Jolie's angles: review of the procedure and photos. Is it worth doing?

Removing age-related changes is one of the frequent requests from plastic surgeon patients. Age brings with it many aesthetic problems, including drooping of the corners of the eyes and lips, the appearance of deep wrinkles, loss of skin elasticity, a “floating” oval of the face and much more. Other factors can also worsen the appearance, such as dry air, stress, excess sun, bad habits or a poorly balanced diet.

Modern plastic surgery offers a wide range of options to restore a fresh and youthful appearance. Depending on the type of operation, work is carried out over the entire facial area or only local intervention. The result is tightened skin, elimination of wrinkles and noticeable rejuvenation. With the help of plastic correction it is possible to achieve your aesthetic ideal.

Types of operations

Patients often ask what kind of facial plastic surgery there is and how each operation is performed. There are different types of plastic corrections on the face. They differ in the method of execution, the area in which the correction is carried out, the amount of work and other characteristics. But the tasks of plastics in general can be called similar. The main goals are to achieve a more youthful appearance and improved aesthetics. To do this, you can use the following methods:

• circular lift,
• endoscopic lift,
• SMAS lifting,
• temporal lift,
• forehead and eyebrow lift, etc.

The appropriate type of operation is chosen by the surgeon together with the patient. The optimal technique depends on what specific tasks the patient sets for himself. If local correction is required, it is possible to work only in one area - for example, in the forehead, eyebrows, temples, lips, cheeks, and so on. At the same time, a circular lift is recommended for general rejuvenation.

A circular lift will allow you to achieve an impressive appearance.

Advantages of the EMC Clinic

The EMC clinic is located in the very center of Moscow, which makes it as accessible as possible for visiting.

All types of facial plastic surgery at the EMC clinic are performed by the best specialists in the field of plastic surgery, doctors with excellent practice and many years of experience - Sergei Levin and Kirill Pshenisnov.

During the consultation, the doctor conducts preliminary 3D modeling, which allows the patient to evaluate and predict the future result of the correction before surgery. You can undergo a preoperative examination and take the necessary tests on site.

In the hospital, we provide the most comfortable rehabilitation conditions for the patient: single and double rooms equipped with everything necessary, round-the-clock supervision by medical personnel, 4 meals a day, taking into account your personal preferences, the ability to visit loved ones 24/7.

Facelift (lower third and neck, smas facelift)

One of the most common rejuvenation techniques is a circular facelift. This type of plastic surgery gives a good anti-aging effect. The operation can be performed both on the entire face and neck area, and on local areas - for example, only in the middle facial area or on the chin. Indications for correction include deformations of the facial oval, sagging soft tissues, loss of skin turgor, deep wrinkles, etc.

The operation takes from one to several hours, depending on the amount of work. The surgeon makes incisions along pre-designated lines. Most often, these lines are located along the edge of hair growth, along the contour behind the ears and up to the chin. Excess tissue is excised, and the muscular-aponeurotic complex is moved.

The lift can also be performed, for example, using the endoscopic method. The work is carried out using endoscopic equipment, which is inserted through microscopic incisions. In a thread lift, instead of equipment, the doctor inserts threads that tighten and strengthen the tissue.

Methods used

There are two directions of age-related changes in facial tissues, and these changes occur in both directions simultaneously:

♦ Ptosis (sagging) ♦ Volume reduction

In different parts of the face, either the first or the second predominates. Our approach to facial rejuvenation is to use techniques that correct these changes.

Soft tissue ptosis is eliminated using a face and neck lift using the High-SMAS technique. We correct the reduction in facial volume in various ways.

At the age of 35-40 years , volume can be restored, as a rule, with injections of hyaluronic acid gel (see section Without surgery).

After 45 years, more intensive volume replenishment is required. To do this, we use lipofilling, that is, transplantation of the patient’s own fat, and installation of facial implants or hydroxyapatite.

It is the combination of different techniques, the ability to choose and combine them with each other that allows us to make the operation of surgical facial rejuvenation truly individual. We call this the technique of fine strokes - tighten only where it is sagging, add where you need to fill the volume. There are no unnecessary incisions; wherever possible, we use an endoscope or do without incisions or scars at all.

The term surgical facelift hides a number of operations:

♦ SMAS facelift ♦ Neck plastic surgery ♦ Forehead lift (open or endoscopic) ♦ Lipofilling of soft tissues around the eyes ♦ Chin liposuction

The result of the operation lasts for a long time - from 7 to 10 years.

Ultrasonic SMAS lifting

This is a type of non-surgical lift that uses ultrasound. Ultrasonic exposure occurs in a targeted manner and affects the deep layers of the epidermis, up to 5 mm. Ultrasound waves stimulate the production of collagen and elastin and provide a lipolytic effect.

Patients are often interested in how facial plastic surgery of this type is performed and what sensations arise from it. Processing is carried out in two stages - first one side is processed, then the other. During the procedure, the patient experiences a slight tingling effect and warmth. The operation rarely takes more than an hour and is performed under local anesthesia. After finishing the work, a soothing gel is applied to the skin.

Tips for home care of the dermis after the procedure

After contouring, the following are possible:

• painful sensations at the injection sites some time after the procedure (1 - 2 days);
• hyperemia of the dermis at the sites of drug administration (during the first day);
• petechiae (up to 5 days after the procedure);
• hematoma (in case of injury to a large vessel), which completely resolves in 10-14 days;
• swelling of soft tissues in the area of ​​drug administration (2-5 days).

For speedy rehabilitation and elimination of symptoms, it is necessary to follow the recommendations of the cosmetologist:

• on the first day, every 2.5 - 3 hours, treat the injection sites with an antiseptic and apply ice to the filler injection sites;
• use regenerating creams with panthenol or aloe vera;
• Do not take blood thinners or alcohol for 5 - 7 days;
• Apply protection against ultraviolet rays to your skin (before leaving the house).

Temporal lift

This operation is performed using two methods. More common is endoscopic, in which the surgeon makes several incisions 1.5-2 cm long and inserts endoscopic equipment through them. Much less common is the open method, which is similar to a circular lift and involves a long incision with subsequent tissue detachment. The second method is usually recommended for patients with significant excess skin.

Endoscopic surgery is minimally invasive and leaves virtually no noticeable postoperative marks. Incisions are made in the area of ​​hair growth and are subsequently successfully hidden by hair. At the same time, open plastic surgery allows for more specific manipulations - for example, increasing or decreasing the height of the forehead.

Working with the upper facial area allows you to get a visible effect. In the photo: the result of an endoscopic forehead lift performed by a surgeon at the Osnova clinic.

Advantages of the Jolie angles procedure

This procedure has many advantages.

• Firstly, you do not have to contact surgeons and undergo surgical intervention. Everything is done in a non-surgical manner. This procedure is most often done with hyaluronic acid. This drug takes root well in the body, and the possibility of drug rejection is excluded. Hyaluronic acid is found naturally in the body.
• Secondly, you don't have to go through rehabilitation. The result is visible almost immediately; there is no need to maintain it. It is enough to carry out the procedure once every couple of years. The effect of this procedure lasts about 2 years. After the procedure, you will not receive a single scar or traces of intervention. The fillers already contain an anesthetic, so the procedure is painless. If necessary, the filler injection area is additionally anesthetized, so you will not experience any unpleasant sensations.

With just one filler injection session, you will get a completely new jaw line and defined angles.

The procedure will help those who have asymmetry

, and who simply want to make their face more defined.

Removing Bisha's lumps

Removing Bisha's lumps allows you to get clearly defined cheekbones and a beautiful, chiseled oval face. This type of correction is carried out by gaining access through the inner surface of the mouth. The surgeon makes incisions no larger than 2 cm in size, through which the lumps are removed. In some situations, it is recommended not to remove it, but to move it - for example, to add volume to the cheekbones. In this case, the surgeon moves the lumps through the same incisions on the inside of the cheeks. After this, stitches are applied.

In some cases, bischectomy can be performed through the external facial side. Typically, this type of access is practiced when lump removal is part of a whole complex of plastic surgeries. The correction is performed under general anesthesia. Carrying out under local anesthesia is also possible, but most often not recommended.

Methods for correcting the midface area

There are several ways to correct the situation and restore the required volume in the upper cheek and lower eyelid area. They are distinguished by the degree of complexity and traumaticity of the procedure, rehabilitation time, cost, as well as the degree of severity of the result.

Cheek lift

The goal of midface plastic surgery is harmonious rejuvenation of the entire periorbital region and midface. It allows you to restore the “youthful” contour of the entire face, which is sometimes not achieved with a regular traditional facelift. Subperiosteal correction of the midface can be performed simultaneously with other anti-aging facial surgeries - lifting the lower third of the face and neck, installing facial implants and lipofilling. Often cheek lift is combined with lower eyelid plastic surgery; in this case, there is only one seam, since the tightening of the skin and muscles of the middle zone of the face is carried out through an incision under the ciliary edge of the lower eyelid. Sometimes, in the absence of excess skin, the operation can be performed transconjunctivally - through an internal incision in the lower eyelid. Another method of correction is an incision in the temporal part of the head. In fact, we can consider that rejuvenation of the midface is a whole complex of operations associated not only with the elimination of sagging skin, but also with the upward displacement of the muscle complex of the cheek. To secure tissue during such an operation, it is effective to use endontins - special fixatives that dissolve over time, leaving the tissues fused in the correct position.

Another method of performing this operation is endoscopic midface lift. In this case, access is carried out through an incision inside the mouth; there are no external incisions left after the operation; the progress of the operation is monitored through a special device that allows you to monitor the progress of the operation on the monitor screen. The difference in the methods of performing the operation lies not only in the access, but also in the direction of tissue tightening. In the case of access through the lower eyelid, we obtain a strictly vertical lift of the middle zone; with temporal and oral access, the tissues are pulled diagonally upward. The presence of excess skin is also important for choosing a correction method. Diagnostics in this case allows you to choose the best method for a particular patient. Other methods for correcting age-related changes in the midface

Alternative correction of the midface using the “lipofilling” method

The peculiarity and main direction of development of modern aesthetic surgery is the search for the least invasive and traumatic methods of appearance correction. And today, it is possible to achieve significant results when reconstructing the midface using less invasive methods. These include thread lifting and lipofilling. Lipofilling - the introduction of the patient’s own fat into the corrected areas, allows not only to create volume, but also to imitate the necessary shape, smooth out unevenness and has an extremely beneficial effect on the skin, significantly rejuvenating it due to the presence of a large number of growth factors in the fat.

Conclusion: sometimes during diagnosis it is obvious that it is inappropriate to carry out a full cheek lift. In such cases, lipofilling allows you to solve problems in a much less traumatic way with equal aesthetic results.
Of course, the decision on correction methods is made after careful consultation between the surgeon and the patient. Regardless of the chosen correction method, the result of reconstruction of the middle zone of the face will be a changed contour of the cheek, the disappearance of the tear trough, and smoothing of the nasolabial folds.

Forehead and eyebrow lift

In this area, noticeable age-related changes often appear - deep wrinkles, folds on the bridge of the nose, drooping of the outer corners of the eyebrows, etc. The surgeon makes an incision along the border of hair growth from one ear to the other, then peels off a layer of skin and excises excess tissue. Next, the tissues are fixed, then sutures are applied. The operation is performed under general anesthesia and takes about 1-2 hours.

As in a number of other corrections, the use of endoscopic equipment is also possible here. This method is less traumatic, but has a higher cost than open one. Endoscopic surgery is recommended for patients with minor excess skin, most often between 35 and 45 years of age. At a later age, the open technique will give a more effective result.

Indications and contraindications

Who is suitable for a facelift? In a broad sense, anyone over 45 years old, if there are no medical contraindications, can undergo this rejuvenating procedure. But, of course, the reality is that not everyone does this.

I am sure of one simple thing. Just as not all women have equally beautiful breasts, local fat deposits are equally harmoniously located - not all women change equally harmoniously with age. They say that the young grow, the old grow old. This is fine. But jowls along the edge of the lower jaw do not suit anyone, no one suits a flabby double chin or eyebrows creeping onto the upper eyelid. And just as at a younger age, plastic surgery can be a small procedure that solves a larger psychological problem.

Thus, surgical facelift is indicated for patients who experience the following age-related changes:

♦ Jaws along the edge of the lower jaw ♦ Flabbiness of the soft tissues of the neck ♦ Hanging of the outer edge of the upper eyelid, drooping eyebrows ♦ Smoothing of the midface, deepening of the nasolabial folds

Plastic surgery has contraindications. Therefore, before surgery, the patient undergoes an examination.

Lera Kudryavtseva, 47 years old

Lera, of course, is great! This can be said without exaggeration. She takes great care of herself. On the face there are pronounced traces of the presence of injection techniques, skincare procedures (masks) and hardware cosmetology.

If she were my patient: perhaps she should do blepharoplasty of the upper eyelid, do contouring, in particular, augmentation with fillers based on hyaluronic acid and calcium hydroxyapatite to saturate the skin and not forget about hardware skin resurfacing.

Photos "Before" and "After"

ULTRASONIC LIPOSUCTION AND NECK LIFT

See more “Before” and “After” photos

Basic principles of aesthetic surgery

1. Preference for minimally invasive and closed techniques. Even quite complex changes to the nose are carried out today using a closed approach with incisions from the mucous membrane.
2. Natural effect. This trend applies to everything: lip correction, facelift, breast augmentation. Comically exaggerated volumes contradict the principles of aesthetics.
3. An integrated approach to harmonizing appearance. In addition to directly satisfying the patient’s request, a modern surgeon evaluates the proportions of the patient’s appearance as a whole and makes recommendations for improving the appearance.
4. Combined operations. A progressive approach is considered to be simultaneous facial plastic surgery of several areas (for example, plastic surgery of the eyelids, nose, etc.). This allows saving the patient’s time, achieving a visible transformative effect and limiting oneself to one recovery period.
5. Continuity and cooperation with cosmetologists. Surgeons work in close tandem with cosmetologists. Laser, hardware, and injection rejuvenation techniques enhance and prolong the effect obtained after the intervention, improve the quality and structure of the skin.
6. Availability. Aesthetic surgery and cosmetology are still relatively expensive medical services, but they are much more accessible to a wide range of patients compared to the situation ten years ago.

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Principles of modern facial surgery

Traditionally, most people are afraid to resort to surgical plastic surgery. There are current fears about noticeable scars, unsatisfactory results, distortion of appearance to the point of loss of individuality, the consequences of general anesthesia, and so on. Despite the fact that many live in captivity of such beliefs, I will note from myself that these fears have become a kind of outdated myths that had a basis 15-20 years ago, but have become obsolete today.

The last decade has brought revolutionary changes in the field of aesthetic medicine. A minimum of traces of intervention, a natural effect and an integrated approach to harmonizing appearance - this is what can be put at the forefront of modern aesthetic medicine.

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Ekaterina Varnava, 33 years old

Ekaterina Varnava definitely paid attention to her lips: with the help of fillers, they began to look plumper and sexier than they did several years ago.

If she were my patient: injection and hardware cosmetology (skin resurfacing, reduction of skin flaps), photorejuvenation, augmentation with preparations based on hyaluronic acid and calcium hydroxyapatite to restore skin turgor and glow are desirable. For thin faces, proper distribution of preparations based on hyaluronic acid will give an unrealistically good effect and youthfulness, and she simply needs this, since the face looks very thin, tired, haggard, and a too large nose stands out strongly on it.

Mentoplasty or genioplasty (chin surgery)

The main indication for chin surgery is aesthetic dissatisfaction with the appearance of the chin. Mentoplasty or genioplasty is performed under general anesthesia. Through the incision, the periosteum is separated, the bone is filed down, parts of the bone are removed, and all structures are fixed in a static position. The incisions are stitched.

During the operation, various implants can also be used - silicone or implants from the patient's own cartilage tissue, as well as the patient's own fatty tissue.

Rehabilitation after facial plastic surgery

The healing period lasts one month. During this time you may experience:

• Mild to moderate pain
• Swelling
• Numbness of part of the face
• Headache
• Bruising and swelling

You will see the final effect of the improvement procedure for 11-15 years in 6 months.

⇒ WE ALSO ADVISE YOU TO READ: About the types of aging and the features of various facelift methods

Victoria Lopyreva, 34 years old

Only one thing can be said about Victoria: this girl was literally caressed by the hands of cosmetologists. Most likely, some time ago I had blepharoplasty and rhinoplasty. It can be seen that she injects her cheekbones and chin. The girl also pays great attention to injection techniques for the skin: biorevitalization, contour plastic surgery, fillers based on hyaluronic acid and calcium hydroxyapatite, hardware and aesthetic (masks, massages) cosmetology.

If she were my patient: here, for now, further intervention is unnecessary.

Carrying out the Jolie corners procedure

The face must be cleansed of cosmetics, fat, and dust. The skin is treated with antiseptic agents to prevent bacteria. The selected area is anesthetized to ensure that the procedure is as painless as possible.

Additional anesthesia is applied at your request. It all depends on how much pain you feel. The area of ​​drug administration is marked with a special marker so that it is clear where the drug should be injected. Then the drug is injected, the skin is disinfected, and the contour is modeled.

After the procedure, you cannot knead the filler yourself with your hands, as you can seriously ruin the result. It is advisable not to visit baths and saunas, and also not to physically influence the area where fillers are introduced.

Conduct a free consultation

and the procedure itself for correcting the angles of the lower jaw can be done at the cosmetology and dentistry clinic of Dr. Korchagina.

Read more about the procedure and medications here...

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