The length of the cut depends on the amount of excess skin on the neck and, to some extent, the tissues on the face. When using the SMAS braces, the degree of the cut is much less than with the old, classical methods of rhytidectomy.
After the completion of adequate tightening of the deep fascia, which will provide a long-term foundation for the changes made, you can perform the necessary movement and modification of the skin flap.
As the observations of patients for 6 months to 1 year after the operation showed, they will inevitably have some relaxation of the facial and neck surface tissues.
The most common complication of rhytidectomy is the formation of a hematoma, which occurs in 2-15% of patients.
The "classical" eyebrow medially originates from a vertical line drawn through the site of the nose wing transition into the facial tissues.
When examining the patient for changes in the upper third of the face, he must be in front of the mirror. Evaluation of the forehead and eyes is performed when the patient's head is in accordance with the Frankfurt horizontal plane.
In most patients, during the endoscopic forehead lift and the middle part of the face, it is necessary to tackle the lower eyelids, either by excising the skin or by laser resurfacing.
The success of the plastic surgery of the upper eyelids begins with the artist's understanding of the relationships of the upper eyelids, the eyebrows, the forehead, the ocular bone boundaries, and also with the general idea of the concept of a beautiful face.
Evaluation begins with a simple observation when talking with the patient. The position of the eyebrows on the moving face and at rest is noted.
Most often, the plastic of the upper eyelids can be performed on an outpatient basis, under local anesthesia with minimal preoperative and intraoperative drug support.