Rhytidectomy – is a correction of subcutaneous neck and chin layers, improvement of skin deformations in the neck and face areas, repositioning (putting in a new or different position) of sagging skin and subcutaneous layers while removing soft tissues excess and recovering the lost facial contour.
irregular facial contour
pronounced mouth fissure fold
sagging submental skin
neck muscles ageing changes
Preparation for the surgery
Like all other kinds of surgical correction used at Virtus clinic, neck and lower face rejuvenation is performed only after careful and professional examination (both general health and specifically the correction area) and coming up with most relevant and safe algorithm of existing problem solution.
Clinic Virtus offers different minimally invasive methods of neck and face lift, taking into account patient’s age, skin texture and condition along with general state of health.
Nowadays, one of the most popular rejuvenation techniques is SMAS (superficial muscular aponeurotic system). Unlike traditional methods, this “deep” neck and face lifting affects not only internal facial structures, allowing removing one of the main reasons of lower face ptosis (sagging) – loss of muscular tone. That is why the aesthetic result is more pronounced and long lasting.
Surgical correction is performed using endoscopic approach by means of fixing SMAS (internal neck and face structures) in the new position avoiding the skin excess excision. In case of elderly patients having skin excess in cheek and chin areas it is also necessary to remove SMAS and soft tissues excess along with endoscopic SMAS lift. Whenever it is necessary to remove fat access, the face area liposuction is also performed.
Liposuction can be completed in the mid-neck and in submandibular areas. Tissue excess can be grafted by means of submental or malar implants (so called volumetric rejuvenation using liposuction and by placing silicon implant submentally). Depending on patient’s wish it is possible to change facial proportions: from round to oval.
External incision in submental area is used in those cases when extensive operative approach is necessary, for instance whenever it is necessary to suture the neck muscle or remove its excess.
If needed, surgical correction of nasolabial fold is performed separately a few months after such type of surgeries. Sometimes it is sufficient to fill up nasolabial fold by filler or autologous adipose patient’s tissue.
Surgery time is 2-3 hr.
Neck and lower face rejuvenation is performed under general anaesthesia.
Endoscopic operations are less traumatic so that the postoperative period proceeds easily.
It is a required to stay at the clinic the first 24 hours after surgery and then to come change the dressings. For endoscopic technique drainage is usually not needed.
The first 24 postoperative hours compressive dressing is applied, which is later replaced by elastic or compressive mask. Sutures are removed on 7th or 10th day.
Most patients can return to usual activities after 2-3 weeks after the surgery. Lower face rejuvenation is usually combined with eyebrow and forehead lifting and blepharoplasty.
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