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Face reshaping

Face reshaping

Face reshaping by means of PRP-therapy

PRP (platelet-rich plasma) is a liquid with high concentration of platelets produced from the patient’s own blood. First, erythrocytes are removed from the blood sample and the number of leucocytes is minimized. The remaining plasma is then used for the production of the platelet concentrate.

PRP contains a lot of so-called growth factors such as cytokinins, which promote the restoration of soft tissues and bones.

Similarly to mesotherapy, the PRP concentrate can be used as such and injected into the surface layers of the facial skin. PRP-therapy revitalizes the skin and improves its condition. The removal of wrinkles requires several therapy sessions.

PRP can also be mixed with the patient’s own fat cells (in a proportion of 40–60%). This mixture is used in the area of wrinkles and other irregularities. Sometimes the patient’s own fat cells can alone be used as the filler. These can substitute artificial fillers and Botox injections.

A new field of PRP-therapy application will be in the treatment of joint diseases and tendonitises. Many people with osteoarthritis have already found relief from intra-articular PRP-therapy.

PRP is the body’s own material that suits everybody!

Face lift

A surgical face lift removes the signs of the changes in the mid-face, neck and forehead skin caused by aging or diseases. This procedure is often combined with eyelid reshaping. There are a lot of surgery options depending on the customer, and therefore it is essential that an individual treatment plan and cost estimate are made at a meeting with the plastic surgeon.

During the surgery the sagging tissues are moved back and fixed in their proper place. If required, the irregularities and dimples are filled in with fat tissue transfer. To revitalize the skin it is also possible to use the patient’s own PRP (platelet-rich plasma). The surgery can be carried out under sedation or general anaesthesia.

Face lift is a medium surgical procedure and requires a recovery period of 3–4 weeks.

Face lift aftercare

After the surgery the patient is monitored in the recovery unit until the next morning. Possible postoperative haemorrhages always occur during the first evening after the surgery, and blood clots are removed by means of a new surgery if necessary. Face lift may cause stretching of the ramus (branch) of the facial nerve, which results in dysfunction of the nerve. Such an occurrence is quite rare and will disappear within approximately three months.

For the first night the face is covered with a soft absorbent bandage. The next morning it is exchanged for an absorbent cap that should be worn for a week. The stitches are removed a week after the surgery. The patient’s hair is washed in the hospital before the discharge, and later on at home the patient can take a shower. The area of the incisions can also be showered. The patient receives the phone number of the nurse on-duty and can call the nurse if required. We also pay special attention to the treatment of pain symptoms. Physical strain, bending down and exposure to too cold or hot air should be avoided for about a week. Otherwise, you can stay in the open air as much as your general condition allows.

The swelling of the face can be prevented by placing ice packs on the operated area and by applying Hirudoid or Trombosol ointment on bruised areas. Lymphatic therapy speeds up the disappearance of the swelling. The first lymphatic massage procedure is recommended already before the surgery and the next one should be performed about a week after the surgery. You are advised to reserve 3–4 weeks for recovery to allow for the bruising and swelling to disappear. You can apply make-up on the face after the stitches have been removed. The final result will be evident 2–3 months after the surgery.

I recommend visiting the operating surgeon 1 month and then again 3–6 months after the surgery, or earlier if required.

Mid-face lift

A mid-face lift removes the drooping around the cheekbones and the lines at the corners of the mouth.

The best and most sustained result can be obtained by means of a SMAS-lift (lasting 10–15 years). The surgical incisions are buried in the patient’s own natural wrinkles while the face reshaping is performed by the repositioning and fixation of the supporting layer covering the facial muscles (SMAS, superficial-muscular aponeurotic system). The technique of the surgery requires special skills and patience as there are major facial nerves under this supporting layer.

Due to the need for special qualifications many surgeons prefer using a MACS-lift (minimal access cranial suspension lift). In this procedure, the supporting layer on the surface of the muscles is not released but just lifted. This provides a good result at first; however, its sustainability cannot be guaranteed. The operation is simpler and faster, and it is suitable when only a small lift is required.

A mid-face lift can be also performed through an incision in the lower eyelids. In this procedure, auxiliary incisions on the temples and the use of the endoscopy technique are required.

A mid-face lift can be carried out under sedation or under general anaesthesia depending on the customer’s wishes.

At my clinic I prefer using the best method. To achieve the best result it is sometimes possible to combine different methods and complementing them with fat tissue transfer with or without PRP-therapy.

Neck lift

The same SMAS-method (sub-muscular aponeurotic system) that is used for a mid-face lift is employed for a neck lift. In this procedure, the stretched subcutaneous neck muscle is corrected and fixed behind the ear with a skin graft. The skin itself is not lifted but the excessive skin is removed. An auxiliary incision under the chin is sometimes required to form a beautiful chin angle. A neck lift always corrects the mid-face zone as well.

A neck lift can be carried out under sedation or general anaesthesia depending on the customer’s wishes.

Forehead lift (brow lift)

Wrinkles on the forehead can be removed by means of a fat filler or gel based on the hyaluronic acid (Perlane, for example); however, if the eyebrows droop so that the upper eyelids fall over the eyes, the best way to correct the situation is by a forehead lift. The eyebrows are lifted by endoscopy through a small incision in the scalp.

The surgery is carried out painlessly under general anaesthesia. The area around the eye will be swollen for several days, and you should reserve at least three weeks for recovery. To speed up recovery after the surgery I recommend using a headband for two weeks.