People are more and more concerned about the problem of the extension of youth. And there are a lot of various technologies and methods of modern cosmetology. One of them is the contour correction with the use of propylene threads that replaced the surgical facelift procedures. This method allows lifting of "tired" eyebrows, lip corners, smoothing of unwanted wrinkles on the forehead, nose bridge, reducing of the nasolabial folds, improving of chin line, without serious trauma. If we consider the process of photoaging from the pathogenetic point, we can see that the processes of decay affect all three layers of skin: the epidermis, which is responsible for the color, texture and wrinkling of the skin, the dermis, which determines the tone and color, and the hypodermis, which models a face mask. All three layers are degraded in the process of photoaging.
This occurs mainly at the biochemical level. Therefore, in dealing with this kind of degradation, we can use biochemical methods of influence, such as peelings of varying depth, chemical lifting programs and deep moisturizing, and mesotherapy techniques. With the help of modern biochemical techniques it is possible to achieve very good results with proper management of patients.
But the impressive results can be achieved only when working with subcutaneous fat. The problem lies in the fact that the gravitational ptosis primarily effect on this skin layer. This is physical force, under the influence of which the skin flap of our face starts to sag over the time, giving the face a mask of weariness and discontent. Therefore, in the age of 40 - 45 years, even with the wrinkle-free skin with a good tone, you will still have a weary and sad look that indicates the burden of past years. The chemistry is not successful in the struggle with the force of Earth's gravity. Until recently, the most effective way to lift the sagged tissue was plastic surgery. But, unfortunately, this method has contraindications including general anesthesia, and in heavy faces with a thick skin the desired effect often is not achieved, and very often disrupts a face architectonic (a face becomes not native). Quite a long rehabilitation period after surgery brings its own moral and aesthetic difficulties.
Nowadays the methods for thread lifting are developed all over the world. They are minimally invasive, although are they are implanted into deeper tissues to the level of subcutaneous fat, as this layer of the skin is exposed to the strongest gravitational ptosis. A medical polypropylene is used as suture material. It is not biological and immunotolerant, and is used in surgery for several decades.
In France, polypropylene threads are called the threads of beauty, since fixing the subcutaneous fat with connective tissue stroma in three-dimensional space (due to incisions on the propylene thread), they form a framework that preserves the proportionality of all soft tissues and keeps them from relaxation and ptosis for a long time.
These threads have not only restorative, but also preventive qualities. The procedure is performed under conditions of the first-aid room or small operating room. After history taking, the patient is being marked with surgery lines that correspond to the location of threads in subcutaneous fat matrix. After marking the patient, the local anesthesia is performed via lines of the introduction of threads and then the cannula with blunted end is being administered under the skin at the level of the hypodermis. Due to this, the risk of rupture and damage of major blood vessels and nerve trunks is reduced to a minimum, as well as the risk of damage of dermis by threads, in cases of which the dermal tightenings are formed on the skin, making the face uneven. The thread with enough sturdy polypropylene incisions is administered through the cannula. These incisions, during the liberation from the cannula must be mounted tightly on the subcutaneous fat tissue, and subsequently, by pulling the threads, they lift the sagged fat in all three directions X, Y, Z.
Finally, the thread ends are cut off and are hidden in the skin. At the same time one end lies freely in the fat tissue, and the other end is fixed in the facial aponeurosis or fascia. This arrangement of the threads does not interfere the mimic movements. The tension on the Y-axis is peculiar mainly to Brazilian threads, so they show themselves very efficiently in the faces of age - particularly in heavy faces with thick skin.
The operation lasts for 40 - 50 minutes, after which the patient can go home on his own. The rehabilitation period depends on the individual and usually lasts from 3 to 10 days. The primary result is seen immediately after implantation of the threads and increases during 6-9 months as fat tissue shrink and the dermal matrix reduces.
The tension on the Y-axis is peculiar mainly to Brazilian threads, so they show themselves very efficiently in the faces of age - particularly inheavy faces with thick skin. The rehabilitation period depends on the individual and usually lasts from 3 to 10 days. The primary result is seen immediately after implantation of the threads and increases during 6-9 months as fat tissue shrink and the dermal matrix reduces. It is worth mentioning that the less skin is stretched under the influence of fat ptosis, the more ideal would be the result. Therefore, the most recommended age to achieve a perfect result is 38 - 48 years.
There are no contraindications to this type of lifting, except very rare, severe diseases.
Postoperative care is not very difficult. Usually, after 3-5 days the patient is undergone the procedure that promotes more rapid shrinkage, alignment of the skin whitening. Effect lasts about 5-10 years, after which you can add new threads. Those who want to tighten the dermal matrix re-stretching of the skin can make an easy surgical facelift in the future.