Facelift from short access. Unsuccessful facelift

(S-lift, Short-Scar Lift) - a modification of the SMAS-lift, performed through a small S-shaped incision in front of the auricle. A short-scar facelift combines low trauma and a short rehabilitation period with the advantages of SMAS-lifting - the ability to perform a facelift of the superficial musculoaponeurotic system of the face and lateral platysmaplasty. A facelift with a short scar is ineffective for severe skin laxity, requiring the removal of excess neck skin. Candidates for a short-scar facelift are patients between the ages of 30 and 45.

(S-lift, Short-Scar Lift) - a modification of the SMAS-lift, performed through a small S-shaped incision in front of the auricle. A short-scar facelift combines low trauma and a short rehabilitation period with the advantages of SMAS-lifting - the ability to perform a facelift of the superficial musculoaponeurotic system of the face and lateral platysmaplasty. A facelift with a short scar is ineffective for severe skin laxity, requiring the removal of excess neck skin.

Candidates for a short-scar facelift are patients between the ages of 30 and 45 who wish to have some skin tightening with minimal scarring and no significant changes in the neck area. With the help of S-lifting, it is possible to eliminate cheek jowls, a double chin, drooping of the cheekbones and cheeks, sharp nasolabial folds, slight sagging of the skin of the neck. Also, a short scar facelift may be recommended for patients who require repeated facelift procedures.

With the S-lift, natural aesthetics are improved and facial rejuvenation is achieved with minimal skin incisions and a rehabilitation period. At the same time, a short-scar facelift is a full-fledged multifaceted operation that combines skin tightening and subcutaneous SMAS-structures of the face. For complex facial rejuvenation with a short-scar lift, blepharoplasty of the lower and upper eyelids is ideally combined.

Advantages

A short-scar facelift does not require a behind-the-ear incision as with a traditional facelift. Due to this, the operation is characterized by low traumatism, which is especially preferable for smoking patients. In rare cases, a facelift with a short scar requires an additional incision in the temple area, which will be securely hidden in the hair. The absence of an incision in the posterior region prevents the possibility of damage to the branches of the facial nerve.

Due to the vertical tissue tightening performed during the S-lift, it is possible to achieve the most natural effect of rejuvenation. The imposition of special sutures that support the internal structures of the face allows you to adjust the angle of the lower jaw, eliminate jowls and tighten the skin of the neck. During a facelift with a short scar, the subcutaneous SMAS structures of the face are lifted, which determines the long-term results of face and neck rejuvenation.

A short-scar facelift is associated with a shorter operation and anesthesia time, traumatism and blood loss, which reduces the rehabilitation time. The limited incision provides a smaller wound surface, and the absence of stitches behind the ears reduces the risk of hair loss, which is very high after a classic facelift.

These types of facelift appeared as a result of extensive experiments by plastic surgeons, who were concerned about the high traumatism of the techniques used at that time. The specialists wanted to develop not only a less traumatic, but at the same time highly effective facial rejuvenation technology. In particular, they sought to learn how to hide postoperative traces. As a result, MACS-Lifting and S-Lift were created, the distinguishing feature of which was the possibility of plastic surgery using a short scar. Invented and pioneered the use of MACS-Lifting by Patrick Tonnarde over 10 years ago. S-Lift came later; it is an advanced version of MACS-Lifting.

Indications for surgery

  • Facial rejuvenation using these techniques is recommended for patients aged 35-50 who have the following signs of aging:
  • Reducing the clarity of the face oval
  • Ptosis of the soft tissues of the cheeks
  • Reducing the density of the skin of the face and neck
  • Pronounced nasolabial folds
  • Ptosis of the corners of the mouth

Contraindications for surgery

  • Blood clotting disorder
  • Exacerbation of inflammatory processes in the body
  • The predisposition of skin tissues to the formation of keloid scars
  • Oncological diseases
  • Diabetes mellitus in the stage of decompensation
  • Diseases of the internal organs
  • Too pronounced excess skin, especially in the neck area
  • The patient's desire to rejuvenate the temple area (low efficiency)

Preparing for the operation

Before undergoing MACS-Lifting and S-Lift, it is necessary to consult a plastic surgeon to find out how the operation goes, what are the features of rehabilitation and much more. Is it possible for you to meet with a specialist? Not sure which surgeon to consult? We offer you an online consultation service. Ask surgeons about your concerns and get quick and competent answers. To obtain permission for the operation, you must undergo a routine medical examination, as well as tests - learn more about them here.

Operation progress

The technique of MACS-Lifting and S-Lift is very similar. The only difference is how the incision is located. When performing MACS-Lifting, it originates at the lower edge of the earlobe, then goes in front of the ear and extends slightly into the temple area along the hairline. The next step of the surgeon is a gentle detachment of the skin flap. The tissues are lifted with specific sutures that are placed over the SMAS layer. These sutures are attached to the deep temporal fascia. Then there is a lifting and movement of the skin flap, after which the excess skin is removed, cosmetic sutures are applied. When performing S-Lift, the incision is S-shaped; it starts behind the ear and ends in front of the auricles.

Operation duration: 1.5-2 hours

Anesthesia: general

Rehabilitation after surgery

After a short-scar facelift, recovery is quick and relatively easy. Bruising and swelling go away after an average of 2 weeks. About 10 days it is necessary to wear a compression bandage. The sutures are removed after 1-1.5 weeks. The final postoperative result can be assessed after 1-5 months.

Photos before and after the operation

To understand whether or not to trust one or another plastic surgeon, it is recommended to familiarize yourself with his portfolio. With the help of this action, you will find out how competent the specialist is in performing MACS-Lifting and S-Lift, whether he has developed a sense of taste and harmony, whether his patients retain their natural features after facelift. In addition, we invite you to take a look at the “Before and After Photos” section on the VseOplastice.ru portal, where fresh pictures of operated patients from various angles regularly appear.

Prices for the operation

The average cost of MACS-Lifting and S-Lift today is 200,000 rubles in the capital region. You can find out how much you have to pay for facial rejuvenation using these short-scar techniques at a consultation with a plastic surgeon. In the course of communication with the doctor, you will find out what exactly the price of MACS-Lifting and S-Lift consists of. If you do not want to pay the full amount for this operation or are even looking for ways to go through it for free, we suggest you use the useful service "Plastic for free". It provides all the information about plastic surgeons who perform facial rejuvenation and other types of aesthetic correction of appearance at great discounts or completely free of charge.

Who will have the operation?

Today, MACS-Lifting and S-Lift are a popular operation, which is why most plastic surgeons perform it in Moscow and St. Petersburg. If you have any difficulties in choosing the right specialist, you can choose one or more of them both among the winners of the famous Diamond Beauty International Health and Beauty Award, and from the list of the best aesthetic surgeons in Russia.

Facelift is a voluminous term that includes many concepts. At first glance, it seems clear that we are talking about a facelift. But about what? A similar definition, and we are talking about lifting, is found in cosmetology. Surely everyone has heard about photorejuvenation procedures or mesotherapy.

Facelifting also includes special gymnastics designed to tighten and rejuvenate the face. With the help of exercises, you can eliminate nasolabial folds, reduce wrinkles around the eyes.

Doctors understand the term Face Lifting as a surgical plastic surgery that allows reducing age-related ptosis (sagging) of soft tissues and restoring the oval of the face. In addition, the operation significantly improves the condition of the neck and submandibular area, bringing you back several years.

What are the goals of a serious facelift? Full lifting consists of several components: brow lift, upper eyelids, middle and lower face areas -. If a patient wants their face to look younger, which of these procedures is the most important?

In what cases is it used

Of course, age primarily gives out the sagging of the soft tissues of the chin. If the imperfection of the body can be disguised under clothing, then the face and neck cannot be hidden anywhere. Therefore, at a certain age, many women think about correcting their appearance.

Facelift (plastic facelift) is justified in the following cases:

  • the skin of the forehead hangs over the eyebrows, forming a crease on the bridge of the nose;
  • vertical wrinkles in the cheek area, creases;
  • nasolabial folds;
  • lowering the outer corners of the eyes;
  • purse-string wrinkles around the mouth;
  • "flew" and education;
  • deep wrinkles on the neck and in the region of the lower jaw.

All these shortcomings are successfully eliminated with the help of facelift. In order for the effect of the operation to be noticeable, it is necessary to do it in a certain period.

If you are between 40 and 60 years old and your face is not in the best shape, it's time to visit a plastic surgeon. Of course, the younger and more elastic the dermis, the better the result will be and the faster recovery will occur.

We form goals

1. The goal of a facelift is to make you look young and fresh, not "operated."

2. Research shows that people around you first pay attention to the eyes and the upper part of the face. Therefore, if you want to improve what is most noticeable, concentrate on the upper part of the face.

3. Facial rejuvenation through a combination of brow lift and mid zone lift gives a very natural result - the face does not look stretched or stressed.

What type of facelift is best

What type of correction to choose, the plastic surgeon will tell you. At the first appointment, explain in detail to the specialist what you want to see after the procedure. Do not forget to mention your illnesses and the medicines you are currently using. This will help to create an optimal scheme for preparing for the operation.

The number of different facelift techniques is amazing: base facelift (deep facelift), SMAS-ectomy (circular facelift), S-lift (short-scar facelift), MACS (lifting technique aimed at rejuvenating its lower third, performed by an incision in front of the auricle), and the list doesn't end there.

During your consultation with your surgeon, focus on describing exactly what you want to change, not on the name of the technique. Let your doctor explain the differences in facelift techniques to help you achieve the best result.

Endoscopic lift

During the face, endoscopes are used to cut, lift and move tissues. The operation is considered the most advanced and less traumatic type of correction, since it does not require skin incisions, due to which the tissues open more strongly, and does not leave scars. During the operation, punctures are made in the temples along the hairline and on the inner surface of the cheeks, from the side of the oral mucosa.

This type of lifting is ideal for lifting the forehead and mid-face. The scarless minimally invasive method will get rid of a tired look and wrinkles on the bridge of the nose, and will help preserve youth for 8–10 years.

For the upper part of the face, the endoscopic method gives very good results, especially for the forehead area. The lower part of the face and neck are much better operated on in the traditional way. The effect of endoscopic operations in these areas is not very good and does not last as long as the results of traditional facial plastic surgery.

SMAS facelift

If you need to correct the area of ​​the lower jaw, remove "flies" and nasolabial folds - pay attention to the SMAS procedure. This operation is more traumatic than endoscopy, but gives excellent results. Especially indicated for women over 45 years of age.

The classic is performed under general anesthesia. It is a tightening of the dermis with the capture of deeper tissues. During the procedure, the surgeon makes an incision in the skin from the temporal region to the back of the head, holding the scalpel along the auricle. During the intervention, the skin is separated from the muscles, its excess is cut off, and the dermis is fixed in a new position. Stitches are placed at the site of the incisions. The recovery is pretty fast.

The operation helps to restore all parts of the face, return the submandibular angle, tighten the neck.

Using a circular lift, you will get a face 10-15 years younger, and, with proper care, keep this result for many years.

Platysmaplasty

The operation solves a limited problem - flabbiness of the skin of the neck and the second chin. It is also called the Soft version and is used alone or in conjunction with the upper or lower lifting.

Short scar lift

A short-scar facelift is similar to a full facelift, but is performed through smaller incisions. The mini facelift is best for younger patients who do not show significant loss of skin elasticity in the neck or lower face. A short-scar facelift is also a good option for patients who had a full facelift a few years ago and need only minimal correction.

Quick mini lifts

A mini facelift is another shameless marketing ploy to swindle you out of your money by making you believe you can get results with minimal spending and little or no downtime.

Shortly after facelift operations began (more than a hundred years ago), some surgeons began to re-repair old, difficult-to-treat skin (and also skin that was quickly fading) only with facelift procedures, inventing for them with many enticing names and selling them to overly gullible people.

Heed the advice:

1. Mini-operations usually give a MINIMAL result. Don't place too high hopes on them.

2. Let others be guinea pigs. Most of the new technologies need to be improved.

3. Results may vary - new procedures take time to "find their place". In the meantime, a lot of people are spending a lot of money doing various new surgeries on those areas of the face where they might not work.

Deep lifting

Pretty complicated procedure. It is performed with significant age-related changes in the skin of the face. The intervention affects deep tissues, so there is a risk of damage to the facial nerve. But the lifting effect is good and lasts at least 10-12 years.

Plastic surgery is performed using a laser, ultrasound or conventional surgical excision.

Other facelift methods

In addition to the above, there are various ways of facelift. They do not have such a dramatic effect on the skin, so they are suitable for ladies aged 30-50 with unexpressed problems.

So, what other procedures should you be aware of:

  1. or vector lifting. Manipulation consists in the correction and facelift by a non-surgical method. Cosmetologists consider it a transition between creams and surgery.
  2. Thread facelift. Performed by implanting gold or platinum threads. The method is effective after the age of 30 years. It is a kind of reprieve of classical plastics.
  3. refers to non-surgical methods of correction. The procedure gives a good effect, but it does not last long. Shown to women after 30 years.
  4. RF method. It is considered the best alternative to a circular facelift.
  5. Total Face Lifting. This type of operation was developed quite recently by a specialist in surgical plastics E.V. Shikhirman.

If you still decide on a face correction, you must undergo a full examination before the operation.

In this case, the doctor will have an idea about your state of health and the presence of diseases that may limit the plastic surgery. In addition, a skin examination will be carried out directly at the clinic, and, if necessary, their treatment and restoration.

Contraindications for surgical facelift

So, who is not eligible for a surgical facelift? Since facelift is not considered an intervention for health reasons, there are a lot of such points:

  • pathology of the cardiovascular system;
  • kidney failure;
  • poor blood clotting;
  • allergy to drugs used during the intervention and subsequent rehabilitation;
  • benign or malignant neoplasms;
  • diabetes;
  • infectious diseases.

Some of the points discussed are not absolute contraindications. With a certain adjustment of the state of health, the operation is possible, but the surgeon will decide on the need and legality of plastic surgery.

Doctors are reluctant to perform a facelift on overweight ladies. This is explained by a large percentage of unsuccessful results in this particular category of patients.

How much does a facelift cost

A full facelift costs from 140,000 to 300,000 rubles and consists of several components: the forehead, the middle part of the face and the lower part of the face (this usually includes the neck). In addition, you can use fat injections or fillers and fractional laser or plastic surgery of the upper and lower eyelids.

An experienced surgeon with an established reputation can obviously charge a higher price for his services. However, this does not mean that everyone who names a high price is necessarily the best. Ask those who have already done a facelift.

40-50 thousand rubles separately or 80 thousand rubles for the upper and lower.From 20 thousand rubles for a small correction and from 40 thousand rubles to replenish the lost volume.From 20 thousand rubles for minor changes to 80 thousand rubles for the most effective procedures with re:pair fractional laser.

Results and how long the “new youth” will last

The feeling of a “second wind”, that the hands of the clock have been moved back 10 years or even more, is the main motivation. Popular quote during consultations: "I want to look as young as I feel." If the patient is happy, that's a great job.

Most patients see improvement within 6 months to 1 year.Patients notice improvements within 2-4 years. If the tissues have been incised, tightened, and sutured into a new position, the improvement after this procedure (as well as those listed below) is likely to be permanent. Patients will always be, in a certain sense, "a step ahead", although, of course, the face will be subject to age-related changes.Revision (repeated) faceliftsSMAS lifting and volume restoration (using gel filler or fat injections)2-7 years. Since some tissue displacement has already taken place, repeated facelifts usually do not give the same rejuvenation effect as the first facelift.Most patients report improvement within 5-8 years. In younger patients with minimal signs of aging, this period is shorter; in older patients who simultaneously perform several auxiliary procedures, more. If only the face skin is lifted - an average of 3-6 years.

Photo “before and after”










Does age matter?

The most important thing is not the number of years lived, but the fact that you have age-related changes that can be corrected with a facelift. Your age is of secondary importance.

Fillers such as , and will help plump up the cheeks, improve the appearance of the nasolabial folds, and thus rejuvenate the middle part of the face. and can reduce crow's feet, frown lines, and horizontal lines (so-called "worry lines") and thus give a more youthful appearance to the upper face.

The lower face and neck are still areas that usually require a facelift, but these changes usually occur later than the age-related changes in the upper and middle parts of the face.

Discomfort and pain after surgery

Facial plastic surgery is a complex operation, but, fortunately, it is not particularly painful. Sometimes there may be slight soreness near the incisions in the ear area, however, numbness may be felt in most of the face and neck for several weeks.

If we talk about pain, then the recovery period in this case is easier than after a tummy tuck or breast augmentation. And eyelid lift surgery can cause even more discomfort due to swelling.

Recovery period

The first few days after the surgical facelift, the woman is in the clinic. The bandage is removed from the face for 2-3 days, in case of pain, an analgesic is used. With insomnia and increased nervousness, sleeping pills and sedatives are prescribed.

According to the reviews of women who have undergone plastic surgery, the rehabilitation period, as a rule, passes without consequences. The seams do not diverge, swelling and bruising disappear after 2-3 weeks.

To avoid postoperative complications and not spoil the result of the correction, it is necessary to follow the following recommendations for 2 months:

  • you can not rub your face;
  • it is forbidden to visit the solarium or sunbathe;
  • sunscreen should be applied when going outside;
  • it is not recommended to visit the bath, sauna and swimming pool;
  • it is undesirable to dye your hair, take care of it before the operation.

During the recovery period, you should give up alcohol and cigarettes, limit physical and sports activities.

The duration of complete rehabilitation depends on the complexity of the manipulations, the age and health of the patient. The final effect of the operation will appear after 4-5 months.

If we talk about re-lifting, then it is possible not earlier than in 7-10 years. A lot depends on lifestyle and skin care. It may not be necessary to repeat the procedure.

Physical recovery will take about 7-10 days, and the patient will be able to return to a full social life in about two weeks. Bandages are removed after 48-72 hours, stitches are removed after 5-7 days. During the recovery period, you can move around the house, including eating, bathing, watching TV or reading books. During this period, do not do anything that requires stress. After 2-3 weeks, it would be nice to do an ultrasonic facial massage. It will take about 3-4 weeks.

Facial scars heal much faster than anywhere else. Even with this, they will remain reddish for 2-3 months. However, you can hide this redness fairly easily from the day your stitches are removed. This usually occurs 3-5 days after the operation, at the latest on the eighth day.

10 things that will make recovery easier

Below is a list of things that can help you in the recovery process. If you have something to add from your own experience, please share it with us in the comments.

  1. Packets of frozen gel or peas.
  2. A prescription and a notebook with a pen to write down the last time you took your medicine.
  3. Additional dressings, bandages and gauze.
  4. Balms, ointments and creams for incisions.
  5. Napkins and towels.
  6. Magazines, films, books - that will help you pass the time.
  7. Lounge area: reclining chair or bed, plenty of pillows to make yourself comfortable.
  8. Shirts, sweatshirts, sweatshirts that fasten in front.
  9. Blankets.
  10. Liquid and soft foods, foods low in sodium salts.

Complications and risks

The four most common side effects of a facelift are:

  • Nausea and vomiting. Depending on the anesthesia that was used, this may happen during the first 1-2 days after the operation.
  • Edema. The strongest - in the first 5 days, they gradually disappear within 6 weeks, a barely noticeable improvement lasts for six months or longer.
  • bruises. They are most common in women with thin fair skin and resolve within 2-3 weeks.
  • Numbness, tightness of the skin. This is a very strange feeling - you feel everything, but not in the way you usually do. This goes away within 6-18 months.

Gymnastics for the face (facebuilding)

Well, for those who are afraid of surgical procedures, non-surgical facelift or facebuilding is intended. This is a simple and pleasant way to regain youth for free and at home.

A little willpower and diligence, and here is the effect. Facial muscles are strengthened and tightened, wrinkles are smoothed out, wrinkles around the eyes and mouth disappear.

Let's see what advantages home lifting has:

  • there are no restrictions and contraindications (except for laziness);
  • ease of execution;
  • procedures can be carried out at any time;
  • there is no need to undergo surgery.

To achieve the result, it is enough to spend 15-20 minutes a day. It is better to perform exercises in front of a mirror, having previously cleansed your face and washed your hands. All exercises must be done clearly, slowly and without interruption.

There are many different facelift complexes, but they all work on the same principle. Therefore, consider the most popular and effective.

Runge system

Exercises according to the Saint Maria Runge method are isometric gymnastics and give excellent results. Some ladies already after 2–2.5 months see a rejuvenated and refreshed face in the mirror.

The principle of the Runge system is to give a load to any one muscle group. The rest at this time are in a relaxed state.

For a stable and lasting effect, do it clearly according to the scheme: five days of gymnastics, two - rest. The complex should be performed 4 months in a row. Then take a break for 30 days and resume charging.

All exercises by Maria Runge are aimed at correcting already visible signs of aging, therefore they are recommended for women over 30 years old.

System of Galina Dubinina

Physical education for the face according to the method of Galina Dubinina (fitness instructor) is collected from different programs and seasoned with breathing exercises, her own practices and elements of yoga. You can perform such exercises for the face from the age of 25.

Let's see what Dubinina's technique includes:

  • exercises for the eyes, eyelids and neck;
  • gymnastics for morning and evening;
  • breathing techniques according to the BodyFlex program;
  • massage of biologically active points of the face.

Perform each exercise at least 12 times. If you feel uncomfortable or have no desire to practice, do not suffer. Reschedule your session. A weekly program gives a good effect: 5 days of classes, 2 days of rest.

You can watch the facelift gymnastics of Galina Dubinina on the video:

In addition to well-known systems, there are not so popular, but no less effective. This is the face-building of a young coach Anastasia Burdyug and gymnastics Evgenia Baglyk. The techniques also include exercises aimed at tightening the muscles of the face, smoothing wrinkles and preserving youth.

Thus, you can choose the complex you like and do rejuvenation without leaving your home.

Answers on questions

Topics about youth and beauty always raise a lot of questions. Let's try to answer the most popular ones. So what are we being asked about?

How much does lifting-correction cost by different methods?

The cost of the operation depends not only on the chosen technique, but also on the number of simultaneous manipulations. If you do a classic lift, the price will be the same, if you add rhinoplasty or other procedures, the fee will increase.

The average cost of correction of different areas of the face:

  • endoscopic plasty - 85-100 thousand rubles;
  • circular facelift - 120–130 thousand rubles;
  • SMAS lifting and - 140-150 thousand rubles.

The duration of the operation also depends on the number of procedures. For example, a circular lift with correction of the eyelids and neck will take at least six hours under general anesthesia.

How long does the effect last?

There is an opinion that the result of circular and deep lifting is preserved for life. This is not entirely true. As a rule, it lasts 8-10 years. But even after this period, women who have had the operation look much younger than their peers.

With proper and proper care, the effect can really last a lifetime.

Do scars remain after the procedure?

With the endoscopic method, there are no scars. If during the intervention the doctor makes small incisions, they are always located in a place inaccessible to the eyes of others: on the scalp, behind the ears.

In addition, the scars are so small that after 2-3 months there is no trace of them, and it is almost impossible to see them.

What alternatives to a facelift are there?

If we talk specifically about a long-term and persistent facelift, then there are no other options other than surgical lifting. Other procedures with a similar effect - mesotherapy, photorejuvenation, laser - have a temporary result and are not able to get rid of serious problems. Simply put, all alternative methods have a purely cosmetic effect.

What complications and adverse reactions can be?

The most common consequence of surgery is swelling of the face, bruising and moderate pain.

Somewhat less frequently:

  • temporary loss of surface sensitivity;
  • the occurrence of pigmentation in women with thin and delicate skin;
  • hair loss at the incision site.

These symptoms disappear after 12-14 days. Then the stitches are removed and physiotherapy and massage are prescribed. Most often, rehabilitation procedures are included in the price of the operation and are carried out without fail.

What are the pros and cons of facelift, is it worth doing it?

You can talk about the effectiveness of the procedure for a long time and a lot. Plastic surgery really returns youth and stops aging for 10-12 years.

As for the cons, not everything is so rosy. The method has drawbacks, but they are not so critical as to refuse manipulation.

One of the disadvantages is the high cost of the operation. But she is well founded. Qualitatively carried out intervention will return youth and beauty, and this, in fact, is a priceless treasure.

Summing up

We considered two types of facelift - surgical and non-surgical. They will help turn back time and restore beauty. But maybe the fight for youth should start from the second point? Then you will not come close to the first for many years. And if you add to this a full-fledged facial care, the effect will not be long in coming.

What do you think about this? Are there proven ways to avoid surgery and maintain beauty for years to come? Have you had a facelift? Share your feedback with people who are just planning this procedure. Why did you decide on the operation, how was the rehabilitation period, does the result of the facelift meet your expectations? Leave your comments.

Short-scar facelift MACS-lift and S-lift

The average cost of the operation is 52 "500 rubles.


The MACS-lifting technique (Minimal Access Cranial Suspension Lift) was invented and first applied by Colombian plastic surgeon Patrick Tonnarde more than 10 years ago. The S-Lift (Short-Scar Lift) is one of the modifications of the MACS-lift, which received this name because of the cut in the form of the letter S.

These facial plastic surgeries are designed to lift the middle zone of the face and the lower third through small incisions in the ear area. The specificity of a short-scar facelift lies in an inconspicuous small scar, a shortened rehabilitation period and high efficiency. The size of the incisions is much smaller than with a classic facelift.

MACS-Lift and S-Lifting. Indications

  • loss of clear contours of the oval of the face;
  • manifestation of moderately pronounced or deep nasolabial folds;
  • drooping corners of the mouth;
  • moderate decrease in neck skin turgor;
  • deterioration of facial skin turgor, gravitational ptosis of tissues in the cheek area.

MACS-Lift and S-Lifting. Contraindications

  • blood clotting disorder;
  • collagen vascular diseases;
  • exacerbation of inflammatory processes in the body;
  • predisposition of skin tissues to the formation of keloid scars;
  • smoking as a factor that increases the risk of postoperative complications (should be stopped at least 2 weeks before surgery);
  • taking anticoagulants (it is also necessary to stop at least 2 weeks before the operation);
  • oncological diseases.

MACS-Lift and S-Lifting. How is the operation carried out?

The MAX lifting operation is performed under general anesthesia. The surgeon starts the incision from the lower lower edge of the lobe, continues it in front of the ear (behind the tragus) and slightly captures the temporal region along the border of hair growth. Then the doctor performs a sparing limited detachment of the skin flap. Effective tissue lifting is carried out by applying purse-string suspension sutures to the superficial musculoaponeurotic system (SMAS). These sutures are securely fixed to a strong structure - the deep temporal fascia. A vertical vector of tissue lifting is provided. Thus, the doctor tightens the deep structures of the buccal region, thereby improving the contours of the facial contours. The surgeon then tightens and redistributes the skin flap, removes the excess, and applies a cosmetic suture.

With the S-Lift (Short-Scar Lift), excess skin is removed using an S-shaped incision, which, unlike the MAX-lift, starts behind the ear and ends in front of the auricles, and the lifting method is similar to the MACS-lift. Of all existing braces, S-Lift (along with MACS-Lift) is the most gentle for the patient. More than half of the operations are performed under local anesthesia. The duration of operations is 1.5 - 2 hours.

MACS-Lift and S-Lifting. Rehabilitation

The patient is discharged 1-2 days after the operation. After the operation, for a week and a half, it is necessary to wear a compression bandage, which provides pressure on the chin area and cheek-zygomatic area. On average, the main hemorrhages and edema disappear within 12-14 days. The stitches are removed on days 9-11. The final effect can be observed 6 weeks after surgery.

MACS-Lift and S-Lifting. Photos before and after

Currently, this type of operation is included in the daily practice of most foreign specialists and some surgeons in Russia. You can see the results before and after a short scar lift in the portfolio of a plastic surgeon on his website. Additionally, you can visit the section "Photo before and after" on our portal.

MACS-Lift and S-Lifting. Prices

The cost of the operation is in a wide range from 50,000 to 140,000 thousand rubles. The average price of this type of lifting in Moscow is 110,000 rubles.

Where to do short-scar facelift MACS-Lift and S-Lifting?

Choose a certified specialist. In order not to make a mistake with the choice, study the rating of the best plastic surgeons in Russia. In addition, you can seek advice on the forums of Internet sites specializing in aesthetic plastic surgery.

The dream of a woman is to keep her face young and fit, which will help s-lifting. Cosmetology offers to extend the attractiveness of the face using facelift. The first mention of it was in 1906, when a possible surgical intervention was discussed in the correction of age-related changes in the face.

Since 1976, the concept of "subcutaneous musculoaponeurotic system" has been introduced, which has received the name SMAS. A few years later, a technique for resection of SMAS and its fixation was developed. Soon there will be innovative methods of this method. They have become widespread in plastic surgery.

The method makes it possible to eliminate wrinkles and flabbiness of the skin under the influence of soft tissues. As a result, the appearance changes and the aging process is postponed. Customer reviews confirm that the procedure is effective and safe. The cosmetologist excludes complications during the procedure. A similar effect, as after it, cannot be achieved, even by applying an expensive cream.

Features of this method

A short-scar facelift will help to lift the internal structures of the face. The main characteristic feature of the operation is a slight trauma, small scars. Their location should take place behind the tragus of the ear. Due to this, the small seam cannot be seen by others. This method does not only tighten the upper layers of the skin. During the s-lifting procedure, the deep structures of the face are affected. The complex of measures achieves the effect of rejuvenation as a whole. This eliminates the effect of a stretched mask.

With a minimally invasive intervention, an incision is made in the parotid zone, and it is extended to the temporal zone. With this method, it becomes possible to achieve a tightening and rejuvenation of the lower third of the face. Get rid of age spots. After the procedure, the result can be maintained for a long period due to the fixation of soft tissues.

What are the advantages of the s-lift technique

Experts highlight many positive aspects of this method. The fundamental limitation of the incision is considered important. This practice provides an opportunity to hide the fact of the operation. During the course, strict vertical fixation of the lowered facial tissues is provided.

The use of this technique makes it possible to eliminate the effect in which the skin is stretched. The primary characteristic is the preservation of the result obtained for a long time. Also, non-standard tissue excision can reduce the risk of facial nerve deformity. Intervention with the use of gentle local anesthesia lasts a short period.

S-lift practically does not cause complications. Treatment prices are affordable. Rehabilitation is accelerated due to small blood loss. The strictest restriction on the incision significantly reduces the risk of patchy hair loss. Standard lifting, as a rule, does not allow to achieve identical results.

Indications for carrying out

Professionals advise using the procedure solely based on the indications. According to their prescriptions, a short-scar facelift is necessary when wrinkles form in the area of ​​the cheekbones on the temples or forehead. An operation will be required when there are lowered corners of the mouth, if a second selection has appeared.

For complete rejuvenation, a combination of a forehead lift with circular blepharoplasty is required. It is optimal to carry out cosmetic procedures at the age of 38-50 years. The impact of this technique makes it possible to correct age-related changes in the skin.

Contraindications

Such cosmetic procedures cannot be used by people diagnosed with diabetes mellitus, regardless of the stage, as well as with oncological diseases and connective tissues. If there is poor blood clotting. With diseases of the cardiovascular system.

When there is a tendency to the appearance of keloid scars. The procedure is not carried out for people with a long history of smoking. Such procedures are prohibited for patients with severe skin diseases. Cosmetologists do not allow s-lifting during lactation or pregnancy. Cosmetologists do not recommend rejuvenation using the method for people whose facial changes, under the influence of age-related processes, are concentrated in the temporal, frontal zone.

Preparation for the s-lift procedure

The approach is individual, as patients have different skin elasticity and body weight. Therefore, the real picture of changes will be different. Before preparing for the operation, you should discuss with the doctor all the issues of concern, including the places of the proposed incisions, the course of the rehabilitation process.

It is necessary to tune in psychologically. Reception of vitamins and microelements is desirable. Requires good rest. Nutrition should be complete with the mandatory inclusion of animal proteins, vegetables, fruits. It is recommended two weeks before the proposed procedure to exclude the use of alcoholic beverages, drugs containing acetylsalicylic acid, which can cause bleeding. Quit smoking.

The medical staff will take a photograph of the face with the aim of subsequent drawing with a marker on the finished images of clarifying drawings. Surgery is performed under general anesthesia for several hours.

rehabilitation period

It is necessary to tune in that rehabilitation will take a long time, requiring treatment from professionals. In order to consolidate the results, good care is required. It is recommended not to be nervous and not to panic after the operation, as the true result will be visible only after a certain time.

Immediately holding the mirror, you can see swelling and bruising, which is considered natural. Pass in 5-7 days. They may not show up. Temporarily, the skin will lose sensitivity. There will be some minor pain.

Painkillers may be prescribed. It is necessary to show patience, since the duration of the rehabilitation process depends on the state of the body. The true result can be seen only after six months.

You need to follow the doctor's orders. The patient is under hospital observation for 2 days. Compression bandage fixes the area of ​​the cheekbones and chin. It should be permanent until the stitches are removed.

In order for the swelling to pass faster, the head should be in a motionless, elevated state. The sutures will be removed as the healing progresses, usually on days 7-14. During this period, it is not recommended to use decorative cosmetics and wash your hair.

Doctors recommend using a compression bandage for a certain amount of time at night if liposuction of the cheeks and chin was performed before. Food should be liquid and frayed, as coarser causes pain when chewing. Active facial expressions are not desirable. It is worth refraining from visiting the bath, excessive physical exertion, exposure to the sun.

To speed up the rehabilitation process includes physiotherapy and manual procedures (healing masks, magnetotherapy, etc.). The risk of complications is minimal. It may occur if the instructions of specialists are not followed.

What results can be obtained

The s-facelift procedure allows those who have undergone it to look 7-8 years younger. The primary nuances that affect the main result are the presence of concomitant diseases and lifestyle.


Re-s-lifting can only be carried out at intervals of five or ten years. When therapeutic or cosmetic procedures have taken place, the period is significantly removed. The result obtained for a long time will help to fix mesotherapy and photorejuvenation. With their help, you can prevent the possible occurrence of ptosis of soft tissues. In general, cosmetologists note that the result obtained during the procedure can last for ten years. A person who monitors his health can significantly extend it.

About the author: Larisa Vladimirovna Lukina

Dermatovenereology (Internship in the specialty of dermatovenereology (2003-2004), Certificate of the Department of Dermatovenerology of St. Petersburg State Medical University named after academician I.P. Pavlov dated 06.29.2004); Confirmation of the certificate at the FGU "SSC Rosmedtekhnologii" (144 hours, 2009) Confirmation of the certificate at the State Budgetary Educational Institution of Higher Professional Education RostGMU of the Ministry of Health of Russia (144 hours, 2014); Professional competencies: management of dermatovenereological patients in accordance with the procedures for providing medical care, standards of medical care and approved clinical protocols. More about me in the Doctors-Authors section.