is drawn away from the eyes by a nose that is too large. Then it makes sense to work with him. Sometimes the contour of the face gets in the way. Slavic faces usually have a round shape with pronounced cheeks. Removing Bish's lumps in this case will help make the face narrower, make the profile of the face clearer, and again make the eyes the most noticeable part of it.

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“The canons of the golden ratio, discovered by the masters of the Italian Renaissance, work great when you need to change facial features. Compliance with the canons of the golden ratio guarantees the maximum effect of harmonizing your appearance.

For example, take Angelina Jolie’s now fashionable plump lips: they can be done in very different ways.

I calculate the proportions based on the fact that the length of the lips should be within the vertical lines descending through the center of the pupils. The lower lip should be about 1.5 times fuller than the upper lip, the distance from the tip of the nose to the upper lip should be ¼ of the distance from the tip of the nose to the chin, and so on.

After correction, the lips will become larger and more seductive. But the most important thing is that, as a result of mathematical calculations, they will fit harmoniously into your face, and will not look artificial and alien on it.

And this happens all the time when such calculations are not carried out.”

Andrey Iskornev, plastic surgeon.

Learn more about harmonization.

Of course, it's not just about lips. Any changes, no matter what part of the face they affect, affect the entire face and affect the perception of other people.

Therefore, for me, the answer to the question of how you can change your face always begins with careful planning of the operation . At this stage, possible variations of changes are mathematically calculated using photographs, and in complex cases, using a stereolithographic model of the skull.

Expert comment:

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“How can you be sure that after harmonizing surgery you will look more attractive?

This is a very big responsibility for a surgeon, requiring a developed aesthetic sense and knowledge of the artistic canons of a beautiful appearance.

On the one hand, I am a doctor with an academic surgical education in the field of plastic surgery, maxillofacial surgery and microsurgery.

On the other hand, I am a graduate of the best art university in the world - Yale Art School, where I deeply studied painting and anthropometry - the science of the proportions of the human face and body."

Andrey Iskornev, plastic surgeon.

At the same time, we must not forget that at different ages and with different initial data, the same operation can solve completely different problems. For example, removing Bisha lumps in youth will lead to the effect of “retracted cheeks.”

At a more mature age, it is better to redistribute these fat packets higher, in the cheekbone area, to give additional volume to the middle third of the face. The face will become fresher, but at the same time graceful and thoroughbred.

Removing Bish's lumps will have an excellent effect on a man if he has a square face, making his appearance too rough and masculine. This operation slightly refines the facial features and makes the image more friendly.

Removal of Bisha's lumps goes very well with chin surgery.

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How to get rid of sagging cheeks at home

The following steps will help you cope with the problem of sagging cheeks:

  • At least 1-2 times a week, massage the problem area with a special facial massager. Perform manipulations carefully so as not to damage the delicate skin. After the procedure, apply nourishing cream to your face.
  • Make masks with blue clay. The product saturates the skin with microelements, moisturizes, making the skin taut, firm, and elastic.
  • Set up nutrition. If sagging cheeks are the result of excess weight gain, then first of all you need to get rid of it by adjusting your diet, engaging in physical activity, and giving up bad habits.

Method four: lifting with threads

Modern technologies that involve the use of threads for lifting show: our life constantly repeats the past. New developments are now offered to be installed not by surgeons, but by cosmetologists, whose work in this area was previously called not very successful. However, thread manufacturers assure: they produce threads that do not cause difficulties during insertion, and the technology is completely safe. The threads are made from materials that dissolve over time and are removed from the body. It is very easy to place them under the skin using auxiliary tools.

Note ! The specificity of the threads makes the tissue tightening uniform and completely natural.


You can also use threads for this purpose.

Of course, the opportunity to appear younger and not pay exorbitant amounts of money for it is very tempting. But we need to think: what result will we get if we use threads to tighten the oval of the face? The threads used by cosmetologists are placed under the skin, while surgeons use threads for a ligature facelift. They are inserted into soft tissues and attached to bones. This technology, according to the researchers, copes much better with the task of tightening: the tissues are regrouped, moved and secured in a much more “youthful” position.

Disadvantages : although the threads seem to be a perfect technology, their arrangement is too superficial and has its own disadvantages. These are, for example, contouring, problems with tension of tissue structures, skin retraction in attachment areas.


This procedure has significant disadvantages

Non-surgical breast augmentation

Breast enlargement without surgery is one of the most popular requests on the Internet.
We look for all sorts of miraculous remedies on the Internet: massage, vitamins, exercises, soda, red clover, iodine, oils and, of course, the notorious cabbage... Exercises will strengthen the back muscles and improve posture, but will not affect the volume of the bust in any way. These are the structural features of the tissue of the mammary glands: it will not be possible to “pump up” the breasts. As for other folk remedies, let's think sensibly: if, for example, cabbage helped, would there really be plastic surgery clinics? Conclusion: breast enlargement will not be possible without surgery. But a plastic surgeon will be able to make not only the desired size, but also create a beautiful breast shape.

CONTRAINDICATIONS

The list of indications directly depends on the type of procedure, the patient’s age and the presence of health problems. Here are the main contraindications for hardware lifting sessions:

  • damage to the facial skin: ulcers, cuts, scratches, abrasions;
  • pregnancy, breastfeeding;
  • chronic skin diseases;
  • metal plates, permanent fillers and threads, and a pacemaker were installed;
  • oncological diseases;
  • acute infectious diseases;
  • chronic diseases in the stage of decompensation;
  • systemic diseases.

Contraindications for injection and thread procedures:

  • oncological, infectious, inflammatory processes,
  • allergic reactions on the skin of the face,
  • pregnancy and breastfeeding,
  • chronic skin diseases,
  • bleeding disorder,
  • age less than 18 years,
  • any diseases in the stage of exacerbation and decompensation.
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