Should I get plastic surgery on my face? Children's plastic surgery: what types and at what age are shown to minors

Etc.

For men and women who are dissatisfied with their appearance or are interested in "postponing the biological clock," there are many facial plastic surgery procedures that can help them meet their cosmetic goals.

Facial plastic surgery can do everything from reshaping the nose to removing excess skin and removing fat under the chin to improve facial contours.

Plastic surgery usually seeks to achieve one of two goals: to rejuvenate the face or improve its shape and contour by correcting the nose, eyes, cheeks, chin, forehead and ears.

There are different types and methods of correction, all of them have their own characteristics, differ in prices. It is worth understanding the varieties of plastic surgery on the face.

When will plastic help (contraindications)?

With the help of plastic surgery, you can correct a variety of defects in appearance. They can be congenital, or appear due to injury, disease, age-related changes.

Over the years, the appearance of the face worsens, the skin sags, wrinkles appear. Various skin pathologies can lead to scarring. Such aesthetic problems can be corrected by facial plastic surgery.

Not all people can go for plastic surgery.

CONTRAINDICATIONS

1. if there is inflammation in the problem area;
2. with infectious lesions;
3. in the presence of oncological diseases;
4. if a woman is carrying a fetus or breastfeeding a child.

Facial plastic surgery combines a variety of surgical interventions and procedures that correct defects in appearance. It is worth familiarizing yourself with them, understanding their essence in order to choose the method of rejuvenation or defect correction that suits you.

Gentle rejuvenation methods

It is not necessary to lie down under a scalpel to improve the oval of the face, to remove wrinkles. To begin with, it is worth paying attention to more gentle methods.

Thread lifting

To date, a huge number of people are inclined to contouring if they want to increase their lips. But there are also many surgical techniques.

Lip correction costs from 45 thousand rubles.

Bish's lump removal

Every person has Bish's lumps. What it is? - These are fat accumulations that are located in the cheek area.

They are beneficial for newborns, helping them in the process of sucking, and later chewing. Further, their role is to protect the cheekbones from injury. But this function is not particularly important.

For some people, they are very noticeable. In this case, the plastic surgeon may advise the removal of these lumps.

In addition, people who have lost weight should think about such an operation, and Bish's lumps remained pronounced. The fact is that in this area it is impossible to get rid of fat cells by physical activity.

This operation was done by many stars. For example, Angelina Jolie. As a result, emphasis is placed on the cheekbones, which improves the appearance of the face.

The doctor gets to Bish's lumps through the mucous membrane of the mouth, as well as through the skin on the cheek. But recently, more and more surgeons are leaning towards the endoscopic method.

For such an operation, you need to pay from 30 thousand rubles.

Hair transplant

Christine Blaine

plastic surgeon

Statistical calculations indicate that women often decide on facial plastic surgery after 50 years. But I would not advise waiting for extremes. The fact is that in neglected situations it is difficult to achieve a stunning result. Even before the age of 50, it is worth taking care of yourself and, perhaps, thinking about plastic. Do not be afraid of complications! In the hands of a professional, the only complications that you need to prepare for are rejuvenation, getting rid of complexes and a great mood.

Plastic surgery is not just a field of medicine designed to relieve patients of “fat aprons”, lift sagging mammary glands, and correct the shape of the nose and lips. Her competence also includes the performance of aesthetic and reconstructive operations for children who need to correct their appearance for various reasons. Of course, much less is said about the surgical interventions performed on the smallest patients on forums and portals about plastic, but this is not surprising. Not wanting to tell the whole world about the problem of their child, who suffers from an inferiority complex due to the fact that he has, for example, severe protruding ears, parents rarely post his before and after photos on the Internet. As a rule, they read reviews about certain surgeons, ask for advice, but the scope of their searches is noticeably lower than for patients planning to increase their breasts, reduce their nose, or change the shape of their eyes.

However, if the topic of children's plastic surgery is not discussed in our country as often as it could be, this does not mean that it is not relevant. Just a few years ago, according to statistics, about 26% of minor Russians resorted to surgical correction of appearance in order to get rid of a number of aesthetic defects (of course, with the permission and accompanied by their parents), while today the percentage of plastic surgeries performed on children has increased to 40. More than 35% of patients of Russian aesthetic surgeons are currently girls and boys from 16 to 25 years old. The reasons for their appeal to beauty clinics in most cases are associated with dissatisfaction with their external data, because of which they are often ridiculed by their peers. What other reasons can force parents to put their child under the scalpel of a plastic surgeon, read in this material.

Aesthetic pediatric surgeries

Aesthetic children's operations include those types of intervention, the implementation of which is due to the need to save the child not from gross physical defects that impede his normal

Most often, children in Russia undergo plastic surgery of the ears and nose.

vital activity (cleft lip, cleft palate, the effect of fused fingers, etc.), but from those that cause him a lot of anxiety in terms of external attractiveness. Such operations are primarily aimed at increasing the child's self-esteem, acquiring firm confidence in his "normality" in the eyes of others. As a rule, the most common types of intervention in this case are rhinoplasty and otoplasty.

Rhinoplasty

Rhinoplasty today is perhaps one of the most popular plastic surgeries for both adults and minors anywhere in the world. Many people want to improve the appearance of the nose, but everyone has their own reasons for this. So, the desire of an eighth grader to get a nose job

The cost of otoplasty in Moscow is on average 40-50,000 rubles

(removal of the hump, narrowing or enlargement of the bridge of the nose, reduction of overly large nostrils, thinning of the tip of the nose, etc.) is most often dictated by her desire to stop being an object of ridicule for her peers, while an older patient rather intends to "polish" her nose as much as possible, most bring it closer to perfection.

Rhinosurgeons say that it is ideally recommended to resort to aesthetic correction of the nose after the girls have reached the age of sixteen, and the boys - seventeen. However, there is one “but”: if we are not talking about aesthetic wishes, but about health problems (impaired respiratory function due to the curvature of the nasal septum), rhinoplasty can be performed even at the age of seven years.

Otoplasty

It’s a paradox, but many parents, knowing about their children’s complexes regarding protruding ears, do not dare to have plastic surgery. Why? Because they consider the option of surgical correction either too radical (which is a subjective opinion), or rather expensive (which is also relative).

Modern technologies and techniques make it possible to perform otoplasty at the highest level, provided that the operation is performed by a competent specialist. As for the cost of ear correction, today it averages 40-50,000 rubles in Moscow.

Reconstructive pediatric surgeries

There are several reasons for this: unfavorable ecology, hereditary factor, genetic "failure" and so on. By the way, the level of development of Russian medicine at present is not the same as before, today many domestic surgeons are able to carry out reconstructive interventions at a high professional level.

If, during an ultrasound scan, a future mother reveals a suspicion that the fetus has signs of a cleft palate or cleft lip, specialists are required to provide parents with full information about the features of these developmental anomalies. As a rule, the cleft lip is well corrected by plastic surgery when the child reaches the age of six months.

It is forbidden to perform the operation without the written permission of the parents.

The wolf mouth is remarkably amenable to surgical correction when the baby is more than ten months old. Some children may need additional surgeries such as bone grafting for a dental alveolus or additional surgery to the nose or septum.

The second group of reconstructive children's operations includes defects in appearance acquired as a result of accidents. Burns, accidents and other unforeseen situations can sometimes change the appearance of a child beyond recognition. To rid such patients of acquired defects in appearance, reconstructive interventions are provided, during which microsurgery, tissue tension to restore damaged organs, bone restoration, cartilage and bone transplantation, and more take place.

Each age has its own type of plastic surgery

Often parents ask themselves the question: at what age is it allowed to carry out this or that type of surgical intervention for their child? According to experts, each age category has its own plasticity:

• At the age of 7-16 years, you can resort to plastic surgery of the ears and nose;
• When a child reaches the age of 16-18, he is allowed to undergo liposuction. Oto- and rhinoplasty at this age remain as popular;
• If the patient is between 18 and 25 years old, breast augmentation, reduction, and eyelid surgery are not forbidden.

Sometimes there's no hurry

An important detail: in order to improve their appearance with the help of plastic surgery, patients under the age of eighteen need the mandatory permission of their parents to carry out the intervention. This rule is unshakable and applies to any type of surgical correction.

In conclusion, I would like to draw the attention of readers of the site to an important detail: sometimes the parents of a child plan to have plastic surgery for him without understanding the problem to the end. There is not always a defect in appearance, in many cases the problem of protruding ears or an excessively long nose is far-fetched, caused by hasty judgments and caustic assessments of the environment of the child's appearance. Only an experienced, competent psychologist can help parents and the child figure out whether it is advisable to go for a consultation with a plastic surgeon.

Darina, 27 years old, dancer

Changed breast size (mammoplasty)

According to the constitution, I am more like a teenage girl: short stature, wide back, small breasts and buttocks. At one time I tried to get better so that at least some hints of breasts appeared, but it didn’t work out. All my life I had a complex of unfemininity. You flip through magazines and realize that something is clearly missing for you. I didn’t even go out without a double push-up and makeup. I have always liked men older than me, but because of my appearance, they did not perceive me as a girl. For them, I was "my boyfriend."

At the age of 18, I started working as an animator, dancing go-go, and then switched to striptease in show programs. I had good dancing skills, but event organizers sometimes honestly said: “Darin, I’m sorry, but we need a C grade here.” Most likely, if I had not danced, I would never have decided to enlarge my breasts. At least I wouldn't have the opportunity. The implants cost 740 euros, and the operation itself cost about 800 dollars.

The operation was done in Kharkov two years ago. I came to the doctor with the intention of making a "deuce". But, according to the doctor, I have a large chest: if you insert a small implant, it will simply spread. I had to settle for 315 ml - this is the third size. When I first looked at the chest, which was a size larger than planned, there was a shock. Images of victims of plastic surgery immediately flashed through my head. I was afraid that the chest would remain gigantic. But the swelling subsided, and instead of my 0.5, I got a nice C grade. It hurt for the first three days, while the drains were standing. Five days later they were discharged home. For some time she clung to the door jambs with her chest - she did not feel the new "dimensions". During the rehabilitation period, you can’t do anything harder than cutting bread, but I didn’t obey and a month later I was dancing on the pole. As a result, she strained her muscles - and one implant moved. I had to take a timeout.

Beauty is hard work on yourself. You can't be beautiful or ugly. And you can be lazy

When she talked about plastic surgery to friends and colleagues, everyone said in unison: “Darina, why do you need this? You are so beautiful." Parents learned about the news after the fact, reacted succinctly: “Well, you fool!” My mother has her own sixth size, it is difficult for her to understand. She is a Soviet-style person and does not approve of such things. And my husband supported me. True, after the operation he became jealous and in the end we divorced, but that's another story.

Of course, self-esteem has increased. I can safely leave the house in sneakers, with a dirty head and without makeup, and feel comfortable. Now there is a problem with an overabundance of attention. It's starting to get annoying, to be honest. They say to me “What an ideal appearance you have!”, And at that moment I remember the number of hours spent in the gym and a strict diet. Some people think that I also inserted implants in the ass, but my figure (except for the chest) is entirely my merit. Beauty is hard work on yourself. You can't be beautiful or ugly. And you can be lazy. Plastic surgery really works wonders, but, alas, you cannot rely on it alone.

I have never regretted the operation, except perhaps why I did not do it earlier. At work, I have become more in demand: now they don’t choose me, but I decide which events to work on. Salaries have also increased significantly. However, in a couple of months I'm going to quit my job. I'm getting married soon and my future husband doesn't want me to dance.

Julia, 22 years old, journalist

Changed the shape of the nose (rhinoplasty)

I have a big nose from my grandmother: when we gathered at family holidays as a child, it was immediately clear who was whose relative. Teasing began in the 5-6th grade. The bullying was led by the fattest girl in the class: she began to call names - and everyone picked up. It was mostly girls who teased. Boys, on the contrary, called for dates more often than others. Nevertheless, at the age of 15, I definitely decided that I would change my nose. I didn't like the reflection in the mirror and I got tired of taking photos from one angle - three-quarters - only in this way the curvature was not visible.

After school, my parents and I moved to Moscow. I entered the university, and as soon as I turned 18, I announced that I wanted to get a nose done. Mom worked as a teacher at my school and, of course, she knew about the complex. There were no tantrums with shouts: “I won’t let you in!” My parents always gave me freedom of choice, they said, if it makes you feel more comfortable, do it. I found a state clinic in Minsk on the Internet (for some reason, Moscow did not inspire confidence in me), went for a consultation - and two weeks later an operation was scheduled. I immediately liked the doctor: a wise man who understood why I had come. We decided to correct the deviated septum (because of this, my nose often stuffed up), saw off the hump and lift the tip of the nose. The operation was fully paid for by the parents: 16 million Belarusian rubles (about 100 thousand Russian. - Note. ed.). It was 30% cheaper than in Moscow clinics.

I do not hide that I did plastic surgery: a person’s desire to make himself better is not a shame

When I woke up, a tearful mother was sitting next to me. I was sick of blood, my head was splitting, and in my head there was one thought: “Well, why the hell did I do this?” The most trash was on the third day: my face was so swollen that I could barely open my eyes. I imagined how in a few days they would remove the cast, pull out the turundas, and I would finally see myself as a beauty. But in reality - a swollen face, red eyes (capillaries burst) and giant bruises, like a panda. It feels like I've been drinking for two years without drying up. The nose was like that of Piglet, and the bridge of the nose was exactly from the movie "Avatar": a wide flat strip in the middle of the face. Incredibly scary! It turned out that the nose returns to normal in the period from a month to a year. I remember riding the train home, people were looking askance and whispering, some asked what had happened to me. But the biggest test was to eat: the nose still did not breathe - and I wanted to cry from impotence. She returned to school two weeks later. The bruises and swelling went away, but I still looked lousy, as if I had been beaten periodically.

I have friends with big noses. They live and do not grieve. But this story is not about me. I have more self-confidence, even self-confidence - in my profession this is only at hand. I began to comply with generally accepted standards of beauty, and this gives a certain degree of freedom. No matter what we say, we still judge people by their appearance. I didn't want to be the humpbacked girl anymore. I do not hide the fact that I did plastic surgery: a person’s desire to make himself better is not a shame.

It's funny, but my future husband has about the same nose as I had before the operation. I laugh that if our children have a hooked nose, they will take after their father! Well, if I have a daughter and she says she wants to get a nose done, I will definitely support her.

Ekaterina, 25 years old, hand-made master

Changed the shape of the legs

At the age of 12, I realized that I had not just legs, but crooked legs. There were so many cases when I put on a skirt and strangers stopped me on the street and said: “Do you know that your legs are crooked? She also dressed up in a skirt. I mumbled "yes" and ran home in tears. Some guys, I remember, offered with laughter: “Let’s straighten them against the fence?” At school, they often asked if I had this or an injury from birth. By the age of 16, self-esteem dropped below the plinth. I also had problem skin. And just imagine: the legs are crooked, the face is terrible. They say every girl has a terrible friend. So I was that terrible friend. At this age, all girls had their first boyfriends, first kisses, and I sat at home and wrote in my personal diary: “Why do I need all this?” She asked her friends: “Girls, break my legs, huh? Doctors will put a cast and they will become straight.”

On Nevsky Prospect, literally a meter away, a couple walked behind us, discussing among themselves: “Oh, look, does she also wear a skirt with such legs?”

I have been dancing since childhood: Russian folk, break dance. And in the first year of the university I got into a good dance group. Everything would be fine, but they danced modern choreography there, where the position of the legs is heels together. It was then that my complex returned. I tried to force my knees and heels together, but nothing worked. It got to the point that they put me in the first row, then looked through and abruptly pushed to the very end, because I "stand out a lot." The last straw was an incident that happened in St. Petersburg, where we went with my mother. It was a hot summer that year - and I dared to wear a denim skirt above the knees. On Nevsky Prospect, literally a meter away, a couple walked behind us, discussing among themselves: “Oh, look, does she also wear a skirt with such legs?” The day was ruined.

When I got home, the first thing I did was google methods for correcting my legs. I stumbled upon a forum where the girls discussed Ilizarov's devices. At night I went to bed with the thought: “Break legs? I'm not really sick!" But the thought did not give rest. I had to tell my parents what I want. Dad took it normally, but mom ... I told her in tears about all the humiliations that I had to go through in order to persuade her. My parents set aside money for me for a whole year - 150 thousand. Thank them for this.

In 2011, I passed the session ahead of schedule, and in early May I left for Volgograd - it was there that I decided to have the operation. It became scary when, 12 hours before X hour, I checked into the ward and saw my neighbor's knitting needles sticking out in her legs - a sight not for the faint of heart. Looking at the pictures, you don't think that this whole structure goes through bone and skin. The next day after the operation, the doctors raised me to my feet. Strength was enough for three steps to the washstand. I realized what a miracle it is to walk on two legs.

Everyone knew where and why I went. And everyone was shocked. Someone enlarges the chest, changes the shape of the nose, and I broke and straightened my legs. Sounds crazy, but it's part of my life. After removing the devices and plasters, I met with a classmate. He carefully examined me and said: “Well, it definitely got better! Didn't do it in vain."

I stayed in the apparatus for four months. After them, I re-learned to squat, run, jump. She joked that they made new legs, but they forgot to give out the instruction manual. The return to the dance was hard and very painful. For a long time I lost my balance, could not do split jumps. And two years ago, she finally left the team and took up a new business - she opened a hand-made workshop.

Now I love summer. I no longer languish in jeans and go to the beach in a bathing suit, like everyone else. Completely updated wardrobe: now there are only dresses, shorts, skirts. By the way, I met my man when I was in a dress. I used to be a good girl, but now I don’t climb into my pocket for a word. I think I just became myself. It also cleared up my skin wonderfully. Everything was definitely not in vain.

Maria, 27 years old, artist-designer

Did liposuction, lipofilling and mammoplasty

I was a large child, and in adolescence, unpleasant sides and riding breeches appeared on my legs. Usually these occur in women well over 30, and I appeared at the age of 13. I started to look older. I went to fitness, but the problem areas did not disappear. When I turned 18, my mother said that there was money in the bank that my grandmother had left for me when I came of age. I immediately decided what they would do. A few months later, without telling anyone, she signed up for a plastic surgery center in Samara, where she lived at that time. For 180 thousand rubles, I had liposuction of several zones - they pumped out about three liters of fat. Mom found out about the operation a few days later, although we lived together. I took two days off to visit a friend, and then hid the compression underwear under my dressing gown. She reacted neutrally: my mother never took my complexes seriously, she called them nonsense.

For the first six months, I liked the result, until it became clear that deep scars remained on the whole body, flowing into the skin. It turned out that I was badly “sewn up” and the tissues did not grow together correctly. A normal buttock is round, but mine seems to have been bitten by a dog, tearing out a piece. Reminds me of advanced cellulite.

I began to earn money for a new plastic surgery to correct the previous one, but already in Moscow. In 2014, she appeared to a Moscow surgeon, he scratched his head and said: “We will work, we can’t fix it at once.” When liposuction is done, cannulas are inserted under the skin to suck out fat, after which fibrous tissue is formed. Due to fibrosis, the doctor said he was unable to reinsert the cannulas to even out the skin. There was almost no result, and for this I paid 250 thousand. It is useless to return the money: before the operation, an agreement is signed that you have no complaints against the doctor, and aesthetics is a subjective assessment.

Two years later, I wanted to do mammoplasty. I was fond of fitness bikini, lost 10 kilograms, and my breasts disappeared. I was recommended a new surgeon. He made me not only breasts of the fifth size, but also lipofilling: first he pumped out fat (fibrosis did not interfere with him), and then poured the purified fat into those places where there were irregularities. Now on my body there are no pits, but smooth transitions. True, the scars on the buttocks improved only by 50%. I think you can do it again in a year. The whole operation cost 374 thousand (she earned money for the second operation herself, and the young man paid for the third). After the third operation, the first thing I saw was huge hills, which made it impossible to see the room. For two weeks I felt like a porn star, my back ached and I hunched over from the weight. But then the edema subsided, and now I no longer remember myself "without a breast."

I don't see the difference between a dental implant and a breast implant. We believe that buying a fur coat for 200 thousand is normal, but making breasts is expensive

Plastic surgery is a cool tool in the hands of a person. Everything that nature did not give us can be corrected. For some, it is enough to go in for sports, while others are shown plastic surgery. I am surprised by proud statements: “I’m 40, and I haven’t done anything with myself yet, I haven’t even gone to a beautician. It's not natural!" And if a tooth falls out, will you put yourself a new one? I don't see the difference between a dental implant and a breast implant. We believe that buying a fur coat for 200 thousand is normal, but making breasts is expensive.

When I began to invest in myself, especially after mammoplasty, men of a different status began to pay attention to me. Now I am dating a French businessman and I am extremely happy. If it were not for getting rid of the complexes through plastic surgery, I would not have dared to look in his direction. I become a narcissist, but I try to pull myself up. I want to keep improving myself. I plan to do laser hair removal, put facades on my teeth. I am not going to become a doll or a clone of Masha Malinovskaya. I want to be myself, but a little more perfect, and so that others do not notice that I did some kind of manipulation.

The people who advocate body positivity are great. But we live in a society where you can perceive yourself as beautiful from the inside, and everyone else will think differently and at times remind you of this.

Anvar Salidzhanov

MD, plastic surgeon

In terms of the number of plastic surgeries, Russia is far from being in the top ten. We, as many mistakenly think, do not have a plastic boom, as in Brazil or the USA.

Young people, 18–20 years old, are more likely to have otoplasty (reshaping of the ears. - Note. ed.) and rhinoplasty (changing the shape of the nose. - Note. ed.). After 25 years, those who want to increase their breasts come. By the way, it is a big misconception that nulliparous women should not have breast implants. As they say: "First give birth, and then breastfeed." A woman can perfectly feed a child with implants. After 30 years, on the contrary, they reduce the chest or do some kind of tuning: they start, for example, with blepharoplasty (eyelid surgery. - Note. ed.), after six months they come to correct the nose or tighten the chest after childbirth. After 40, they renew their faces: women have a second youth, and finally there is time to take care of themselves.

In the first place in popularity remains mammoplasty (breast augmentation and lift. - Note. ed.) and blepharoplasty. Then comes the correction of the proportions of the face with the help of silicone implants - mentoplasty (changing the chin. - Note. ed.) and plastic surgery of the cheeks, the so-called removal of Bish's lumps. A couple of years ago, the bullhorn was in vogue - a lift of the upper lip, giving the face a puppet look. Thank God, this fashion has passed.

Plastic surgery in 95% is an opportunity to feel more confident. Such a bloody kind of psychotherapy

There are many times fewer men among clients: they are probably more confident in themselves in life than women. They perform aesthetic urological surgeries, rhinoplasty, eyelid surgery, liposuction (fat removal. - Note. ed.) and gynecomastia - when men develop effeminate breasts against the background of hormonal changes. Often they come in pairs: first, the spouse does the plastic surgery, and then, inspired by the example, the spouse goes.

The strangest request in my memory - elven ears, just at the peak of the popularity of "Lord of the Rings". But this is the nonsense of a madman, I do not undertake such a thing. Most of all I dislike the category of lazy patients who do not want to take care of themselves and do not go in for sports. Instead, they bring their goods to the surgeon's court with the words: "I need to pump out 40 liters of fat." If a person really wants to be slim and healthy, he strives for this, goes to the gym, eats right. But then it is already possible to correct imperfections, to do abdominoplasty (abdominal reduction. - Note. ed.). But to take on the laziness of the client, doing an insane amount of liposuction, is wrong.

It happens that a girl with a small proportional nose sits in front of me, who wants to make it thinner, narrower. I explain to her why this is not necessary. Not because I can't, it's just that natural beauty can be spoiled. The desire of the patient does not always correspond to the real situation. Or patients come: everything seems to be fine, but something in life did not work out. And they are trying to fix it with a change in appearance. Plastic surgery in 95% is an opportunity to feel more confident. Such a bloody kind of psychotherapy. It is important to analyze how much a person really needs it. Plastic is still not appendicitis, which must be operated on immediately. Suppose a girl comes and says that the family is on the verge of a divorce: her husband does not like that she has a second breast size, so she wants a fifth. Even if she enlarges her breasts, the family will still fall apart. In this case, the girl will feel more unhappy with the fifth size, which she did not want.

In my opinion, plastic surgery is one of the most beautiful branches of medicine and business. Medicine mainly faces problems, pain, and plastic surgery improves the quality of life and gives people joy.

Head of the EMC Aesthetic Clinic and leading plastic surgeon Sergey Levin talks about the responsibility to the patient, the search for a doctor and the latest trends.

- What to look for when choosing a clinic and a surgeon?

Sergey Levin, head of the EMC Aesthetic Clinic, plastic surgeon, Ph.D.

The surest way to choose a clinic is by recommendation. There is nothing more reliable than the personal experience of friends. The history of the clinic where the recommended surgeon works is important: its reputation is the main guarantee of the quality of operations. An additional indicator of reliability will be the duration of the surgeon's work in the clinic - the higher it is, the better.

The second stage is a personal consultation. I think that it is worth staying with the surgeon who inspires confidence both as a professional and as a person.

Numerous certificates do not always reflect professionalism. Yes, this is an important stage, but a surgeon is a profession based on experience and practice. There are many nuances in plastic surgery that are sometimes impossible to teach: this is the technique of creating invisible seams, and the peculiarities of working with cartilage and bone systems, and knowledge of the complex architecture of the facial structure. Understanding the subtleties comes only with experience.

It is very important that the patient and the surgeon have the same idea of ​​beauty. The doctor's portfolio should contain a lot of photos with the results of his work, this will allow you to evaluate his vision of beauty. But photos are not the main guarantee lately, some doctors even fake pictures in Photoshop. However, if the surgeon has over a hundred “before and after” images, this is a good indicator.

How does a patient choose a surgeon?

The patient will stay with the surgeon, who will simply and clearly explain what the result will be and dispel all his fears. Not fears associated with anesthesia, but fears of being dissatisfied with the operation.

Using the latest digital technology, misunderstandings between the surgeon and the patient can be avoided. Today, the result of almost any operation can be shown virtually using 3D computer modeling. At each of my consultations, I always do preliminary modeling. The patient himself sees what will happen in the end and decides on the operation.

By the way, many surgeons do not work with 3D modeling, because they believe that this imposes additional responsibility on them. After all, these are different things - to say “I promise everything will be beautiful” and to do 3D modeling, where it will be obvious how a person will look after. But in the patient's head there may be a completely different picture, which is impossible to make, but which the surgeon can promise.

- What if you don't like the result of the operation?

You can suggest a correction. Usually the result is disliked not because of the mistake of the surgeon, but because the patient and the surgeon did not reach a common vision of the result. According to medical ethics in this case, you need to make a correction. Since the operation is associated not only with the work of the surgeon, but also with the work of the anesthesiologist, nurses, the cost of the correction operation is still paid.

- Do you refuse patients?

I always voice my point of view to the patient. The surgeon must act for the benefit of the patient, so he can dissuade in those cases when he sees that after the operation the patient will not be more beautiful or he asks for the impossible. Depending on the case, I may refuse to operate for my own ethical reasons or if the operation may be harmful to my health.

For example, often young women want bigger breasts. But they do not fully realize that the severity of the bust puts a strain on the shoulders and spine and can provoke back problems, chronic lower back pain. In addition, the operation is sometimes followed by a difficult recovery period. If I see that from an aesthetic point of view, the patient is all right and she is clearly under someone's influence, then it is better to invite her to think more.

One of the most popular surgeries is breast augmentation, and there are many myths associated with it. What is important to know about breast augmentation?

Successful breast plastic surgery is possible only with an experienced surgeon, in a well-equipped clinic and with high-quality medical materials (primarily breast implants). In addition, you need to know the following: implants are not associated with the occurrence of tumor diseases, the incision (it can be under the breast, under the armpit and along the areola) does not affect the sensitivity of the nipples, all implants are soft, so they practically do not differ from the natural breast to the touch, surgery does not affect future breastfeeding.

- How to prepare for the operation?

Most often, relatively healthy people turn to plastic surgery. If a person does not have diseases that affect his lifestyle, then he can be called healthy. Nevertheless, preparation for surgery necessarily includes a preoperative examination, where the patient passes all the necessary tests and undergoes profile studies. There is always a risk that during the examination, problems may be discovered that require, for example, medical attention. It rarely happens, but it does happen.

The postoperative period is no less important than the preparation. After the operation, the surgeon remains in touch with the patient, answers all questions, performs postoperative dressings and examinations. The more complex the operation and the longer the recovery period, the more often the doctor meets with the patient at post-consultation.

In aesthetic surgery, one should not neglect the main principle of the physiology of aging: age-related changes affect all facial structures. It's not just the quality of the skin that changes. With age, the skull decreases - the support and frame that determines the proportions of the face, thinning of soft tissues and resorption (destruction) of bone structures occurs. Due to the reduction of the skull, the slope of the forehead changes, the size of the nose changes (the tip falls, the back becomes more massive and wider), the distance between the base of the nose and the edge of the upper lip increases.

To achieve natural rejuvenation, you must first return the foundation. The introduction of fillers into the area above the periosteum allows you to restore the lost volumes of bone tissue. Actual points - chin, angles of the lower jaw, infraorbital region, temples and forehead. After restoring the volume of the skull, you can do a facelift, rejuvenating rhinoplasty.

The material was prepared with the support of the EMC Aesthetic Clinic.

Should I get a facelift? How is the postoperative period. How are forehead wrinkles corrected? What are the possible complications after plastic surgery? You will find answers to all these questions in this article.

Aesthetic (or cosmetic) surgery is part of plastic surgery, which, in turn, is inseparable from surgery in general. In principle, any doctor who has graduated from a medical university and has completed the relevant specialization can become a plastic surgeon. However, there cannot be many plastic surgeons, not only because the path of their formation is very difficult and long, but because this profession requires from the doctor both artistic taste, and spatial thinking, and the natural abilities of a psychotherapist.

In other words, plastic surgeons are special people, and meeting with them is in itself a success in your life, and the course of postoperative treatment stages will largely depend on how humanly warm and emotional your relationship with this person will be. Why? Very soon you will understand this, but for now let's assume that you have already chosen a clinic where you would like to have a consultation about a possible plastic surgery.

Of course, the doctor will ask about what changes in your appearance you would like to receive. Perhaps he will also ask about past or existing diseases and medications taken. The fact is that hypertension, heart failure, diabetes, allergies and thyroid disease can seriously increase the risk of surgery.

Most likely, the surgeon will ask you questions regarding your personal life, and it makes no sense to be cunning when answering them - perhaps your problems are not related to your appearance at all, and then the operation is unlikely to help. And who needs disappointment?

At the decision-making stage, you will need additional information describing the technique of operations, preparation for them and possible postoperative complications. So, let's start in order.

Blepharoplasty (eyelid surgery)

With age, the upper eyelids begin to hang over the eyes, which makes them look tired. The lower eyelids also change - bags under the eyes appear. All this will help correct eyelid surgery, which, however, will not eliminate wrinkles in the corners of the eyes, bruises under the eyes and drooping eyebrows. There are other methods for this (dermabrasion, chemical peeling, plastic surgery of forehead and cheek wrinkles). It is possible that your doctor will agree to combine an eyelid surgery with a forehead correction or cheek lift.

Eyelid surgery can be done at any age, since characteristic changes can appear not only with age, but can also be hereditary. The mechanism of age-related changes is simple: muscle tension in the eyelid area decreases, the skin becomes thinner, and the fat that was previously inside begins to swell.

Before starting the operation, the surgeon marks the incision line, which runs along the natural furrow and protrudes slightly beyond the outer edge of the eye (Fig.).

Picture. Upper eyelid surgery

Then he carries out a preliminary infiltration of the eyelid area with a solution of an anesthetic (anesthetic), which, in addition to anesthesia, causes swelling and tension of the skin of the upper eyelid, which greatly facilitates the dissection of tissues with a scalpel. Excess skin is removed along with the underlying muscle fragment.

The surgeon then presses lightly with his index finger on the eyeball, which helps locate the fat. Adipose tissue is exfoliated with a blunt method, after which it is removed with scissors. Performs point electrocoagulation of superficial vessels, applies a continuous suture using a special atraumatic thread. This completes the operation.

The incision is made under the ciliary margin, and it protrudes slightly beyond the outer corner of the eye (Fig.).

It is the proximity to the eyelashes that makes it possible to make the future scar almost invisible, but this requires special care from the surgeon: with tweezers, you need to take the eyelashes to the side, protecting them from possible falling under the scalpel.

Then, with scissors, a flap of the skin of the eyelid and part of the muscle (it is called circular) is peeled off. If the depth of detachment is chosen correctly (not deep, but not superficial), then the operation is almost bloodless.

Picture. Lower eyelid surgery

The flap is peeled off to the infraorbital margin, while fat deposits become visible, which are removed. Tweezers tighten the skin and remove it parallel to the lower eyelid. This is a very important stage, because if you excise a small amount of skin, there will be no positive result; and if you remove too much, an eversion of the lower eyelid will appear.

Then the muscle is excised under the skin flap, which subsequently gives the effect of tension. The operation ends with the imposition of a continuous cosmetic suture.

Postoperative period

Shortly after the operation, you can open your eyes, but vision will be poor due to increasing swelling. If you wish, you can leave the clinic on the same day, but you still have to comply with bed rest - only at home. Moreover, in order to reduce swelling, it is recommended to lie with your head high.

Within a few days, the swelling will increase and persist for several weeks. However, after a week, the skin color will take on its natural appearance, and by the end of the second week, the eyelids will look almost healthy.

❧ Using a decoction of chamomile to wash the eyes and sterile cold compresses will help reduce discomfort in the postoperative period.

Until the stitches are removed, you can not physically strain and lift weights.

The sutures are removed, as a rule, on the 3-4th day, but even after that, contact lenses cannot be used for 2 weeks, and dark glasses will have to be worn for 1-2 months.

You can go to work after 10 days, by which time it will be permissible to apply makeup. The effect of the operation persists for several years - it is quite long, but still not permanent, because the skin continues to age.

This operation is carried out with horizontal wrinkles in the forehead, low eyebrows or wrinkles between them, giving the impression of shifted eyebrows.

During the operation, an incision is made behind the hairline a few centimeters above the border of the forehead (Fig.), which runs from one ear to the other.

Picture. forehead wrinkle correction

Then the skin of the forehead is separated from the bone to the upper border of the eye cavity, the part of the muscle that creates tension and thus participates in the formation of wrinkles is removed. After that, it becomes possible to stretch the skin, smoothing out the folds. The skin is pulled back, the excess is removed, the edges of the wound are sutured.

There is a modification of this method using an endoscope. At the same time, not a continuous incision is made, but several short ones (two) on each side of the forehead, through which, using the inserted endoscope, you can see the operating field on the monitor screen (Fig.).

Picture. Correction of forehead wrinkles with an endoscope

The skin and muscles are separated from the bones of the skull in the same way as with the technique described above, then the skin is pulled up and fixed with sutures.

Postoperative period

After the operation, a bandage is applied to the entire head and forehead, which is first changed, and after 2 days it is completely removed. At this time, swelling and cyanosis on the eyelids become visible, which will begin to decrease after a week, and disappear after 2 weeks.

The sensitivity of the skin in the forehead after the operation is usually disturbed, and after 2 weeks itching joins this, which disappears only after a few months. Immediately after the operation, the hair along the scar may fall out, their regrowth will begin only after a few weeks.

During the week you can not lift weights and you need to sleep on high pillows, but after 10 days you can already go to work. Washing your hair is allowed on the 5th day; at the same time, as a rule, it becomes possible to use medical makeup (to mask bruises on the forehead and around the eyes).

During the year, it can be difficult to wrinkle the forehead and raise the eyebrows, but gradually this also passes. It is considered normal that immediately after the operation the eyelids do not close completely.

face lifting

This operation, called a facelift, corrects age-related changes in the middle and lower parts of the face. Most often, such correction is resorted to at the age of 40-60 years. Lifting will help get rid of wrinkles in the cheek area, if there is excess skin; from deep wrinkles between the nose and corners of the mouth, when the natural outline of the lower jaw disappears; from sagging and flabby, wrinkled and furrowed skin on the front of the neck.

The operation begins with the introduction of an anesthetic into the area of ​​the surgical field for the purpose of easier tissue detachment (hydropreparation); at the same time, a drug that narrows blood vessels (vasoconstrictor) is administered. Often, the operation is combined with liposuction (suction of fat from the chin area), which is performed using a small incision in the chin fold and a special cannula (“duck”), which has a flattening at the end, which allows the tissues to be smoothly separated.

Plastic surgery of the face and neck begins with a skin incision in the temporal region, which is continued along the anterior border of the auricle. Having reached the earlobe, the incision is directed around the auricle from the bottom up and brought to the back of the head (Fig.).

Picture. Face and neck skin tightening with plastic surgery

Then the surgeon makes a wide detachment of the skin of the temples, cheeks, chin and neck. In order for the tissues to exfoliate easily, a course of physiotherapy is prescribed before the operation. The separated skin is stretched, the excess is excised, and the soft tissues are sutured (plication). An addition to plication is the so-called plasty of the platysma - a wide and thin muscle that occupies the front of the neck with the transition to the lower jaw. The changes that occur in this muscle, in fact, determine the degree of deformation of the lower part of the face and the anterior surface of the neck.

The skin is exfoliated in a single block with a part of the platysma, stretched and fixed in a new position, removing the excess.

Despite the fact that most of the incision passes under the hair, when suturing, it is important to observe a gentle attitude towards the tissues, which allows you to achieve a quality scar.

Postoperative period

The operation is completed by applying a bandage to the face, which is changed after a few days, and removed completely after a week. Already on the 3rd day you can go home, but the swelling will last for several more weeks. After removing the bandage, bruising is often found - this is a common occurrence that will pass, as well as swelling and bumps on the face. For quite a long time, the skin may be numb, but this will gradually disappear.

Physical exertion and heavy lifting, smoking and sexual activity should be avoided. Aspirin should not be taken for 2 weeks, and sun and high temperatures should be avoided for a few more months.

It should be noted that plastic surgery begins with preparation for it, which includes the following conditions:

Do not smoke for 2 weeks before the operation, as smoking can delay and even complicate healing;

A week before surgery, you should stop taking aspirin and other drugs containing acetylsalicylic acid. The fact is that they increase bleeding (reduce blood clotting), which can cause postoperative bleeding;

If the operation is scheduled for the morning hours, then the last meal should be no later than 18 pm the day before, and the last fluid intake no later than 22 pm The main thing is not to forget in the morning that you cannot eat or drink before anesthesia!

The postoperative period is divided into early and late. The early period ends with the moment of wound healing, and the late one consists of the time of scar formation (external and internal). The period immediately after the operation is not very long, but the most painful: bruises, swelling, stiffness, heaviness and other discomfort that usually accompany the formation of a scar.

Depression after a facelift cannot be avoided by anyone, even those who are operated on again. It is not antidepressants that help in this situation, but a confidential conversation with the surgeon who performed the plastic surgery. Wound healing lasts on average about a week: wound epithelialization ends on the 7th day; until this time, the wound is covered with a crust that protects it. It spontaneously disappears after 10 days.

The process of tissue repair has its own laws: this period cannot be reduced, it can only be softened, including with the help of physiotherapy. On the 3rd-4th days, in order to normalize blood and lymph circulation, microcurrents and magnetotherapy are prescribed. From the 4-5th day, ozone therapy can be used, which helps to prevent the appearance of necrosis in those places where there is a strong tissue tension, as well as to prevent ischemia in smokers. UHF and ultrasound are used.

In addition to physiotherapy, ointments (troxevasin) are prescribed for resorption of possible hemorrhages and edema. During this period, peels, cleansing, massages and masks are contraindicated. Vitamins, sedatives, painkillers and sleeping pills are prescribed inside.

The postoperative period ends when relatives and friends stop noticing the traces of the operation. In the first month after it, a solarium, UFO, sauna and hot shower, manual massage are prohibited.

It is during this period that scarring occurs; the scar turns pink and becomes even more visible than immediately after the stitches were removed. It turns pale after 6 months, and this is where the process of its formation ends.

During this period, you can prescribe mesotherapy with the use of vitamins, amino acids, as well as return to the facial care that was familiar (massages, masks). The main conditions for the correct formation of the scar: it must be at rest and in a humid environment.

Complications after plastic surgery

Due to the fact that during the operation the skin is exfoliated over a large area, a space is created in which blood can accumulate, without being able to go outside. To prevent such a complication, during the change of dressings, a drainage procedure is performed, during which excess fluid is actively removed. It can be annoying, but very helpful.

If hemorrhage is not recognized, necrosis (damage to the skin due to impaired blood supply) can occur. More often it appears behind the auricle, and smoking significantly increases the risk of such a complication.

Violation of sensitivity occurs in the form of numbness of the skin - this is not considered a complication. However, if the branch of the nerve responsible for facial expressions is damaged, there can be quite unpleasant symptoms: drooping of one eyebrow, unilateral smoothing of wrinkles on the forehead, non-closure of the eyelids on one side, asymmetry of the corners of the lips (especially when trying to smile). Usually all these complications disappear, but not immediately, but after a year.

Hyperpigmentation is a temporary phenomenon that disappears after a few weeks, if you follow the sun protection measures.

Due to the fact that the skin moves back from the temples, the hairline also moves back. In addition, there may be temporary baldness in the area of ​​the seams passing under the hair.

The lifting effect persists for several decades, but certain changes gradually occur, so the operation is repeated if desired.

Everything you need to know about plastic surgery

Any woman wants to remain young and attractive as long as possible, but nature takes its toll: a person ages, the body wears out, wrinkles appear on the once beautiful face, its color no longer pleases with freshness, the skin becomes flabby and fades ...

At all times, women in any way tried to regain their youth. Nowadays, it has become much easier to do this, because modern methods of cosmetology and medicine come to the aid of the beautiful half of humanity. In addition, grandmother's recipes for various creams and all kinds of masks remain relevant in the fight against wrinkles to this day.

On the pages of our site, a lot of recommendations and tips have been collected on how to how to take care of mature skin and competently perform makeup, also helping to reset 5-10 years.

In addition, information about the structure of the skin of the face, how our body works and how its activity changes over the years is presented here in an accessible form. Thanks to this knowledge, it is not difficult to figure out how to help the skin not age for a long time. After all, if you know how a particular mechanism works, it is much easier to restore its functions in case of a malfunction. And our body is the same mechanism that eventually begins to malfunction.

It is possible and necessary to help the skin not only through the efforts of cosmetologists or plastic surgeons. At any age, massage and gymnastics are very useful for her, so we have given a set of gymnastic exercises to keep the skin in good shape and basic massage techniques collected from different parts of the world.

For women who prefer to seek help in beauty salons and aesthetic surgery centers, useful recommendations are given regarding a particular procedure, and all their diversity presented on the modern beauty market is covered in detail.

Always remember that no matter how you take care of yourself and the condition of your skin, or use various cosmetics to nourish it, etc., the most important factor influencing facial skin aging is the lifestyle you lead. . Health problems and unhealthy lifestyle with age are increasingly reflected in the condition and appearance of the skin.

There are several main factors that have the most negative effect on the skin. First, it's stress. When a person experiences stress, his body produces the hormone adrenaline, which, by its action, constricts blood vessels, due to which the blood can no longer circulate normally and adequately supply skin tissues with oxygen. This is where the main problems begin.

Another major factor that contributes to early skin aging is malnutrition. Often, appearance flaws appear due to a lack of certain substances in the body that it does not receive with food. An equally important problem is poor water quality. We are 70% water, and if it is of poor quality, then how can we talk about healthy and beautiful skin?

Do not forget about lack of sleep and bad habits (smoking, alcohol). So, with nicotine, aggressive free radicals enter the body, which destroy the walls of any cells that get in their way, and alcohol quickly dehydrates the body, which leads to aging in a very short time.

The impact of a harmful environment is another problem for modern man, because it is very difficult to deal with it. Nevertheless, you should try to be outdoors more often, use all kinds of protective creams, etc.

Another harmful factor is the habit of active facial expressions. It is she who causes the appearance of premature wrinkles on the face, which over the years

become deeper and clearer. Therefore, always try to follow your facial expressions.

Summing up, it can be noted that after 50 years, the main way to care for facial skin should be not so much the constant use of creams, masks, etc., but maintaining a healthy lifestyle. Although who said that this advice is not suitable for 20-year-old girls?