Facelifting
The aesthetic purpose of this operation is to get an younger appearance. In general there are operations of correction of released skin and smoothing of wrinkles.
The wrinkles can be divided (by the origin) into mimic and solar, which are created through the UV radiance. Of course, also the combination of them causes, e.g. wrinkles around eyes. The process of creating: the UV radiance causes the reduction of so called collagen fibres, which keep skin strong. These are substituted by elastic fibres. The wrinkles are as a result of ageing of skin. Very dominant is also ultra-violet light of the sun radiance.
Normal skin consists of collagen and elastic fibres, which keep skin flexible. The function of collagen may be compared to the function of iron bars in beton. In normal skin there is 1% of elastic fibres and 99% of collagen fibres. The sun radiance degrate the normal state of collagen fibres, which are substituted by elastic fibres. The resalt is incorrect flexibility of skin. It leads to creation of wrinkles.
We think that a women with blond hair, what was previously dyed, is at the age of maybe 48. but the identification card shows us she is 58. Several plastic operations made her to look much younger. She has formed body, because she has been doing sports, but the years can't be cheated. The nature needs help and for this purpose there are plastic surgeons here. She decided fot facelifting - plastic operation of her face - three years ago. " I visited one very famous and very good doctor. The operation consisted of two parts. At first the lower part of face and eyes and then forehead." The upper part of face and eyes have stayed perfect until now, but the lower part of face around cheeks changed into its previous form one year later. It is interesting that her friend of the same age was operated in the same time and the operation was provided by the same surgeon. "Our" lady decided for the same operation one more time. She talked to the surgeon and he told he i tis neccessary to repair the right part of face. After the operation the effect was again correct but again only for some time. The scars after the cuts disappeared. From the first operation only some very smalls scars stayed, but they were rather invisible, only when she showed them, people could see them. There were only several centimeters long scars thin as a fibre. But after using a make-up - nobody could have seen them. But some times later - exactly two years later - face had a tendency to "go more and more down".
"And so I decided to have next operation but I looked for another surgeon. He looked at me and told me that the work was really good, but it had only one fault. He told me that by the operation they extended only skin and it has the tendency to trace flabby muscles. And if the operation should be really good, these muscles must be operated. I said ok. Now the operation was lead under the anaesthesia, what doesn't have to be by facelifting. But the client said it was no problem, because the first operations were without total anaesthesia and the suffering as she experienced were so bad that she would never try it again.
You don't feel anything in the lower part of face and also eyes aren't sensitive. But forehead as the surgeon was operating this part, she screamed aloud because of the suffering. That was the reason she accepted the anaesthesia. When she woke up she ran to a mirror, but she saw only a silhouette of her head covered by bandage. After two weeks she saw the results. She saw moist scabs near ears on the places where the cuts were lead. Because she has had some experiences she knew something isn't allright. Because it wasn't healing and also "meat" in the wounds was visible. And the time for the next operation came.
A surgeon took a piece of skin from her inside part of legs and covered the wounds on face. She had to wait again and the result was excelent - face without wrinkles, but the small scars didn't start to heal and to disappear, but it started to be bigger and they were increasing into the places the surgeon didn't make any cuts. Seven months passed and she had to change her hair cut. She started to carry long hair to cover her face and cheeks.
It looks as there were small pink plaits sticked on her cheeks. But the plaits aren't only on the same place of the cuts and scars, but they are also on cheeks.
What has happend? Nor surgeon could explain it. She says that the surgeon stayed in a shock as he saw the scars. It was for sure that she can't stay with face like this. It looked as the operation after for example an accident. She has to decide now wheter to decide for the next operation, which can help her or not, because the results after the next operation may be much wore. Before each operation she has to sign the later: on own responsibility. At first she decide to use some creams and plaster which could help her. Her face looks much better after using them, but she has to cover her face with hair. After the plastic operation you don't have to look perfect.
There is only several occurrences like this, but they are. Even the best specialist can't guarantee the requesting effect. It is said - each surgeon has its own cemetery. Some have smaller, some bigger.
It is true the age causes wrinkles. At first the small wrinkles - as funs - appear around eyes, so called mimic wrinkles and wrinkles around mounth. They are the source for the wrinkles of ageing skin.
The typical wrinkle is also so called "the wrinkles of anger" - two vertical scratches that are parallel with nose and placed between eyebrows. Two local muscles are the reason for them and also after the forheadlifting they can appear again. They cause the effect of angry face and there are several ways how to improve it.
The first one is to put collagen under the wrinkle and the pressure from inside helps to soften the wrinkle and then it can also fade. The second one is botulotoxin, which causes temporal mortification of weak muscles. But some time later it is necessary to do it again, and to pay for it. It is quite expensive and risky. These muscles are too small and the botulotoxin muss be injected exactly into the small muscle. If the doctor is too good, it doesn't mean the result will be good for sure. Each man has another type of skin, of another thickness and it can cause that a needle miss the right place.
The first way how to do that doesn't depend on time, but it is expensive enough. The substance is expensive and can't be substituted by anything else.
An interesting method is the abruption of muscle, what causes the disposal of it. There is nothing what could cause the wrikles.
In general, if by any operation a nerve is broken, it causes the slackness of muscle what means the non-sensitivity of some parts of face, sometimes the whole half of face may retain non-sensitive. On the other side it is normal if after the operation, but only permanently, some nerves are broken, but several weeks later will these be all right again and the mimic is the same as before the operation.
Facelifting of the lower parts
The lining of skin on face and neck is provided by local desensitization. By the operation the redundant part of skin of cheeks and neck will be taken off and it causes the lining of skin. If it is necessary, this method may be used on subcutaneous fibres. After the operation the patient muss put a bandage on it for several days that will be substituted by a special elastic mask for 10 - 14 days. Stitches are removed on the 5th - 6th day under ears, the other on the 10th - 14th day.