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"20years back with facelift!"

Rhytidectomy, Surgical removal of wrinkles

    

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From late 20s, with the amount of collagen that gradually disappears, a diverse aging signs start to appear over time.

Not only environmental factors but also improper habits can accelerate aging with nasolabial folds, fine lines around mouth and deepen wrinkles on the neck.

Skin laxity is the most obvious sign of aging. However this aging phenomenon is caused by multiple factors rather than only what is visible from the surface. Aging occurs not only on the surface of the skin, but also in the multiple inner layers of the skin simultaneously.

Face lift surgery lifts the sagging skin along with other facial tissue to restore youthful appearance where skin laxity naturally takes place with aging.

Rhytidectomy is the most effective and active approach of anti-aging surgery for improvement of nasolabial folds, deep wrinkles and droopiness of face that is hard to improve by minimal invasive methods.

The ultimate goal of face lift is not to pull the sagging skin only, but to pull overall sagging tissue including SMAS layer and fat layer along with sagging skin simultaneously to obtain permanent and certain effect.

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◈About SMAS layer

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​SMAS layer (Superficial Muscular Aponeurotic System) is a thin fibrous layer that is located between subcutaneous fat and muscle. This facial fibrous layer which is more vulnerable to gravity is the main cause of skin laxity owing to droopy skin with gradual loss of elasticity by natural aging.

If skin is only pulled without the SMAS layer, facial expression can become unnatural with increased possibility of visible scar or reoccurrence of droopiness.

Anti-aging specialists at HERSHE Plastic Surgery Korea presents fundamental solution of facial aging by lifting overall facial tissue which can prevent from reoccurrence of skin laxity with substantial improvement. Furthermore, lifting effect is permanent with almost invisible scarring due to pulling the SMAS layer at the same time so that the facial expression is natural.

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​◈Recommended to

 

      

 

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​◈Features of facelift

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 Minimal invasive face lift (MACs)

 SMAS face lift

 Method

5cm incision

Incision of wide range

 Application site

Improvement of sagging and drooped area

​Saggy Jaw line, cheeks

Deep folded crease and overall wrinkle improvement

Nasolabial fold, cheeks, saggy jaw line, neck line

 

 

 

 Anesthesia

Sleeping anesthesia

Sleeping anesthesia or general anesthesia

 Effect

Permanent

Permanent

 Scar area

In front of the ear

In front of the ear or back of the ear

 

 

 

 

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 1) If the degree of sagging skin is not severe: MACs lift

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MACs lifting (Minimal Access Cranial Suspension Lifting) is a type of face lift that reduces the length of the incision from the classical face lift method and improves saggy cheeks and jaw line. MACs lift is developed from the concept that pulling the skin tissue vertically shows more effective than the horizontal orientation. Well-defined and constant lifting effect can be achieved by pulling SMAS layer which is known as the main cause of skin laxity in the face.

 

MACs lift incises and remove sagging tissue in the fore part of the ear and weave soft tissue including platysma around neck and drooped SMAS layer under skin in a round shape by using special medical thread. Then, weaved tissues are fixed on the temporal fascia in the fore part of the ear to lift the sagging soft tissue upward. This surgical method is also called, ‘Double lift’ since MACs lift pulls not only the skin but also SMAS layer below the skin so that it is scaled-down and effect can last for a long time.​

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MACs lift incises and remove sagging tissue in the fore part of the ear and weave soft tissue including platysma around neck and drooped SMAS layer under skin in a round shape by using special medical thread. Then, weaved tissues are fixed on the temporal fascia in the fore part of the ear to lift the sagging soft tissue upward. This surgical method is also called, ‘Double lift’ since MACs lift pulls not only the skin but also SMAS layer below the skin so that it is scaled-down and effect can last for a long time.

 

MACs lift surgical method

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1. Design the range of SMAS layer to be desquamated.

 2. After sleeping anesthesia, skin incision is made along the side of the hair line to the fore part of the ear.

 3. After desquamation of SMAS layer under the subcutaneous fat, it will be sutured after fixing by pulling the sagging tissue.

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02) The serious stage of sagging skin : SMAS Lifting (Fasciectomy)

 

Fasciectomy is not only pulling the sagging tissue including the fascia upwards but also suturing and removing the sagging fascia after equal desquamation in a wide range. Effect will be permanent and certain due to removal and suture after desquamation of SMAS layer.

 

Surgical method of fasciectomy


 1. By degree of sagging facial tissue, desquamate the surgical area equally

and widely after making incision

 2. Pull each layer properly including SMAS layer directionally in operating position

 

 3. Delicately suture each layer to minimize a scar

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◈Facelift surgery by parts

 


Forehead

 

Although the degree of sagging on the forehead is not severe, deepen folded wrinkles can be formed caused by a repetitive movement of facial expression as well as aging of skin tissue. In this case, pulling inside the scalp after making incision can improve sagging eye brow, forehead wrinkles.

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Temple

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Temples located in the outer corner of eyebrow itself can cause lax skin and it also affects sagging eyes. By pulling the temple area with the incision made, lateral part of eyes can be much improved that cannot be altered by upper blepharoplasty or brow lift.

 

Cheek, nasolabial fold (mid face)

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Mid-face area is the most visible area that aging sign is
too obvious in overall face. After making incision along the cheeks, hairline and ear line, skin laxity can be improved by removing SMAS and sagging skin at the same time.

 

Jaw line

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With the skin incision made along the front part and the back of the ear, jaw line area and sagging skin under the ear can be improved. After removing lax SMAS, it will be pulled and sutured, then skin tissue will be sutured by eliminating unwanted skin tissue to raise the jaw line.


 

Neck

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By making incision along the hairline at the back of the ear and pulling the skin around jaw line, horizontal wrinkles of the neck can be improved. Then, remove the loose skin under the jaw line by making incision.To gain a prominent effect of neck lift, incision along the hair line at the back of the ear and skin under the jaw line should be combined.

 

◈Combined procedures with facelift

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The most idealized surgery result with overall improvement of sagging facial area can be expected if combined with three surgeries, Venus laser assisted lipolysis that removes sagging fat tissues downwards under chin, fat graft for face that improves loss of volume and blepharoplasty with improvement of sagging skin around eye area.

 

 ▨ Face lift + Upper blepharoplasty

 ▨ Face lift + Full face fat graft

 ▨ Face lift + Venus lipolysis

 

 

 

By combining both face lift surgery that significantly gives an impact of first impression and upper blepharoplasty will result in rejuvenated impression. 

By combining both face lift surgery that significantly gives an impact of first impression and upper blepharoplasty will result in rejuvenated impression. 

By lifting and removing the fat tissue drooped downwards around the jaw line, more natural and youthful impression can be achieved with Venus laser and face lift.​

 

 


◈Facelift scarring

 

 

The most frequently asked question is about scar after the surgery. Due to the surgical method by making skin incision, it is unavoidable for visible scarring to be shown after the surgery. However, the occurrence of potential scarring can be greatly reduced by the advanced technique by the surgeon.

 

 

◈Post-operation care 

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HERSHE offers systemic post post operation care system to shorten the recovery period and enhance the effect for the patients’ psychological & physical stability. Most surgical operation is accompanied with both swelling and pain. The purpose of this ‘Heal-lite’ laser is to help our patients reduce swelling, pain and recovery period by vitalization of cell and immune system of the region where the light beam projects. It is particularly effective for pain relief and help to restore the damaged tissue by reducing the inflammation and swelling as a result.

 

  Heal light laser treatment

 

▧ Process of Heal-lite laser procedure method

° 590nm of micro-low power firstly directs a beam at outer skin layer so that it helps the healing wavelength to be delivered to the skin. Then, 830nm of the infrared waves which has a deep depth and strong healing power is projected.

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° ​830nm of healing photon is directed from 1800 source of light, then zone is formed that each photon overlaps with having divergence angle of special light.

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°​This type of zone shows healing effect and induces effect of pain relief and quick restoration of damaged skin by transferring enough photon deep inside the skin.

 

 

Light beam projection method is that 590nm of micro-low power is firstly directed to epidermis, then, strong 830nm of Near-Infrared (near-IR) wavelength penetrates deep inside the skin.

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LEDs that are minutely arranged on LED’s panel are constructed to raise interaction through multiple photons by duplication of projected light beam from each LED.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

◈  Before & After 




 

 


◈ HERSHE FACELIFT is different!

 

 Face lift surgery is usually combined with other anti-aging surgeries to maximize the effect. HERSHE understands that unique characteristics in each individual’s complex aging symptoms require comprehensive and personalized solution. HERSHE Plastic Surgery Korea’s anti-aging specialists promise personalized & comprehensive face lifting solution to present most natural result by anti-aging specialists with profound experience & expertise, with latest surgical technique combined with most advanced medical devices.

 

 

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