Professor's Clinic of Dr. PavlyuchenkoBeauty Surgery

Leonid Leonidovich Pavlyuchenko

- Soviet and Russian scientist and plastic surgeon.

In December 2011, 2 patients died during harmless operations in his clinic, about which there were news stories in the media. 28-year-old orthodontist Anastasia Chachina died during a liposuction operation from anaphylactic shock[1], and 54-year-old Muscovite Elena Tokareva died a few hours after a facelift operation (the preliminary version was called acute heart failure).[2]

[edit] Biography

In 1967 he graduated from the Faculty of Medicine of the Lvov State Medical Institute, specializing in orthopedist-traumatologist.

From 1967-1975 - surgeon, traumatologist at practical healthcare institutions.

From 1975-1984 - junior researcher at the Research Institute named after. N.V. Sklifosovsky under the guidance of Professor V.P. Okhotsky.

In 1984 he defended his thesis for Candidate of Medical Sciences on plastic surgery of hand tendons. Having practical experience in transplanting tissues, nerves, blood vessels, tendons and scientific work in plastic surgery, he entered aesthetic surgery.

In 1984, he was invited to one of the three aesthetic surgery centers existing throughout the USSR - the Beauty Institute on Novy Arbat.

In the early 1980s, a special plastic surgery department with 50 beds was established at the Institute.

Until 1991, Pavlyuchenko was the head of the plastic surgery hospital at the Beauty Institute under the leadership of E. M. Dolzhikova.

Since 1991 - Associate Professor of the Department of Surgery at the Peoples' Friendship University of Russia under the guidance of Professor V. S. Dmitrieva. He was invited as a lecturer at the Department of Maxillofacial Surgery.

In 2000, Pavlyuchenko defended his doctoral thesis on the pathophysiology of liposuction and initiated the creation of a new department of plastic surgery and cosmetology. From the same year to the present (2015), Pavlyuchenko has been a professor at the Department of Aesthetic Plastic Surgery at the Faculty of Medical and Mass Media of the People's Friendship University of Russia.

Scientific interests of L. L. Pavlyuchenko are plastic surgery and pathophysiology. Until the 1980s, he researched the problems of treating injuries and diseases of the hand. Since the 1980s, scientific thought has been aimed at considering the issues of surgery for clefts of the upper lip and nose, plastic surgery of the ears, face, nose, plastic surgery of the mammary glands, and liposuction. In recent scientific research, Pavlyuchenko is developing the vector theory of rhinoplasty, aesthetic septorhinoplasty (plasty of the nasal septum, taking into account aesthetics and restoration of nasal function), plastic surgery of the midface, neck, panfacial-cervical operations (plasty of the entire face with additional plastic surgery of the nose, chin, and ears).

Under the leadership of Pavlyuchenko, 4 dissertations were completed and a number of plastic surgeons working in Russia and abroad were trained.

L. L. Pavlyuchenko is the author of 18 inventions and patents on plastic and aesthetic plastic surgery.

Published 201 scientific papers on plastic and aesthetic surgery, pathophysiology and healthcare organization.

L. L. Pavlyuchenko acts as a publicist, being vice-president of the Society of Plastic and Reconstructive Surgeons of Russia and a member of the editorial board of the journal “Plastic, Reconstructive and Aesthetic Surgery”. As president of the Association of Plastic Surgery and Cosmetology Clinics, he developed and introduced for the first time in Russia standards and methods of plastic surgery. He actively contributed to the development of civilized relations between plastic surgeons and patients in the country. 2000 to present (2015) - founder and chief physician of the Beauty Surgery clinic.

As of 2015, Pavlyuchenko’s work experience in plastic surgery is 24 years, in aesthetic plastic surgery - 31 years. Performs the following plastic surgeries:

  • Facial plastic surgery
  • Platysmoplasty (neck surgery)
  • Otoplasty (ear surgery)
  • Blepharoplasty (eyelid surgery)
  • Rhinoplasty (plastic surgery of various parts of the nose)
  • Plastic surgery of the septum and nasal concha
  • Cheiloplasty (lip surgery)
  • Mentoplasty (chin surgery)
  • Breast plastic and reconstruction
  • Plastic halo (parapapillary circles)
  • Abdominoplasty (tummy tuck)
  • Combination of facial surgeries
  • Liposuction
  • Women's intimate plastic surgery

Leonid Leonidovich Pavlyuchenko currently (September 2015) has the following titles and positions - professor, doctor of medical sciences, head of the department of plastic aesthetic surgery of the People's Friendship University of Russia, President of the Association of Clinics of Plastic Surgery and Cosmetology, member of the editorial board of the journal "Plastic, Reconstructive and Aesthetic Surgery".

Awarded the Order “For Diligence for the Good of the Fatherland”, 1st degree.

Professor's Clinic of Dr. PavlyuchenkoBeauty Surgery

A special feature of the Beauty Surgery clinic is that it not only carries out plastic surgery, but also conducts scientific and educational activities. The Clinic “Beauty Surgery” is the base of the Department of Aesthetic Plastic Surgery of the Russian Peoples' Friendship University.

Fundamental principles of the clinic:

  • Reliability of the operation: “in surgery there is always a place for something new, but the best operation for the patient is a proven one”
  • High level of service: the clinic has its own comfortable hospital
  • Confidentiality: patient information is not disclosed or transferred to third parties

Today, “Beauty Surgery” includes four divisions: the department of aesthetic plastic surgery, the department of therapeutic surgical cosmetology, the department of hair transplantation, and the department of traumatology and orthopedics.

The Department of Aesthetic Plastic Surgery is headed by Leonid Leonidovich Pavlyuchenko. He performs unique operations on nose surgery, facial surgery, and various breast surgeries.

The clinic has a comfortable hospital, providing a high level of service for patients. Professor Pavlyuchenko’s school operates on the basis of the hospital, where he regularly conducts classes with young surgeons.

A special feature of the clinic is that operations are performed using instruments of Dr. Pavlyuchenko’s own design and unique techniques, which he has been developing and implementing for more than 20 years. The professor's latest know-how is a unique vector theory, which allows the patient after surgery to have a fully breathing nose of the desired shape. During breast augmentation operations, several methods are used using variations in the coating layers of implants from the best American manufacturers (McGan), while for breast reduction surgery, our own markings and a patented method are used. During facial plastic surgery, a special intervention technique is used on the deep layers of the face - multi-layer plastic surgery with minimal trauma, and the recovery process takes only a month rather than six months.

The Department of Surgical Therapeutic Cosmetology pays special attention to rehabilitation programs using cosmetic and physiotherapeutic procedures to speed up the healing process after all types of operations on the face and body. The clinic also offers a number of procedures, including those using phototherapy methods, aimed at solving a range of problems associated with the aging process. The greatest effect from these procedures is achieved in combination with plastic surgery on the face.

During its work, hundreds of patients came to the clinic. Not all patients who applied underwent surgery. The clinic always adheres to the principle: do not perform surgery if there is no indication for it. The same numerous patients who underwent certain plastic surgeries left their impressions and wishes in the guest book.

Plastic surgeon Leonid Pavlyuchenko

Anton Pavlovich Chekhov once wrote: “Everything in a person should be beautiful: face, clothes, soul, and thoughts.” Soul, thoughts and clothes are something that completely depends on ourselves. But changes in the face, alas, obey biological laws, and they cannot be changed by force of will.

Beauty fades over the years. This is an axiom. This is difficult to experience, especially for women. Especially cute. When freshness and youth decide to leave you, it is immediately reflected on your face: cobwebs of wrinkles creep, the skin stretches to the ground, losing its elasticity, the skin tone becomes dull.

However, inexorable biological laws can be circumvented. Fortunately, the 21st century gave us plastic surgery. Today we’ll talk about the capabilities of this “sorceress”. Our expert is Leonid Leonidovich Pavlyuchenko, plastic surgeon, Doctor of Medical Sciences, professor, head of the Department of Plastic Surgery at RUDN University.

Corr.: Leonid Leonidovich, in what directions is modern facial plastic surgery developing?

Leonid Pavlyuchenko: Today, two main directions have clearly emerged. The first is minimally invasive surgery. This type of operation includes various liftings using fillers or threads. This also includes operations on certain areas of the face. In such cases, only local anesthesia is usually used. The recovery period lasts 2-3 days. However, the effect of this type of procedure is short-lived by medical standards - only six months or a year.

As for the second direction, it is, on the contrary, a complication of operations that allow lifting of both skin and muscles, which lose their former strength with age. Of course, this is not a minimally invasive method, however, the effect of operations of this type will please the patient for 8 or even 15 years. We must remember that when choosing a particular procedure, you should take your age into account. The older you are, the more likely you are to require deeper surgery.

Corr.: As far as I understand, you specialize in complex methods that give a lasting effect. What types of facial surgeries do you highlight within your specialty?

Leonid Pavlyuchenko: I can distinguish three types of plastic surgery on the face. The first type is rejuvenation, the second is improvement of appearance, the third type is total transformation. By improving appearance I mean changing facial features, giving them greater expressiveness.

Corr.: What is the most important thing during an operation?

Leonid Pavlyuchenko: I can say with confidence that any of the three operations requires from the surgeon, of course, professionalism and perfect knowledge of facial anatomy. While transforming a person, a physician must under no circumstances harm the patient’s health. The medical team is also an important factor. It must include only qualified people, including, of course, an anesthesiologist. You can’t do without an operating room and a hospital. Everything should be equipped with the best technology. This is the golden rule.

Corr.: From those who are going to undergo facial plastic surgery, you can often hear that they are afraid of the “mask effect” that may occur after the operation. Are there any methods that will completely help eliminate such risks?

Leonid Pavlyuchenko: Of course there is. The “mask effect” occurred earlier when surgeons were only allowed to touch the sides of the face. Now there are no forbidden areas on the face for surgeons. The lift is performed along the entire perimeter, the tissue moves from bottom to top. The fact is that over the years the skin sag. It becomes smaller in the upper part of the face, everything is concentrated below: a double chin or sagging cheeks, the so-called jowls, appear. To restore youth and harmony to the face, we use several techniques. The innovation here is that we have developed a deep access technique in the temporal region. This helps protect the facial nerves from damage. You probably know that touching them leads to sad consequences, to various kinds of paralysis. I note that it has become a tradition for my clinic to use the patient’s own tissue to create lost volume in the right places. I am not a supporter of fillers and implants. This makes the face heavier.

Corr.: You raised a very important issue about the facial nerves. The successful outcome of your lifting operations indicates that you have developed a scheme for yourself that allows you to avoid damage. What exactly is your method?

Leonid Pavlyuchenko: It's simple. The main thing is not to perform any manipulations where the nerves actually are. To understand what I'm talking about, let's first consider what layers any face consists of. The very first thing is the skin and the fat layer that is located under the skin. Next comes the superficial muscle layer. It is under this that all the nerves lie. After that comes the layer of muscle itself. The final element is the subperiosteal layer - the deepest of all. I work with this last layer when the soft tissue of the face needs to be put back into place. In order to remove excess fat and create new fat, I intervene in the superficial muscle layer. Thus, I do not touch at all the layer that contains the facial nerves. Here's my secret. Despite the fact that many manipulations are carried out on the deep layer, the recovery period lasts about three weeks.

Corr.: Many women, upon reaching a certain age, are most concerned about sagging skin in the neck area. How do you usually deal with these age-related changes?

Leonid Pavlyuchenko: Here, of course, a separate operation is necessary to achieve the maximum aesthetic effect. In such cases, the task is absolutely clear - it is necessary to restore the angle between the neck and chin. For this we have developed a special technique. I call it the hammock technique. During the operation, we use threads to “stitch” the muscles under the chin, which creates a kind of frame - a “hammock”.

Corr.: Is there any age limit for plastic surgery?

Leonid Pavlyuchenko: There are no age restrictions. There are restrictions due to health reasons. During the operation, the person will be under anesthesia for 4-6 hours. This is a certain burden on the body. That is why the patient should not have serious illnesses. If we talk about age, the bulk of our clients are, of course, women 50-55 years old. However, there are various extreme options. I remember my youngest patient was 21 years old. I also operated on a lady who was 81 years old.

Beauty surgery

A special feature of the Beauty Surgery clinic is that it not only carries out plastic surgery, but also conducts scientific and educational activities. The Clinic “Beauty Surgery” is the base of the Department of Aesthetic Plastic Surgery of the Russian Peoples' Friendship University.

Fundamental principles of the clinic:

  • Reliability of the operation: “in surgery there is always a place for something new, but the best operation for the patient is a proven one”
  • High level of service: the clinic has its own comfortable hospital
  • Confidentiality: patient information is not disclosed or transferred to third parties

Today, “Beauty Surgery” includes four divisions: the department of aesthetic plastic surgery, the department of therapeutic surgical cosmetology, the department of hair transplantation, and the department of traumatology and orthopedics.

The Department of Aesthetic Plastic Surgery is headed by Leonid Leonidovich Pavlyuchenko. He performs unique operations on nose surgery, facial surgery, and various breast surgeries.

The clinic has a comfortable hospital, providing a high level of service for patients. Professor Pavlyuchenko’s school operates on the basis of the hospital, where he regularly conducts classes with young surgeons.

A special feature of the clinic is that operations are performed using instruments of Dr. Pavlyuchenko’s own design and unique techniques, which he has been developing and implementing for more than 20 years. The professor's latest know-how is a unique vector theory, which allows the patient after surgery to have a fully breathing nose of the desired shape. During breast augmentation operations, several methods are used using variations in the coating layers of implants from the best American manufacturers (McGan), while for breast reduction surgery, our own markings and a patented method are used. During facial plastic surgery, a special intervention technique is used on the deep layers of the face - multi-layer plastic surgery with minimal trauma, and the recovery process takes only a month rather than six months.

The Department of Surgical Therapeutic Cosmetology pays special attention to rehabilitation programs using cosmetic and physiotherapeutic procedures to speed up the healing process after all types of operations on the face and body. The clinic also offers a number of procedures, including those using phototherapy methods, aimed at solving a range of problems associated with the aging process. The greatest effect from these procedures is achieved in combination with plastic surgery on the face.

During its work, hundreds of patients came to the clinic. Not all patients who applied underwent surgery. The clinic always adheres to the principle: do not perform surgery if there is no indication for it. The same numerous patients who underwent certain plastic surgeries left their impressions and wishes in the guest book.

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