Indications Contraindications About the operation Prices Results of the operation
Rehabilitation Reviews Possible complications Our advantages Tests
Endoscopic forehead and eyebrow lifting is a popular technique for correcting age-related and genetic defects in the upper part of the face. During the minimally invasive procedure, the patient gets rid of wrinkles, loose soft tissues, sagging skin and a tired expression on the face, as a result of which the patient looks 5-10 years younger. Local surgery has a minimal recovery period and is much safer than a full circumferential lift.
Indications for temporal lift
Plastic manipulation of the forehead and eyebrows is recommended for patients over 40 years of age who have the following aesthetic deficiencies:
- obvious wrinkles, folds in the forehead, bridge of the nose;
- drooping tissue, sagging skin on the bridge of the nose;
- ptosis of the eyelid and associated drooping of the canthi;
- low eyebrow line, the effect of a constantly frowning face;
- excess skin in the upper eyelid area;
- crow's feet, facial wrinkles;
- lack of firmness, sagging skin in the temple area;
- genetically “heavy” eyelids.
Skin biorestructuring with CYTOCARE S Line
| STEP 1 | Treatment of the periorbital zone using micropapular technique. The depth of administration is intradermal. A 32G needle is used. |
| STEP 2 | Treatment of nasolabial wrinkles, “purse-string”, “smile echo” wrinkles, between the eyebrows and forehead using the micropapular technique. |
| STEP 3 | After the procedure, treatment is carried out with a 0.05% chlorhexidine solution and a final cream with protective and moisturizing components is applied to protect the skin after the procedure. |
| Result of the procedures: |
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Contraindications
Plastic surgery of the upper third of the face is not performed during pregnancy and breastfeeding. Contraindications also include serious health conditions:
- acute infectious processes;
- oncological diseases;
- exacerbation of chronic diseases;
- mental disorders;
- inflammation or injury in the facial area;
- bleeding disorders;
- hypertension, other serious heart and vascular diseases;
- endocrine disorders, thyroid problems;
- diabetes;
- acute respiratory diseases.
How is non-surgical contouring of the middle third of the face performed?
Based on the type of wrinkles and folds in this area, the doctor selects a drug of the required consistency. Small vertical wrinkles are eliminated by contour plastic surgery of the middle third of the face, reviews of which are always positive, using linear injections. They introduce drugs of low and medium density. For deep folds around the nose and mouth, high-viscosity fillers are used.
Doctors who perform injection plastic surgery are well aware of the anatomy of the face, the physiology of aging, and are well versed in the effects of the drugs used. Specialists at the OB clinic work with each patient individually, first examining the face and identifying contraindications, and only then proceeding with the injection procedure.
Injection plastic surgery should only be performed by doctors who use injections to correct age-related changes on the face. To do this, you should select the correct fillers according to consistency for each type of wrinkle, have a good knowledge of the physiology and anatomy of the face, and understand the causes of aging.
The OB clinic will help you effectively combat age-related changes on the skin of the face in any part of it using modern safe methods that allow you to obtain lasting results of rejuvenation.
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Features of the operation
Endoscopic forehead and eyebrow lifting is performed under general anesthesia. The surgeon makes 3-5 small incisions (0.5-1 cm) in the area of hair growth without damaging the hair follicles. A special instrument is inserted through incisions or micro-punctures. A separate puncture is intended for inserting an endoscope with a miniature video camera, which allows manipulations under full visual control.
Instead of traditional excision of excess tissue, a low-traumatic detachment is performed endoscopically with displacement and fixation in the desired position with deep clamps. The exfoliated tissue is tightened to smooth out facial wrinkles, raise the eyebrow line, and restore skin tone.
Depending on the complexity of the operation, endoscopy takes from 45 minutes to 2 hours. In simple cases, correction is carried out on an outpatient basis, without hospitalization. The patient leaves the clinic after 2-3 hours of postoperative observation.
Benefits of endoscopic upper face lift:
- No noticeable surgical scars. After the operation, only subtle scars remain on the scalp.
- Absence of severe complications, targeted selective effect bypassing nerves and blood vessels.
- Accelerated recovery. Since the endoscope does not damage blood vessels or nerves, the risk is minimal. The rehabilitation period is only 10-14 days.
- A combination of pronounced effect and low trauma.
Endoscopic lifting significantly rejuvenates the upper zone, which always attracts attention. Simple correction of the eyebrows, upper eyelid, and folds on the bridge of the nose gives the face a youthful, optimistic expression.
How the model felt and looked during and after the procedure
The entire procedure took about 60 minutes (of which the contour modeling itself lasted about 30 minutes). The model noted her feelings during the procedure as tolerable. The procedure took place without the use of painkillers.
Before the procedure, the doctor warned that small bruises and slight swelling may occur - this is a normal tissue reaction to the insertion of a needle, these marks will disappear within two to three days. Immediately after the procedure, these effects were not observed, the appearance allowed me to go about my business as usual.
The effect of the procedure was noticeable immediately (the model was pleased to note the improvement in proportions due to an increase in the volume of the chin and the clarity of the lower part of the face, as well as a clearer line of the cheekbones).
According to the doctor, the result from the injection of fillers will further improve over the next two weeks (the drug will naturally distribute in the tissues, and hyaluronic acid will attract a certain amount of water, which will add even more volume). And the introduced drug CYTOCARE S Line (a rejuvenating complex of 50 ingredients with a set of amino acids valuable for the skin and other components useful for the life support of cells) will continue to work on the quality of the skin for some time. But for prolonged improvement (moisturizing, lightening, smoothing out fine wrinkles), one procedure with it may not be enough: it is recommended to take a course of three procedures with an interval of two weeks. The doctor’s further recommendations for the model are to regularly work with the quality of the skin, in particular with the pigment. Both hardware procedures and peelings (using AHA or retinol) are suitable for this.
The editors would like to express their gratitude to the La Biosthetique Russia Academy La Biosthetique brand products , as well as for makeup (hair work and makeup were performed by Maria Ilkiv, international trainer of the La Biosthetique Russia Academy).
Stories from our patients:
Tamara M.03/02/2020
Yakimets Valery Grigorievich! Thank you very much for everything! Now I'm happy. I look at myself in the mirror and can’t stop looking. I'm 62, but now I look (I dare say) 40! It's just magic. This winter I had an endosurgical face lift: forehead and lower eyelid blepharoplasty! How happy I am now. I will recommend you to everyone. Perfect. I would like to express my special gratitude to all the staff and cosmetologists! All at the highest level.
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Maria F.02/27/2020
Dear Valery Grigorievich! My husband and I would like to express our deep gratitude to you for the operations performed! This year we did smas, and I had blepharoplasty! We both look 15 years younger! The rehabilitation was as easy as possible. During the postoperative days, we visited the clinic, came for bandages and did physical procedures to make the rehabilitation go faster. This is a miracle! The bruises disappeared before our eyes and the faces very quickly began to take on their shape. You have talent. You feel every millimeter so subtly! I'm just amazed at how symmetrical everything looks. We thank you for your work, for your diligence and for your attentiveness to your patients
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Agnet24.02.2020
Dear, Valery Yakimez. Thanks a lot for your diligence. I'm writing from Germany. And want to inform a great number of people. In spite of the fact, that Germany is one of the most advanced country in healthcare, I want to everyone know that his qualities as a surgeon can lead him to be a number one worldwide known surgeon! I can't get enough of my face! It's amazing now! Thank you for your work.
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Evgenia O.02/18/2020
Finally got around to thanking my beloved doctor Valery Grigorievich Yakimets! I remember you with a kind word every day! My life has changed thanks to you. I just can’t get enough of my new shape. Only 3 months have passed, but my breasts have already “emerged” and everything looks and feels wonderful! Now I have no complexes!!! And you helped me with this! I didn’t even think that breasts could look so natural.
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Dayana16.02.2020
Dear Valery Grigorievich! I would like to thank you for the mammoplasty surgery performed! I flew to you from America and did not regret at all that a lot of time was spent on the route! I recommend you to all my family and friends, one is also going to visit you from the states :) Everyone is simply amazed by the result! Even women on the beach come up to me and compliment me, admiring my breasts. You are already very popular here in America and I think this is a great indicator of professionalism! Thank you thank you thank you!!! For any change in appearance, I will fly only to you and your wonderful clinic!!!! Thanks a lot:)
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Irina D.13.02.2020
I would like to thank Valery Grigorievich Yakimets! Thank you very much for my perfect breasts! I'll tell you my terrible backstory... The fact is that 3 years ago, I decided to have breast augmentation surgery. (I did it for the first time NOT AT YAKIMTS). Everything was ruined for me, I lost all hope that this could somehow be fixed. BUT!!! TO my GREAT HAPPINESS, I ENTERED V.G. YAKIMTS!!! Girls, if you are still wondering which doctor to see, my advice is that Yakimets is a wonderful surgeon. He corrected the previous work and made everything very natural and incredibly aesthetically pleasing! The work was extremely difficult! But the doctor did everything perfectly! Now, I only recommend him to all my friends! In Moscow and other cities, unfortunately, there are a lot of incompetent surgeons! Don't make my mistake! Go straight to YAKIMTS!
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Lyubov B.11.02.2020
I am writing this review because I cannot help but express my gratitude to Tatyana Alexandrovna Ivanchenkova! Thank you very much for your work! Thanks for the result! I have had liposuction done on many areas. Exactly 2 years have passed and I still can’t believe my happiness! You are a sorceress, you are a true professional with a capital P. Tatyana Aleksandrovna, thank you for my PERFECT body!
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Alexandra S.02/09/2020
Thank you very much for the liposuction operation, Tatyana Aleksandrovna Ivanchenkova! I was extremely dissatisfied with my body, nothing helped me. In the fall, in October 2020, I decided to have surgery. If in other clinics there were moments that alarmed me, I can confidently say that this did not happen at the Estet Clinic. I was amazed by the literacy of the doctors and Tatyana Alexandrovna’s professional approach! Level - 10 out of 10!!! Thank you!!!
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Victoria02/08/2020
I had surgery last winter 2020 with Ivanchenkova! Everything was done at the highest level. Entering the Estet Clinic, I immediately felt the wonderful energy and high level of staff. Everything was explained to me clearly and clearly during the consultation, all questions were answered, and I received extremely clear and competent answers. I had liposuction on my inner thighs! Now life has sparkled with different colors. Everything is done as carefully as possible and anatomically fits my body proportions. Everything looks incredibly harmonious! Many thanks to Estet Clinic for politeness and kindness, and to Tatyana Alexandrovna for her professionalism.
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Olga K.02/06/2020
Dear Tatyana Alexandrovna! I can’t help but share my joy with others. First of all, I want to tell you that you are a miracle surgeon; there are really few of them in our country. Thank you for your abdominoplasty surgery! I'm delighted with the result. Everything went so easily and as painlessly as possible that I couldn’t even imagine! Thank you for your talent and for the happiness you give to your patients.
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Short-scar face lift MACS-Lift, S-Lift
Operation history
These types of facelifts appeared as a result of extensive experiments by plastic surgeons, who were concerned about the high traumatic nature of the techniques used at that time. Experts wanted to develop not only a less traumatic, but also a highly effective technology for facial rejuvenation. In particular, they sought to learn how to hide post-operative marks. As a result, MACS-Lifting and S-Lift were created, the distinctive feature of which was the possibility of performing plastic surgery using a short scar. Patrick Tonnardet invented and pioneered the use of MACS-Lifting more than 10 years ago. S-Lift came later; it is an improved version of MACS-Lifting.
Indications for surgery
- Facial rejuvenation using these techniques is recommended for patients 35-50 years old who have the following signs of aging:
- Reduced clarity of the face oval
- Ptosis of the soft tissues of the cheeks
- Reduced skin density on the face and neck
- Pronounced nasolabial folds
- Ptosis of the corners of the mouth
Contraindications for surgery
- Bleeding disorder
- Exacerbation of inflammatory processes in the body
- Predisposition of skin tissues to the formation of keloid scars
- Oncological diseases
- Diabetes mellitus in the stage of decompensation
- Diseases of internal organs
- Excessive excess skin, especially in the neck area
- The patient’s desire to rejuvenate the temple area (low effectiveness)
Preparing for surgery
Before undergoing MACS-Lifting and S-Lift, you must consult a plastic surgeon to find out how the operation is performed, what are the features of rehabilitation and much more. Is it not possible for you to meet with a specialist? Don’t know which surgeon to go to for a consultation? We offer you the Online Consultation service. Ask surgeons about your concerns and get quick, knowledgeable answers. To obtain permission for surgery, you must undergo a routine medical examination, as well as tests - find out more about them here.
Progress of the operation
The technique of MACS-Lifting and S-Lift is largely similar.
The only difference is how the incision is located. When performing MACS-Lifting, it starts at the bottom edge of the earlobe, then goes in front of the ear and extends slightly into the temple area along the hairline. The surgeon's next step is to carefully remove the flap of skin. The tissues are lifted with specific sutures that are placed on the SMAS layer. These sutures are attached to the deep temporal fascia. Then the skin flap is lifted and moved, after which excess skin is removed and cosmetic sutures are applied. When performing the S-Lift, the incision is S-shaped; it starts behind the ear and ends in front of the auricles. Duration of operation: 1.5-2 hours
Anesthesia: general
Rehabilitation after surgery
After a short-scar facial lift, recovery is quick and relatively easy. Bruising and swelling go away on average after 2 weeks. You must wear a compression bandage for about 10 days. Sutures are removed after 1-1.5 weeks. The final postoperative result can be assessed after 1-5 months.
Photos before and after surgery
To understand whether or not you should trust yourself to a particular plastic surgeon, it is recommended that you familiarize yourself with his portfolio. With this action, you will find out how competent the specialist is in performing MACS-Lifting and S-Lift, whether he has a developed sense of taste and harmony, and whether his patients retain natural features after facelifting. In addition, we invite you to look at the “Before and After Photos” section on the VseOplastike.ru portal, where fresh photographs of operated patients from various angles regularly appear.
Prices for surgery
The average cost of MACS-Lifting and S-Lift today is 200,000 rubles in the capital region. How much you will have to pay for facial rejuvenation using these short-scar techniques can be found out during a consultation with a plastic surgeon. During your conversation with your doctor, you will find out exactly what the price of MACS-Lifting and S-Lift consists of. If you do not want to pay the full amount for this operation or are even looking for ways to undergo it for free, we suggest you use the useful “Plastic for Free” service. It provides all the information about plastic surgeons who perform facial rejuvenation and other types of aesthetic correction of appearance with large discounts or completely free of charge.
Who should have the operation?
MACS-Lifting and S-Lift are a popular operation today, which is why most plastic surgeons perform it in Moscow and St. Petersburg. If you have difficulties in choosing a suitable specialist, you can choose one or more of them, both among the laureates of the famous International Beauty and Health Award Diamond Beauty, and from the list of the best aesthetic surgeons in Russia.
Possible complications
The minimally invasive technique reduces the risks of complications to a minimum, relieves the patient of unaesthetic scars, and shortens the recovery time. When performing endoscopic lifting of the upper third of the face, serious complications are excluded, for example, innervation or proliferation of blood vessels. However, if the surgeon is insufficiently qualified and the rules of antisepsis are violated, one cannot exclude such negative consequences as a feeling of pain or numbness, violation of symmetry and facial expressions, infection of the sutures and impaired hair growth.
"Puppet Wrinkles"
Formed by the activity of the depressor anguli oris (DAO) muscle, they stretch from the corners of the mouth down to the chin and give the face a sad expression. DAO injections are an important component of restoring balance to the lower third of the face.
Before
After
Patient, 49 years old. Xeomin® was injected into the NTL area at a total dose of 52 units. Face oval 40 units (20 units on each side), DAO 4 units (2 units on each side); chin 8 units (4 units in 2 points). Result after 2 weeks.
Photos courtesy of A.V. Saibel.
Platysma bands
Often, while taking care of our face, we lose sight of the fact that the condition of the neck is a determining marker of age, so this area should be under the close attention of a cosmetologist. The formation of bands in the platysma is a consequence of chronic muscle contraction and decreased elasticity of the skin in the neck area as a result of aging. In the past, the only treatment option for patients wishing to improve the appearance of platysma bands was surgery. However, Xeomin® has demonstrated its effectiveness in correcting this muscle as well.
Patient selection is the main factor in successful treatment, since only those who maintain sufficient skin elasticity and do not have excess submental fat will experience a positive effect; such patients are often younger.
Before
After
The patient, 51 years old, was administered Xeomin® at a total dose of 50 units. platysma bands – 40 units, DAO 4 units (2 units on each side); chin 6 units (3 units at 2 points). Result after 2 weeks.
Photos courtesy of A.V. Saibel.
