СМАС-lifting: reviews, rehabilitation, contraindications, possible complications. Facelift with SMAS-lifting

The absolute majority of women aspire to have not only a good figure, but attractive appearance, which makes it possible to look a few years younger. And this desire is quite natural. However, different age changes inevitably become. In this case, they affect not only the skin of the face, but also connective-muscular structures. As a result, under the eyes there are bags, spoils the appearance of the second chin, pronounced nasolabial folds. What to do in this case?

Today, to win the woman's time helps the SMAS-lifting. Feedback about this procedure suggests that it is one of the most popular ways of tightening. With the help of the SMAS-lifting the face is simply transformed and looks much younger.

Actual problem

Many women, who have reached the age of 45, are worried about the possibility of returning the elastic and smooth skin of the face, as well as its clear contours. And today this question can be answered positively. To make a lift of virtually all soft tissues allows the newest revolutionary method used by plastic surgeons - SMAS-lifting.

With the anatomical structure of the skin, these specialists have been familiar for a long time. However, only in 1976 the most detailed description of the muscular aponeurotic subcutaneous superficial system (Superficial Musculo-Aponeurotic System) was obtained. Then the term itself was proposed, which is the abbreviation for this name, SMAS.
To date, plastic surgeons are actively developing and improving the method that allows you to return the person youth by turning the clock back. And it is so effective that it is becoming more and more popular among patients in cosmetic clinics.

The essence of the method

In order to understand, SMAS-lifting - what it is, you will need to make a small digression into the anatomy. SMAS is nothing more than a muscular system that connects the dermis and muscles. It is located directly under the skin in the layers of subcutaneous fat. SMAS on the face is located in three zones. This area near the ears, on the neck and on the cheeks. One of the functions of this system is the normal functioning of mimic muscles.

With the passage of time, there is a weakening of SMAS. This is the reason that the following occurs:

- fine wrinkles on the surface of the neck;
- the second chin;
- omission of the upper eyelid region;
- bags under the eyes;
- nasolabial folds;
- the so-called bulldog cheeks.

All these changes can eliminate SMAS-lifting. During the operation, the plastic surgeon, in addition to the skin layer and subcutaneous fatty tissue, affects the deeper layers. This allows him to eliminate any age changes.

What is the result of the CMAS-lifting? The patients' comments confirm that after such a surgical procedure, the appearance is not subject to any drastic changes. The cut of the eyes and the line of the mouth remain the same. The technique refreshes and tightens the contours of the face, returns it the previous oval without getting the effect of stretched skin. At the same time, all wrinkles and wrinkles formed are eliminated.

Indications

Who is recommended to lift the face with SMAS-lifting? A similar procedure is performed for those patients who have obvious signs of skin aging. Their list includes:

- Peeling and dry skin;
- appearance of pigmentation;
- thickening of the skin layers, for example, as a result of regular or chronic inflammation in the tissues;
- Loss of tonus;
- formation of skin fractures;
- the appearance of vascular asterisks (telangiectasia).

Before the procedure, you need to get advice from a qualified specialist. Only the opinion of the doctor will help determine the need for such a lifting, as well as to identify the way that will be most effective.

There are several methods of this direction. So, the CMAS-lifting happens:

- classical;
- endoscopic;
- ultrasonic;
- Hardware.

Let us consider them in more detail.

The classical method

Facelift using SMAS-lifting in this way is the most traumatic. This is an operating method that is performed with the help of a surgical procedure. Careful preparation of the patient is required to carry out all necessary manipulations. The operation itself lasts from two to three hours. The patient is under general anesthesia. And despite the fact that after a long rehabilitation period, many still decide on the use of this method. After all, the effect of it is the longest - from 10 to 15 years. But even after this period, patients continue to look much younger than their age. The technique is recommended for patients over forty.

Classical SMAS-lifting - what is it? This is an operation during which the surgeon makes an incision. The scalpel begins its journey in the region of the temple. Further, it passes over the face to the earlobe and ends with the area behind the ear. All this is a line of natural fold.

Through the resulting incision, the surgeon exfoliates the top of the skin, separates the SMAS layer and pulls it up. Surplus tissues during surgery are subject to excision. If necessary, a specialist can perform lipoxation. Then the surface layer of the skin, which was given a new position, is subject to fixation. After the seams are applied. The surgeon masks them along the line of hair growth.

In addition to the operating technique of detachment, a specialist can perform a suturing of the muscular aponeurotic system in the surface layers of the skin. What is the difference between this SMAS-lifting? Feedback from specialists and patients suggests that such an operation not only corrects the face oval, but also adds the missing volume in the area of the cheekbones. This effect is most preferable for patients with thin faces. This operating procedure is less traumatic, which helps reduce the risk of complications.

Rehabilitation period

After the operation (CMAS-lifting) was performed, the patient should spend at least two days in the hospital. All this time, the condition of his health is observed by specialists. At least 3-4 days should be worn supporting bandage. Stitches can be removed only after two weeks.

A fairly long recovery period is distinguished by the classic SMAS-lifting. Experts say that this will take about two months. This time is necessary to restore damaged muscles and tissues, as well as resorption of hematomas.

In order for the postoperative period to pass without complications, it is recommended to use refrigerated compresses and taking antibiotics. The patient should not lower his head low, otherwise there may be edema. It is forbidden to drink alcoholic beverages, smoke, and also to visit a sauna and a bath.

What other recommendations are given to those patients who underwent SMAS-lifting? Rehabilitation will take place with minimal risks of side effects if:

- during rest the head of the patient will be on the elevation, which will reduce the swelling of the face;
- a person will not receive intensive physical activity.

For faster healing of the joints, the physician prescribes physiotherapy. An injection course is also required with the use of special preparations that help reduce skin.

Contraindications

When there is no SMAS-lifting person? It is not recommended if you have the following:

- Diabetes mellitus;
- pregnancy;
- violations of blood coagulability;
- Oncological diseases;
- diseases of the heart.

What other contraindications does CMAS-lifting have? The procedure does not apply to patients with acute form of infectious diseases, as well as in case of predisposition to the formation of keloid scars.

To determine the possibility of an operation, the surgeon suggests that the person who has come to the clinic take a number of tests and undergo the necessary examination. This allows us to assess and identify any risks that may arise after the braces. In addition, two weeks before the prescribed procedure, the patient should stop using vitamins, food supplements and medications that promote blood thinning, as well as smoking.

Side effects

Possible complications after the CMAS-lifting should be announced by the surgeon even before the operating procedure. Negative consequences can be swelling of the tissues, as well as the appearance of bruising and bruising. Sometimes in patients after surgery in the corrected areas there is a loss of sensitivity. There are also cases of rejection of individual skin areas on the face.

SMAS-lifting carries the risk of some other complications. Among them are:

- infection;
- the formation of quite noticeable scars;
- long healing of skin;
- asymmetry of the face and damage to its main nerve;
- loss of hair in places of incisions;
- change of common features.

In order to ensure that the postoperative complications are as low as possible, it is recommended to carefully approach the selection of a specialist who will be involved in the procedure of a suspender. According to the patients' feedback, and also on the basis of their findings, it becomes clear that a competent surgeon can make a person younger than twenty years old. In this case, after such an operation, the rehabilitation period will be painless and comfortable.

Cost

How much will it take to pay for a classic SMAS-lifting? The price of this procedure is quite high. But at the same time it depends on the region in which the clinic is located, its pricing policy, and also on the scope of surgical intervention.

For example, in Moscow, patients will need to pay for SMAS-lifting from 25.5 to 500 thousand rubles, and in St. Petersburg - from 60 to 450 thousand rubles.

Photos of patients before and after the CMAS-lifting are a vivid confirmation that this money will not be thrown to the wind. They will be a fairly successful investment in their own appearance and fully justify themselves. It should be borne in mind that a classical operation for CMAS-lifting can be carried out to a person only once in a lifetime.

Endoscopic method

This method is less traumatic than the classical one, since it is minimally invasive. The duration of the operation is up to three and a half hours. It is performed under general combined anesthesia. For such an operation, the patient will have to pay from one hundred and twenty thousand rubles.

The entire procedure of rejuvenation does not require a scalpel incision. Surgical intervention is carried out through small punctures, which the expert does in the temporal region of the scalp. It is in them the doctor introduces an endoscope equipped with a video camera. At the same time, a picture transmitted by this device appears on the monitor screen. With the help of an endoscope, the surgeon produces a detachment of skin tissue and selects the SMAS structure, fixing it in a new, more tightened position. At the end of the operation, the seams are superimposed and then carefully masked. As for the principle of this method and the recovery period, in all other respects it is similar to the classical method described above.

According to experts and patients, the effect after carrying out such an operation is less long and is from 3 to 5 years. That is why it is shown to people who have only slight signs of sagging and aging of the skin. The average age of such patients is 40 years.

After the surgical procedure, a compression bandage is applied to the face. The patient will have to spend almost two days in the hospital to be under the supervision of a doctor. The stitches will be removed later. It will happen on the fifth day. About two weeks later hematomas and bruises will dissolve. Already from the third day after the operation, a doctor can be assigned a course of massage. This will greatly accelerate the process of rehabilitation. The maximum effect after carrying out such an operation will come not earlier than in a month and a half.

The positive sides of such a CMAS-lifting are the following:

- minimal, easily masquerading cuts;
- absence of risk of numbness of tissues, as well as loss of hair in the area of puncture;
- long-term rejuvenating effect;
- Absence of significant hematomas and edema;
- minimal risks of damage to the facial nerve;
- the possibility of re-conducting the operation.

The drawbacks of this method include its high price, as well as the fact that it is indicated to patients only with the first or second stage of aging.

Ultrasonic method

This non-surgical lifting allows you to achieve the desired result after one procedure. To maintain the effect, repeated sessions should be conducted. It is enough to visit the beauty salon once every two to three years. The duration of this procedure is 30-60 minutes.

The essence of the ultrasound CMAS procedure consists in the action of pulses penetrating into the layers of the skin to a depth of up to five millimeters. In this case, ultrasonic waves heat the tissue. There is a reduction in muscle and collagen fibers. The processes of synthesis of important components of skin youth - elastin and collagen - are being launched. As a result of the impact of ultrasonic pulses, the tonus of the CMAS system is restored, which contributes to the tightening of fatty tissue and skin.

This procedure is characterized by a growing result. It means a gradual solution of the problem, which takes about five to six months. However, according to patients' reviews, a positive visual effect becomes noticeable after the end of manipulation.

The main indication for the procedure is the omission of the soft tissue of the face and neck. The optimal age for the application of this method is a period of up to 50 years.

The use of an ultrasonic method is not permitted in the following cases:

- an established pacemaker;
- pregnancy and lactation;
- the presence of metal implants in the area of exposure;
- pathology of the nervous system;
- endocrine diseases;
- presence of ulcers in the treatment area;
- oncology;
- Systemic diseases.

Among the advantages of ultrasonic SMAS-lifting, its more gentle action, as well as the absence of scars and a short rehabilitation period can be distinguished.
Among the shortcomings - its high price (from 40 to 150 thousand rubles.), As well as redness of the skin that pass through a couple of hours, and swelling that persists for 2 days.

Hardware method

This is another version of non-surgical CMOS-lifting. This procedure is performed using the Altera apparatus. Its essence lies in the fact that the device generates thermal waves penetrating into the deeper layers of the skin. The patient receives the necessary result after the first procedure. The effect of the hardware impact persists for one year. The cost of the session, depending on the clinic and the area of exposure, is in the range of 30 to 110 thousand rubles.