COSMETOLOGY IN OUR CLINIC
Treatment of varicose disease with the method of sclerosing therapy (this method is not traumatic, is carried out in ambulatory and gives good cosmetic effect). Nowadays the method of compression sclerotherapy is the most effective treatment of varicose treatment and its complications.
Consultation of the plastic surgeon, preparation of patients for operation (operations are made in the medical centre «TerraMed», which has long-term operational experience) on following problems:
1. Figure correction
2. Removal of excessive adipose deposits with the method of liposuction
3. Plastic of eyelids, ears, lips
4. Removal of keloid cicatrices, scars, tattoos
5. Building up of hairy region of the head
6. Breast plastic, reconstruction of mammary gland after oncologic operation.
CORRECTION OF EYELIDS
Change of face skin, lowered eyebrows and thickened upper eyelids are first signs of normal process of ageing. Besides wrinkles and lowered eyelids so-called bags under lower eyelids and in internal corners of upper eyelids can be marked, the cause of which is weakening of soft tissues round eyes. These signs in the morning, swelled up eyes can already appear at the age of 25. More often such bags appear under eyes at the age of 30-40 , and this phenomenon aggravates at 50 years old. Very heavy eyelids can even impede sight. Results are rather steady – big bags under the eyes are not formed any more even if by the time e new wrinkles round the eyes are created . Sometimes operation of eyelids correction is made simultaneously with the operation of face circular section. This is a real art – to hide sutures round eyes so that cicatrices remained in natural folds of skin and the make-up would give natural result.
We make this operation under LOCAL ANESTHESIA that is quite enough; according to your desire operation can be made under easy general narcosis. Choosing the method of anaesthesia we beforehand examine sensitivity of the patient, the most suitable method of anaesthesia is determined by the doctor-anesthesiologist of our clinic during preoperative conversation with you.
AFTER OPERATION bandage are left for one-two hours, for hypostasis removal ice compresses are made to remove edema. It is necessary to lay ice compresses the following 4-5 days twice a day. You should lie on the back and to hold the head raised. Sutures are removed on the 3-4th day.
BEFORE CONSIDERABLE IMPROVEMENT OF APPEARANCE the face will look a little swelled up and reddish. It is the inevitable postoperative period which can be a little stressful for you . However this period passes quickly. If you have had simultaneously operation of eyelids and face circular section you will be able to appear in public in 3 weeks. Edema is the most seen in 2-3 days after operation. You will be able to bend, wash the floor, go in for sports and bathe in 3 weeks.
OPERATION OF EYELIDS CORRECTION IS CONSIDERED OPERATION WITH RARE COMPLICATIONS. However, eyes can burn, water and swell up, that vanishes by time, but even the most skilled surgeon cannot completely exclude possibility of occurrence of complications. If operation is carried out under the general narcosis, that means one can’t eat and drink 6-8 hours before operation. Operation lasts about 40 minutes -2 hour. 2 hours you should stay in clinic under supervision of the nurse2 hours and 7 days at home with the sick-list. So recovery and returning to a normal rhythm of life (including sex) take 1-2 weeks. Complete recovery , possibility of going for sports – in 3-4 weeks. And the best results will appear in 4-6 months.
BEFORE OPERATION WE RECOMMEND: give up smoking; besides health impairment smoking also causes deviations in healing of wounds. We recommend to give up smoking at least four months before the planned operation; take 500 mg of vitamin C daily during a month before operation; we also recommend you a course of lymphatic massage during a month before operation.
AFTER OPERATION WE RECOMMEND: you should start lymphatic and acupressure massage in 10 days after operation (10 sessions with a two-day break); the classical facial massage can be started in 1,5 months after operation. Eyes should also be protected from the bright sunlight (for example to wear dark goggles). If you have any questions on care of face skin we recommend you to visit our cosmetologist who will give your the best advice about the further care of face skin.
BREAST PLASTY (MAMMOPLASTY)
PROBLEM: SMALL BREASTS
Before the operation: Ultrasonic examination of mammary glands
Operation: endoprosthesis of mammary glands
Advantages: nо incisions on the breast, natural shape of the mammary gland, operation is minimally traumatic, carried out under the optic control that provides placing a scar in the least visible location.
Advantages over the traditional operation: anesthesia.
Implants: McGhan round shape, McGhan anatomical shape
The best McGhanimplants, filled with highly cohesive silicone gel are used, that provides keeping the prosthesis shape even in the case of the shell rupture.
There are two variants of placement of the prosthesis: under the pectoral muscle, under the mammary gland (it’s possible only when the amount of breast tissue is enough).
IN THE MORNING AFTER THE OPERATION: the bandages are removed and only the small plaster covering the wound and the special bra supporting the breast are put on.
Sutures are removed in 10 days approximately.
You mustn’t eat and drink 3-4 hours before the operation.
If the operation is carried out under the general anesthesia, you mustn’t drink and eat 6-8 hours before the operation.
The operation lasts about two hours.
24 hours’ staying in the clinic under the nurse’s control.
3-4 weeks – recovering, getting back to normal life activities (including sex)
4-6 weeks- complete recovery, sport activity.
2-3 months – revealing of the best results
AVOID TAKING ASPIRIN TWO WEEKS BEFORE AND THREE WEEKS AFTER THE OPERAION!
BEFORE THE OPERATION WE RECOMMEND:
take 500 mg Vitamin C daily 1 month before the operation;
we recommend you lymphatic massages 1 month before the operation
AFTER THE OPERATION WE RECOMMEND: start lymphatic and pressure point massage (10 massages with two days’ break) 20 days after the operation.
YOU SHOULD BY A SPECIAL TIGHT-FITTING BRA TO WEAR AT HOME
AFTER THE OPERATION YOU ARE NOT ALLOWED: to do hard physical work, to go for active kinds of sports, for instance, aerobics, exercises with training devices, diving from the springboard, and also staying in the bending position for a long time ( washing the clothes).
How to remove excessive fat of your belly for good??
Abdominoplasty is not the operation for treatment of obesity and the weight loss!
Abdominoplasty is the plastic operation to remove excessive tissue and fat of the anterior abdominal wall that reveals in the form of sagging and protruding of the belly. Complete (full) abdominoplastic operation consists of excision of excessive tissue of the abdomen, liposuction of the remaining cutaneous-subcutaneous flap, stitching the muscles of the anterior abdominal wall, placing the navel to the proper level.
The goal of abdominoplasty is to give the abdomen the shape maximally to the ideal. Therefore abdominoplasty is first of all the contour plastic operation.
Neither diets, nor physical exercises can’t usually help with loose and sagging abdomen.Even very slender woman can have protruded abdomen.
Plasty can also be done in case with overstretched skin of the abdomen, when stretch marks (striae) are seen, or with postoperative scars.
So the main goals of abdominoplasty are:
- forming of firm and tightened surface of the abdomen
- forming of waist with strong lines
- removing of flabbiness of musculoaponeurotic layer (muscles are tightened and stitched, restoring the abdominal profile)
- excision of sagging skin flaps and fatty apron
- correcting of post-natal stretch marks (striae) and age changing of the abdominal wall
Directions to the abdominoplasty are:
- Excessive skin and subcutaneous fat of the anterior abdominal wall, that can’t be removed by other methods ( diets, physical exercises, liposuction, combination of these methods)
- When liposuction can’t be done as skin is not elastic.
- Stretch marks (striae) with excessive skin on the belly
Cutaneous-subcutaneous fat and ptosis (drooping) of the anterior abdominal wall.
Separating of rectus muscles of the abdomen and general stretch of the muscles
Heavy post-operative scars in the lower abdomen.
CONTRAINDICATIONS FOR ABDOMINOPLASTY ARE:
- Uncompensated pulmonary and cardiac insufficiency
- Decompensated diabetes
- Planned pregnancy in the nearest year
Plasty of the abdomen (operation):
Marking is done right before the operation. Anatomical points, cutting lines, size of cutaneous-subcutaneous flap are determined.
Operation consists of separating and incision of skin and subcutaneous fat of the anterior abdominal wall. Generally, plasty of the abdomen is carried out with moving of the navel as the lower parts of the abdomen can’t be tightened without this technique.
Plasty( tightening) of the muscles of the anterior abdominal wall is also carried out that is necessary to change the profile of the belly. If hernias or separation of the muscles of the anterior abdominal wall are revealed during the operation, the plasty of these defects is also done. A long scar (30-40 cm) above the pubic area and the scar around the replaced navel (almost invisible) remain after the operation.
Postoperative period after abdominoplasty.
Scars (horizontal, and sometimes vertical) will remain on the anterior abdominal wall.
Scars look like pale thin lines, no wider as 1 mm, as a rule.
Some parts of the abdominal wall can lose normal sensitivity (it will get back in 1-3 days after the operation)
There are edema of the abdominal tissues and bruises during 3 weeks..
The accumulation of tissue fluid or blood under the abdomen skin is possible
Liposuction is the method of vacuum removal of local deposits of fatty tissues. Fatty deposits are usually removed from the thighs, hips, buttocks, body, calves, in the area of knee joints and in the mental area.
Diets and physical exercises can change the size, but can scarcely change the shape.
The purposes of operation: to improve the body’s contour, to do normal proportions between parts of the body, to improve the appearance , of the man dressed and undressed.
Three important advantages of the liposuction:
- The operation gives rather permanent result, as the scar is formed on the place of fat cells deposits, storing the fat.
- There are not almost skin scars left after the operation.
- The method is high safe: postoperative complications are quite rare, if the fatty tissue is normally developed (there is no obesity) and the skin is elastic enough.
WHAT IS NECESSARY FOR SUCCESSFUL OPERATION: the patient must be in good health at the moment of operation ; he mustn’t take any medicines, containing aspirin 10 days before the operation and he must give up smoking within 3-4 weeks after the operation; he also must have a bath in the evening before the operation.
HOW LIPOSUCTION SURGERY IS PERFORMED:
The fat is removed through a small incisions (10-15 мм) in the skin with small metallic cannula and special vacuum device; skin wounds are stitched with hidden cosmetic suture and plastered special compression tights are put on at the end of the operation.
POSTOPERATIVE PERIOD: after the operation patients may experience slight fever during 3-4 days; patients wear all the time a tight-fitting elastic garment over their surgical site to compress the affected area for prophylaxis of skin sagging and hematomas during 2-3 weeks, and then only in the day time – 1,5-2 months ; the temporary disorders are: change of colour (bruises) and swelling of the tissues in the operated areas, firmness of the tissues, numbness of some skin areas, limited mobility, general weakness.
Rhytidectomy (facelift) consists of a number of procedures, used to remove or reduce wrinkles and sagging. We recommend phytidectomy for the persons over 40 years of age, and in some cases – for the younger persons. The Operation helps to keep youthful, fresh appearance, and also slows down (but doesn’t stop)the process of aging.
Incisions are made in front of the ears and behind them, on the forehead and on the temples extending up into the hairline, lower tissues and excessive skin are removed. The operation usually involves the neck and the chin area and the cheeks. The forehead and the brows are sometimes also corrected , but as a rule another operation is carried out to correct them ( and eyelids s well). Postoperative scars are in the places where the skin naturally crease and where they can be disguised easily with the hair or the make-up.
Facelift operation is done under general or local anesthesia, depending on the patient’s health and wish. General anesthesia is done by the skillful doctor-anesthesiologist, who finds out during the talk with the patient which kind of anesthesia is the most optimal for him. You will not feel any pain even under the local anesthesia. After the operation done under the local anesthesia you may be able to go home this day, but we recommend you to spend one-two nights in our clinic. After the operation under the general anesthesia one day’s staying in the clinic under our staff’s careful observation is necessary.
You have to go to the doctor one-two times for the control during two weeks after the operation. All necessary procedures and bandaging are done in our clinic. Bandage, supporting the face, the neck and the chin area is recommended to wear one-two weeks 24 hours if it’s possible.
Stitches are removed in 1-2 weeks (individually)
If the operation is done under general anesthesia, you mustn’t drink and eat 6-8 hours before the operation.
The operation usually takes three hours.
1-2 days’ staying in the clinic under the nurse control.
21 paid sick days
3-4 weeks – recovering, getting back to normal life activities (including sex)
8 weeks – complete recovery, sport activity
6-8 months – revealing of the best results.
WE RECOMMEND BEFORE THE OPERATION:
Take capsules VIADERM once a day during one month – they give good tonus for your skin and prepare it for the operation (ask the administrator of the clinic).
We recommend to take lymphatic massage one month before the operation.
WE RECOMMEND AFTER THE OPERATION:
Take capsules VIADERM during 1 month; we also recommend lymphatic and point pressure massage ( 3 weeks after the operation 10 massages with two days’ break), classic face massage may be started six weeks after the operation.
MASTOPEXY – BREAST LIFT SURGERY
Sagging of mammary gland can be the result of: influence of mammary gland weight and loss of the skin elastics, changing during pregnancy or sufficient weight loss ( loss of volume with sagging of skin and the nipple-areola complex.
Purposes of the operation: to re-establish normal height of the breast, improving of its contour and size; keeping usual consistency, in some cases – keeping the function (lactation and breast-feeding).
Effect achieves by excision of excessive skin and lifting tissue of mammary gland with nipple-areola complex up.
GETTING READY FOR THE OPERATION: the patient must be absolutely healthy (no chill or other diseases in this period; the patient must be undergone examination ( blood and urine tests, analysis of blood sugar level, electrocardiogram, the oncologist’s conclusion), and examination by the anesthesiologist of the centre; any medicines containing aspirin. Vitamin E, lecithin mustn’t be taken 10 days before the operation; if you smoke, you will have to give up or stop smoking, you should have a bath the evening before the operation, you may have a light supper; you should bring soft brassiere without metallic details; make-up, cosmetics, nail enamel, jewelry are not allowed.
POSTOPERATIVE PERIOD: you will have to spend two-three days in the clinic, slight fever during several days is quite normal; you will have to go to the doctor once a week for examination during a month.
OTOPLASTY (COSMETIC SURGERY OF THE EARS)
Protruding of the ears ( the external ear), often of different sizes on the both sides, or misshapen ears is a very noticeable cosmetic defect, that can cause psychological trauma since the childhood because of derisions.
Purpose of the operation: correcting of misshapen or protruding ear (or ears)
How the operation is done: the operation is carried out under the local anesthesia out of the incision along the hind area of the ear conch, that’s why the scar won’t be noticeable. Cutting out the cartilage, the ear is corrected to the right shape, which if it is necessary, is fixed with internal stitches.
GETTING READY TO THE OPERATION: before the operation the patient is examined. Salty, spicy, smoked food must be excluded out of your menu one week before the operation, the patient can’t take any medicines containing aspirin and stop smoking 10 days before the operation.
POSTOPERATIVE PERIOD: after the operation the elastic bandages is put on for the 7 days. Smoking is forbidden for 10 days. The first bandaging is done according to the indications: the next day or in a week after the operation. Stitches applied are made of absorbable material so it is not necessary to remove them. The patient can wash his head with the soft shampoo and boiled water t- 37 gr. only the week after the operation. The swollen tissues, changing of the colour of the skin are observed during several days, that fade during two weeks after the operation. The patient must put on the elastic bandage while sleeps that prevents his ears from occasion traumas. Complications after the operation are rare, and it improves your appearance sufficiently.
ANDROGENIC ALOPECIA IN MALES AND FEMALES
– also known as androgenetic alopecia – is the most common cause of hair thinning and loss in humans, and has male and female variants.
Hair transplantation (moving the patient’s own hair from one part of the body to another) is the only effective method of androgenic and scarring alopecia.
Not so long ago hair transplantation had reputation of very unpleasant and painful procedure. Men with beginning baldness preferred to wear unnaturally looked wigs rather than agree to be undergone the operation of the hair transplantation, which was followed by long process of the healing with pain and terrible scars.
Hair transplantation stopped making its progress at the end of the twentieth century and almost stopped developing. Surgeons realized that techniques and methods of surgical hair restoring must develop.
The situation started changing very quickly at the beginning of the twenty first century…
The new technique which surgeons had expected for many years was finally worked out to the perfect by carrying out of many thousands unsuccessful operations and getting thousands ugly scars. The physicians’ society, engaged in hair transplantation, were encouraged with a new technique of extraction of isolated hair follicles, called Follicular Unit Extraction (FUE, sutureless hair transplantation ). Surgeons all over the world were discussing this modern method that turned out to have more and more advantages..
DIRECTIONS TO HAIR TRANSPLANTATION
- Androgenic alopecia in males and in females.
- Scarring alopecia after trauma, burn, plastic operation on the face and the head, after inflammatory skin diseases.
- Inherited high placement of the front hairline and thin hair on the temples.
- Traction alopecia caused by wearing the hair in a particularly tight ponytail, after massages, etc.
But what is this method of individual follicular unit extraction?
Is this modern method really more effective than old methods of hair transplantation?
Technique of follicular isolation (FUI) or sutureless hair transplantation is the most up-to-date scientifically based method of follicular extraction in the world. This procedure is the most advanced and complicated as compared with ordinary extraction of follicular unit. Technical approach and special instruments, that are necessary for this type of procedure, guarantee a higher percentage of success, than those that are applied for follicular unit extraction.
Technique of follicular isolation, also wide-known in the world as FUE (Follicular Units Extraction), is the preserving method of the hair transplantation, that makes unnecessary transplantation of the donor skin strips from the cervical part of the head. That’s why it is not necessary to cut out and stitch during all the procedure of transplantation..
This technique was worked out by doctors Bernstein, Rassman and Woods. Dr. Cole worked out the method of doing large volume operations.
First of all, procedure FUI is carried out more quickly and less painfully, than any other procedure. In FUI technique special scalpels called punches to cut the skin around the follicles are used. Every time the doctor removes the graft, which consists of one, two, three or four follicles from the donor’s area.
Using the first class instruments and relying on his own experience, the surgeon removes each graft with minimal substance of the surrounding tissue, but very carefully trying to avoid damaging of follicles.
Extracted follicles, that are called grafts, are placed in the tiny holes made by the surgeon in the problem zones – “ recipient’s area”. These holes are not stitched, they heal very quickly and get absolutely invisible when new hair starts growing, in seven-ten days approximately.