SURGERY OF FACIAL SUSPENSION
The technique of Russian threads is a procedure of facial rejuvenating that is used to elevate the brows eliminating the wrinkles denominated "hen paws", to lift the cheekbones diminishing the nasolabial furrows (of the mouth), and to recover the line of the neck that gets lost with the step of the time. Every time is bigger the number of men and women that enjoy the benefits of this type of surgeries that have become the ideal option for its natural results and little inability
The technique of the suspension for Russian threads responds to the necessity of procedures minimally invasive of facial rejuvenating that use small incisions. By means of this procedure are relocated the tissues that for action of the graveness, loss of weight, the natural step of the time, illnesses or the use of certain medications have been weakened and they need to be reconditioned to the structure of the face.
Frequents Questions
 ¿Am I candidate to this surgery? What age can it be carried out from?
The restlessness of the patients are usually solved through a photographic study by computer, where the facial surgeon and the patient define what modifications they want to fulfill and which could be the results. The facial suspension is recommended to patients that possess a flaccidity of light to moderate. This procedure is indicated basically to elevate the area of the forehead, the brows, improve the nasolabial furrows and to enhance the cheeks and the neck slightly.
It is also indicated in people that suffer of diabetes, hypertensive or elderly that can not undergo a surgery for their own condition and that they see in this an option minimal invasive. In the same way, this is for example a very useful procedure for those people that have suffered ptosis or fall of the lid like consequence of a facial paralysis.
When going to the consultation with Dr. Espinosa, your expectations are analyzed and other procedures are revised to optimize the results. All modification that is accomplished in the face should be carefully studied, since the ideal thing is to improve the bloom without affecting the natural expression. It frequently happens that the patients go to the facial plastic surgeon asking for certain procedure, but is
the professional who can determine which technique it is exactly the one that your face requires.
The surgery of facial suspension is usually carried out in patients older than 30 years, of both sexes. Nevertheless, some people according to their own family features, for premature aging, for illness or for lesions in the skin, they make the decision of carry out this surgery a lot before having been that age. Most of surgeons now at days coincide in that a small surgery on time can avoid a bigger late intervention. The results of the facial suspension are habitually highly satisfactory, because a rejuvenating is achieved almost scarless and through very subtle changes.
Besides the previous circumstances, it is important that your doctor observes the quality of your skin and your general state of health. This procedure is not recommended in people whose face possesses a skin with very marked flaccidity, or with excess of fat, in which case Dr. Espinosa will suggest a technique that is adjusted to the particular requirements.
¿How is this surgery fullfilled?
Before any intervention Dr. Espinosa accustoms to revise the patient's clinical history and to carry out a physical exam.
For the realization of this procedure the surgeon facial mark the area to treat, places the local anesthesia and immediately introduces a small stem in certain points related with the areas to get up where fixed the threads of sustentation. The threads are placed underthe skin, andthanks to that possess a jagged surface of traction in form of microscopic anchors, an effect of immediate rising takes place.
¿What type of anesthesia is used?
One of the benefits of the facial suspension is that it uses local anesthesia. When additionally are carried out other techniques, it is possible that it is considered to use another sedation type.
¿How are the threads that are placed?
It is about some polipropilen threads, broadly used for several years in surgery. However, the threads used in the facial suspension are not flat, but rather they have the particularity of possessing a grooved surface that allows that the threads are anchored and rise the tissues. They are also biocompatible, they are not rejected by the organism, they are of high resistance and they don't cause allergic reactions.
Many of them are reabsorbed, that is to say that the body eliminates them some months after its placement. In these cases the result is conserved because the tissues have had time of making comfortable to a position more juvenile and harmonic.
¿How long the procedure last and what tpe of anesthesia is used?
The procedure itself can have a duration of 30 minutes to an hour, it is carried out ambulatorily and after fulfilled, the patient can return home. The duration of the effects varies. No technique guarantees permanent and definitive results. This will depend on the quality of the skin, of the own organism, of the lifestyle and the additional cares that are provided to the skin. The effects can last between 8 and 18 months or much more depending on the particular characteristics.
¿What is gotten with the facial suspension?
Through the facial suspension it is possible to elevate the area of the forehead, the brows, to improve the nasolabial furrows and to enhance the cheeks and the neck slightly. The grade of improvement of the appearance depends in great measure of the characteristics of the skin and the patient's genetic bias. These conditions are previously analyzed by the facial plastic surgeon and if they are favorable the results can be dramatically positive.
¿What can I expect after the procedure?
This technique is minimally incapacitating. Once subjected to this procedure, the patient will follow the medical indications to the letter, avoiding to laugh or to gesticulate exaggeratedly and the exhibition in the sun or to the heat during four days. The bled is least or similar to which occurs when an injection is placed in the skin. The inflammation is generally minimal.
It is possible that you feel something of nuisance the later days to the surgery, circumstance that will vanish with the step of the time. In a same way, this technique is guided following the anatomical vectors and the demarcations that the specialist carries out for the itinerary of the threads, therefore, the risk of asymmetries decreases to the maximum. It is possible, nevertheless that some differences are observed while the tissues adapt to the new position, which is totally normal and will be able to be solved in a lapse of 15 days.
The patient that has been carried out a facial suspension will be able to see important changes in face. You will notice that have diminished the pleats in the forehead, you will see appropriately high their brows, less marked in their nasolabial arches and you will notice a light relief of their cheeks and neck. In younger people and when the skin presents a moderate flaccidity the changes they will be translated in a skin of flatter appearance and of less deep pleats.
¿Do the technique of facial suspension or Russian threads replace the surgery of facial rejuvenating or ritidoplasty?
No. The technique of facial suspension or Russian threads offer support to the superficial tissue while the modifications in the surgery of facial rejuvenating or ritidoplasty are executed in the deep structure of the face. The ritidoplasty has more durable effects for being a repair that implies the liberation of the tissues, modification of the fat, resection and replacement of the skin excess. For its complexity is a surgery that requires great know-how and has more duration in surgery room.
The technique of facial suspension offers excellent results and has the advantage of being little or nothing invasive and equally little incapacitating. Doesn't leave scars, it is done with local anesthesia and its costs are smaller. But is the medical surgeon who can recommend you thanks to his experience what procedure it is the one that your face needs. Remember that each person is totally different and that each procedure should adapt to your age, conditions of the skin, bony structure, elasticity of the tissues, grade of flaccidity or position of the wrinkles. After a precise evaluation of the particularities of the face, the surgeon designs and suggests a specific treatment that is studied with the patient, generally by a visualization of the changes for computer.
Dr. Espinosa recommends:
Before Surgery:
1. Not to consume medications that contains salicylic acid (Aspirin) and derivates.
2. Not to have smoked at least one month before the surgery.
3. To inform from possible allergies to medications.
4. To maintain realistic expectations with regard to the results of the surgery
After Surgery:
1. Check on exit that the formula, disability order and date of medical control order has been delivered.
2. Although the pain is usually minimal, inside the formulated medications an analgesic and an antibiotic are included. Take it according to the indications scored in the formula. . If you ends up noticing severe or persistent pain communicates immediately with us. Avoid taking Aspirin or medications that contain acetylsalicylic acid.
3. You can use cold compresses on the face for 20 minutes 6 times a day the first two days.
4. Avoid to speak and to make exaggerated expression movements for the first days.
5. it will be normal the sensation of tightness that will go giving with the step of the days.
6. You can use your eyes to read or match TV as frequently as you wish.
7. You should maintain resting at home during the first 2 to 5 days.
8. Not to drink alcoholic beverages neither to smoke for 3 weeks.
9. You shouldn't exercise either to lift things weighed by 15 days. You will be able to only do light aerobic exercise after three weeks and intense exercise after 6 weeks.
10. In general terms you will be able to return to your normal activity in a lapse from 2 to 5 days, if it is not exposed to drastic changes of environmental temperature, severe physical efforts or high risk of traumas or blows in the face. Avoid prolonged exposition to low temperatures.
11. You should sleep semi seated (at least with two pillows) during the first days to facilitate the decrease of the inflammation; sleep of side or face up, never face down.
12. To avoid undesirable changes of the appearance of your face should not be exposed in the sun directly during the first 2 months. Use Nasal solar protector during this whole time. When in outdoors you should use protection like parasol or hat.
13. To avoid any blow in the face, don't carry small children or pets after surgery.
14. If inflammation is presented it will be of smaller order and totally normal. If you present severe pain or fever contacts us immediately.
15. Some portions of your face can be slept by some weeks, this will disappear as the tissues heal.
16. It is very important that you follow the instructions given in the clinic and that you attend the planned controls. In the event of needing additional information, don't doubt to communicate with us to solve any restlessness as soon as possible.
17. The previous ones are general indications; don't doubt to call us if you need some explanation. Remember that the success of the surgery depends in a large part of the post surgery cares.
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