S lifting unsuccessful operations. Weekend lifting

Short-scar face lift 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 used 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 S-shaped incision.

These facial plastic surgeries are designed to lift the midface and lower third through small incisions in the ear area. The specificity of a short-scar facelift is that it has an inconspicuous small scar, a shortened rehabilitation period, and is highly effective. 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 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 tissue 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 tissue to the formation of keloid scars;
• smoking as a factor that increases the risk of postoperative complications (must be stopped at least 2 weeks before surgery);
• taking anticoagulants (must also be stopped at least 2 weeks before surgery);
• oncological diseases.

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

The MAX lifting operation is performed under general anesthesia. The surgeon begins the incision from the lower lower edge of the lobe, continues it in front of the ear (behind the tragus) and slightly covers the temporal region along the border of hair growth. Then the doctor performs a gentle, limited detachment of the skin flap. Effective tissue lifting is achieved by placing purse-string suspension sutures on 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. In this way, the doctor tightens the deep structures of the cheek area, thereby improving the contour of the oval of the face. The surgeon then tightens and redistributes the skin flap, removes 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-lifting, starts behind the ear and ends in front of the ears, and the lifting method is similar to the MACS-lifting. Of all the existing lifts, 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 surgery. After the operation, you must wear a compression bandage for a week and a half, which provides pressure on the chin and cheek-zygomatic area. On average, major hemorrhages and swelling 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 short-scar lifting in the plastic surgeon’s portfolio on his website. Additionally, you can visit the “Before and After Photos” section 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 for this type of lifting in Moscow is 110,000 rubles.

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

Choose a certified specialist. To avoid making a mistake with your choice, study the rating of the best plastic surgeons in Russia. In addition, you can seek advice from the forums of Internet sites specializing in aesthetic plastic surgery.

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

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

Doctors use the term Face Lifting to understand surgical plastic surgery, which can reduce age-related ptosis (sagging) of soft tissues and restore the oval of the face. In addition, the operation significantly improves the condition of the neck and submandibular area, returning you several years ago.

What are the goals of a major facelift? A full lift consists of several components: lifting the eyebrows, upper eyelids, middle and lower areas of the face. If a patient wants a younger-looking face, which of these procedures is most important?

In what cases is it used?

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

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

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

All these shortcomings are successfully eliminated with the help of a facelift. For the effect of the operation to be noticeable, it must be done within a certain period.

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

Forming goals

1. The purpose of a facelift is to make you look young and fresh, not “operated.”

2. Research shows that people first pay attention to the eyes and 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 by combining eyebrow and mid-zone lifting gives a very natural result - the face does not look stretched or tense.

Which type of facelift is best?

The plastic surgeon will tell you which type of correction to choose. At your first appointment, explain to the specialist in detail what you want to see after the procedure. Don't forget to mention your illnesses and name the medications you are currently using. This will help create the optimal preparation plan for surgery.

The number of different facelift techniques is amazing: lifting the base of the face (deep lift), SMAS-ectomy (circular lift), S-lift (short scar lift), MACS (lifting technique aimed at rejuvenating the lower third of the face, 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 changed rather than the name of the technique. Let your doctor explain to you the differences in facelift techniques that will help you achieve the best results.

Endoscopic lift

During facial surgery, endoscopes are used to cut, tighten, and move tissue. The operation is considered the most advanced and least traumatic type of correction, since it does not require skin incisions, which cause the tissue to open more, and does not leave scars. During the operation, punctures are made in the temple area along the hairline and on the inner surface of the cheeks, from the oral mucosa.

This lifting method is an ideal option for lifting the forehead and midface. A 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 provides very good results, especially for the forehead area. The lower face and neck are much better treated in the traditional way. The results of endoscopic surgery in these areas are not very good and do not last as long as the results of traditional facial plastic surgery.

SMAS face lift

If you need to correct the area of ​​the lower jaw, remove jowls 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 one is performed under general anesthesia. It is a dermal tightening involving deeper tissues. During the procedure, the surgeon makes an incision in the skin from the temporal region to the back of the head, running a 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. Sutures are placed at the incision site. Rehabilitation goes quite quickly.

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

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

Platysmoplasty

The operation solves a limited problem - sagging neck skin and double chin. It is also called the Soft version and is used separately or in conjunction with upper or lower lifting.

Short scar lift

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

Quick mini-lifts

The mini-lift is another shameless marketing ploy designed to trick you out of your money by making you believe that you can get results with minimal expense and little or no recovery time.

Soon after facelift surgeries began (more than a hundred years ago), some surgeons began to regenerate old, difficult-to-treat skin (as well as skin that was quickly losing its effect) with facelift procedures alone, devising They have many tempting names and sell them to overly gullible people.

Listen to these tips:

1. Mini-surgeries usually give MINIMAL results. Don't place too much hope on them.

2. Let others be guinea pigs. Most new technologies require improvement.

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

Deep lifting

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

Plastic surgeries are performed using laser, ultrasound or conventional surgical excision.

Other facelift methods

In addition to those listed, there are various methods 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 know about:

1. or vector lifting. The manipulation consists of correction and face lifting using a non-surgical method. Cosmetologists consider it transitional between creams and surgery.
2. Thread facelift. Performed using implantation of gold or platinum threads. The method is effective after the age of 30 years. It is a kind of postponement of classical plastic surgery.
3. refers to non-surgical correction methods. The procedure gives a good effect, but it does not last long. Indicated for women over 30 years of age.
4. Radio frequency method. It is considered the best alternative to a circular facelift.
5. Total Face Lifting. This type of operation was developed quite recently by surgical plastic specialist E.V. Shikhirman.

If you decide to undergo facial correction, you must undergo a full examination before the operation.

In this case, the doctor will have an idea of ​​your health status and the presence of diseases that may limit plastic surgery. In addition, the skin will be examined directly at the clinic, and, if necessary, treated and restored.

Contraindications to surgical facelift

So, who should not undergo a surgical facelift? Since facelift is not considered an intervention for life-saving reasons, there are many such points:

• pathology of the cardiovascular system;
• renal failure;
• poor blood clotting;
• allergies to medications 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 health status, surgery is possible, but the surgeon will decide on the necessity and legality of plastic surgery.

Doctors are reluctant to perform facelifts on women who are overweight. This is explained by the 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). Additionally, you can use injections of fat or fillers and fractional laser, or undergo 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 quotes a high price is necessarily the best. Ask those who have already done a facelift.

Results and how long will the “new youth” last?

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

Photos “before and after”

Does age matter?

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

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

The lower face and neck are still areas that typically require surgical lifting, but these changes usually occur later than age-related changes in the upper and midface.

Discomfort and pain after surgery

Facial plastic surgery is a complex operation, but fortunately it is not particularly painful. Occasionally there may be some minor pain around the incisions in the ear area, but most of the face and neck may feel numb for several weeks.

If we talk about pain, 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 a surgical facelift, the woman is in the clinic. The bandage is removed from the face after 2–3 days; in case of pain, an analgesic is used. For insomnia and increased nervousness, sleeping pills and sedatives must be prescribed.

According to reviews of women who have undergone plastic surgery, the rehabilitation period, as a rule, passes without consequences. The sutures do not come apart, swelling and hematomas disappear after 2–3 weeks.

To avoid postoperative complications and not spoil the result of the correction, you must follow the following recommendations for 2 months:

• you can’t rub your face;
• It is prohibited to visit the solarium or sunbathe;
• When going outside, you should apply sunscreen;
• It is not recommended to visit the bathhouse, sauna and swimming pool;
• It is not advisable to dye your hair, take care of this before surgery.

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 performed, the age and health of the patient. The final effect of the operation will appear in 4–5 months.

If we talk about re-lifting, it is possible no earlier than after 7-10 years. Much depends on lifestyle and skin care. A repeat procedure may not be necessary.

Physical recovery will take about 7-10 days, and the patient will be able to return to a full social life in approximately two weeks. The bandages are removed after 48-72 hours, the 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, you should not do anything that requires stress. After 2-3 weeks it would be nice to do an ultrasound facial massage. It will take about 3-4 weeks.

Scars on the face heal much faster than anywhere else. Even so, they will remain reddish for 2-3 months. However, you can hide this redness quite easily, starting the day the stitches are removed. This usually occurs 3-5 days after surgery, 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 anything to add from your own experience, please share 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 medications.
3. Additional dressings, bandages and gauze.
4. Balms, ointments and creams for cuts.
5. Napkins and towels.
6. Magazines, films, books - something that will help you pass the time.
7. Lounge area: reclining chair or bed, plenty of pillows to help you get comfortable.
8. Shirts, sweatshirts, sweaters that fasten in the 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 within the first 1-2 days after surgery.
• Edema. The strongest are in the first 5 days, they gradually disappear over 6 weeks, a barely noticeable improvement continues for six months or longer.
• Bruises. Most often found in women with thin, fair skin, they disappear within 2-3 weeks.
• Numbness, skin tightness. It's a very strange feeling - you feel everything, but not in the same way as usual. This goes away within 6-18 months.

Gymnastics for the face (face building)

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

A little willpower and effort, and this is the effect. Facial muscles are strengthened and tightened, folds 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 results, it is enough to spend 15–20 minutes a day. It is better to do exercises in front of a mirror, having first cleansed the skin of your face and washed your hands. All exercises must be done clearly, slowly and without interruption.

There are many different complexes for face lifting, but they all work on the same principle. Therefore, we will consider the most popular and effective ones.

Runge system

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

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

For a stable and long-lasting effect, exercise strictly according to the scheme: five days of gymnastics, two days of rest. The complex should be performed for 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, and are therefore recommended for women over 30 years of age.

Galina Dubinina system

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 experience 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 discomfort or don’t want to exercise, don’t suffer. Reschedule your session for another time. A weekly program gives a good effect: 5 days of classes, 2 days of rest.

You can watch Galina Dubinina’s facelifting gymnastics on video:

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

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

Answers on questions

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

How much does lifting correction cost using different methods?

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

Average cost of correction of different areas of the face:

• endoscopic plastic surgery - 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 eyelid and neck correction will take at least six hours under general anesthesia.

How long does the effect last?

There is an opinion that the results of circular and deep lifting last a lifetime. This is not entirely true. As a rule, it lasts 8–10 years. But even after this period, women who have had surgery look much younger than their peers.

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

Will there be any scars after the procedure?

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

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

What alternatives to facelift are there?

If we talk specifically about long-term and permanent 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 relieve serious problems. Simply put, all alternative methods have a purely cosmetic effect.

What complications and adverse reactions can there be?

The most common consequences of surgery are facial swelling, hematomas and moderate pain.

Somewhat less commonly noted:

• temporary loss of superficial sensation;
• 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 mandatory.

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

We can talk a lot about the effectiveness of the procedure. Plastic surgery really restores youth and stops aging for 10–12 years.

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

One of the disadvantages is the high cost of the operation. But it is completely justified. A high-quality intervention will restore youth and beauty, and this, in fact, is a priceless treasure.

Let's sum it up

We looked at 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 won’t get close to the first one 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 preserve beauty for many years? Have you had a facelift? Share your feedback with people who are just planning this procedure. Why did you decide to have the operation, how was the rehabilitation period, and does the result of the facelift meet your expectations? Leave your comments.

The translation of this abbreviation literally looks like Minimal Access Cranial Suspension Lift. At its core, this name defines the concept of modern face and neck lift techniques.

Over the fifteen years since this operation was described, several options for short-scar facelifts have appeared. These are operations such as S-, J-, V-lifting.

The Latin letters at the beginning of the name of the operation, in fact, explain the variant of the location of the incisions. That is, cuts in the shape of the letter S, V or J.

This type of surgery is indicated for women with moderate age-related changes in the face and neck. The incisions during this operation remain only within the ears and do not extend to the temple. At the same time, the hair growth line at the temples does not move upward and backward.

MACS-lifting (V-, S-, J-lifting)

S-lifting is an operation performed for age-related changes in the middle and lower third of the face. The operation received its name because of the characteristic incision in the shape of the letter S, which is located only in front of the ear and almost never extends into the postauricular fold. The operation can be carried out in several ways. The first is, in principle, the classic S-lift, in which the facelift effect is achieved by plicating the SMAS flap and by applying two purse-string sutures.

In the extended version, a small excision is performed, and in the presence of a deep nasolabial fold, it is possible to plicate the SMAS flap in the direction perpendicular to the nasolabial fold. This technique allows you to get a lifting effect in the middle area of ​​the face. The second option is MACS lifting. In this case, 2 purse-string sutures are applied to the SMAS flap to tighten it, which allows you to effectively influence both the oval of the face and the middle part of the face - the area of ​​the nasolabial folds and corners of the mouth. The difference between these two methods is the choice of the tightening vector and the point of fixation of the threads that “gather” the SMAS flap. With MACS lifting, the lifting vector is oriented more vertically, and the place of fixation of the thread for lifting the midface area is higher and further from the auricle.

J-lift is an operation that can be performed for changes in the lower part of the face - the oval of the face and neck. Its other name is “Minimally invasive correction of the contour of the anterior surface of the neck and oval of the face.” The incision during this operation is located around the earlobes, but to obtain a good and long-term effect, this operation is performed in combination with platysma plastic surgery, liposuction of the chin and neck, and the application of special suspension sutures.

V-lifting is an operation that can be called a mixed method. When performing such an operation, it is possible to influence changes in the lower and middle zones of the face and neck. The V-lifting incision is made around the auricle and, in the presence of small excess skin, can be located only in the postauricular fold. Only in the case of a very large amount of skin on the neck can the incision be extended 3-4 centimeters into the scalp.

The vector of tissue tightening is almost vertical.

Due to this movement, in addition to forming a clear oval of the face, it becomes possible to increase the projection of tissue in the cheekbone area, which gives the face a more youthful appearance.

Due to a small detachment of the skin in the cheek area, the operation time and, accordingly, the recovery period are significantly reduced. A facelift is carried out by applying U-, D- and O-shaped sutures in the form of wide loops, or plication of a SMAS flap.

All these operations are often performed together with eyelid surgery, endoscopic lifting of the upper and middle third of the face, lipofilling of nasolabial folds, periorbital area, chin, chin augmentation.

The examination before surgery is standard - general clinical and biochemical laboratory tests, ECG, FLG.

The duration of the operation is about 1.5-2 hours. Hospitalization 1 day. The pain syndrome is insignificant. After surgery, facial swelling may persist for about 2 weeks. During the same time, bruises will also disappear if they appear after the operation.

The result of the operation can be assessed after 2-3 months, although changes will be noticeable within 2 weeks after swelling begins to subside.

Due to minimal skin detachment and the fact that the SMAS layer does not “lift” - all manipulations are carried out on superficially located structures, there is practically no risk of damage to the facial nerves. Detachment of “short” skin flaps avoids disruption of the blood supply to the skin. And therefore such operations can be performed even on smokers. Perhaps the only pressing problem associated with short-scar lifts is that short incisions force the skin to “gather” in the area behind the ear, and it takes 1.5 to 3 months for this gathering to completely straighten out.

Facelift cost

S-lifting is a surgical technique for correcting age-related changes in the middle and lower third of the face and neck and general visual rejuvenation. The name of the method comes from Short Scar (short scar), so another term that is often used to define this method is short scar lifting.

What it is

The technique is one of three basic surgical techniques (lifting using minimal access), therefore S-lifting is often referred to by a similar term - MACS-lift.

Peculiarities

Short-scar facelift combines the advantages of a limited-length incision (that is, minimal tissue dissection) with the advantages of the method (PMAS) - lifting a flap of the deep layer, consisting of fibers of facial muscles and connective tissue. Correction using the S-lifting system allows you to achieve the best cosmetic results by tightening not only the skin, but also the tissue structures located under the fiber. Moreover, the rejuvenating effect is achieved without the “mask” effect.

The aesthetic result of short-scar lifting lasts for a long time (up to 8–10 years) due to the vertical fixation of the lifted “flaps” of deep tissues, and is comparable to the effect of SMAS lifting. The operation, after agreement with the surgeon and if there are indications, can be repeated.

Kinds

In addition to the S-lift, which is one of three options for the MACS lift, there are J and V-lifts. The letters S, V or J indicate the type of cuts made. The name S-lifting is due to the shape of the characteristic incision, similar to the Latin letter S.

Indications

It is believed that S-lifting is best performed on relatively young skin in patients from 35 to 50 years old with moderate facial and neck skin defects, with a preserved facial contour line and in the absence of very noticeable signs of sagging tissue.

But experts insist that the S-technique has a noticeable effect on more mature skin, if a certain degree of elasticity is maintained.

• deformation of the contour of the lower jaw;
• weakening of the muscles around the mouth and drooping corners of the lips;
• sagging skin in the cheek-zygomatic area;
• drooping of the outer corners of the eyes - pulling the eyelid towards the temples makes the look open and youthful.

1. In the case of deep, loose folds, it is advisable to combine the S-lifting technique with and.
2. To achieve complete rejuvenation in patients over 50 years of age, it is recommended to combine the S-procedure with lifting the forehead and forehead area.
3. In case of deep deformations of the contours, pronounced folding of the skin, nasolabial wrinkles, it is advisable to perform a SMAS lift or combine S-lifting with the Frac 3 3D technique.

Contraindications

Among the contraindications, there are a number of diseases and some conditions of the epidermis in which the procedure is prohibited:

• diabetes mellitus in the insulin dependent stage;
• diseases of internal organs in the active stage;
• autoimmune pathologies, oncological processes;
• severe dysfunction of the heart and blood vessels;
• , pustular skin diseases in the treatment area;
• low blood clotting;
• kidney and liver failure;
• allergic reactions$
• long-term nicotine use (up to 20 cigarettes per day)

Comparison with other similar techniques

First of all, surgical intervention with S-plasty involves tightening not only the skin and subcutaneous tissue, as, for example, with rhytidectomy, but also the deep muscle-tissue layers. This ensures a pronounced S-lift effect with minimal tissue excision.

The main difference between the short-scar lift technique and the standard facelift procedure is the incision limited to the area in front of the auricle with vertical fixation of sagging facial tissues in the temporal zone. This allows you to avoid excessive skin tension and distortion of natural facial expressions when correcting age-related defects.

Advantages:

1. The method is aimed not just at superficial skin tightening, but also at lifting the subcutaneous facial structures (SMAS). The aesthetic result of rejuvenation is achieved while maintaining a lively facial expression.
2. Low invasiveness of the operation, avoidance of damage to the facial nerve and subsequent paresis due to non-standard tissue excision;
3. Minimum area of ​​the skin to be peeled off, which reduces the likelihood of postoperative complications.
4. Limited incision length to hide the fact of surgical intervention;
5. Carrying out a micro-incision within the pre-auricular zone, without moving to the temple area. This eliminates focal hair loss along the growth line in the retroauricular area of ​​the head and its displacement upward and backward (which often happens after classic surgical lifting).
6. Shortened period of surgical operation, use of light short-term anesthesia using intravenous injection.
7. Quick recovery after the procedure due to low blood loss and low trauma.

How is S-lifting performed?

Preparatory stage

Preparation for Short Scar lifting includes:

• consultation with a surgeon and related specialists for possible contraindications;
• necessary laboratory blood tests.

If a patient is planning to lose excess fat, the weight loss process should be completed before surgery so that the excess sagging skin folds that often form after rapid weight loss can be removed during surgery.

10-14 days before the procedure, you need to give up alcohol and nicotine, which increases the likelihood of complications and delays the healing process of the dermis at the treatment site.

Progress of the operation

The surgical procedure lasts from 2 to 4 hours depending on the volume and complexity of the operation.

Subsequence:

1. Combined anesthesia is performed - local anesthesia and intravenous injection
2. Micro-incisions are made according to the selected pattern. Typically, during S-lifting in women, retrotragus incisions are made to maximize camouflage of the subsequent scar. In male patients, the tissue is cut in the area of ​​the natural fold of the pre-auricular region.
3. The tightened skin and SMAS flap - a fragment of the deep muscle-fat layer (PMAS) - are fixed with hanging sutures to the periosteum of the zygomatic zone at a higher point. The tissues of the lower third of the face are lifted, the angle of the lower jaw is highlighted, the contour is aligned and sagging “jowls” are eliminated. To straighten the nasolabial folds and tighten the skin on the neck, additional sutures are applied
4. The excess skin flap is excised and the wounds are sutured with intradermal cosmetic sutures using a hypoallergenic non-absorbable thread.
5. The thread is removed from the suture after the tissue has healed - usually 8-12 days after surgery.

The first improvements become noticeable after 10–20 days, after bruises, swelling and induration resolve. The full cosmetic effect will become increasingly evident over 2 to 5 months.

Rehabilitation period

After the S-lift, patients go home for 1 or 2 days. Bruises disappear by 5–7 days. To make them less noticeable, dry cold (a cold heating pad wrapped in sterile gauze) should be applied to the areas around the incisions for 2–3 days. The pain is relieved by taking Analgin, Pentalgin, Ibuprofen. Swelling on the face subsides within 10 to 12 days.

Before the sutures are removed, the patient must wear a pressure bandage to support the tissues in the cheek-zygomatic and chin areas. If short-scar lifting was performed in combination with chin liposuction, the bandage continues to be put on before bedtime for another 3 to 4 weeks.

To speed up the healing process and prevent possible complications, you should adhere to some rules throughout the month:

• do not expose the skin in the face and neck area to heat,
• refuse hot baths, saunas, baths;
• avoid sun exposure of the skin in the treatment area;
• exclude solariums, swimming in open water and swimming pools;
• avoid physical fatigue, eliminate heavy lifting and sports activities;
• When sleeping and resting, use a high pillow and, if possible, lie on your back;
• until the stitches are completely healed, avoid makeup and skincare products;
• treat your face and neck only with the products recommended by the cosmetologist.

As for the physiotherapy procedures indicated after lifting, they are prescribed only by a doctor, based on an analysis of the condition of the skin and surgical sutures. Microcurrents, ozone therapy, special massage, carboxytherapy, procedures using restorative and regenerating masks, and magnetic therapy have an excellent effect.

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

Since 1976, the concept of “subcutaneous muscular-aponeurotic system” has been introduced, called SMAS. Several years later, a technique for SMAS resection and fixation was developed. Innovative techniques for this method are soon emerging. They have become widespread in plastic surgery.

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

Features of this method

A short-scar facelift will help to tighten the internal structures of the face. The main characteristic feature of the operation is minor trauma and small scars. Their location should be 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 set of measures achieves the overall rejuvenation effect. 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. Using this method, it becomes possible to achieve lifting and rejuvenation of the lower third of the face. Age-related jowls are getting rid of. After the procedure, the result can last for a long period due to the fixation of soft tissues.

What are the advantages of the s-lifting technique?

Experts highlight many positive aspects of this method. The fundamental limitation of the incision is considered important. This practice provides an opportunity to conceal the fact of the transaction. The procedure provides for strict vertical fixation of drooping facial tissues.

The use of this technique allows us to eliminate the effect in which the skin is stretched. The primary characteristic is the preservation of the results obtained over a long period of time. Also, non-standard tissue excision can reduce the risk of facial nerve deformation. The intervention using gentle local anesthesia lasts for a short period.

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

Indications for use

Professionals advise using the procedure solely based on indications. According to their instructions, a short-scar facelift is necessary when wrinkles form in the cheekbone area on the temples or forehead. Surgery will be required when drooping corners of the mouth occur, if a second collection appears.

For complete rejuvenation, a combination of forehead lifting and circumferential 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 skin changes.

Contraindications

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

When there is a tendency to the appearance of keloid scars. The procedure is not performed on 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 this method for people whose facial changes, under the influence of age-related processes, are concentrated in the temporal and frontal zone.

Preparation for the s-lifting procedure

The approach is individual, since patients have different skin elasticity and body weight. Therefore, the actual picture of changes will be different. Before preparing for surgery, you should discuss all your concerns with your doctor, including the location of the proposed incisions and the course of the rehabilitation process.

You need to prepare yourself psychologically. It is advisable to take vitamins and microelements. You need to have a good rest. Nutrition should be complete with the obligatory inclusion of animal proteins, vegetables, and fruits. It is recommended two weeks before the proposed procedure to avoid the consumption of alcoholic beverages and drugs containing acetylsalicylic acid, which can cause bleeding. Quit smoking.

The medical staff will take photographs of the face for the purpose of subsequently applying clarifying drawings to the finished photographs with a marker. The surgery is performed under general anesthesia for several hours.

Rehabilitation period

You need to be prepared that rehabilitation will take a long time, requiring contact with professionals. Good care will be required to ensure the results last. It is recommended not to be nervous or panic after the operation, since the real result will only be visible after a certain time.

Immediately holding the mirror, you can see swelling and bruising, which is considered natural. They go away in 5-7 days. May not appear. The skin will temporarily lose sensitivity. There will be minor pain.

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

You must adhere to the doctor's instructions. The patient is under inpatient observation for 2 days. A compression bandage secures the area of ​​the cheekbones and chin. It should be permanent until the stitches are removed.

In order for swelling to go away faster, the head should be in a stationary, elevated state. The stitches will be removed as healing progresses, usually between 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 period of time at night if liposuction of the cheeks and chin has been performed before. Food should be liquid and ground, as coarser food causes pain when chewing. Active facial expressions are not desirable. You should refrain from visiting the bathhouse, excessive physical exertion, and exposure to the sun.

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

What results can you get?

The s-facial lifting procedure allows those who undergo it to look 7-8 years younger. The primary nuances that influence the main outcome are the presence of concomitant diseases and lifestyle.

Repeated s-lifting can only be done at intervals of five or ten years. When therapeutic or cosmetic procedures took place, the period is significantly delayed. The obtained result will help to consolidate mesotherapy and photorejuvenation for a long time. With their help, you can prevent the possible appearance of soft tissue ptosis. In general, cosmetologists note that the result obtained from the procedure can last for ten years. A person who monitors his health can significantly extend it.

About the author: Larisa Vladimirovna Lukina