Facial Rhytidectomy Introduction

Facial Rhytidectomy-What is a facial rhytidectomy?

Mention tight surgery for face lift surgery, also known as the face, put up the loose facial skin back tight, removal of excess skin, facial deep fascia taut, the incision is multiple choice in the hairline, ear orshelter after the ear, the postoperative results are usually very significant.U.S. bio-wrinkle technology, containing a variety of trace elements in fiber protein activation factors of biological energy factors, the promotion of skin fibroblasts to produce collagen protein, can inhibit the motor nerve terminals around the synapse and excessive acetylcholine release, so that the cramps!original subcutaneous muscles naturally stretch the wrinkles disappear, without surgery, easy to operate, the swelling does not affect the work to become even better get wrinkles.

Facial rhytidectomy - Introduction
Facial rhytidectomy, more in a foreign country known as the "face to mention a tight operation", the face and neck skin and the deep surface of the organizational, structural separation, the back is mainly mentioned to the top of the tight fixed in order to flatten or eliminate The wrinkles on the surface of the plica, some parts of the aging sagging to change. Accept the wrinkle surgery, allows the face and neck look younger and get to meet the psychological and pleased to muster confidence vitality of life. Should be noted that: face lift surgery can not stop aging.
The exhibition of the best candidate for facial rhytidectomy, it can not: turn the clock back. That is, the surgery can be the "youth", but can not spring Yan Permanent. The results of operations can be maintained long. Before the modern lifting technology to produce, just tightening the facial rhytidectomy skin for 2-5 years; the most reasonable estimate for the use of advanced technology: rhytidectomy can last for 5-10 years.
Senile changes of the face is part of the systemic senile change is a normal physiological changes of facial skin and soft tissue because of age-related changes in skin and subcutaneous tissue elastic fibers gradually reduced, as well as increasingly slow and loose facial skin elasticity reduced. In addition, after the middle-aged, upper and lower jaws of osteoporosis and bone resorption, some people due to the teeth, buccal absorption of fat in the role of these factors, the person's face will show the elderly characteristics.
Face age-related changes in the main as follows: 1) eyebrows, especially the lateral part of the outward shift below. 2) pairs of upper eyelid skin loose sagging was curtain-like. Worse skin folds can be covered on the lower eyelid. 3) The lower eyelid is often due to muscle, orbital diaphragm relaxation of the orbital fat protrusion formation of the lower eyelid bags. 4) In the eyes outer canthus of the formation of radial wrinkles. 5) to deepen the nasolabial fold, nasolabial fold foreign large wrinkles. Jaw on both sides of the formation of skin fall. 6) neck skin sag, transverse or longitudinal skin tag, flat angle of jaw, neck or disappear.
In order to eliminate the age-related changes in facial surgical methods to remove excess skin and subcutaneous fascia and muscle to restore normal tension, thus making the facial structure to restore the performance of a young man, and this surgery is called a rhytidectomy. Traditional rhytidectomy (place excess loose skin) age 40 to 55 years. General effect can be achieved after about 10 years younger. Of 10 to 14 days before the surgery need to disable the expansion of estrogen, aspirin, Salvia and other vascular drugs. Surgery two days before washing the hair with a special disinfectant. Postoperative use of appropriate antibiotics to prevent infection and prescribed medication follow-up. Latest trends in the micro-incision rhytidectomy applies to about 30 to 45-year-old, light skin, moderately loose women, not to remove the skin, so the postoperative recovery was fast, 1 to 2 days to restore and maintain 5 8-year results.

Facial rhytidectomy - wrinkles classification
Orthostatic wrinkles: wrinkles of the neck, the neck can freedom of movement, where skin would be more abundant, natural formation of wrinkles, or even just born with. Early the orthostatic wrinkles does not mean that aging, and only gradually deepened and increased wrinkles is the symbol of skin aging.

Dynamic wrinkles: facial muscle and skin attached to the expression of muscle contraction, the skin in the vertical direction and face muscles will form wrinkles, dynamic wrinkles. The early expression of muscle contraction, wrinkles appeared, the expression of muscle contraction, dynamic wrinkles Nor hours, such as the stripes of the forehead.

Gravity wrinkles: after the age of 40, due to the skin, muscle relaxation, where the role of the gradually drooping, local folding, the formation of the wrinkles of gravity. Common, such as bags under the eyes, age-related upper eyelid sagging double chin.

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Facial rhytidectomy approach
Facial rhytidectomy rhytidectomy surgery, generally consisting of the traditional classical surgery and recently carried out by the improved methods or new technology. Former, such as the amount of temporal rhytidectomy, below, neck rhytidectomy and full neck rhytidectomy; the latter, such as endoscopic rhytidectomy, a small incision rhytidectomy, laser resurfacing, collagen, swelling body filled with rhytidectomy, and so on. A variety of methods has its pros and cons have to adapt to the object (indications) and limitations. Surgical points: to be between 7 cm hairline, ears coronal incision; removal of three small amount of muscle, removal of the frown muscles between the eyebrows in the forehead, nasal dorsum at descending brow muscle, the outer corner of the eye at the hanging Hanging orbicularis oculi muscle, last up to the skin, fascia, rear direction to mention tight, suspension, removal of part of the skin, the wound was closed. The surgery takes about 2-3 hours.
A forehead lift surgery: for forehead wrinkles and deep, eyebrows and eyelids drooping. The wrinkles on the forehead, known as dynamic wrinkles, is due to the amount of muscle (the formation of the forehead), frowning muscles (between the eyebrows vertical lines), falling brow muscle contraction of the (nasion stripes) to achieve a facial expression caused. The surgical incision within the hair line or hair. Surgical separation of the forehead skin and muscle, muscle resection or cut off, and then were up, back to mention the tight separation of the skin associated eyebrows. After removal of excess skin, meticulous incision was sutured. The disadvantage is that the top of the postoperative head and scalp numbness for about three months, the incision at the possibility of alopecia.
(2) temporal rhytidectomy: internal wrinkle is to eliminate or reduce the crow's feet. Crow's feet is a dynamic wrinkles caused by the orbicularis oculi muscle (the Secretary with eyes closed functional muscle) long-term contraction in the outer corner of the outer radially around by the outer corner. Incision also can choose the hair line, but also select the hair. After surgery to separate the skin, to deal with the orbicularis muscle, back on the release mentioning the tight skin disease to remove the excess part of the careful incision was sutured. The disadvantage is that the correction of crow's feet is not obvious, temples easy to shift.
Face and neck or expand 1/2 rhytidectomy: for wrinkles and sagging in the lower face, can eliminate or reduce the crow's feet, cheeks and neck wrinkles, folds and sagging, deep nasolabial fold . Incision along the front of the ear hidden ear ditch fold. Skin such as surgical separation musculoaponeurotic layer separation musculoaponeurotic first layer a larger force to move up tightly fixed, then astern fixed skin, so-called "two-way push forward tight to mention", postoperative availability of good "Restoring the younger" effect. The drawback is the lack of correction of nasal groove lip groove, at one stage, the facial expression is not natural.
4 endoscopic rhytidectomy: currently limited to do the forehead lift surgery. Surgery through a small incision within the scalp, to into the endoscope, Endoscope, to cut off or the removal of a special tool to do an accurate separation of the deep surface and muscle. Then go up, advancing skin in the scalp, tight the forehead, the excess part is heap fold in the top of the occipital. Endoscopic rhytidectomy of the biggest advantages is the small incision, less bleeding, light damage, but because there is help Endoscope, stolen accurate and fine in the surgical operation. Only the excess part can not be removed, heap fold in the top, occipital, is expected to heal in the postoperative period of time, this period hair Zheshi without an aware. In addition, because of unresectable excess part, it is not suitable for higher (greater than 7 cm) were in the forehead.
5 small incision rhytidoplasty: endoscopic wrinkle technology "foreign" outside help to remove the endoscope under direct vision, the remainder of the advantages and disadvantages with the above endoscopic rhytidectomy. It is only suitable for wrinkles on the forehead between the eyebrows lighter, loose skin, or simply Brow.
Collagen or polytetrafluoroethylene filled rhytidectomy: collagen injections to fill rhytidectomy used collagen extracted from calf skin, can be used in the body after treatment. Cosmetic surgery injected into the dermis to eliminate deeper wrinkles and folds into the nasolabial folds, crow's feet, glabellar vertical lines. The method is simple, for the United States without suffering immediate after injection, wrinkles or to reduce or disappear. However, only suitable for simple, local deeper wrinkles, folds younger age of those who can not correcting sagging, aging. In addition, the possibility of collagen absorption and cause allergic reactions. Substitutes as a fill, the suspension of the organization ---- the application of expanded polytetrafluoroethylene ePTFE in the ascendant, both the physical and chemical characteristics, histocompatibility and other aspects of ePTFE are superior to medical silica gel. Fill nasolabial fold, forehead wrinkles, crow's feet is one of the purposes of the ePTFE. Good and lasting effects, no absorption, allergic reactions to consider.
Laser resurfacing: The principle is the laser irradiation, the gasification tissue excess water, to eliminate the aging of the stratum corneum of the epidermis, dermal collagen fiber repair and regeneration, so that the skin balanced and fresh, to restore the elasticity of the skin tissue, eliminating the wrinkles. Laser wrinkle cure less than the "dead" parts of the role of the other traditional methods of surgery, such as around the lips, fine wrinkles on the lower eyelid skin and frontotemporal fine wrinkles. The disadvantage is that after some people excellent pigmentation.

 

Facial rhytidectomy incision rhytidectomy is a surgical face lift surgery, injury and quick recovery, applies to the age of 30-50 years, the limitations of facial wrinkles in the forehead, eye beauty, a smaller incision hidden in the hairline and cut the amount of muscle cut with a special equipment part in the blind, frown muscle suspension SMAS fascia, the efficacy of the method, the effect is obvious, the appearance of 10-20 year-old younger and so on. Recovery period in about a week. Late face do not see any marks, wrinkles appear again after a few years after repeat surgery. Trauma, quicker recovery.
Two minimally invasive face lift techniqueTop of the head, the circular incision along both sides of the ears, uninterrupted epidermis, muscles, fascia, and remove a wide excess tissue. Suitable for people aged 40-65, to enhance the effect of facial wrinkles and aging relaxation disappears, the "fat" phenomenon is resolved. The operation time is generally about two hours, due to surgical dissection area, especially with imported special high-frequency coagulation device to ensure a minimal facial bleeding, so the recovery time soon. The surgery is a face of youth overall restoration project.
Third, the endoscope the SMS fascia to enhance rhytidectomyEndoscopic rhytidectomy is a small incision through the skin under the guidance of the endoscope, surgery of the lifting operation. Although the doctors can not open heart surgery area, based on the clear images of endoscopic outgoing accurate separation of the incision, hemostasis, and suturing of the surgical procedure. Endoscopic amount of temporal rhytidectomy can be corrected forehead wrinkles, glabellar vertical stripes, the nasion Ministry stripes and brow ptosis, crow's feet, suitable for the above-mentioned signs of aging by the surgeon. Incision in the scalp, a total of five, each about 1.5cm. This connection than the traditional open rhytidectomy ears coronal incision is much shorter. Endoscopic periosteal full-facial rhytidectomy endoscopic subperiosteal rhytidectomy combined to achieve the effect of postoperative upgrade via SMS fascia. Endoscopic rhytidectomy with open rhytidectomy has many advantages compared. Small incision, and vertical, will not cut off the head skin sensory nerve, sensory loss does not cause the scalp. On to mention the skin on the skull with titanium screw fixation in the incision is almost no tension, scar rarely, does not cause hair loss, rapid postoperative recovery.
Fourth, the biological rhytidectomyBio-wrinkle facial multi-point subcutaneous injection of trace amounts of biological agents within a short time to eliminate the face-intensive small wrinkles, such as the wrinkles of the forehead, eyebrows, eye canthus, cheek, mouth, neck, skin luster flexibility. Its mechanism is the purpose of treatment of wrinkles muscle and its disposable nerve paralysis role of biological agents, this treatment does not require a recovery period, as long as a few minutes to go straight home or to the office. Injected drugs for hours will be absorbed by the body, so do not worry about the side effects on the human body, this method does not require surgery, no pain, no side effects, quick, safe, reliable, simple and effective and welcomed by the female beauty.
Five, rhytidectomy with autologous stem cellAfter autologous stem cell wrinkle is I extract seeking beautiful dermal fibroblast stem cells in vitro amplification, purification, to a million times the number of cells using tissue engineering technology, under strict sterile conditions to return to the input to the I wrinkles dermal layer, three weeks to produce collagen, existing wrinkles is reduced gradually disappear, so as to achieve the purpose of wrinkles.
Six, the Ministry of relaxation AugmentationThe human body due to changes in aging skin, neck skin sagging, wrinkled, can be roughly the same neck lift technique, incision and facial rhytidectomy, simply increase the neck skin to peel range can be. Because this surgery is up to the Hou Tila face and neck skin, remove neck wrinkles, show the contours and lines of the jaw, neck angle. Hospital endoscopic technique is applied to the neck lift technique. Greatly reducing the trauma of surgery, postoperative swelling of the light and rapid recovery.
7, no trace in addition to the technique of eyebrow linesFrown lines is the vertical line pattern, is to drop the eyebrow muscles and the orbicularis oculi muscle to the medial edge of the muscles caused by the amount of muscle. Injection in the treatment generally 4 to 5 points, each point of injection of 2.5 ~ 5u, a total of 10 to 25u. Injection of frown lines should be far away from the brow, otherwise it would cause ptosis complications.
8, no trace remove the nasolabial fold surgeryThe nasolabial fold is separated from the surface of the cheek and jaw logo, is a secondary folds of skin excess, that is, people often mention the "dangerous triangle" two of the facial side. When the age over 30 years of age, the face gradually aging changes, especially the most obvious is the deepening of the nasolabial fold, which is due to the accumulation of the sagging of facial skin in the cheek side of the nasolabial folds, coupled to the nasolabial fold than 30 years of frequent activities Therefore, in the stationary state, the nasolabial fold gradually deepened, widened, and elongation. Hospital rhytidectomy augmentation combined abundance of the nasolabial fold surgery, so that the shallowing of the nasolabial folds, Shuping better results.
9, no trace remove eye pattern technique neckThe crow's feet is caused by the lateral border of the muscle of the orbicularis muscle. General in the eyes lateral injection of 3 points, 6 points, each point of injection of 2.5 ~ 5u. To the crow's feet injection, the bilateral point must be symmetrical, and the dose as much. Otherwise, both sides of the muscle relaxation inconsistent, the occurrence of diplopia.

 

Facial rhytidectomy - NotesTo do the necessary checks before surgery, such as blood, ECG, X-ray inspection. Accept surgery to physical health, mood, liver, kidney, lung, brain and other vital organs and blood system diseases, hypertension, diabetes, etc. to accept after the effective control of rhytidectomy. The lift of a small area, such as the frontal, temporal rhytidectomy, viable local anesthesia in an outpatient operating room, the surgery can go home the same day. A wider range of rhytidectomy, should be hospitalized for surgery under general anesthesia, hospital stay of one week. 3 days after surgery, the facial swelling more obvious, and then gradually subsided, usually after one week to return to work. Shortly after it is best not to hot.
Medical cosmetic surgery hospitals fat and do fomentation such as physical therapy, so as not to damage the scalp and facial skin.Women do the best age of first wrinkle surgery about 40 years old, clean facial skin and hair to be good before the surgery, the surgery behind skin swelling of, and purple petechiae, ecchymosis general absorption may disappear within 10 days, and facial edema recovery to take 2-3 weeks or longer. Postoperative early stage, facial and scalp skin feeling numb, dull, and generally can be fully recovered in about three months. Postoperative facial left and right sides may have a mild asymmetry, and return to normal in 1-2 months. If you find the face in the obvious asymmetry, you should see a doctor promptly and carry out the examination and treatment activities. The postoperative best results generally after 3-4 months. And its effect remains at around 5-10 years. Some skin conditions, striae fine, young, natural hold time longer; some rough skin, striae deep, coupled with the older, the effect of surgery is not as the former maintenance time will be shorter .
Face lift surgery should pay attention to what kind of problems:1) before surgery to a good clean facial skin and hair, and two days before surgery do not have the best cosmetics. Because many cosmetics contain hormones, surgery would have a negative impact.
2) surgery back skin swelling, showing purple petechiae, ecchymosis generally within 10 days can be absorbed disappear, facial edema recovery to take 2-3 weeks or longer period of time.
3) the postoperative early stage, facial and scalp skin feeling numb, dull, and later may also occur paresthesia, such as ants OK flu or water sense. Sensory changes is generally completely back to normal in about three months.
4) due to the surgical area of ​​the sebaceous glands and sweat glands reduce the secretion of the skin after surgery, the stitches after, should pay attention to the proper use of skin nutrients to protect the facial skin, so that it remains moist.
5) postoperative facial left and right sides may have a mild asymmetry in 1-2 months, by the skin, soft tissue repair to adjust back to normal. If it is found to face the obvious asymmetry in activities, you should promptly see a doctor for examination and treatment. Post-operative effect, usually after 3-4 months in order to show its best effect.