The traditional face-lifting wrinkle only tightens the skin, and the effect can only last for 2 ~ 5 years. Wrinkle removal technology corrects many tissues related to aging changes, such as fat, muscle and other deep tissues of the face and neck, and tightens the skin. For many people, the effect of surgery is lasting, and the relaxation of fat and muscle is limited, but the skin will relapse and relax over time. How long can modern wrinkle removal technology last? Frontal wrinkles are called dynamic wrinkles, which are caused by the contraction of frontalis muscle (forming the line of looking up), frown muscle (vertical line between eyebrows) and depressor muscle (horizontal line of nose root) to achieve facial expression. Surgical incision is selected on hairline or in hair. Surgical separation of forehead skin and muscles, cutting or cutting off muscles, and then tightening the separated skin and eyebrows upward and backward respectively to remove excess skin.
Indications: forehead striation; Vertical lines between eyebrows, crow's feet, horizontal lines on the back of nose, drooping eyebrows, drooping skin on the upper eyelid and bags under the eyelids.
Advantages: less damage and good effect.
Disadvantages: the scalp on the top of the head is numb for about 3 months after operation, and the incision may be bald. Temporal rhytidectomy is to eliminate or alleviate crow's feet. Crow's feet is a dynamic wrinkle caused by long-term contraction of orbicularis oculi muscle, which is located outside the outer corner of the eye and radiates around the outer corner. Surgical incision can be selected on hairline or in hair. The skin was separated and the orbicularis oculi muscle was treated during the operation. Then pull the skin back and up, remove excess parts, and carefully sew the incision.
Indications: crow's feet, lower eye bags, drooping eyebrows and drooping eyes.
Advantages: less damage and good effect.
Disadvantages: crow's feet are not corrected obviously, and sideburns are easy to shift. The research on face and neck wrinkle removal technology and its related anatomy has made rapid progress, which is mainly reflected in the understanding and utilization of muscle aponeurosis. The surgical incision is along the hidden groove behind the ear. During the operation, the skin such as muscle aponeurosis layer is separated, and then the muscle aponeurosis layer is forcibly lifted up and fixed, and then the skin is pushed back and fixed, which is called "two-way tightening", and a good "rejuvenation" effect can be obtained after the operation.
Indications: crow's feet, drooping eyebrows, drooping eyes, shallow forehead and eyebrow lines, deep nasolabial groove and loose neck skin.
Advantages: nasolabial groove, collapsed cheeks and neck skin have been corrected.
Deficiency: At one stage, facial expressions appear unnatural. The application of endoscope in clinical medicine is nothing new. The application of endoscope in plastic and cosmetic surgery is a newly developed technology, which is limited to forehead rhytidectomy. During the operation, the endoscope is introduced through a small incision in the scalp. Under the direct vision of endoscope, the deep surface is accurately separated, and muscles are cut or removed with special tools. Then push the skin and scalp upward and backward, and tighten the excess part of the forehead, that is, pile it on it and on the pillow.
Suitable for people: women with mild and moderate skin relaxation and no deep wrinkles.
Advantages: small incision, less bleeding, light injury and accurate operation.
Shortcomings: The redundant part cannot be removed, and it is not suitable for people with high forehead (above 7cm).
Advantages of endoscopic wrinkle removal
(1) Endoscopic rhytidectomy will not cut off the sensory nerve of the scalp skin, resulting in sensory loss of the scalp;
(2) The effect of endoscopic wrinkle removal is more lasting, and it will not recur in theory. After this operation, women aged 30-40 may not have to worry about wrinkles in the future;
(3) When lifting loose skin, the endoscopic wrinkle removal is fixed with imported absorbable peptide nails, so the skin is tensionless, does not harm the hair, and does not have the stiff feeling of "mask face". It is the "foreign things serve China" of endoscopic wrinkle removal technology. For some relatively young patients who are not deep in wrinkles and are afraid of traditional wrinkle removal surgery, small incision can be used to remove wrinkles. Only two or three small incisions were made in the forehead and temporal region (1 cm). Through special surgical instruments, the deep skin and muscle were separated by blind method or with the help of endoscope, part of the frontalis muscle, frown muscle and eyebrow depressor muscle were removed, and the raised flap was squeezed and fixed towards the top of the head to reduce the wrinkles on the forehead skin.
Applicable people: suitable for forehead, brow wrinkles, loose skin or simple eyebrow lifting.
Advantages: small incision, little damage and quick recovery.
Disadvantages: Excess skin is not removed, and the duration is short.
Advantages of small incision rhytidectomy
1, the incision is small and hidden: the incision is about 0,5-1cm long, hidden in the hair, and there is no incision on the cheek.
2, the operation time is short: the whole face is about one hour, and the eyes and cheeks are 30 minutes each.
3. Slight postoperative reaction: postoperative swelling is slight, and there is no obvious subcutaneous congestion. The swelling is basically reduced in 2-3 days, which does not affect normal social activities.
4, no hospitalization, no stitches, you can go home after the operation. The technology of laser used to eliminate wrinkles is the result of many improvements, perfection and constant renewal after laser technology is applied to clinic. Laser wrinkle removal is a computer-controlled, low-energy CO2 laser, which can accurately control the depth of vaporized skin surface, vaporize in layers and not carbonize, and complete facial wrinkle removal and skin care technology. The thermal effect of the laser beam on the target tissue carbonizes and cokes the tissue to eliminate the diseased tissue. The wrinkle removal and skin replacement technology without carbonization has little damage to the skin.
Suitable for people: middle-aged and elderly people who are generally in good condition, and people with loose skin, wrinkles, periorbital wrinkles, mouth and cheeks are the best indications.
Advantages: less bleeding, less injury, short operation time, no need to stop bleeding, no need to suture the wound, and rapid postoperative recovery.
Insufficient: At present, the domestic experience is slightly insufficient. Endoscopic plastic surgery and wrinkle removal methods;
In fact, its principle is similar to that of traditional surgery, except that the endoscope only needs to open three small holes in the forehead, one small hole in front of the other two ears and one small hole in the back of the ear, so that seven small incisions of one centimeter each can be used to replace the big wound of traditional surgery, and then the skin under the skin is pulled open by the endoscope, and then the suture is lifted upward and backward or fixed with steel nails to increase the tension. Excess skin does not need to be removed, just stick it on the top of your head and behind your ears. This operation has a good effect on patients with mild skin ptosis. The most important thing is that the wound is small, swollen and the recovery time is short. However, if the patient belongs to severe skin ptosis, the effect is not as good as that of traditional surgery.
Complications of endoscopic facelift and wrinkle removal;
In addition to the risk of anesthesia, a few people will also have complications such as wound bleeding, wound infection, skin necrosis, baldness, nerve injury, pigmentation and scar. Methods: Only 4-5 small incisions are needed in the scalp, which is a minimally invasive and efficient wrinkle removal operation. At the same time, it adopts the latest special fixator for endoscope-five-claw hook, which is made of biochemical synthetic materials. The thin and transparent "five-claw hook" can hook the tissue in a large area, so that the tissue is not easy to loose and droop, and it melts automatically after half a year, and is naturally absorbed by human skin without any adverse effects.
Advantages: It is suitable for women with mild and moderate skin relaxation and no deep wrinkles, with less surgical trauma and quick recovery, which can improve the symptoms of mild ptosis and avoid complications such as alopecia and fur numbness.