Only empty, limited people do not judge by appearance. The true secret of life lies in the visible, and not in the hidden. Oscar Wilde
Why has a facelift become one of the most popular plastic surgeries today? The face is the calling card of a person. Based on it, conclusions are drawn about character, mood, approximate age and social status. However, it happens that appearance says something about a person that is not at all what he himself would like to say. Therefore, SMAS facelift has become almost a mandatory procedure for people of certain professions and standard of living. This technique can literally turn back time! A circular facelift helps not only to “throw off” 10-20 years, but to create a more optimistic and attractive image. After plastic surgery performed by Dr. Kudinova, the patient looks very natural, and the achieved effect lasts for at least 10-20 years.
Before and after SMAS facelift
All photos
Results Before and After FACIAL PLASTY Watch now
Each person and his appearance are individual: some require a circular facelift, while others need correction of individual zones. Sometimes you can get an excellent result with just a small lift of the forehead and eyebrows, or local surgical correction of the lower zone and neck.
When choosing a rejuvenation treatment, there are many factors to consider, including each patient's age, anatomy, and personal goals, vision, and expectations.
Book a consultation with Dr. Ekaterina Sergeevna Kudinova to learn more about SMAS facelift and other surgical and non-surgical rejuvenation methods. We recommend bringing your old favorite photos to your appointment.
Related video: facelift
What drugs are most often used for liquid tightening?
Various types of cosmetic fillers are used for this purpose. When choosing, the patient’s age, skin condition, injection site and other factors are taken into account. Therefore, a different regimen is selected for each patient.
For liquid tightening, a large number of drugs are used, which can be divided into groups:
- Poly-L-lactic acid (PLLA) preparations, the most famous of which is Sculptra / Sculptra Aesthetic. Unlike other fillers that simply fill in lines and creases, it works to address the cause of wrinkles. The drug stimulates the production of collagen protein, which makes up the skin framework, replenishing lost volume. Scuptra is used in the mouth area to correct nasolabial folds, marionette lines and chin wrinkles. As a rule, three procedures are performed, the results of which last for more than two years.
- Preparations based on hyaluronic acid - a substance that the skin loses with age. Among them, the most famous fillers are Juvederm and Restylane. This type of filler can be used to reduce wrinkles on the forehead, cheeks, jawline, and the appearance of wrinkles on the arms. They enlarge lips. The effect lasts from eight months to two years.
- Preparations based on calcium hydroxyapatite, the most common of which are the Radiesse line. This is also a completely natural drug that is found in teeth and bone tissue. Fillers of this type are used to tighten the skin on the cheekbones and cheeks, correct the shape of the nose, facial contours, and chin contours. They are used to fill wrinkles on the face and hands.
Liquid lifting goes well with other procedures:
- Administration of drugs based on botulinum toxin. Dynamic wrinkles (crow's feet, forehead lines, wrinkles) are treated with Botox or Xeomin, a muscle relaxant. The skin becomes even and smooth.
- Lipofilling is a transplantation of fat taken from the patient’s abdomen or thighs. This method allows you to restore large volumes of tissue, obtaining long-term results.
- PRP procedure – injections of platelet-rich plasma. Combining this method with a non-surgical facelift significantly improves the quality of the skin - fillers smooth out wrinkles and folds, and plasma injections work in deep tissues, causing them to rejuvenate and regenerate.
Only a cosmetologist with extensive experience can choose the right combination of liquid lifting with other procedures. In this case, you will be able to get the maximum effect.
Photo 1. Liquid facelift before and after
Photo 2. Liquid facelift before and after
Is a SMAS facelift right for you?
This operation can be recommended for both women and men, usually over 40 years of age. But in some cases (for example, after weight loss), facial plastic surgery can be performed at an earlier age. Anti-aging surgery may be recommended if you have one or more of the following problems:
- Visible signs of facial aging.
- Flaccid, sliding or sagging skin.
- Age-related muscle weakening.
- Change in volume and decrease in elasticity of the soft tissues of the face.
- Deep nasolabial folds.
- Changing the oval of the face.
- Wrinkles on the forehead, under the eyes, on the bridge of the nose.
- Excess fat deposits in the chin area.
- Unsightly contour of the lower jaw (“jowls”).
- Folds on the neck, double chin.
At the request of the patient and taking into account the indications and purposes of the operation, Ph.D. Ekaterina Sergeevna Kudinova can perform a facelift using an endoscopic or traditional method (more information about endoscopic facelift can be found here), as well as simultaneously with other corrections, for example, blepharoplasty, chin surgery or breast augmentation.
Facial plastic technologies
In today's aesthetic medicine, two facelift methods are used - minimally invasive and surgical.
The first method is recommended for patients (usually no older than 40 years) with slightly pronounced age-related changes. Thus, injections of Botox or hyaluronic acid can help with fine wrinkles and loss of volume, and peeling will help get rid of pigmentation.
If superficial methods of rejuvenation are no longer effective, but the skin is still regenerating normally (usually between the ages of 40 and 60), surgical facial plastic surgery is indicated. It is better to entrust the choice of a specific method to a surgeon, who will select the optimal method taking into account the individual characteristics of your body and the severity of the problem.
A facelift can eliminate drooping eyelids and sagging cheeks, nasolabial folds and vertical wrinkles on the cheeks, a double chin and other signs of age.
How is facial rejuvenation surgery performed?
There are many methods for performing this popular correction. The choice depends on the individual characteristics of the patient and his wishes. In our clinic, it is possible to carry out both an extended SMAS facelift and partial correction of individual areas, including brow lift, neck and chin plastic surgery, etc. (for reference, SMAS is the Latin abbreviation of the term PMAS - superficial muscular aponeurotic layer) .
SMAS lifting differs in the type and location of the incision:
- A classic facelift, in which incisions are made in front of the ears and along the hairline.
- An endoscopic technique is carried out through small punctures located so that they are not visible after the intervention (behind the ears, in the scalp, in the mouth, etc.).
In any case, the sutures are placed in such a way that after the end of the rehabilitation period, thin scars are completely invisible. For this purpose, the author’s “invisible seam” method of Dr. Kudinova is used. Ekaterina Sergeevna believes that one of the primary tasks of a plastic surgeon is to perform a facelift so that no visible traces of the intervention remain.
To restore the original volumes of various zones and preserve individual features, the author’s method of two-plane facial plastic surgery is used. During the operation, the doctor works with all tissues that need correction (subcutaneous lifting, SMAS lifting, deep subperiosteal lifting). In addition, Dr. Kudinova uses modern endoscopic technologies and methods of tissue fixation using endotins (special absorbable devices made of polylactic acid).
The operation is performed under general anesthesia and can last from 1 to 4 hours, depending on the complexity.
Types of circular lift
Classic face lift (rhytidectomy) . With this type of facial plastic surgery, the surgeon makes surgical incisions in the area of the scalp of the forehead, in the fold in front of the auricle and behind the ear. The technique involves manipulations to move, redistribute and give the desired position to tissues with subsequent tension of the skin. No work is done with the muscular frame during rhytidectomy, so the method is applicable mainly to patients with moderate age-related skin changes and without excess fatty tissue.
The operation is usually performed within 1-3 hours, under general or combined anesthesia.
The results of a facelift can last up to 5-7 years (if you follow all medical recommendations for facial care).
With a classic circular facelift, soft tissue and skin are plasticized, but the facial muscles are not involved. And after several years, the skin, under the weight of the muscles, is able to return to its previous (relaxed) state. Therefore, recently, surgeons are increasingly resorting to combined techniques that combine the techniques of classic facelift + SMAS lifting or endoscopic facelift and other techniques.
Deep circular lift (SMAS-lifting) . The technique combines elements of classic facelift and work with the deep layers of the face - muscles and tendons. (SMAS is an abbreviation for Superficial Musculo-Aponeurotic System, i.e. superficial muscular-aponeurotic system).
Manipulations with the SMAS layer make it possible not only to get rid of wrinkles and folds, but also to strengthen the muscular frame of the face and return it to its original relief.
The operation takes 3 hours (on average) and is performed mainly under general anesthesia.
The effect of a deep circular lift lasts much longer than that of a classic rhytidectomy - for 8-10 years or longer.
Circular lift. Photo before surgery
1 Photos before circular facelift
2 Photos before circular facelift
3 Photos before circular facelift
Circular lift. Photo after surgery
1 Photos after a circular facelift
2 Photos after a circular facelift
3 Photos after a circular facelift
Endoscopic facelift. With this type of facial plastic surgery, the surgeon works with the same tissues as with SMAS lifting. Only long incisions here replace miniature (1-2 cm) punctures, through which all manipulations are carried out using the finest endoscopic equipment and a video monitor. The doctor sequentially isolates the muscular aponeurotic layer and then tightens it along with the adjacent skin flaps.
The duration of the operation and the type of anesthesia depend on the scope of the intervention.
The advantages of endoscopic lifting are noticeable rejuvenation, invisible stitches and short rehabilitation. However, the technique is suitable mainly for people 35-45 years old. For older patients with pronounced deep wrinkles, more radical techniques are recommended that allow surgical excision of excess skin.
Combined facelift . When using a combined technique, the plastic surgeon touches not only the superficial tissues near the outer edge of the masseter muscle, but also the deep tissues up to the masseter muscle.
The use of different techniques (tissue mobilization at the SMAS level, movement of muscle-fibrous structures in different directions, excision of excess skin, neck lift, etc.) allows you to correct deep and superficial tissues, stretching them in different directions.
The duration of the operation depends on the complexity of the chosen techniques and can be 2-6 hours. Anesthesia - general.
Photo before a circular lift
1 Photos before circular facelift
2 Photos before circular facelift
3 Photos before circular facelift
Photo after a circular lift
1 Photos after a circular facelift
2 Photos after a circular facelift
3 Photos after a circular facelift
Do you need the best circular facelift surgeon in Moscow?
When it comes to such a complex and delicate area, choosing the right doctor is especially important. Plastic surgeon Ekaterina Sergeevna Kudinova is a recognized specialist in all types of aesthetic facial surgery. She has in-depth knowledge and experience in performing more than 10,000 plastic and reconstructive surgeries of various profiles. She has developed unique methods of surgical facial correction, including the technology of volumetric 2-plane facelift and the author’s “invisible seam” technology.
Plastic surgeon Kudinova uses the best experience and modern capabilities of plastic surgery to obtain maximum anti-aging effect and natural results without visible traces of surgical intervention.
When are the results of the procedure visible?
The results of the introduction of fillers are visible immediately. Since fillers not only restore volume, but also start the rejuvenation process, they will improve over another 3-6 months.
When using drugs based on L-polylactic acid, you will have to wait longer for results, since the body needs to produce collagen, which leads to tissue tightening.
Liquid lifting is a safe, low-traumatic, effective procedure, the popularity of which is growing along with other non-surgical methods. This is an excellent option for those who want to get a rejuvenating effect without surgery.
How much does it cost to get a facelift in Moscow?
The price of the operation depends on the level of the specialist, the conditions of the clinic in which the correction is performed, and the medications used. The price for a circular facelift in Moscow varies widely.
The best methods, the best drugs, the best rehabilitation conditions determine the current prices for facial plastic surgery, which cannot be too low. However, Dr. Kudinova believes that the best balance of high quality surgery and reasonable prices for plastic surgery is in the interests of patients and the surgeon himself.
To learn more about surgical facelift operations and other rejuvenation procedures, sign up for a consultation with Ekaterina Sergeevna Kudinova through the online registration form or by calling +7 (495) 53-23-911 or +7 (903) 790-69-58
Rehabilitation period
Postoperative rehabilitation proceeds differently, depending on the complexity of the facial plastic surgery performed and the physiological characteristics of the body. The most common complications after surgery include swelling and hematomas, which completely disappear after a couple of months. The general recovery period, for example, after endoscopic lifting, takes up to 7 months.
To minimize the described complications, the doctor will recommend various procedures to promote a speedy recovery.
