Smas belly lift: an innovative way to tighten the skin

SMAS-lifting, tightening performed on the Hifu ultrasonic device is a new concept of approach to aesthetic procedures for smoothing wrinkles, regeneration, tightening soft tissues, restoring elasticity to the skin. The main work in the equipment is performed by the ultra-intense direct ultrasonic wave generated by it. It is not only able to act in a targeted and focused manner, but also penetrate into the deep facial muscles, restoring damaged collagenosis and the retaining properties of the muscle frame.

Features of non-surgical SMAS face lifting Hifu

The technology of the procedure is unique, aimed at creating a high-temperature (60-70°C) targeted effect. Thermal ultrasonic energy leads, in the deep epidermal layers, to the coagulation of proteins, contraction, compression, and destruction of the unusable framework of collagen and elastin fibers.

Simultaneously with the launch of these processes, activation and stimulation of blood circulation, cellular activity, mechanisms for renewal and regeneration of new protein and collagen structures occur.

The result of the manipulations is a volumetric, 3-D rejuvenation of all treated layers of soft tissue.

Indications for the anti-aging SMAS procedure using the Haifa device

The Hifu device, which generates focused ultrasound waves, copes well with:

1. Age-related changes, ptosis, ptosis of any facial soft tissues.
2. Loose facial folds, wrinkles, puffiness, loss of tone.
3. Asymmetry of individual zones on the face.
4. Lowering the level of the eyebrows, cheeks, corners of the eyelids, and mouth.
5. Double chin.
6. Pigmented spots, neoplasms, wen.
7. The lost clarity of the oval.
8. Fatty deposits in the subcutaneous layers. You can find out about contraindications and side effects of LPG massage here.

Are there any contraindications

Any exposure to high-intensity ultrasound waves is contraindicated if:

• severe hypertension, coronary artery disease;
• the presence of a pacemaker, shunts/implants made of metal in the neck, face;
• bleeding, blood diseases;
• ulcerations, injuries, wounds, ulcers;
• severe forms of acne;
• malignant neoplasms, including after radiotherapy sessions;
• exacerbation of diseases of the facial nerves;
• tendency to keloid formations in soft tissues.

Achieved effect - before and after

After one/several sessions with the Haifu device, the following are observed on the face:

• restoration of oval clarity;
• increased turgor, elasticity;
• regeneration, tightening of sagging soft tissues;
• virtual absence of signs of photoaging;
• tightening the contours of the lower third of the facial oval;
• reducing the volume of subcutaneous fat;
• visible lifting of the corners of the lips, upper eyelid.

How long does the result last?

The effect of Smas-lifting increases within 6-9 months, on average lasts up to one and a half to two years, and the rehabilitation period is quite short.

Cosmetologists claim that with constant, proper facial skin care, a balanced diet, and additional anti-aging manipulations, the effect of the procedure lasts up to 5 years.

Side effects

When lifting is carried out by an experienced cosmetologist, side effects do not last long and are kept to a minimum. It can be:

• the appearance of dryness, redness;
• slight swelling;
• decreased skin sensitivity;
• tingling;
• microhemorrhages, small hematomas.

How is the SMAS lifting procedure performed?

Ultrasonic smas lifting (reviews from cosmetologists and patients are presented below) takes place in several stages.

Standard parameters of the procedure are presented in the table:

Stages of smas-lifting:

1. Preparatory. The skin is pre-cleansed of impurities for 30 minutes. Before the start of the session, they are treated with a local anesthetic or anesthesia is administered intravenously. After this, the area is disinfected with chlorhexidine and lines are marked with a medical marker for treatment with an ultrasonic transducer.

   

2. Lift . The area is lubricated with a neutral ultrasound-conducting gel. The specialist treats one half of the face, neck, décolleté, and then, after assessing the result on the monitor, the session ends with treatment of the symmetrical part.
3. Completion . After ultrasonic treatment of problem areas, a soothing cream is applied to the skin to relieve redness and swelling.

During the procedure, the patient may feel warmth and a slight tingling sensation caused by ultrasound pulses. If painful sensations occur, you must inform a specialist to reduce the power of exposure. There are several methods of smas-lifting, each of which has distinctive features and indications.

Classic method

This technique is one of the most traumatic and is a full-fledged operation with long-term rehabilitation after the procedure. Its main advantage is that the result can last for 10-15 years.

Stages of implementation:

1. The patient is given anesthesia by inhalation or intravenously.
2. For correction, surgical accesses are made in the area of ​​the auricles.
3. The skin is separated with excision of excess soft and skin tissue, the areas are secured with clamps and the tissue is fixed in the desired position.
4. After correction, stitches are placed, drainage is installed and a tight bandage is applied.

The duration of the procedure is 2-3 hours. For final recovery, the patient will need at least 1-2 months. The cost of such an operation is from 150,000 rubles.

Endoscopic method

The technique is similar to the classic correction method, but more gentle. The procedure is indicated for moderate age-related changes with slight sagging of the skin. The stages of the procedure are similar to the basic lifting technique, the main difference is the punctures in the parotid area, the puncture diameter is no more than 0.5-1 cm.

During the operation, endoscopic equipment with a micro-video camera is used for complete control over the correction process.

The advantages of this method are less trauma compared to the classical method of lifting, the absence of postoperative sutures and a significant reduction in the rehabilitation period. The impossibility of excision of skin and tissue during the procedure somewhat limits the use of the endoscopic lifting method.

Ultrasonic

The non-surgical method is carried out thanks to the impact of ultrasonic pulses, precisely directed by a transducer, on problem areas. The depth is determined by the type of attachment, individually selected by the cosmetologist after assessing the damage to internal tissues and skin.

This method allows you to activate the work of fibroblasts, which causes the processes of natural neocollagenesis. A new mesh-cellular framework is formed, which creates a lasting lifting effect.

The procedure takes place in several stages:

1. The cosmetologist identifies problem areas, cleanses and disinfects the skin.
2. A local anesthetic agent is applied.
3. A medical marker is used to make markings for a targeted effect with a transducer.
4. The manipulator is used to pass along certain lines, delivering point ultrasonic pulses to a depth of 1.5 to 4.5 mm.

   

5. After the session, the skin is cleansed of gel residues and a soothing cream or mask is applied.

This method is used both to correct visible age-related changes and as preventive measures to strengthen internal tissues and the muscular-aponeurotic complex.

Don’t miss the most popular article in the section: Plasmolifting of the face - what it is, how it is carried out, results, photos before and after the procedure.

SMAS lifting using the Doublo device

The most gentle type of smas-lifting is with the Doublo device. It does not require preliminary anesthesia, there are no negative side effects after the session, and there is a short rehabilitation period.

Features of the procedure on this device:

• the system has a high degree of security;
• the handpiece acts precisely on all layers of the SMAS;
• provides a lasting effect that increases over 2-3 months after 1 procedure;
• The session takes no more than 90 minutes, depending on the degree of the problem and the area of ​​treatment.

Ultrasonic energy, unlike laser or light energy, is not chromium dependent, which makes it suitable for use on any skin color without the risk of burns.

The procedure follows the following algorithm:

1. The cosmetologist marks the face.
2. A gel is applied for better conduction of ultrasonic pulses.
3. When you move the manipulator along the line, the skin seems to be “stitched” with a wave, creating the effect of a deep lift.

The markings allow you to visually control the operation of the handpiece; it is in this place that natural tension is ensured. Perpendicular to the lines, the integument rises as the SMAS contracts. According to patients, the procedure with the Doublo device is more comfortable, with less sensitivity and a more pronounced aesthetic result.

For most patients, the tightening effect is noticeable immediately after the session. A more pronounced aesthetic effect appears after 2-4 months. This time is necessary to synthesize your own new collagen. The result after a single exposure to focused ultrasound can last for 1.5-2 years.

Technical characteristics of the device for tightening the oval face

Tightening equipment operates from a regular household electrical outlet, generates ultrasound waves, and scans the subcutaneous layers to obtain an image. Main equipment elements:

• housing (floor-standing/desktop) with power supplies, cooling of working cartridges, display screen;
• control panel with full/partial scanning modes;
• handpieces with stepper motors: driving ultrasonic emitters, allowing you to move evenly and accurately along the coagulation points;
• replaceable cartridges of different radiation frequencies and penetration depths, for different parts of the face, with a certain working hours resource. You can find out about Japanese massage for face lifting by Asahi here.

A piezoceramic transducer is built inside the cartridge, allowing ultrasound to pass through dense layers of skin.

Skin preparation

Before the session begins, the patient's makeup is removed with foam. If the face is initially clean, it is treated with micellar water or lotion to remove dust and dirt. Afterwards, an anesthetic is applied to the skin over the entire surface - it is in gel format (application), so the pain relief is only local, the harm is minimal. The exception is the classic surgical lift, where pain relief is through general anesthesia. Next steps for the specialist:

1. After half an hour, the remaining gel is removed and the skin is treated with chlorhexidine (or another antiseptic).
2. Markings are made on the face, taking into account the peculiarities of its structure - a special ruler is used for this. Further actions are determined by the chosen tightening technique.

Advantages and disadvantages

The advantages of lifting work using a device with focused ultrasound waves are that:

1. The procedure is well accepted by all types of skin with any morphotype of facial aging. Rejuvenation occurs not as a result of mechanical tension, but as a result of strengthening the muscle frame.
2. Any time of the year is suitable for a session.
3. The effect of a single exposure is noticeable immediately after the session and has a prolonged duration of action;
4. Any problem areas of the face and décolleté can be lifted.
5. Low pain during manipulation.

The disadvantages include:

• high price level for the procedure;
• unprofessional execution can lead to hemorrhages and damage to the nerve endings adjacent to the skin.

How to use it correctly

Before starting to work on problem areas, the specialist enters the necessary patient data into the computer system of the HIFU device, and then:

1. On the device monitor, it visualizes soft tissues to focus ultrasound waves exactly at the Cmas level (the lower layer of facial, masticatory muscles). The visualization techniques used make it possible to avoid damage to blood vessels, nerve bundles, and bones.
2. Special point markings (thermocoagulation points) are applied to the intended impact zones, along which ultrasonic treatment will be performed.
3. Cartridges of the required frequencies are installed, and a suitable protocol for the procedure is selected on the device.
4. Contact gel is applied, the skin is treated, while the nozzles move from bottom to top, pressing tightly, holding strictly vertically along the designated points.

Precautions and possible consequences

After a facelift procedure with focused high-intensity ultrasound waves (HIFU), negative consequences may appear:

1. Slight swelling and redness disappear within 2-3 days.
2. Mild pain when pressed - completely disappears 20-30 days after the procedure.
3. Partial numbness, decreased sensitivity of the skin. Such manifestations as an individual reaction of nerve endings to internal, high-temperature manipulations occur and disappear within 7-10 days.

To ensure that an ultrasonic SMAS lifting session does not lead to long-term side effects or serious complications, you need to:

1. Do you have: general diseases for which the procedure is contraindicated, a tendency to overgrowth of connective tissue.
2. Do not make sudden movements while working on the face;

Before/during the session, in the postoperative period, you need to follow the instructions and recommendations of the specialist who performed the procedure.

Results

1. Rejuvenating therapy with cosmetic effects Hifu is an excellent alternative to complex surgical lifting.
2. The effect of a face lift after manipulation with the Haifa apparatus occurs due to the strengthening of the muscle frame.
3. The technology is applicable to all morphotypes of facial aging.
4. With proper facial skin care after the procedure, the effect of Hifu Smas lifting lasts up to 5 years. We also recommend that you familiarize yourself with Yukuko Tanaka’s lymphatic drainage massage for facial rejuvenation in this material.

Main indications

To date, ultrasonic lifting is the only non-surgical method of influencing the SMAS layers of the facial area. Indications for its use:

• drooping eyebrows;
• sagging upper eyelids;
• blurred facial contours in the lower part;
• deepening of nasolabial folds;
• drooping corners of the lips;
• flat cheeks (in the middle part);
• sagging skin of the chin and neck.

The technique can also be used to prevent age-related sagging of the soft tissues of the face and neck.