Face lifting is not indicated to eliminate “crow’s feet” or wrinkles around the lips, because these are not produced by aging but by muscle continued contraction. For this kind of wrinkles the best solution is face cosmetic Botox, injections of botulinum toxin of type A that prevent the contractions of the muscle it is injected into.

A lifting does not produce changes eyelids or top part of the eyes. If this were the problem you should  undergo a lifting specifically for the forehead and / or eyebrows.

The face cosmetic surgery method called lifting is divided into two parts:

• Superior or temporary:
  Also known as mini-facelift or facelift mannequin, it can be realized as an isolated procedure by elderly people, which don’t need rejuvenating cheekbones and cheeks, it will provide them a more bright look. This new facelift technique consists in an incision from both sides of the forehead to the upper part of the ears.
• Middle Zone:
  It acts on cheekbones and cheeks and in combination with the lifting of the eyelids (blepharoplasty), neck, forehead and eyebrows will complete the rejuvenation of the neck and face. The technique is similar to the superior one but there will be a third vertical cut on the side of the face, next to the ear.

The neck lifting will stretch out the skin and muscles, which over time have acquired a sagging aspect due to aging or hereditary traits and will eliminate the excess fat on the neck and the annoying “double chin”.  Sometimes this technique is performed in combination with a chin liposuction. To perform it the surgeon will practice an incision behind the ear and one on the nape.

These incisions are made by the surgeon to separate the muscles and the face skin, tighten and lift them. Also during the process the excess tissues are removed.

The beneficial results of the cosmetic surgery face lift are well known and lasting:

• It stretches the relaxed skin and relaxed face muscles
• It rejuvenates the face in adults. The more advanced is the degree of aging (wrinkles, relaxed skin), the more effective will the rejuvenation be.

• Neck lifting
• Eyebrow lifting
• Forehead lifting
• Cheeks lifting

In the case of a marked and more uniform aging face the patient is recommended a full facelift: the lifting of head and neck, which aims to rejuvenate the upper third of the face (forehead, eyebrows), the middle third (eyes, cheekbones , cheeks and nasolabial furrow) and the lower third (neck).

The lifting of head and neck offers the best guarantee of complete rejuvenation of the face: in people where signs of aging are marked, in fact, is inadvisable to proceed with “segmental” lifting (only the neck or only the forehead).

Often the patient’s request is directed to one anatomical region that most disturbs her or in which she focused her attention. Accommodate these wishes often means producing a cosmetic damage that increases the contrast between the anatomical treated region and the other untreated ones.

Neck lifting

From the age of 35-40 years it begins to become clearer the relaxation of the neck tissues (skin, tissues and muscles) and the two central ribs of the platysma muscle (double chin). It’s a classic sign of aging, caused by failure of cervical tissues and their loss of elasticity. It’s a very clear imperfection that can be corrected surgically with the lifting of the neck.

For some patients the aging face is limited to only certain parts, such as the neck for example, so a “sectoral” face lift approach can be proposed, one that is limited in size (only the neck,  only the forehead, etc. …).

For other cases, the aging signs are evenly spread throughout the face and the neck area, then the patient must be treated with “complete” head and neck lifting.

The aim of the neck lifting  is to lift and reposition the skin and the muscle groups that have turned relaxed and have lost elasticity. This is an operation lasting two hours if limited to the neck and of longer duration in case of more extensive cosmetic face lift.

If there is accumulation of adipose tissue (fat) the lifting is combined with liposuction of the neck under local anesthesia with sedation.

The scars are hidden behind the ears and in some cases you will require an incision below the chin but it will leave no visible imperfections. After the surgery swelling and bruising of the neck may appear but will disappear by themselves in about 10-15 days.

Eyebrow lifting

It is common to see the tail of the eyebrow down, even in young people, especially males. This feature gives the face a gloomy, worried look.

Correcting this problem is really simple and you can do it as a single process or combining the lifting with the upper blepharoplasty (they share the same incision to access). In the latter case, the access incision is hidden in the scalp. In either case the end result is the rise of the third side of the eyebrow.

This lifting is done in outpatient surgery under local anesthesia.

Forehead lifting

When all the eyebrow is lowered correction is possible by lifting the forehead.

The forehead is affected markedly by the effects of aging, sun exposure, lifestyle (smoking, alcohol, little sleep, stress in general), hormonal changes and shows them with the appearance of wrinkles, accentuated lines of expression and with a lowering of the eyebrows caused by the loss of tone and the collapse of the skin and underlying tissues.

The forehead lifting is the surgery that “raises” and repositions the forehead tissues (skin, tissues, muscle) that have slipped down returning a  fresh and bright look, typical of young people. Unlike surgery limited to the eyebrows it improves the whole appearance of the forehead, eliminating wrinkles on the sides of the eyes (called “crow’s feet), wrinkles of the forehead and glabellar lines.

The upper blepharoplasty can be combine with a forehead lifting, to remove excess skin of the upper eyelid and to get a great rejuvenation of the upper third of the face and orbital area without altering the appearance of the face.

The forehead cosmetic face lift has undergone many changes in surgical technique, it is now a very “soft” procedure for the patients, more than the old technique with coronal incision. It is practice with small incisions hidden in the hair, under local anesthesia with mild sedation in outpatient surgery.

Overall, what the patient appreciates most is the remarkable improvement of the severe expression that affected the patient before undergoing this face cosmetic procedure.

Cheeks lifting

Like the face and neck, the tissues of the cheeks undergo relaxation and loss of elasticity and firmness. This creates the nasolabial grooves, the definition of the jaw is lost and the classic depression under the eyes appears. It’s a normal condition linked to the aging process that involves not only the surface layer of soft tissue (skin), but also the underlying tissues. In this case the remedy is only by means of surgical facelift which may be limited to the cheeks or combined with other regions of the face needing an equal treatment, namely the neck and forehead .

Often the lifting of the cheeks is associated with the rejuvenation of the lower eyelids (lower blepharoplasty) : from these two surgical approaches  the soft tissue covering the cheekbones (lifting of the middle third of the face) can be repositioned that, because of age, have slipped down and caused zygomatic wrinkles.

The cheeks and the middle third of the face lifting is an intervention practiced under sedation with a hospital stay of a few hours after the procedure.

The access incisions are hidden in natural contours of the ear and the lower lid (similar to those of lower blepharoplasty). 

In face cosmetic liposuction the use of very thin special cannulas permits, in the hands of an experienced surgeon, the return in shape of more harmonious contours of the face and neck.

The mini-incisions that allow the insertion of the cannulas are mostly hidden from view and not leave visible marks on the skin . The anesthesia required for this action is accompanied by local sedation. The infiltration of vasoconstrictive substances minimize the bleeding and the patient can go home immediately after surgery.

The surgical aspiration of excess fat requires an appropriate degree of skin elasticity needed to allow the skin to adapt to new volumes and is performed after the local infiltration of a certain amount of anesthetic and vasoconstrictor substances, according to the most advanced technique of liposuction, called tumescent. The surgeon inserts a thin tube under the skin that goes exactly into the fat excess. Through precise back and forth and arc movements he sucks and shapes the fat responsible of imperfections. At the end of the surgery, and applied the necessary stitches, he applies a compression bandage to be removed, along with points, after 7 days. To accelerate the reabsorption of edema and ecchymosis (normal results of liposuction) it’s recommended to undergo a course of manual lymph drainage and a few sessions of laser therapy.

The face cosmetic liposuction adopted today is far superior in terms of aesthetic quality and safety if compared to those conducted in the past. The thinner cannulas allow a precise action and a thorough remodeling, and not negligible detail, the scars that are practically insignificant. The surgeon pays particular attention to the study phase of liposuction, in order to practice the minimum number of incisions and places them in hidden areas or along the natural skin folds. The administration of vasoconstrictors prior to surgery prevents excessive loss of fluids typical of traditional liposuction and so respects more the tissues.

Liposuction before and after:

Before face cosmetic surgery:

• Inform the surgeon of any possible drug treatment (particularly steroids, contraceptives, antihypertensives, cardiac, anticoagulants, hypoglycemics, antibiotics, tranquilizers, sleeping pills, stimulants, anabolic steroids, etc..).
• Stop taking medicines containing acetylsalicylic acid (eg, Alka Seltzer, Ascriptin, Aspirin, Bufferin, Cemerit, etc..).
• Eliminate or reduce smoking at least one week prior to surgery.
• Immediately report the occurrence of colds, sore throat, cough, skin diseases.

After face cosmetic surgery:

• Arrange to be accompanied home by car after the surgery.
• You can take a shower and return to any sports activities only after the removal of points
• Avoid for at least 1 month direct exposure to sunlight or intense heat (eg sauna, UVA lamps).
• The compression garment should be worn for a variable time set by the surgeon and depends on the laxity of the skin and the need to give the desired concavity to the neck.

The effects of IPL photorejuvenation are many and effective on almost all skin blemishes. It reduces redness of the skin contracting blood vessels that have become visible, it reduces face acne and rosacea, it reduces the pores size, it eliminates discoloration, imperfections and wrinkles.

The treatment is one of the safest processes based on light and it is practically painless. Most of the patients don’t feel any discomfort when the IPL is applied on their body, while some feel a slight prickle. Side effects are temporary. Redness, bruises and inflammation disappear in a couple of days. Not being a cosmetic face surgery it is possible to go back to social and working activities right after a session, not needing any post operative period. The only precaution is to avoid sunlight exposure for two weeks after any session. Please bear in mind that people with dark skin, tanned people and Afro-Americans can have poor results for their skin characteristics. It is suggested that they talk to a specialist before the kind of treatment. This is because of the way IPL works, that relies on the melanin in the hair and skin of the patients.

IPL photofacial works deep into the skin, so to improve the treatment it can be used in combination with other face lift cosmetic procedures that work on the surface of the skin, such as dermabrasion, microdermabrasion, peeling and fractional laser, all acting on the epidermis.

The number of recommended sessions goes from 3 top 5, depending on the initial conditions of the are to treat. Pregnant or breastfeeding women should not undergo IPL photofacial , as well as any other face cosmetic or body cosmetic treatment. Also in case of pronounced scars or opened wounds the treatment should be suspended, while occasional spots or moles will be covered. In case of any other disease or disorder it is recommended to consult a doctor. However, even if the doctor allows you to undergo the treatment, always tell the specialist that will treat you any possible health issue you have or had in the past.

The cost of a IPL photofacial treatment depends on the sessions needed and the area to treat. A face cosmetic treatment is more expensive than a treatment for the neck for example. Approximately a treatment costs from $250 to $500. This price can vary from country to country. Also look for financing options, that nowadays are available at any medical or aesthetic center.

Botox is the trademark for a product that uses the active principle of the botulinum toxin, produced by the bacteria Clostridium botulinum, which is one of the most lethal known toxin. This toxin (called Botulinum toxin A) is deadly because attacks a protein related to the neurotransmitter that contracts the muscles. When the bacteria attaches to the nerves ending, and prevents this neurotransmitter to be released by the protein, muscles can’t contract and paralysis come up. If this happens to the respiratory system the attacked person dies for asphyxia.

Let’s talk about face cosmetic, though, and let’s see how this deadly neurotoxic protein can help you achieve a younger and better look. The key point in Botox is that in small dosage and administered locally the botulinum toxin A is not deadly, but perfectly tolerable. Injected right in the muscles that causes the wrinkle the toxin will not spread in other body areas, so the process is safe.
Botox is very effective to reduce furrow lines or frown lines, crow feet, neck bands and so on. In general, paralyzing the contraction of muscles helps in any case of spasm, from blepharospasm to strabismus to cervical dystonia.

So, why is Botox so effective? A muscle unable to contract is a muscle that cannot wrinkle. As simple as that.

Botox face cosmetic treatments are popular also because they are easy to undergo and give fast results. One session takes place in 10 or 15 minutes and improvements in your cosmetic face lift can be seen after a couple of days if not hours. The operation is not painful, not more than a regular injections and of course the whole process is done without anesthesia (not being an invasive cosmetic surgery face lift). There is no post operative period and you can go back to your social and working life immediately right after it. However some side effects may occur. The most frequent ones are droopy eyelids, nausea, facial pain and a slight bruise in the zone where the injection took place.

The effect of Botox is not permanent. It will slowly begin to fade approximately four months after the first injection. This period may change depending form the patient and goes from three to eight months.

Botox is the most famous product for face cosmetic based on Botulinum Toxin A, but there are other similar products. Allergan Inc. itself sells Botox, Botox Cosmetic, Vistabel and Vistabex. Ipsen Inc. markets Dysport Cosmetic, Dysport and Reloxin while other products are Myoblock/Neurobloc (Solstice Neurosciences Inc.), NT-201/ XEOMIN (Merz Pharmaceuticals) and PurTox (Mentor Corporation).

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The treatment called Mesotherapy comes from France and consists in administering small doses of homeopathic products in the first layer of the epidermis (just under the skin) through injections that cause no harassment at all.

These injections get a progressive decrease in the volume of the affected areas, acting directly on the adipose tissue they release excess fat and toxins. But mesotherapy is also a method of antiaging. The type of products that apply in mesotherapy varies whether the patient wishes to metabolize and accelerate the walls of the fat cells to accelerate the disintegration of the fat itself or improve the circulation and oxygenation, produce more collagen and elastin and have a better looking skin.

In face cosmetic, mesotherapy is a technique for rejuvenating, toning and revitalizing the skin of the face, even if it also applies to the upper chest, neck and hands. It is realized through the direct application of vitamins, minerals and hyaluronic acid in microinjections. These microinjections contribute to the stimulation of different biological metabolism of the dermis, as well as to the renovation and repair of damaged skin. Injections of mesotherapy face cosmetic consist of vitamins, amino acids, minerals, etc.. that act regulating the cells growth, preventing the oxidation and aging and stimulating the synthesis of collagen, elastin and other processes vital to the balance of the skin and the cellular metabolism. If a further enhancement of the results is wanted, “cocktails” can be used. They usually consist in a mix of vegetable liporeducers, circulatory and reaffirming compounds that reshape the figure and lift the face.

In summary, with the facial mesotherapy, products (vitamins, hyaluronic acid, minerals, etc…) are introduced in the skin, rejuvenating it.

Mesotherapy face lift cosmetic improves the feel, the brightness and the thickness of the skin. Other advantages are that it gives more volume to the face tissues and restores the facial contour, reducing the loose skin, stimulating the activity of fibroblasts and thereby, improving the skin regeneration and hydration. It helps reducing the flaccidity of the face, neck, upper chest, and / or hands and adds extra brightness to the skin. it provides deep moisturizing making your skin smooth and radiant.

Face cosmetic mesotherapy has a strong effect but of limited duration, to keep it a session a month is required. It is ideal as preparation for weddings, birthday parties or for women concerned about their appearance, who work with the public, and for professionals who live with their image as showmen, models, actresses etc.

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