Why complications may occur
Plastic surgery is a surgical procedure like any other. It occurs with tissue damage, which is necessary when general anesthesia is administered. The operation is performed not just by a surgeon, but by a specialist who has undergone appropriate training. The intervention is complemented by a rehabilitation period, which has its own characteristics. That is, rejuvenation itself does not occur instantly, but will consist of several stages. And deviations in any of them can cause complications after a facelift. The causes of their occurrence can be clearly divided into groups:
Performing an endoscopic facelift
Doctor's mistakes . They may relate to violations of the technique of performing the operation (dissection of tissue, maintaining blood supply to different parts of the face, suturing) or neglect of the rules of sterility. This reason causes several complications at once, or first one of them. But then the problem along the chain entails others.
The patient's diseases and body characteristics . Plastic surgery is no longer performed by young people who may have problems such as high blood pressure and elevated blood glucose levels. They affect the speed and quality of tissue healing and pose obstacles to the normal rehabilitation process. The characteristics of the body may not be recognized before surgery. This, for example, is a tendency to form hypertrophic scars and rejection of suture material. Violations of the rules of the rehabilitation period . In order for regeneration to take its course, you have to give up a lot for a while and make some efforts. If the patient is in a hurry to return to his previous life and habits, this can disrupt the restoration processes in the healing tissues. Smoking occupies a special place in this group of causes of complications.
We recommend reading about
surgical facelift
. You will learn about what this plastic surgery is, who it is indicated for, contraindications for it, the stages of a facelift and the recovery period.
Here
Read more about facelift with mesothreads.
Options for complications
The problems patients face after a facelift vary. Some are detected soon after the end of the operation, even before discharge from the hospital. Others cause concern in the late rehabilitation phase.
Edema
Swelling after a facelift occurs even with the correct actions of a specialist and undisturbed rehabilitation process. The accumulation of fluid and an increase in its volume is a protective reaction to tissue damage. Normally, it reaches its maximum on the 3rd day after surgery. From this moment the swelling begins to subside. And by the 10th - 14th day, the excess fluid is mostly eliminated.
The day after facelift surgery
Naturally, swelling after a circular facelift will be more extensive if it is full and fleshy. Indeed, in this case, trauma will affect a larger number of tissues. Problems with the heart, blood vessels, and kidneys, even if they did not prevent the plastic surgery, can cause swelling to linger for a long time.
Hematomas
After facelift surgery, the patient may experience bleeding. This in itself is a complication, but it also leads to another problem - hematomas. The accumulation of blood in some areas of the face is manifested by increased pain, dark spots on the skin, and blood leaking through the stitches. An increase in tissue volume in the area of accumulation of biological fluid also becomes obvious. If a problem occurs, it is detected 4 to 6 hours after surgery.
A-on the 4th day after surgery; In a week
Minor bruises after a facelift are removed by a doctor through a suture or using suction. A more serious problem, where blood continues to leak, resulting in a tense hematoma, will require opening the wound, clearing it of blood clots, and sealing the vessel.
Seam problems
Inflammation and divergence of sutures with the addition of an infectious process of sutures
Suturing is the final stage of the operation. Some of them are removed 5 days after the intervention, others even later. Primary healing should be accompanied by the formation of crusts on the surface, under which tissue epithelization occurs.
If the stitches become inflamed, that is, they become red, become wet, and hurt, this is already a complication. It can be caused by intolerance by the body to the material from which the thread is made. The same thing happens when the wound is not drained properly. Poor healing can be caused by a hematoma. Reduced immunity, vascular, endocrine disorders, chronic diseases make the initial tightening of sutures slower. It may be accompanied by the release of serous fluid. In such cases, specialists prescribe the intake of ascorbic acid, zinc, and amino acids in advance. They stimulate tissue regeneration.
Normally, the sutures after a circular facelift should no longer look inflamed on the 7th - 8th day, since primary healing occurs at this time. If this is not the case, you need to consult a doctor to determine the cause of poor tightening.
Necrosis
— a patient with tissue necrosis in the parotid area after a facelift; B - 13 months after surgical treatment
Ignoring problems with suture healing, as well as disruption of the blood supply to the skin area, can lead to necrosis. This dangerous complication occurs due to too much tissue detachment or too much tension. The latter leads to non-closure of the seam line. As a rule, the skin behind the ears is affected. This is an area where tension is especially active. But the problem can also appear in the area of the temples and in front of the ears.
In addition to medical errors, necrosis can be caused by atherosclerosis and diabetes that the patient has. An undetected hematoma can also lead to this consequence. Fortunately, necrosis after facial surgery is rare.
Wound suppuration
Wound infection after facelift
The discharge of purulent fluid from a postoperative wound and inflammation are also rarely detected. The reasons for this phenomenon are the presence of a hematoma, the development of necrosis, and the entry of hair and other foreign particles into it. To avoid suppuration of the wound, it is washed more than once during the operation, and at the end a drainage system is installed to drain excess fluid.
If a problem does arise, treatment depends on the cause. Sometimes taking antibiotics and appropriate external treatment is sufficient. In more dangerous cases, the suppuration is opened, the wound is cleaned, drained and stitches are applied again.
Scarring
Keloid scar
Problems with suture healing can result in thick scars instead of barely noticeable ones. The same thing occurs for some due to a tendency to hypertrophy that exists by nature. The problem also appears due to tight skin tension.
Scars have to be treated additionally, for which there are several methods. It can be:
special ointments that absorb excess tissue; hormone injections aimed at providing the same effect; surgery.
The photo shows an example of a well-performed surgical facelift
Facial oval deformation
A facelift is needed, among other things, to give clarity to the contours of the face. But with other positive moments after it, this goal may remain unattainable. The patient complains that his lumps do not disappear after a facelift. Such deformation occurs as a result of the formation of small hematomas by the subcutaneous fat layer or displacement of areas, uneven or excessive removal of fat in the chin area. The problem is corrected by repeated surgery.
Hair loss
Postoperative sutures for a circular lift are placed on the scalp. And this can cause the hair to thin out in the behind-the-ear and temporal areas. The culprits are thinning areas of the skin and damage to the hair follicles. For most, the problem is resolved without intervention after 3 to 4 months, when the follicles are restored. If this does not happen, you have to excise the scar that is interfering with hair growth or transplant skin from other areas.
Thinning hair can be stressful. Then the hair falls out over the entire surface of the head. This happens in people with initially weak bulbs. This point is considered even before the operation. To stop hair loss after it, you need to get rid of stress and strengthen your hair.
How to speed up healing at home
The most important thing in the rehabilitation period is the patient’s compliance with medical recommendations.
The doctor will certainly tell you about the importance of leading a healthy lifestyle and explain what you can do and what you can’t do.
Get ready to limit yourself in physical activity and follow a diet: nothing hard, spicy, too salty, a minimum of tea and coffee.
Washing your hair is allowed only 2–7 days after the procedure, and you need to sleep in a certain position. The first year after facial plastic surgery you should not sunbathe. To speed up the healing of wounds and eliminate side effects, you can use additional agents and medications.
For the first 7–14 days, you should not wash or paint your face. 1 week after plastic surgery, the doctor may allow you to use cleansers that do not require rinsing: cream, milk.
To moisturize your skin, choose an alcohol-free toner or lotion. It is advisable that the product be intended for dry or normal dermis, even if you used other products before facial plastic surgery.
Choose the most natural, hypoallergenic cosmetics without fragrances or dyes. Thick, textured creams, especially in the area of facial plastic surgery, are prohibited!
But drugs with a tightening effect and intended for skin regeneration are quite appropriate. To cool your eyelids after blepharoplasty or canthoplasty, buy a special mask in the form of glasses.
Use professional products
Before any cosmetic procedures, it is important to obtain the approval of the doctor who performed the facial surgery on the patient.
For example, a cream with a volume of 50 milliliters will cost from 4,500 rubles, and a cooling and soothing serum (15 milliliters) will cost over 3,000 rubles. Also, after facial plastic surgery, you can use Planetary Herbals horse chestnut cream (1000 rubles for a 113 gram jar). It moisturizes the skin, improves blood circulation, and relieves puffiness.
There are other cosmetics that can be used after facial surgery. Buy something that suits your skin and won't put too much of a strain on your family budget.
A multivitamin complex will help reduce swelling and bruising, as well as speed up the rehabilitation process. Choose a drug that contains ascorbic acid, vitamins K and A - these beneficial substances strengthen the walls of blood vessels and accelerate tissue healing after facial plastic surgery. For the same purpose, doctors prescribe other medications to patients (orally and locally). For example:
Venarus - from 600 rubles for 30 tablets;
Phlebodia - from 650 rubles for 15 tablets;
Troxerutin gel - from 40 rubles per tube;
Heparin ointment - from 60 rubles.
To eliminate scars or prevent their appearance, you can use the Mepiform patch (approximately 1,200 rubles).
According to the doctor's decision, a patient who has undergone facial plastic surgery and is in hospital treatment can undergo special procedures. They shorten rehabilitation time and help the body recover faster. Such techniques include:
- Ultrasound therapy. Has an analgesic, anti-inflammatory effect, improves blood flow.
- Magnetotherapy. Accelerates tissue regeneration and collagen synthesis.
- Microcurrent massage. It alleviates the condition of the patient whose face hurts after plastic surgery, and also reduces swelling, improves metabolism, and normalizes the functioning of the sebaceous glands.
- Cryotherapy is exposure to cold. Pain relieves and relieves inflammation after plastic surgery.
- Mesotherapy and biorevitalization. Hyaluronic acid injections help moisturize the skin, restore its elasticity, accelerate blood flow and shorten the recovery period.
The cost of physical therapy after plastic surgery depends on the clinic. The number of procedures and the frequency of their completion by the patient is determined by the doctor.
How to avoid difficult consequences
To perform facial plastic surgery, it is important to choose a good specialist. But the further result depends not only on it and the quality of the operation performed. In many ways, recovery after a facelift is the patient's concern. It consists of the following:
For the first 8 to 10 days you will have to eat warm liquid or pureed foods. This is necessary to reduce physical activity, which is still contraindicated. Sports are also prohibited for the next 2 - 3 months. You will have to watch out for restrictions in expressing emotions. Active facial expressions are undesirable at first, as they can cause damage to the scars. Sutures should be treated with the products prescribed by the doctor. Usually these are alcohol solutions or antibacterial ointments. You are allowed to wash your hair 8 days after surgery. Use cosmetics no earlier than after 10 - 14 days. It is important to drink a lot of water and avoid coffee and alcohol for now. Drinks dry out the skin, interfering with the healing of stitches. You should stop smoking. Tobacco disrupts collagen formation, meaning it interferes with healing. You will have to postpone until later a hot bath (replacing it with a warm shower), sauna, solarium, beach, swimming in a pool or open water. After plastic surgery, these pleasures are provocateurs of complications.
Features of rehabilitation after a facelift
Painkillers that were used before surgery cease to provide an anesthetic effect just a couple of hours after the patient recovers from anesthesia. Accordingly, painful sensations and a completely unusual feeling that the skin is being pulled may be disturbing. But, as practice shows, the pain is usually not too pronounced. They can be treated with a mild pain reliever. And pulling sensations are completely normal - this is how the tightened areas of the skin react to the operation.
The advisability of taking analgesics and the list of drugs allowed after surgery must be discussed in advance with the attending physician.
Already a day after the lift, many patients refuse pain medications. But for those who have a low pain threshold, it is better not to endure discomfort.
Typically, doctors also prescribe antibiotics to their patients. They should be taken exclusively prophylactically for five days. Such medications will help avoid the development of complications.
Even in the clinic, patients who have undergone surgery for a circular face and neck lift pay attention to the appearance of postoperative swelling. This phenomenon is considered completely normal, and its severity will increase within three days after the intervention. Over time, the swelling will naturally subside.
Facial care
For patients who have undergone a circular face and neck lift, the following recommendations from doctors for the postoperative period are relevant:
- In the first three days after discharge, treat the skin on your face with a cotton pad, moistening it with a solution of Chlorhexidine, after which you can proceed to washing with water with the addition of baby soap.
- Apply lotions to the face using a cool solution of Furacillin, an infusion of chamomile and weak black tea. The optimal duration of one procedure is about 30 minutes. It is advisable to apply lotions three times a day for one week after the intervention. They will help reduce the severity of swelling.
- Treat skin sutures using a cotton swab, moistening it with Chlorhexidine solution or medical alcohol (40%) several times a day.
- If the seams are red, lubricate them with Levomekol or Baneocin ointment and consult your doctor.
- Ensure that seams are kept dry.
- Combine equal parts of Traumeel S and Bepanten ointments. The resulting mixture should be applied to the skin of the face several times a day for three weeks. In this case, it is necessary to carefully remove the remaining mixture from the previous application in advance using a damp cloth. Ointments will help make the feeling of skin tightness less pronounced, and will also help get rid of swelling and bruises.
It is important to note that all recommendations may differ slightly depending on the individual characteristics of the patient and the rules of a particular clinic.
General recommendations
In order for rehabilitation after a circular facelift to be successful, it is extremely important:
- For several days after surgery, avoid washing your hair (for two to eight days, depending on the doctor’s recommendations).
- At first, eat only soft or liquid dishes.
- Take a shower only with warm water and not earlier than the second or third day after the intervention.
- Severely limit the work of facial muscles for three weeks after surgery.
- Rest and sleep only on a high pillow, avoid sleeping on your face for at least a month after the facelift.
- Do not massage your face or put pressure on it for at least three to four weeks (until the swelling completely goes away).
- Avoid sexual intercourse in the first two to three weeks after the intervention.
- Do not visit the hairdresser for up to two months.
- Avoid alcohol and nicotine, as these substances can disrupt the recovery process.
- Forget about thermal procedures, hot baths, saunas, and visiting countries with hot climates for at least three months.
- Avoid heavy physical activity and lifting heavy objects for at least three months.
- Avoid visiting the solarium and tanning until the postoperative scars are completely lightened (this may take three months or more).
Cosmetology procedures
A list of optimal cosmetic procedures for a full recovery after a circular facelift is usually given by the attending physician. Most often, doctors select professional cosmetics for their patients that can improve skin quality, activate regenerative processes, renew and rejuvenate the skin.
In addition, lymphatic drainage procedures can be used. Many clinics practice microcurrent and magnetic therapy, as well as light therapy. The optimal time for performing such procedures is determined by the attending physician.
A month after a circular lift, a specialist may advise you to undergo other rehabilitation procedures, for example, a course of manual plastic massage. After some time, it is worth consolidating the results obtained with mesotherapy sessions, laser lifting or Botox injections.
It is extremely important to consult with a specialist about the advisability of using silicone-containing preparations to care for seams. Typically, such products are used a month after surgery until the scars are completely lightened.
Useful video
To see how a circular facelift differs today from the same operation 5-10 years ago, watch this video:
Facelift surgery can eliminate the marks left by time. But only if the patient does not rely only on the doctor’s art. The result is also achieved through one’s own efforts after the operation. The examination before it is no less important.
Cosmetologists say that a person’s hands, neck and face are the first to age. These parts of the body are affected not only by the laws of gravity, but also by the vagaries of the weather. If the arms and neck are protected with wardrobe items, then the face always remains open. It is most exposed to environmental influences.
Causes of consequences after a facelift with cosmetic threads
Facial muscles gradually weaken, wrinkles appear, and the contour of the oval changes. To maintain attractiveness for many years, experts suggest performing a facelift.
Cosmetic threads for face lift. We will consider the consequences in our article.
Cosmetic threads are used for the procedure. The duration of the result and the occurrence of consequences depend on the qualifications of the plastic surgeon and on compliance with the rules during the rehabilitation period.
A facelift requires a preparatory period. The doctor examines problem areas on the face, uses a computer program to create an updated image, and selects cosmetic threads. To correct a specific area of the face, threads of a unique group are intended. Incorrectly selected material or incorrect placement of threads leads to asymmetry of the oval of the face. The procedure has certain contraindications: blood clotting disorders, diabetes, oncology. Facelifts are not performed during menstruation or during respiratory diseases. Neglect by the doctor of the list of contraindications will lead to the development of an inflammatory process, bleeding, and the progressive growth of a malignant tumor. The procedure takes place under local anesthesia. The doctor carefully selects an anesthetic so as not to provoke an allergic reaction and anaphylactic shock. The dosage of the anesthetic is strictly individual. A test is made to determine the compatibility of the material from which the cosmetic threads are made. The incompatibility of the chemical composition of the threads causes their rejection. An allergic reaction, inflammation, and sepsis develop. Negative consequences appear not only through the fault of the doctor. Violation of the regime in preparation for the procedure or failure to follow the surgeon’s recommendations during the rehabilitation period causes severe complications. For 7 days, they refuse medications that thin the blood, abstain from alcoholic beverages, spicy and salty foods. For the first 3 days, do not wash your face, do not use tonic or creams. During the rehabilitation period, cosmetic procedures on the face, massage, and skin cleansing are avoided. Limit physical activity and do not go to the sauna or solarium.
Note! Cosmetic threads for face lifting are used only to eliminate age-related signs on the skin. If changes in the face are a consequence of injuries and affect bone tissue, then plastic surgery is used to correct the appearance.
Skin care after surgery
Careful post-operative facial skin care will help you recover faster after a facelift and consolidate the results of rejuvenation for many years.
Electrostatic and lymphatic drainage facial massage
The first procedure can be done already 3-4 days after the facelift. The essence of the technique is to manually or mechanically influence the skin in the direction of lymphatic drainage. Electrostatic lymphatic drainage massage allows you to quickly remove swelling after surgery, improves blood microcirculation and thus promotes tissue regeneration.
In addition, lymphatic drainage massage has other positive effects:
- Skin lifting;
- Fights wrinkles;
- Models facial contours;
- Improves skin tone.
Our patients also note that lymphatic drainage massage reduces discomfort and makes recovery after a facelift easier.
Skin care with professional cosmetics
Professional cosmetics from Cellcosmet, Academie, Maria Galland include special active ingredients, which were developed by the best beauty laboratories in Europe. Thanks to this, such care is highly effective and makes the result of a facelift lasting. Depending on the initial condition of the skin and its type, the cosmetologist-esthetician selects the appropriate option:
- Regenerating agents;
- Premium moisturizing creams;
- Serums and creams for sensitive skin (for example, Fulfillment);
- Products with a rejuvenating lifting effect;
- Lymphatic drainage serums to relieve swelling.
Injection cosmetology
The first time after a facelift, such procedures should not be performed so as not to injure the skin. However, in the future, injection cosmetology can prolong youth and solve a wide range of problems to improve skin quality at the cellular level.
- PRP therapy - platelet-rich plasma stimulates the synthesis of your own collagen and elastin fibers. The procedure will help maintain skin tone and turgor, neutralize the effect of gravitational ptosis on the oval of the face, and protect against wrinkles, pigmentation and other skin defects. Plasmolifting goes well with nanolipofilling. The procedure can be done as early as 3-4 weeks after the facelift.
- Mesotherapy, biorevitalization, injections of vitamin cocktails - after facial plastic surgery (this is still stress for the skin) ensure restoration, nutrition and hydration. The procedures can be done 1-2 months after the facelift. Preparations with nonlinear hyaluronic acid and amino acids have an extremely beneficial effect. Such procedures promote rapid and high-quality healing of scars.
Additional beauty care procedures after a facelift are, of course, not mandatory. The main principle is to take care of your beautiful face and pay attention to your own health. Without this, even additional cosmetic care may not be as effective. Our main goal is to prolong your youth, joy and pleasure from the result of aesthetic surgery.
Temporary side effects after thread facelift
The surgeon warns about possible complications after a facelift. Some of them are temporary and predictable. The doctor makes marks on the skin of the face along which the threads will be inserted. To introduce the cosmetic material, small incisions are made.
They are placed along the border of the hair. A thread is inserted through the incisions with a special needle, placed under the skin, the muscles are tightened, and the edge of the thread is fixed to the bone.
Thread lifting is not difficult, but temporary side effects are noticeable in the first days.
The appearance of hematomas and bruises
During the procedure, muscle tissue and blood vessels on the face are injured. Microcirculation is disrupted, blood clots accumulate in the cavity. A hematoma appears. It is not recommended to use ointments or masks to reduce bruises or resort to hardware procedures.
These measures will damage cosmetic threads. The consequences will be irreparable. The hematomas will go away on their own in a month.
The occurrence of swelling of the face
Tissue injury leads to the formation of serous fluid, which causes swelling. This is a temporary complication. It goes away in 2 weeks.
To reduce swelling, it is recommended to make dietary adjustments: do not eat fast food, salty and spicy foods. Liquid is removed from the tissues on its own. The drinking regime is kept as usual; diuretics are not taken.
Violation of the smooth contour of the face
Immediately after thread lifting, a clear asymmetry of the face is noticeable. If the doctor performed the procedure according to all the rules, then the facial contour will be straightened in 2-3 weeks.
The procedure involves tightening muscle tissue. The surgeon restores the previous location of the facial muscles, so it looks a little unusual. After the muscle tissue adapts to the new position, the asymmetry disappears and the facial contour becomes perfect.
Violation of facial lines
During the rehabilitation period, the surgeon recommends not loading the facial muscles. They experience greater stress after the administration of anesthesia and due to the pressure of the fluid accumulated under the skin. Distorted lines of facial expressions are visually noticeable. Normally, the complication goes away within 5 days, after swelling decreases.
Complete restoration of facial lines will occur after the swelling of the face disappears. If no changes occur after the prescribed period, then contact a surgeon.
This disorder indicates damage to the facial nerve.
The appearance of the hypercorrection effect
After the procedure, a feeling of tightness appears. In some cases, the lines of the cheekbones become sharp and convex, and the brow ridges rise. The complication becomes less noticeable after a week. Reducing swelling will lead to restoration of soft tissue in the cheekbone area.
The effect of hypercorrection normally disappears after 2-3 weeks.
It is important to know! Connective tissue forms around the threads. This effect causes rejuvenation of facial muscle tissue. The process lasts 1 year. At this time, it is not recommended to perform cosmetic procedures that are accompanied by injury to the skin. Mesotherapy for the face is accepted only after consultation with the supervising surgeon.
Late rehabilitation period
Doctors call the late rehabilitation period a period of up to two weeks. During this period of time, a woman may be disappointed to find bruises, swelling and local hematomas in her reflection in the mirror. They appear as a result of traumatic effects on the skin and this is not surprising. The doctor made incisions with a scalpel, touching the facial muscles and dermis.
As a rule, the symptoms listed above go away on their own 7-14 days after the operation is completed, and the lady is discharged from the hospital home. However, there are general recommendations that will speed up the recovery process and help quickly eliminate side effects from the face.
For example, if you do not visit the beach, bathhouse, gym and swimming pool after anti-aging surgical manipulation, hematomas and blue discoloration will disappear from the face without a trace. This will happen quite quickly, and soon the woman will be able to correctly assess the effect of the operation. As a rule, you need to stick to a modified daily routine even after the bruises are eliminated.
Thus, a ban on visiting a solarium, beach complex and gym can be imposed for two to three months - the period is determined by the patient’s condition and her individual ability to recover after surgery.
Complications arising from facelift with cosmetic threads
The consequences after a facelift with cosmetic threads to get rid of age-related changes are not always temporary and predictable . In some cases, additional surgery is required to remove them, therapy to restore the soft tissues of the face and skin, and plastic surgery.
Cosmetic threads for face lift | Consequences |
“Silhouette”, “Silhouette lift”, “Silhouette soft” - based on polypropylene and absorbable nodules | The appearance of compactions, the formation of pathological scars at the sites of skin incision, contouring of threads with a thin layer of subcutaneous fat |
Mesothreads - base zinc, hyaluronic acid: injected without incisions in the skin | Allergic reaction to zinc, incomplete resorption of the material, skin pathology at the points of needle entry and exit |
"Aptos" with notches - polypropylene base | “Accordion” effect on the skin due to improper distribution of the thread, excessive tightening of the skin |
Gold and platinum threads | Allergic reaction, thread migration, material rejection |
Allergic skin reaction
Experts say that the use of cosmetic threads is not accompanied by an allergic reaction: there are isolated cases of incompatibility of the material for facial correction. Antiseptics and anesthetics are of greater concern.
Skin allergies are noted: rashes accompanied by itching, increased body temperature. Swelling appears on the face, on the mucous membranes of the oral cavity, and in the respiratory tract. The most severe complication is an attack of suffocation, pain under the sternum, and anaphylactic shock.
Infectious and inflammatory manifestations
Thread lifting is a cosmetic procedure that results in a violation of the integrity of the skin and muscle tissue. To avoid infection and the development of inflammatory processes, the treatment room is subjected to quartz treatment. The specialist works in sterile gloves.
The cosmetic material is removed from the packaging immediately before insertion under the skin.
Violation of the rules for performing the procedure leads to infection. The first symptoms appear on days 2-4: the general body temperature rises or in a local area of the face. The color of the skin changes, the functioning of the sebaceous glands is disrupted, and acne forms. Infection at the sites of skin incision manifests itself in wound suppuration and the formation of fistulas.
Violation of facial expressions
After a face lift with cosmetic threads, the first few days the face looks deformed and facial expressions are disturbed. It takes time for the complication to normalize. If facial expressions have not recovered after 6 weeks, then the cause of this consequence is damage to the facial nerve.
The motor activity of the maxillofacial zone is disrupted, numbness of the skin is noted, and facial expression changes when speaking.
In some cases, dysfunction of the lacrimal or salivary glands occurs.
Important to remember! The first symptom of damage to the facial nerve is a painful sensation in the area behind the ear and in the eyeball. Pain appears on the 2nd day after the surgeon’s intervention. Changes in facial expressions are noted only on days 5-6.
Persistent contour violation
The effect of hypercorrection after a facelift goes away on its own. If after 6 weeks the oval of the face does not return to normal, then a persistent violation of the facial contour is established. The thread material has notches that secure it in the muscle tissue. Excessive tension of the threads entails an unusual arrangement of the facial muscles, and its contour is disrupted.
Minor complications are corrected with massage. If a specialist has placed cosmetic threads for a facelift with a loop, the consequences of negative manifestations are eliminated with an additional operation: the threads are removed. Subsequent lifting is carried out only after complete restoration of the connective tissues and facial contour.
Thread migration
If the hematomas and swelling have gone away, but the oval of the face is far from perfect, “accordion” wrinkles are observed on the skin, then they talk about the migration of threads. The complication often occurs when lifting with smooth threads without notches or spirals.
The material did not lock into the muscles properly and moved away from the intended line. Migration of threads occurs due to insufficient qualifications of the doctor or due to non-compliance with the rules during the rehabilitation period.
Thread contouring
Thread lifting is performed with a certain texture and thickness of the facial skin. If the skin is loose and thin, the fat layer is insignificant, then a thread lift is abandoned.
The doctor will not be able to position the threads correctly. Facial reinforcement will appear through the skin. The complication is not noticeable in the first days after the procedure. Swelling will hide this defect. Contouring will be determined in a month.
Skin retraction at the injection and puncture sites
To insert a needle with a thread and its exit, choose a place on the face that is least noticeable: the border of the hairline, the neck-chin fold, the area behind the ear. The needles do not leave scars, the injection and puncture points become lighter.
Complications develop if the thread with notches was used incorrectly during lifting: it was pulled too tight and incorrectly fixed to the bone. Retractions remain at the points where the needle enters and exits.
If you ignore this complication, then over time in these areas, due to tissue compression, blood circulation will be disrupted, deformation and death of the skin will occur.
Types of surgery
When a doctor is going to do plastic surgery, he divides the face into 3 zones, there are:
- Upper.
- Average.
- Bottom.
The specialist corrects the area where the problems are pronounced:
- The upper region includes: eyelids, forehead, eyebrows, temples. Lifting the eyebrows and temples is called temparoplasty, eyelid correction is called blepharoplasty.
- The middle area includes: under the eyes, cheekbones, cheeks, nose and corners of the mouth. The doctor makes an incision under the eyelid from below and pulls the skin upward.
- The lower region includes: neck, with chin, lower lip, with jowls. An incision under the chin and along the contour, with the lower hairline.
Non-surgical facelift
Some women are afraid of surgery. They prefer lifting without surgery. This is a tightening using radio waves or laser, threads. The methods are effective. They have proven themselves well and allow you to permanently correct problem areas and facial contours. Patients over 35 years of age who have obvious age-related problems can order the procedure. These measures do not completely remove deep wrinkles in any area or ptosis around the eyes.
Radio wave
Lifting can be done using radio waves. No need to pierce or cut anything. Only 3 sessions are required. The skin is heated by electromagnetic waves, causing micro burns. The effect is such that the skin tightens. Local anesthesia. The cost of procedures is from 3 to 50 thousand rubles.
Thread lift
The patient is given local anesthesia. The incisions are small, threads are threaded through them, making a special frame. It supports the facial muscles. The surgeon puts stitches. Everything takes about 1 hour. Another 4 hours will pass and the person is released home. Cost 10-200 thousand rubles.
Laser facelift
The procedure is carried out in such a way that no punctures or incisions are required. The top layer of skin, with medial areas, is treated with a laser beam at a certain temperature. This helps to activate the production of elastin, collagen, and proteins. Turgor becomes more plastic and high-tone.
Surgical
During the SMAS procedure, not only the upper skin layer is tightened, but also the muscles and fat layer. All 3 facial zones are affected. Horizontal lines are drawn through the eyebrows and nostrils, so the surgeon marks which area is which. When all zones are tightened, this is called circular lifting. The face in different areas ages differently, somewhere faster, somewhere slower. Most often, the first wrinkles to appear are on the forehead and around the eyes. Then the middle zone is affected, and the lower + neck suffers next. You can learn about facial acupuncture in this article.
MACS
A variant of the S-lifting is the macs-lifting. Popular procedure. The doctor removes excess tissue, muscles, a layer of fat and tightens the skin, placing sutures evenly on the edges. In this type of lift, a neat incision is made up to the earlobe. The tissue will peel off a little, most often in the expected cheek areas. The procedure is less traumatic than with a circular facelift. This service is most often ordered by those who are over 40 and have no significant age-related changes. MACS lifting makes the skin elastic, the facial contour clearer, removes creases in the area of the nasolabial folds, and tightens the corners of the mouth.
SMAS
Changes:
- the facial frame becomes like in youth;
- wrinkles are smoothed out;
- facial oval improves.
The doctor performs everything necessary under deep general anesthesia. He makes an incision at the temple and makes cuts along the hairline to the back of the head. The seams quickly tighten and become barely noticeable over time. The upper layer + aponeurotic is tightened through the incisions. Excess skin and fat are removed. There are 2 types of SMAS lift. In 1 case, only the aponeurotic layer is tightened. In case 2, this layer is peeled off, the effect is more impressive, but the risk of complications is much greater.