What is a midface lift and how is the operation performed? Types of plastic surgery, rehabilitation, prices

I once mentioned that facelift methods are divided not only according to the tools used or the degree of trauma, but also according to the affected areas.

The face is usually divided into thirds: upper third, middle and lower. And each part has its own correction methods.

I noticed that I missed this topic on my blog. Well, I’ll try to correct myself and tell you about the procedures for each part of the face separately.

Today we will talk about techniques suitable for lifting the middle third of the face.

How is it done, where to do it, what is the price?

A mid-zone lift affects the part of the face from the lower eyelid to the level of the wings of the nose. The main signs of aging here are bags under the eyes, ptosis of soft tissues in the cheekbones and cheeks, and nasolabial folds.

These problems arise not only at older ages; sometimes the prolapse of soft tissues (ptosis) in the malar zone becomes noticeable already at 30-40 years of age. They are often caused by congenital anatomical features, or, for example, significant weight loss.

Do you want to look fresh and rejuvenated? Get rid of the constantly tired, exhausted expression? Pay attention to the possibilities of lifting the central area of ​​the face. This can be done, for example, using the check-lifting method.

An example of the rejuvenation effect after a check lift can be seen in this before and after photo. Please note that there are no visible signs of surgery on the face. Surgical midface lift can be done using other methods (depending on the goals and indications), so the price of the operation is determined individually for each patient.

Recovery period

A midfacial lift is performed and the patient is given a bandage that is secured to the head. The dressing is changed daily, and wounds must be treated with antiseptics. This will prevent the risk of suppuration or infectious inflammation.

A plastic surgeon very often resorts to installing 1 or 2 drains. This way, all the fluid from the wounds is promptly removed, the duration of drainage usually does not exceed 24-30 hours.

It is quite natural for the face to swell 2-3 days after plastic surgery. Small hematomas, which disappear on their own within the first week, also indicate tissue healing. To reduce the risk of bruising, your head should be placed on a high pillow when sleeping.

The occurrence of pain occurs, but the pain is not intense and can be easily relieved with simple painkillers. Certain areas on the patient's face may temporarily lose sensitivity, but there is no need to be alarmed - at the end of rehabilitation, all functions return to the tissues.

Sutures with a slight thread tension can be removed 5-6 days after surgery, complex sutures are removed after 2 weeks. The color of the scar is pink, but it is well “hidden” from prying eyes. You can anoint it with any absorbable ointment.

A few recommendations

The patient after plastic surgery of the middle third of the face should adhere to the following recommendations:

• reducing the intensity and severity of physical activity;
• maintaining blood pressure at a stable level reduces the risk of bleeding;
• if possible, completely abstain from cigarettes and alcohol;
• the first day - following a diet (soft and liquid food in fractional batches 5-6 times);
• ban on washing hair (2 days);
• plastic surgeons do not recommend dyeing the hair on your head for 2 months after plastic surgery (the stitches have not yet completely healed).

A midface lift is a fairly common procedure for plastic surgeons in Minsk. When choosing a plastic surgeon, preference should be given to experienced specialists who have extensive experience in performing such operations and relevant documents confirming their qualifications.

Facial plastic surgery

The most popular method of lifting the midface area is CHECK LIFTING.

This mini-plasty of the midface is performed under general anesthesia and takes approximately 1-2 hours. Small incisions are placed on the lower eyelids along the lash line (as in lower blepharoplasty). Through these short (1-2 cm) incisions, access is made to the area of ​​the cheekbones and cheeks, where the surgeon carries out the necessary manipulations, pulling the tissues to their original position (up), and then securely fixes them.

An important advantage of check-lifting is the use of very small incisions, which allow you to remove bags under the eyes and nasolabial folds and correct changes in the malar zone.

Through common mini-incisions, lower blepharoplasty and a full-fledged lift of the entire midface area are simultaneously performed! And there will be no noticeable seams!

What is a lifting procedure?

Lifting, or skin tightening, is a cosmetic procedure to restore the shape of the face, smooth out wrinkles and restore the elasticity of muscle fibers. By affecting the deep layers of the skin, you can hide natural age-related changes: correct the contour of the face, smooth out folds near the nose and lips, and even out small wrinkles.

Lifting is considered a cosmetic procedure and does not necessarily involve surgical intervention. Plastic surgery will give a more noticeable result when lifting the lower part of the face and neck; in other cases, it is possible to limit yourself to visiting a beauty salon and using hardware techniques in combination with cosmetics. The choice of methods directly depends on the reasons that cause changes in appearance and health.

The natural aging process is accelerated if a person has bad genetics or bad habits

Due to natural processes in the body - slowdown of metabolism, blood circulation, production of collagen fibers, dehydration of the skin - the face changes with age. Complicating factors can speed up this process:

• if genetics has an effect, early aging begins at the age of 35, so you need to resort to preventive measures in advance;
• If you are overweight, elastic fabrics stretch faster. Try to keep your muscles toned, including your facial ones;
• incorrect posture accelerates sagging skin and facial aging;
• The faster the skin is exposed to ultraviolet rays, the faster it fades. Due to the destruction of collagen fibers, so-called photoaging occurs earlier;
• try to get rid of bad habits: they disrupt the water balance of the skin and prevent the removal of toxins. The skin will lose its elasticity and healthy appearance earlier.

Start, if possible, by changing your lifestyle and habits: nutrition, breathing, exercise and massage will increase immunity and improve the general condition of the body. Only if you are in good health, salon facelift procedures will give the expected results.

The lifting result is noticeable a week after the procedure, and after two weeks it becomes even stronger

Indications for lifting:

• complexion deteriorated, the skin became dry and thinned;
• the contour of the face along the chin has become blurry and indistinct;
• Ptosis began, the face sank and “swimmed.”

It is not recommended to do a lift:

• women under 25 years of age;
• patients who underwent facial plastic surgery less than six months ago;
• with excess weight;
• for skin diseases;
• in the presence of wounds and inflammations on the face.

Temporal lifting

Another method of lifting the midface is the temporal temporal lift. It is also performed under general anesthesia. This more complex and extensive operation lasts about three hours. Temporal lifting involves incisions in the temporal region and under the upper lip, after which deep detachment of the skin along with the periosteum is carried out in this area. Excess fat tissue is removed, all soft tissues are tightened and fixed. Temporal temporal lifting is used less frequently, since this more traumatic technique sets a slightly different, not suitable for everyone, direction of lifting. The tissues move not to where they moved from (up), but diagonally (from the corner of the mouth to the temple).

Types of lifting

Techniques using high-tech equipment in salons and clinics make it possible to solve the most complex problems of age-related skin changes.

Table: hardware lifting procedures

Hardware lifting - video

Plastic face lift with threads

Reinforcing threads for tightening are introduced under the skin of the face through micro-punctures. They are placed along wrinkles and secured at the junction of the integument with subcutaneous fat. The finest fibers serve as a frame for the face and visibly smooth out wrinkles. They are either fixed at the temples or near the ears and model the oval of the face, or they are autonomous and do not have fixation and are intended only to maintain the elasticity of facial tissues.

Threads support the facial frame and help smooth out wrinkles

In modern cosmetology, several types of threads are used for lifting:

• non-absorbable - fibers made of gold, platinum, Teflon (Gore-Tex) or polypropylene (Aptos Surgical). The result lasts up to 5 years;
• absorbable - 3D mesothreads, Anchor lift, Happy Lift, Aptos Light Lift;
• slowly dissolving - Tissulift threads. Results up to 3 years;
• combined - fibers with a stable base and absorbable cones (Silhouette Lift).

Video: thread lift

https://youtube.com/watch?v=yJQJRL_o6bU

Injection techniques

Vitamin and medicinal complexes are injected under the skin. They are designed to affect the deep layers of the skin and improve metabolic processes. Problem areas are filled with liquid implants. Wrinkles are smoothed out, and the result lasts up to several years. Together, these measures are called mesotherapy and differ in the type of injection administered:

• During the softlifting or biorevitalization procedure, hyaluronic acid is introduced. Signs of aging are slowed down by restoring water balance, increasing skin tone and turgor. The moisturizing and tightening effect lasts up to 1.5 years. During this period, the active substance is broken down and excreted from the body;
• When bio-reinforcing the face, polylactic acid is introduced. It tightens the contour, restores volume, promotes the growth of collagen cells;
• with liposuction, fat deposits become an implant for rejuvenation, having undergone preliminary cleaning;
• a synthetic substitute for hyaluronic and polylactic acids - liquid silicone - is also used for facial injections; it does not decompose and is not excreted from the body, so it lasts a long time.

Various complexes of vitamins, minerals and amino acids can be injected under the skin to saturate the tissues. Result: activation of blood circulation, synthesis of collagen and elastin, improvement of cell nutrition.

Injection face lifting involves the injection of polylactic or hyaluronic acid, and sometimes your own fat deposits, under the skin.

Sculptural lifting

Sculptural face lifting is the author’s method of face lifting exclusively using the body’s internal resources. It was developed about 5 years ago by Yakov Gershkovich and today is actively taught in Russia, Europe and the USA, having already earned many fans around the world. Facial fitness strengthens deep tissues, rejuvenation occurs naturally. During the procedure, hand movements work on:

• sculpted jawline - contour alignment;
• sculpted cheekbone line - tightening the oval of the face;
• sculpted eyebrow line - elimination of drooping eyelids.

Video: facial massage using the Yakov Gershkovich method

Darsonvalization

Refers to physiotherapy methods. During the procedure, electrodes are applied to the face, through which a pulsed current of low strength and high frequency is applied to the skin. Darsonvalization can also be carried out at home, using the device together with special cosmetics for skin rejuvenation.

The procedure is carried out for about 10 minutes at a time. For visible results, you need to undergo a course of treatment: up to 10–15 sessions.

The darsonvalization procedure can be carried out in a cosmetologist’s office or at home

Video: how to do darsonvalization at home

Midface lift, price in Moscow from Professor Bely

Before performing an operation, Dr. Bely must personally meet with the patient to find out his wishes, conduct an examination, and draw up a plan for the operation. This is the only way to determine which midface lift is right for you and to name its cost.

Professor Igor Anatolyevich Bely has already completed more than a thousand operations and the same number of satisfied patients who received the desired result.

Helpful information:

• If you are planning a midface lift, we recommend that you look at the Before and After photos of this procedure on our website.
• If you are interested in a midface lift from Dr. Bely, you can see the preliminary cost in the price section.
• You can make an appointment for a face-to-face consultation with Professor Igor Anatolyevich by phone5, through instant messengers:, or online on the website.

How is rehabilitation after a mid-zone lift?

Typically, recovery takes about 2 weeks.

• Initially, your cheeks may look too high, but they will become more natural during the healing process.
• During the first time, bruising and swelling are possible. Swelling and numbness after a cheek lift with swelling of the lower eyelid is normal, although patients may experience slight discomfort. It is necessary to keep your head elevated and use cold compresses regularly for several days. These measures will help minimize bruising and swelling. Sometimes, numbness may linger in the upper lip area, but this will resolve with time.
• Stitches in the lower eyelid area will be removed after 5-6 days, and stitches on the scalp will be removed approximately 10-14 days after surgery.
• Blood thinning medications and supplements, including ibuprofen, aspirin, and vitamin E, should not be taken for at least two weeks before and after the procedure to minimize bruising.
• You should also avoid excessive physical activity for several weeks after surgery.

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Kinds

An endoscopic midface lift can be performed in several ways, which are determined by the surgeon performing the procedure. Skin defects can be corrected using two methods:

• incisions near the lower ciliary edge with further excision of muscles and tension of dermal tissue;

• incisions near the ears and stretching of the skin through the oral mucosa, in which incisions are also made.

The second method of midface lift is safer because the muscles are not affected during the operation. Injuries are completely excluded, and there are almost no side effects.

A lift of the middle third of the face, performed through incisions near the eyes, is more dangerous, since it can lead to unpleasant consequences - asymmetry of the facial contour, disturbances in facial expressions, even displacement of dermal tissue.

Creams and masks for rejuvenation

Lifting at home also means using special lifting face masks, which contain collagen, hyaluronic acid, antioxidants, vitamins and beneficial extracts of natural origin.

Popular and effective ready-made masks for lifting include:

• Ovale Lifting from Yves Rocher is an anti-sagging mask that effectively tightens the oval of the face;
• Contour: Face Mask Mesopharm is a lifting mask that perfectly strengthens, tightens and tones the skin;
• Orange: Lift Mask from Mesopharm is a rejuvenating and refreshing film mask with a lifting effect.

Table: anti-aging masks at home

Lifting face masks help tighten, tone and nourish the skin at home.

Creams with a rejuvenating effect help enhance the effect:

• Total-Lift Light Cream from Swiss line - works well for oily and combination skin. Provides high-quality tightening and smoothes wrinkles. This product also has a mattifying effect and soothes the skin, relieving irritation.
• Swisscode whey from Genistein - contains a large amount of soy isoflavones. The effect that this serum provides with regular use is comparable to the effect of high-tech cosmetic procedures.
• Givenchy Le Son Noir cream contains a complex of seaweed concentrates and extracts. The product activates protective reactions and starts recovery processes.

Video: non-surgical facelift methods

Rehabilitation

• After undergoing one of the described procedures, a compression mask is applied to the face. It is removed after 3-4 days. The stitches are removed after 10 days.
• During the first days, it is recommended to sleep only on your back and raise your head as much as possible. Swelling and bruising cannot be avoided, but healing can be accelerated through physiotherapy and absorbable ointments.
• Exposure to high temperatures can interfere with healing; baths, saunas, and direct sunlight should be avoided. Also, physical activity is not recommended during the rehabilitation period.

These are general recommendations, but it is necessary to understand that the rehabilitation process depends on the individual characteristics of each patient.

Possible consequences of surgical lifting

There are expected postoperative side effects that always or almost always occur after surgery: hematomas and swelling, swelling of the sutures, pain. To minimize such consequences, preparing a person for surgery begins one and a half to two months in advance.

This includes cleansing procedures, masks that activate metabolism and improve the skin's ability to regenerate, manual and hardware lymphatic drainage to accelerate the outflow of lymph in the tissues. After the operation, cooling procedures and lymphatic drainage are carried out to reduce swelling and avoid hematomas, and soothing and regenerating masks are prescribed that improve the epithelization of wounds.

Nikolay Yakubenko, plastic surgeon

https://www.yakubenko.com/2010/11/blog-post.html

During rehabilitation, complications, although rare, do occur - either due to the body’s individual reaction to the intervention, in the presence of contraindications to surgery, or due to a medical error. For your own peace of mind, if possible, stay in the clinic for one to two days after the procedure.

What may concern:

• infections and wound suppuration;
• bleeding;
• the appearance of hematomas;
• necrosis of the skin flap in the ear area;
• hair loss;
• facial nerve damage;
• deformation of the auricle.

Photo gallery: signs of complications after a facelift

After lifting, an extensive hematoma may appear in the face and neck area

If the injections are administered unsuccessfully, the face can be seriously injured.

Deformation of the auricle - a consequence of an unsuccessful incision during surgery

Necrosis of the cheek may occur after injection into it

Paresis of the facial nerve deforms the face, making it difficult for muscles to work

To receive quality services, you should contact specialized clinics and medical institutions. Only a doctor can competently form symmetrical facial features and perform a facelift so that after surgery the face begins to look 10 years younger.