How plastic surgery is done. Combined plastic surgeries: one anesthesia and quick rehabilitation. When an operation is canceled indefinitely

Nature endows each person with a number of virtues, including external ones. But what to do if she bypassed your face or body?

Is it worth it to correct external imperfections with the help of plastic surgery, and most importantly - what can be the price of such interventions? What really pushes people to the office of a plastic surgeon? We'll talk about this.

Women's reasons

Why do women decide to change the shape of their lips or the size of their breasts, or why do they get a facelift? Such a decision is usually caused by one reason. Many young ladies dream of getting rid of the complexes that have haunted them from a young age. They categorically do not accept any part of the body in themselves, it seems ugly to them and, in their opinion, is the main obstacle to a new relationship. Many believe that by radically changing their appearance, they will become truly sexy and desirable in the eyes of men.

Male look

Not all men are the same in their habits, actions, and even more so in their views on "artificial" beauty. Some of them are convinced that silicone is a huge pest to women's health. And this is true in most cases. After all, silicone implants can cause such dangerous diseases as breast cancer, cancer of the lymph nodes, soft tissue necrosis, bleeding, blood clots, and a number of other negative consequences.

Others are convinced that no silicone can make a woman fall in love. After all, true love is not measured in terms of "beauty from the cover."

There are men who still encourage women in their choice and even sponsor such operations. Moreover, they can go with her to an appointment with a plastic surgeon and independently choose their future breasts or lips. Such men assert themselves at the expense of women.

“Here, admire her breasts, her sexy mouth - have you ever seen such seductive forms? Yes, this is my woman and she belongs only to me. And you can only envy me, ”- approximately such thoughts are visited by male supporters of artificial beauty. Therefore, if your chosen one declares that he is ready to pay for all the services of a plastic surgeon, think about whether he really loves you or just wants to assert himself through your new forms?

A sociological study among men in the UK, who had to answer a single question: "How do you feel about silicone breasts?" - showed unexpected results for women. 87% of the surveyed men aged 18 to 35 are convinced that silicone breasts are ugly! And only 13% of respondents do not see anything wrong with the fact that women decide to change the shape of their breasts, and some of them are even ready to fully pay for the services of a plastic surgeon.

think twice

So, if a woman nevertheless decided on plastic surgery, and even if she managed to avoid negative consequences for physical health, this does not mean at all that her life will improve in general.

After all, not always the “altered” appearance is perceived by others in the way that she would like it to be. For example, close people can repeatedly say that her former nose, chest, wrinkles or lips looked much more natural. And even if such phrases are not uttered in order to offend, they still sound very convincing from the lips of others, and most importantly, sincerely. Therefore, such "frankness" will not go unnoticed and will not pass by women's ears. After all, doubts, guilt, and most importantly, the realization of the fact that her “efforts” did not justify their hopes, did not surprise, and even worse - became the object of sympathetic glances, reduce your desire to be perfect to nothing.

In order not to torment yourself with such thoughts later, you should once again adequately assess your shortcomings and think: do they really interfere with your life and relationships with men? And most importantly, ask yourself the question: “Will the new shape of the breast (nose, lips) drastically affect my self-esteem and get rid of many complexes?” The answer to this question can only be partially affirmative, since getting rid of external complexes is, first of all, internal work.

Therefore, some conscientious plastic surgeons insist on the obligatory psychological support of the client before the operation. Often, in the process of psychological counseling, clients come to the conclusion that they do not need to correct external shortcomings at all in order to feel happy, in demand and full-fledged people, but only need to strengthen their self-esteem, that is, to believe in themselves.

After all, often one complexes are replaced by others - deeper ones. And if you get rid of them with the help of surgical manipulations, then this will lead ... to addiction or the so-called "plastic mania". This is worth talking about in detail.

Bad Examples

I think that each of us knows at least one case of such an addiction, as a result of which very attractive (which is important) people turned into, to put it mildly, living "mummies". They not only managed to unpleasantly surprise the public with their fatal reincarnations, but also completely ruin their lives.

A good example of this "trap" is the image of the king of pop michael jackson- one of the champions in the number of plastic surgeries. It is possible that the pop king could continue to delight the whole world with his musical masterpieces if he could overcome his addiction to this type of surgery in time.

famous singer Jessica Simpson I really wanted to have an even more gorgeous bust. Subsequently, a sharp weight loss, the chest of the star noticeably lost its former shape. Therefore, she decided to correct this defect with the help of plastic surgeons. As a result, she became the owner of enlarged mammary glands, which look somewhat asymmetrical.

Valery Leontiev, like many of his colleagues, is a big fan of modern plastic technology. He repeatedly rejuvenated with the help of similar procedures. But the latest plastic surgery for a lid lift has led to undesirable consequences in the form of damage to the muscle responsible for lifting the upper eyelid. As a result of a medical error, the singer could not close his eyes completely for a long time.

Also, the "victims" of plastic surgery include celebrities, whose former appearance was much more attractive than the present - Amanda Lepore, Jackie Stallone, Jnice Dickidson, Lucia Mendez, Joan Van Ark, Joan Rivers.

Therefore, if even public people become guinea pigs in the hands of experienced (!) Surgeons, then what can happen to a person who has decided to change his life for the better in this way? I think the conclusion is appropriate.

Objective reasons

In addition to the very subjective reasons why many of us decide to have plastic surgery, there are a number of objective motives for this procedure.

1. Reconstructive reasons. If you really have congenital or acquired as a result of some kind of injury defects in appearance (curvature of the nasal septum or painful stretch marks in the abdominal cavity), then plastic surgery will not only help get rid of visible flaws, but also improve your health.

2. Postoperative consequences. Many women, fortunately, manage to defeat such a dangerous disease as breast cancer. But through chemotherapy and surgery, their breasts become, to put it mildly, imperfect. Therefore, plastic surgery can help many women restore their previous bust shape.

3. Aesthetic reasons. For example, if a woman or a man in his youth looks much older than his biological age and their face is covered with deep wrinkles, then plastic surgery can really improve their quality of life. After all, feeling confident in our beauty, we also get rid of low self-esteem, which prevents us from achieving our goals.

Decide or abstain?

So, if you just simply decided to surprise your loved ones in a new way, this is not a reason to seek help from a plastic surgeon. Rather, you should go to a stylist, makeup artist or psychologist. By the way, any conscientious doctor who can consider your problem from his professional point of view should convince you of this.

Also, do not forget that this type of surgery is like a funnel from which it is very difficult to get out. This is evidenced by the statistics of unsuccessful plastic surgeries, which require new and new interventions to correct the defects that have arisen after previous operations.

Do not forget that those to whom all our efforts are “dedicated”, that is, men, are far from always supporters of surgical interventions. And even if they do not hide their admiration, "digging" wide-eyed into the television screens, where busty Hollywood beauties "live", this does not mean that they would like to live with a woman who embodies the standard of ideal forms. After all, beauty gives them not only admiration and a desire to possess, but also jealousy, envy and ... an inferiority complex.

Fashion trends and modern trends about beauty standards are not a reason or an indication for plastic surgery, but just your whim, which can lead to irreversible consequences and very unexpected reactions from others. Therefore, you should not take such a serious step without consulting with your loved ones.

But! If you still decide to correct the shape or size of a certain part of the face, then go in search of a reputable and trusted surgeon - collect recommendations, find out all the details of the rehabilitation period, measure the risks of unwanted postoperative consequences, and most importantly - weigh all the pros and " against". And before you go to a plastic surgeon, give yourself the answer to one single question: will a new shape of my breasts (lips, nose, eyelids) make me happier? Sometimes just a truthful answer can play a decisive role in making such an important decision.

Should I get a facelift? How is the postoperative period. How are forehead wrinkles corrected? What are the possible complications after plastic surgery? You will find answers to all these questions in this article.

Aesthetic (or cosmetic) surgery is part of plastic surgery, which, in turn, is inseparable from surgery in general. In principle, any doctor who has graduated from a medical university and has completed the relevant specialization can become a plastic surgeon. However, there cannot be many plastic surgeons, not only because the path of their formation is very difficult and long, but because this profession requires from the doctor both artistic taste, and spatial thinking, and the natural abilities of a psychotherapist.

In other words, plastic surgeons are special people, and meeting with them is in itself a success in your life, and the course of postoperative treatment stages will largely depend on how humanly warm and emotional your relationship with this person will be. Why? Very soon you will understand this, but for now let's assume that you have already chosen a clinic where you would like to have a consultation about a possible plastic surgery.

Of course, the doctor will ask about what changes in your appearance you would like to receive. Perhaps he will also ask about past or existing diseases and medications taken. The fact is that hypertension, heart failure, diabetes, allergies and thyroid disease can seriously increase the risk of surgery.

Most likely, the surgeon will ask you questions regarding your personal life, and it makes no sense to be cunning when answering them - perhaps your problems are not related to your appearance at all, and then the operation is unlikely to help. And who needs disappointment?

At the decision-making stage, you will need additional information describing the technique of operations, preparation for them and possible postoperative complications. So, let's start in order.

Blepharoplasty (eyelid surgery)

With age, the upper eyelids begin to hang over the eyes, which makes them look tired. The lower eyelids also change - bags under the eyes appear. All this will help correct eyelid surgery, which, however, will not eliminate wrinkles in the corners of the eyes, bruises under the eyes and drooping eyebrows. There are other methods for this (dermabrasion, chemical peeling, plastic surgery of forehead and cheek wrinkles). It is possible that your doctor will agree to combine an eyelid surgery with a forehead correction or cheek lift.

Eyelid surgery can be done at any age, as characteristic changes can appear not only with age, but can also be hereditary. The mechanism of age-related changes is simple: muscle tension in the eyelid area decreases, the skin becomes thinner, and the fat that was previously inside begins to swell.

Before starting the operation, the surgeon marks the incision line, which runs along the natural furrow and protrudes slightly beyond the outer edge of the eye (Fig.).

Picture. Upper eyelid surgery

Then he carries out a preliminary infiltration of the eyelid area with a solution of an anesthetic (anesthetic), which, in addition to anesthesia, causes swelling and tension of the skin of the upper eyelid, which greatly facilitates the dissection of tissues with a scalpel. Excess skin is removed along with the underlying muscle fragment.

The surgeon then presses lightly with his index finger on the eyeball, which helps locate the fat. Adipose tissue is exfoliated with a blunt method, after which it is removed with scissors. Performs point electrocoagulation of superficial vessels, applies a continuous suture using a special atraumatic thread. This completes the operation.

The incision is made under the ciliary margin, and it protrudes slightly beyond the outer corner of the eye (Fig.).

It is the proximity to the eyelashes that makes it possible to make the future scar almost invisible, but this requires special care from the surgeon: with tweezers, you need to take the eyelashes to the side, protecting them from possible falling under the scalpel.

Then, with scissors, a flap of the skin of the eyelid and part of the muscle (it is called circular) is peeled off. If the depth of detachment is chosen correctly (not deep, but not superficial), then the operation is almost bloodless.

Picture. Lower eyelid surgery

The flap is peeled off to the infraorbital margin, while fat deposits become visible, which are removed. Tweezers tighten the skin and remove it parallel to the lower eyelid. This is a very important stage, because if you excise a small amount of skin, there will be no positive result; and if you remove too much, an eversion of the lower eyelid will appear.

Then the muscle is excised under the skin flap, which subsequently gives the effect of tension. The operation ends with the imposition of a continuous cosmetic suture.

Postoperative period

Shortly after the operation, you can open your eyes, but vision will be poor due to increasing swelling. If you wish, you can leave the clinic on the same day, but you still have to comply with bed rest - only at home. Moreover, in order to reduce swelling, it is recommended to lie with your head high.

Within a few days, the swelling will increase and persist for several weeks. However, after a week, the skin color will take on its natural appearance, and by the end of the second week, the eyelids will look almost healthy.

❧ Using a decoction of chamomile to wash the eyes and sterile cold compresses will help reduce discomfort in the postoperative period.

Until the stitches are removed, you can not physically strain and lift weights.

The sutures are removed, as a rule, on the 3-4th day, but even after that, contact lenses cannot be used for 2 weeks, and dark glasses will have to be worn for 1-2 months.

You can go to work after 10 days, by which time it will be permissible to apply makeup. The effect of the operation persists for several years - it is quite long, but still not permanent, because the skin continues to age.

This operation is carried out with horizontal wrinkles in the forehead, low eyebrows or wrinkles between them, giving the impression of shifted eyebrows.

During the operation, an incision is made behind the hairline a few centimeters above the border of the forehead (Fig.), which runs from one ear to the other.

Picture. forehead wrinkle correction

Then the skin of the forehead is separated from the bone to the upper border of the eye cavity, the part of the muscle that creates tension and thus participates in the formation of wrinkles is removed. After that, it becomes possible to stretch the skin, smoothing out the folds. The skin is pulled back, the excess is removed, the edges of the wound are sutured.

There is a modification of this method using an endoscope. At the same time, not a continuous incision is made, but several short ones (two) on each side of the forehead, through which, using the inserted endoscope, you can see the operating field on the monitor screen (Fig.).

Picture. Correction of forehead wrinkles with an endoscope

The skin and muscles are separated from the bones of the skull in the same way as with the technique described above, then the skin is pulled up and fixed with sutures.

Postoperative period

After the operation, a bandage is applied to the entire head and forehead, which is first changed, and after 2 days it is completely removed. At this time, swelling and cyanosis on the eyelids become visible, which will begin to decrease after a week, and disappear after 2 weeks.

The sensitivity of the skin in the forehead after the operation is usually disturbed, and after 2 weeks itching joins this, which disappears only after a few months. Immediately after the operation, the hair along the scar may fall out, their regrowth will begin only after a few weeks.

During the week you can not lift weights and you need to sleep on high pillows, but after 10 days you can already go to work. Washing your hair is allowed on the 5th day; at the same time, as a rule, it becomes possible to use medical makeup (to mask bruises on the forehead and around the eyes).

During the year, it can be difficult to wrinkle the forehead and raise the eyebrows, but gradually this also passes. It is considered normal that immediately after the operation the eyelids do not close completely.

face lifting

This operation, called a facelift, corrects age-related changes in the middle and lower parts of the face. Most often, such correction is resorted to at the age of 40-60 years. Lifting will help get rid of wrinkles in the cheek area, if there is excess skin; from deep wrinkles between the nose and corners of the mouth, when the natural outline of the lower jaw disappears; from sagging and flabby, wrinkled and furrowed skin on the front of the neck.

The operation begins with the introduction of an anesthetic into the area of ​​the surgical field for the purpose of easier tissue detachment (hydropreparation); at the same time, a drug that narrows blood vessels (vasoconstrictor) is administered. Often, the operation is combined with liposuction (suction of fat from the chin area), which is performed using a small incision in the chin fold and a special cannula (“duck”), which has a flattening at the end, which allows the tissues to be smoothly separated.

Plastic surgery of the face and neck begins with a skin incision in the temporal region, which is continued along the anterior border of the auricle. Having reached the earlobe, the incision is directed around the auricle from the bottom up and brought to the back of the head (Fig.).

Picture. Face and neck skin tightening with plastic surgery

Then the surgeon makes a wide detachment of the skin of the temples, cheeks, chin and neck. In order for the tissues to exfoliate easily, a course of physiotherapy is prescribed before the operation. The separated skin is stretched, the excess is excised, and the soft tissues are sutured (plication). An addition to plication is the so-called plasty of the platysma - a wide and thin muscle that occupies the front of the neck with the transition to the lower jaw. The changes that occur in this muscle, in fact, determine the degree of deformation of the lower part of the face and the anterior surface of the neck.

The skin is exfoliated in a single block with a part of the platysma, stretched and fixed in a new position, removing the excess.

Despite the fact that most of the incision passes under the hair, when suturing, it is important to observe a gentle attitude towards the tissues, which allows you to achieve a quality scar.

Postoperative period

The operation is completed by applying a bandage to the face, which is changed after a few days, and removed completely after a week. Already on the 3rd day you can go home, but the swelling will last for several more weeks. After removing the bandage, bruising is often found - this is a common occurrence that will pass, as well as swelling and bumps on the face. For quite a long time, the skin may be numb, but this will gradually disappear.

Physical exertion and heavy lifting, smoking and sexual activity should be avoided. Aspirin should not be taken for 2 weeks, and sun and high temperatures should be avoided for a few more months.

It should be noted that plastic surgery begins with preparation for it, which includes the following conditions:

Do not smoke for 2 weeks before the operation, as smoking can delay and even complicate healing;

A week before surgery, you should stop taking aspirin and other drugs containing acetylsalicylic acid. The fact is that they increase bleeding (reduce blood clotting), which can cause postoperative bleeding;

If the operation is scheduled for the morning hours, then the last meal should be no later than 18 pm the day before, and the last fluid intake no later than 22 pm The main thing is not to forget in the morning that you cannot eat or drink before anesthesia!

The postoperative period is divided into early and late. The early period ends with the moment of wound healing, and the late one consists of the time of scar formation (external and internal). The period immediately after the operation is not very long, but the most painful: bruises, swelling, stiffness, heaviness and other discomfort that usually accompany the formation of a scar.

Depression after a facelift cannot be avoided by anyone, even those who are operated on again. It is not antidepressants that help in this situation, but a confidential conversation with the surgeon who performed the plastic surgery. Wound healing lasts on average about a week: wound epithelialization ends on the 7th day; until this time, the wound is covered with a crust that protects it. It spontaneously disappears after 10 days.

The process of tissue repair has its own laws: this period cannot be reduced, it can only be softened, including with the help of physiotherapy. On the 3rd-4th days, in order to normalize blood and lymph circulation, microcurrents and magnetotherapy are prescribed. From the 4-5th day, ozone therapy can be used, which helps to prevent the appearance of necrosis in those places where there is a strong tissue tension, as well as to prevent ischemia in smokers. UHF and ultrasound are used.

In addition to physiotherapy, ointments (troxevasin) are prescribed for resorption of possible hemorrhages and edema. During this period, peels, cleansing, massages and masks are contraindicated. Vitamins, sedatives, painkillers and sleeping pills are prescribed inside.

The postoperative period ends when relatives and friends stop noticing the traces of the operation. In the first month after it, a solarium, UFO, sauna and hot shower, manual massage are prohibited.

It is during this period that scarring occurs; the scar turns pink and becomes even more visible than immediately after the stitches were removed. It turns pale after 6 months, and this is where the process of its formation ends.

During this period, you can prescribe mesotherapy with the use of vitamins, amino acids, as well as return to the facial care that was familiar (massages, masks). The main conditions for the correct formation of the scar: it must be at rest and in a humid environment.

Complications after plastic surgery

Due to the fact that during the operation the skin is exfoliated over a large area, a space is created in which blood can accumulate, without being able to go outside. To prevent such a complication, during the change of dressings, a drainage procedure is performed, during which excess fluid is actively removed. It can be annoying, but very helpful.

If hemorrhage is not recognized, necrosis (damage to the skin due to impaired blood supply) can occur. More often it appears behind the auricle, and smoking significantly increases the risk of such a complication.

Violation of sensitivity occurs in the form of numbness of the skin - this is not considered a complication. However, if the branch of the nerve responsible for facial expressions is damaged, there can be quite unpleasant symptoms: drooping of one eyebrow, unilateral smoothing of wrinkles on the forehead, non-closure of the eyelids on one side, asymmetry of the corners of the lips (especially when trying to smile). Usually all these complications disappear, but not immediately, but after a year.

Hyperpigmentation is a temporary phenomenon that disappears after a few weeks, if you follow the sun protection measures.

Due to the fact that the skin moves back from the temples, the hairline also moves back. In addition, there may be temporary baldness in the area of ​​the seams passing under the hair.

The lifting effect persists for several decades, but certain changes gradually occur, so the operation is repeated if desired.

Everything you need to know about plastic surgery

Any woman wants to remain young and attractive as long as possible, but nature takes its toll: a person ages, the body wears out, wrinkles appear on the once beautiful face, its color no longer pleases with freshness, the skin becomes flabby and fades ...

At all times, women in any way tried to regain their youth. Nowadays, it has become much easier to do this, because modern methods of cosmetology and medicine come to the aid of the beautiful half of humanity. In addition, grandmother's recipes for various creams and all kinds of masks remain relevant in the fight against wrinkles to this day.

On the pages of our site, a lot of recommendations and tips have been collected on how to how to take care of mature skin and competently perform makeup, also helping to reset 5-10 years.

In addition, information about the structure of the skin of the face, how our body works and how its activity changes over the years is presented here in an accessible form. Thanks to this knowledge, it is not difficult to figure out how to help the skin not age for a long time. After all, if you know how a particular mechanism works, it is much easier to restore its functions in case of a malfunction. And our body is the same mechanism that eventually begins to malfunction.

It is possible and necessary to help the skin not only through the efforts of cosmetologists or plastic surgeons. At any age, massage and gymnastics are very useful for her, so we have given a set of gymnastic exercises to keep the skin in good shape and basic massage techniques collected from different parts of the world.

For women who prefer to seek help in beauty salons and aesthetic surgery centers, useful recommendations are given regarding a particular procedure, and all their diversity presented on the modern beauty market is covered in detail.

Always remember that no matter how you take care of yourself and the condition of your skin, or use various cosmetics to nourish it, etc., the most important factor influencing facial skin aging is the lifestyle you lead. . Health problems and unhealthy lifestyle with age are increasingly reflected in the condition and appearance of the skin.

There are several main factors that have the most negative effect on the skin. First, it's stress. When a person experiences stress, his body produces the hormone adrenaline, which, by its action, constricts blood vessels, due to which the blood can no longer circulate normally and adequately supply skin tissues with oxygen. This is where the main problems begin.

Another major factor that contributes to early skin aging is malnutrition. Often, appearance flaws appear due to a lack of certain substances in the body that it does not receive with food. An equally important problem is poor water quality. We are 70% water, and if it is of poor quality, then how can we talk about healthy and beautiful skin?

Do not forget about lack of sleep and bad habits (smoking, alcohol). So, with nicotine, aggressive free radicals enter the body, which destroy the walls of any cells that get in their way, and alcohol quickly dehydrates the body, which leads to aging in a very short time.

The impact of a harmful environment is another problem for modern man, because it is very difficult to deal with it. Nevertheless, you should try to be outdoors more often, use all kinds of protective creams, etc.

Another harmful factor is the habit of active facial expressions. It is she who causes the appearance of premature wrinkles on the face, which over the years

become deeper and clearer. Therefore, always try to follow your facial expressions.

Summing up, it can be noted that after 50 years, the main way to care for facial skin should be not so much the constant use of creams, masks, etc., but maintaining a healthy lifestyle. Although who said that this advice is not suitable for 20-year-old girls?

Deciding on plastic surgery is a serious step, which involves not only the moral and psychological readiness of the patient to “go under the knife”, but also physical: before the operation, it is necessary to undergo a number of preparatory procedures in order to reduce the risk of complications and prepare the body for a fairly tangible intervention .

It is logical that to decide on two or three plastic surgeries is an even more serious step, because this is two or three times the load on the body. This is true when it comes to several operations carried out one after another... Fortunately, today we are relieved of the need to wait until the rehabilitation period is over after one operation in order to start preparing for the next one.

What is combined plastic surgery?

In many developed countries, for a long time, and more recently, this practice has taken root in Russia, fortunately, no one has complained about the lack of specialists. And many surgeons work in a winning tandem.

The essence of dual and triple operations (by the way, they have their own “smart” name - simultaneous) is that at a time, several operations are carried out at once, performed by one or different specialists. For example, very often both mammoplasty and breast plastic surgery are performed at the same time ... Unless, tummy tuck is not combined with liposuction of the sides. Since after the first operation you can not sit and lie on your back for some time, and after the second - on your stomach and sides. And to stand a week after the operation is unrealistic.

A special moment: (especially for recovery after childbirth) in addition to which breast plastic surgery or abdominoplasty often goes. And then all three operations together ...

Of course Not all operations can be combined with each other. No strict criteria have been developed, however, there are certain trends. So, it is believed that intimate plastic surgery is compatible with any type of surgery, but at the same time complex rhinoplasty is not recommended for many patients - it is too traumatic.

“The compatibility of operations with each other is determined individually for each individual patient,” explains the specialist in facial plastic surgery and intimate surgery, co-owner. - Here it is important to calculate both anesthesia and the degree of trauma, taking into account all the characteristics of the human body. In each individual case, we issue recommendations based on the results of the analyzes and data obtained during the examination. We also decide how best to perform operations - by one or several specialists.

How are combined plastic surgeries performed?

It is worth explaining that Simultaneous operations are performed, as a rule, not by one doctor, but by several, each of which is an expert in their field. Due to this, firstly, the operation time is reduced, and secondly, efficiency does not suffer, because each doctor works in his own narrow specialization, where he has already accumulated many years of experience and practice.

In addition, both doctors do not have to switch attention every now and then, everyone can fully concentrate on one task. There is also no fatigue factor: after all, performing several operations in a row, one doctor gets a little tired after 2-3 hours, his attention is no longer so sharp, and his movements are clear.

Usually, doctors who perform simultaneous operations work in pairs for a long time, so that they have time to adapt to each other's manner and pace.

Rehabilitation after combined operations

The rehabilitation period is calculated according to the operation, for the recovery from which the body needs more time. But in any case, it is shorter than if the recovery after each operation performed separately were taken into account. So, if full rehabilitation after takes about two and a half months, and after - one and a half months, then the total duration of rehabilitation will be only two and a half months. Not four.

There will be only some additional doctor's recommendations: in this case, a restriction on a sitting position for two weeks, that is, the same as with a single operation for intimate plastic surgery.

, specializing in, expressing his opinion on the advantages of simultaneous operations, explains: “Of course, one anesthesia and one rehabilitation period is easier to tolerate than several consecutive ones. In this regard, combined operations are an ideal option, they save both time and resources of the body. Compare: either do rhinoplasty, carrying a plaster splint for a week and waiting for the convergence of the main bruises and swelling for two and a half weeks, and then the same amount for primary recovery after mammoplasty, or combine these operations, and in a month already return to your usual way of life , In his best".

Today, combined or simultaneous operations are included in the list of leading services in Russia. In Moscow, for example, the multidisciplinary clinic of aesthetic medicine "" offers quite flexible and acceptable conditions for patients who decide to improve simultaneously in several directions.

Darina, 27 years old, dancer

Changed breast size (mammoplasty)

According to the constitution, I am more like a teenage girl: short stature, wide back, small breasts and buttocks. At one time I tried to get better so that at least some hints of breasts appeared, but it didn’t work out. All my life I had a complex of unfemininity. You flip through magazines and realize that something is clearly missing for you. I didn’t even go out without a double push-up and makeup. I have always liked men older than me, but because of my appearance, they did not perceive me as a girl. For them, I was "my boyfriend."

At the age of 18, I started working as an animator, dancing go-go, and then switched to striptease in show programs. I had good dancing skills, but event organizers sometimes honestly said: “Darin, I’m sorry, but we need a C grade here.” Most likely, if I had not danced, I would never have decided to enlarge my breasts. At least I wouldn't have the opportunity. The implants cost 740 euros, and the operation itself cost about 800 dollars.

The operation was done in Kharkov two years ago. I came to the doctor with the intention of making a "deuce". But, according to the doctor, I have a large chest: if you insert a small implant, it will simply spread. I had to settle for 315 ml - this is the third size. When I first looked at the chest, which was a size larger than planned, there was a shock. Images of victims of plastic surgery immediately flashed through my head. I was afraid that the chest would remain gigantic. But the swelling subsided, and instead of my 0.5, I got a nice C grade. It hurt for the first three days, while the drains were standing. Five days later they were discharged home. For some time she clung to the door jambs with her chest - she did not feel the new "dimensions". During the rehabilitation period, you can’t do anything harder than cutting bread, but I didn’t obey and a month later I was dancing on the pole. As a result, she strained her muscles - and one implant moved. I had to take a timeout.

Beauty is hard work on yourself. You can't be beautiful or ugly. And you can be lazy

When she talked about plastic surgery to friends and colleagues, everyone said in unison: “Darina, why do you need this? You are so beautiful." Parents learned about the news after the fact, reacted succinctly: “Well, you fool!” My mother has her own sixth size, it is difficult for her to understand. She is a Soviet-style person and does not approve of such things. And my husband supported me. True, after the operation he became jealous and in the end we divorced, but that's another story.

Of course, self-esteem has increased. I can safely leave the house in sneakers, with a dirty head and without makeup, and feel comfortable. Now there is a problem with an overabundance of attention. It's starting to get annoying, to be honest. They say to me “What an ideal appearance you have!”, And at that moment I remember the number of hours spent in the gym and a strict diet. Some people think that I also inserted implants in the ass, but my figure (except for the chest) is entirely my merit. Beauty is hard work on yourself. You can't be beautiful or ugly. And you can be lazy. Plastic surgery really works wonders, but, alas, you cannot rely on it alone.

I have never regretted the operation, except perhaps why I did not do it earlier. At work, I became more in demand: now they don’t choose me, but I decide which events to work on. Salaries have also increased significantly. However, in a couple of months I'm going to quit my job. I'm getting married soon and my future husband doesn't want me to dance.

Julia, 22 years old, journalist

Changed the shape of the nose (rhinoplasty)

I have a big nose from my grandmother: when we gathered at family holidays as a child, it was immediately clear who was whose relative. Teasing began in the 5-6th grade. The bullying was led by the fattest girl in the class: she began to call names - and everyone picked up. It was mostly girls who teased. Boys, on the contrary, called for dates more often than others. Nevertheless, at the age of 15, I definitely decided that I would change my nose. I didn't like the reflection in the mirror and I got tired of taking photos from one angle - three-quarters - only in this way the curvature was not visible.

After school, my parents and I moved to Moscow. I entered the university, and as soon as I turned 18, I announced that I wanted to get a nose done. Mom worked as a teacher at my school and, of course, she knew about the complex. There were no tantrums with shouts: “I won’t let you in!” My parents always gave me freedom of choice, they said, if it makes you feel more comfortable, do it. I found a state clinic in Minsk on the Internet (for some reason, Moscow did not inspire confidence in me), went for a consultation - and two weeks later an operation was scheduled. I immediately liked the doctor: a wise man who understood why I had come. We decided to correct the deviated septum (because of this, my nose often stuffed up), saw off the hump and lift the tip of the nose. The operation was fully paid for by the parents: 16 million Belarusian rubles (about 100 thousand Russian. - Note. ed.). It was 30% cheaper than in Moscow clinics.

I do not hide that I did plastic surgery: a person’s desire to make himself better is not a shame

When I woke up, a tearful mother was sitting next to me. I was sick of blood, my head was splitting, and in my head there was one thought: “Well, why the hell did I do this?” The most trash was on the third day: my face was so swollen that I could barely open my eyes. I imagined how in a few days they would remove the cast, pull out the turundas, and I would finally see myself as a beauty. But in reality - a swollen face, red eyes (capillaries burst) and giant bruises, like a panda. It feels like I've been drinking for two years without drying up. The nose was like that of Piglet, and the bridge of the nose was exactly from the movie "Avatar": a wide flat strip in the middle of the face. Incredibly scary! It turned out that the nose returns to normal in the period from a month to a year. I remember riding the train home, people were looking askance and whispering, some asked what had happened to me. But the biggest test was to eat: the nose still did not breathe - and I wanted to cry from impotence. She returned to school two weeks later. The bruises and swelling went away, but I still looked lousy, as if I had been beaten periodically.

I have friends with big noses. They live and do not grieve. But this story is not about me. I have more self-confidence, even self-confidence - in my profession this is only at hand. I began to comply with generally accepted standards of beauty, and this gives a certain degree of freedom. No matter what we say, we still judge people by their appearance. I didn't want to be the humpbacked girl anymore. I do not hide the fact that I did plastic surgery: a person’s desire to make himself better is not a shame.

It's funny, but my future husband has about the same nose as I had before the operation. I laugh that if our children have a hooked nose, they will take after their father! Well, if I have a daughter and she says she wants to get a nose done, I will definitely support her.

Ekaterina, 25 years old, hand-made master

Changed the shape of the legs

At the age of 12, I realized that I had not just legs, but crooked legs. There were so many cases when I put on a skirt and strangers stopped me on the street and said: “Do you know that your legs are crooked? She also dressed up in a skirt. I mumbled "yes" and ran home in tears. Some guys, I remember, offered with laughter: “Let’s straighten them against the fence?” At school, they often asked if I had this or an injury from birth. By the age of 16, self-esteem dropped below the plinth. I also had problem skin. And just imagine: the legs are crooked, the face is terrible. They say every girl has a terrible friend. So I was that terrible friend. At this age, all girls had their first boyfriends, first kisses, and I sat at home and wrote in my personal diary: “Why do I need all this?” She asked her friends: “Girls, break my legs, huh? Doctors will put a cast and they will become straight.”

On Nevsky Prospect, literally a meter away, a couple walked behind us, discussing among themselves: “Oh, look, does she also wear a skirt with such legs?”

I have been dancing since childhood: Russian folk, break dance. And in the first year of the university I got into a good dance group. Everything would be fine, but they danced modern choreography there, where the position of the legs is heels together. It was then that my complex returned. I tried to force my knees and heels together, but nothing worked. It got to the point that they put me in the first row, then looked through and abruptly pushed to the very end, because I "stand out a lot." The last straw was an incident that happened in St. Petersburg, where we went with my mother. It was a hot summer that year - and I dared to wear a denim skirt above the knees. On Nevsky Prospect, literally a meter away, a couple walked behind us, discussing among themselves: “Oh, look, does she also wear a skirt with such legs?” The day was ruined.

When I got home, the first thing I did was google methods for correcting my legs. I stumbled upon a forum where the girls discussed Ilizarov's devices. At night I went to bed with the thought: “Break legs? I'm not really sick!" But the thought did not give rest. I had to tell my parents what I want. Dad took it normally, but mom ... I told her in tears about all the humiliations that I had to go through in order to persuade her. My parents set aside money for me for a whole year - 150 thousand. Thank them for this.

In 2011, I passed the session ahead of schedule, and in early May I left for Volgograd - it was there that I decided to have the operation. It became scary when, 12 hours before X hour, I checked into the ward and saw my neighbor's knitting needles sticking out in her legs - a sight not for the faint of heart. Looking at the pictures, you don't think that this whole structure goes through bone and skin. The next day after the operation, the doctors raised me to my feet. Strength was enough for three steps to the washstand. I realized what a miracle it is to walk on two legs.

Everyone knew where and why I went. And everyone was shocked. Someone enlarges the chest, changes the shape of the nose, and I broke and straightened my legs. Sounds crazy, but it's part of my life. After removing the devices and plasters, I met with a classmate. He carefully examined me and said: “Well, it definitely got better! Didn't do it in vain."

I stayed in the apparatus for four months. After them, I re-learned to squat, run, jump. She joked that they made new legs, but they forgot to give out the instruction manual. The return to the dance was hard and very painful. For a long time I lost my balance, could not do split jumps. And two years ago, she finally left the team and took up a new business - she opened a hand-made workshop.

Now I love summer. I no longer languish in jeans and go to the beach in a bathing suit, like everyone else. Completely updated wardrobe: now there are only dresses, shorts, skirts. By the way, I met my man when I was in a dress. I used to be a good girl, but now I don’t climb into my pocket for a word. I think I just became myself. It also cleared up my skin wonderfully. Everything was definitely not in vain.

Maria, 27 years old, artist-designer

Did liposuction, lipofilling and mammoplasty

I was a large child, and in adolescence, unpleasant sides and riding breeches appeared on my legs. Usually these occur in women well over 30, and I appeared at the age of 13. I started to look older. I went to fitness, but the problem areas did not disappear. When I turned 18, my mother said that there was money in the bank that my grandmother had left for me when I came of age. I immediately decided what they would do. A few months later, without telling anyone, she signed up for a plastic surgery center in Samara, where she lived at that time. For 180 thousand rubles, I had liposuction of several zones - they pumped out about three liters of fat. Mom found out about the operation a few days later, although we lived together. I took two days off to visit a friend, and then hid the compression underwear under my dressing gown. She reacted neutrally: my mother never took my complexes seriously, she called them nonsense.

For the first six months, I liked the result, until it became clear that deep scars remained on the whole body, flowing into the skin. It turned out that I was badly “sewn up” and the tissues did not grow together correctly. A normal buttock is round, but mine seems to have been bitten by a dog, tearing out a piece. Reminds me of advanced cellulite.

I began to earn money for a new plastic surgery to correct the previous one, but already in Moscow. In 2014, she appeared to a Moscow surgeon, he scratched his head and said: “We will work, we can’t fix it at once.” When liposuction is done, cannulas are inserted under the skin to suck out fat, after which fibrous tissue is formed. Due to fibrosis, the doctor said he was unable to reinsert the cannulas to even out the skin. There was almost no result, and for this I paid 250 thousand. It is useless to return the money: before the operation, an agreement is signed that you have no complaints against the doctor, and aesthetics is a subjective assessment.

Two years later, I wanted to do mammoplasty. I was fond of fitness bikini, lost 10 kilograms, and my breasts disappeared. I was recommended a new surgeon. He made me not only breasts of the fifth size, but also lipofilling: first he pumped out fat (fibrosis did not interfere with him), and then poured the purified fat into those places where there were irregularities. Now on my body there are no pits, but smooth transitions. True, the scars on the buttocks improved only by 50%. I think you can do it again in a year. The whole operation cost 374 thousand (she earned money for the second operation herself, and the young man paid for the third). After the third operation, the first thing I saw was huge hills, which made it impossible to see the room. For two weeks I felt like a porn star, my back ached and I hunched over from the weight. But then the edema subsided, and now I no longer remember myself "without a breast."

I don't see the difference between a dental implant and a breast implant. We believe that buying a fur coat for 200 thousand is normal, but making breasts is expensive

Plastic surgery is a cool tool in the hands of a person. Everything that nature did not give us can be corrected. For some, it is enough to go in for sports, while others are shown plastic surgery. I am surprised by proud statements: “I’m 40, and I haven’t done anything with myself yet, I haven’t even gone to a beautician. It's not natural!" And if a tooth falls out, will you put yourself a new one? I don't see the difference between a dental implant and a breast implant. We believe that buying a fur coat for 200 thousand is normal, but making breasts is expensive.

When I began to invest in myself, especially after mammoplasty, men of a different status began to pay attention to me. Now I am dating a French businessman and I am extremely happy. If it were not for getting rid of the complexes through plastic surgery, I would not have dared to look in his direction. I become a narcissist, but I try to pull myself up. I want to keep improving myself. I plan to do laser hair removal, put facades on my teeth. I am not going to become a doll or a clone of Masha Malinovskaya. I want to be myself, but a little more perfect, and so that others do not notice that I did some kind of manipulation.

The people who advocate body positivity are great. But we live in a society where you can perceive yourself as beautiful from the inside, and everyone else will think differently and at times remind you of this.

Anvar Salidzhanov

MD, plastic surgeon

In terms of the number of plastic surgeries, Russia is far from being in the top ten. We, as many mistakenly think, do not have a plastic boom, as in Brazil or the USA.

Young people, 18–20 years old, are more likely to have otoplasty (reshaping of the ears. - Note. ed.) and rhinoplasty (changing the shape of the nose. - Note. ed.). After 25 years, those who want to increase their breasts come. By the way, it is a big misconception that nulliparous women should not have breast implants. As they say: "First give birth, and then breastfeed." A woman can perfectly feed a child with implants. After 30 years, on the contrary, they reduce the chest or do some kind of tuning: they start, for example, with blepharoplasty (eyelid surgery. - Note. ed.), after six months they come to correct the nose or tighten the chest after childbirth. After 40, they renew their faces: women have a second youth, and finally there is time to take care of themselves.

In the first place in popularity remains mammoplasty (breast augmentation and lift. - Note. ed.) and blepharoplasty. Then comes the correction of the proportions of the face with the help of silicone implants - mentoplasty (changing the chin. - Note. ed.) and plastic surgery of the cheeks, the so-called removal of Bish's lumps. A couple of years ago, the bullhorn was in vogue - a lift of the upper lip, giving the face a puppet look. Thank God, this fashion has passed.

Plastic surgery in 95% is an opportunity to feel more confident. Such a bloody kind of psychotherapy

There are many times fewer men among clients: they are probably more confident in themselves in life than women. They perform aesthetic urological surgeries, rhinoplasty, eyelid surgery, liposuction (fat removal. - Note. ed.) and gynecomastia - when men develop effeminate breasts against the background of hormonal changes. Often they come in pairs: first, the spouse does the plastic surgery, and then, inspired by the example, the spouse goes.

The strangest request in my memory - elven ears, just at the peak of the popularity of "Lord of the Rings". But this is the nonsense of a madman, I do not undertake such a thing. Most of all I dislike the category of lazy patients who do not want to take care of themselves and do not go in for sports. Instead, they bring their goods to the surgeon's court with the words: "I need to pump out 40 liters of fat." If a person really wants to be slim and healthy, he strives for this, goes to the gym, eats right. But then it is already possible to correct imperfections, to do abdominoplasty (abdominal reduction. - Note. ed.). But to take on the laziness of the client, doing an insane amount of liposuction, is wrong.

It happens that a girl with a small proportional nose sits in front of me, who wants to make it thinner, narrower. I explain to her why this is not necessary. Not because I can't, it's just that natural beauty can be spoiled. The desire of the patient does not always correspond to the real situation. Or patients come: everything seems to be fine, but something in life did not work out. And they are trying to fix it with a change in appearance. Plastic surgery in 95% is an opportunity to feel more confident. Such a bloody kind of psychotherapy. It is important to analyze how much a person really needs it. Plastic is still not appendicitis, which must be operated on immediately. Suppose a girl comes and says that the family is on the verge of a divorce: her husband does not like that she has a second breast size, so she wants a fifth. Even if she enlarges her breasts, the family will still fall apart. In this case, the girl will feel more unhappy with the fifth size, which she did not want.

In my opinion, plastic surgery is one of the most beautiful branches of medicine and business. Medicine mainly faces problems, pain, and plastic surgery improves the quality of life and gives people joy.

A person can experience discomfort due to imperfections and flaws in their own appearance at any age. If the problem is unsolvable in other ways, comes to the rescue plastic surgery. The arsenal of its means today is so wide that it allows us to talk about the almost complete absence of age restrictions for patients. For example, the most common "children's" operation - correction of protruding ears - is recommended for patients from the age of 6. The use of modern sparing techniques makes aesthetic operations effective even in very advanced years.

However, a large number of patients, especially women, are concerned about the question -? Doubts concern, first of all, facial plastics. Experts believe that the first lifting should be considered by the age of forty: the initial results of aging at this age are already noticeable, but the skin is still elastic, healing is fast.

Of course There can be no strict age rule for everyone - each organism is individual. But for many types of operations, the pattern is this: if the flaw is obvious to others and its existence poisons your life, you can expect the most impressive results of surgical intervention. When planning the timing for plastic surgery, it should be noted that the full one takes a lot of time. You will help yourself a lot if you manage to "disconnect" from big problems and worries for a while. Prolonged is absolutely not necessary for most types of surgery, however doctors recommend reduce business and emotional stress during the rehabilitation period.

As for the time of year, there are many prejudices in this regard. Many, for example, believe that it is not worth it in the summer. Meanwhile, in Los Angeles, where the average annual temperature is above +20°C, the number of successfully practicing plastic surgeons is the highest in the world. So it is best to plan the operation according to your personal calendar.

How do you know if you should decide on a responsible step - plastic surgery - or leave everything as it is?

Plastic surgery some people perceive it as pampering - a minor surgical intervention, without risk, without bad consequences. Many believe that only pop stars need this, and the average person should have everything natural.

In reality, an operation, plastic or not, is an operation. Stay in the hospital, pain, the period of recovery of the body ... And, besides, no one canceled the probability of an unsuccessful outcome. Such operations can be easy, can be complex and last for 6 (or more) hours. The only difference is that it is performed absolutely voluntarily, since it is not vital.

Although this is how to say ... some really do the operation, which is called "out of pampering", but there are people who absolutely need it, people with a pronounced defect in appearance.

Plastic surgery includes cosmetic and restorative sections. The first is operations like correcting protruding ears, giving the nose a beautiful shape, etc. The second section is the restoration of the original state of the body after injuries, the elimination of their consequences (for example, the restoration of the skin after a burn).

To do or not to do the operation is up to you, unless, of course, you have any contraindications. Before the operation, you need to pass a bunch of tests, go through a bunch of doctors and spend a lot of nerves. But then the result will justify the spent effort, money and time. Perhaps… Or maybe it will only get worse? That's what you need to think about when leaving the doctor's office after the first consultation (you can think about it earlier, but it's better to go, otherwise you will reproach yourself for your softness all your life).

Due to the ugly appearance many have complexes, and if the elimination of the defect will help you feel more confident, then why not try it? Suppose, why should a child with protruding ears endure ridicule? Isn't it easier to do the operation? Especially since otoplasty possible from an early age, and it will cost twice as much for a child. Risk is minimal.

If you want to remove excess fat, then think about how the scar will look later, how long the recovery will take. Or maybe everything is not so bad, and it’s just necessary, because the operation will not stop obesity? After all, excess weight is not only a defect in appearance, but in general. In addition, there are a lot of fat people, so is it worth killing yourself because of this?

Suppose you have already decided for yourself that life is not sweet to you without a new nose (ears, figure, etc.), you have already gone to the doctor for your first consultation, you have been assured that everything will be in chocolate and you will get out of them building a handsome prince (charming princess).

To begin with, let's try to think about the consequences: what is the probability of an unsuccessful operation. Usually small, but it happens. Next, we figure out how much we will run to take tests, how long we will stay in the hospital (if it is a simple operation, then 1-2 days, the doctor should definitely tell you about this at the first consultation). What will be the rehabilitation period, during which it will be necessary to stay at home if possible, go only for dressings.

It will be great if a loved one supports you - takes you to the hospital, meets you and takes you home.

If you are ready for all this, if you understand what the operation will cost you, but still want to do it, firmly knowing that the effect will pay for all the resources expended - then go ahead! This means that after the operation you will feel great: not every person is able to step over himself, go through all the difficulties and achieve what he wants.

When is eyelid plastic surgery recommended? What is it?

Olga Alyaeva, plastic surgeon, doctor of the highest category, answers:

The former usually appear as skin folds over the upper eyelids and bags under the eyes. This is a kind of signal to consult a plastic surgeon whether surgery is needed or you can wait with it. Plastic surgery on the eyelids, or blepharoplasty, is a very popular and effective surgical intervention for facial rejuvenation. It consists, in particular, in the removal of excess skin and fatty hernias on the eyelids, which form with age. The operation, as a rule, is well tolerated by patients and allows to achieve the desired result.

Bags under the eyes.

From a medical point of view, “bags under the eyes” is an accumulation of fat. It is in it that the eyeball exists, but sometimes the fat sinks down and forms a hernia, from which the eyes always look tired. This can happen even in 30 years. If such a problem has emerged, you first need to go to the beautician: it may be swelling that goes away after a course of lymphatic drainage. Then it is necessary to exclude medical causes of swelling under the eyes, for example, hormonal imbalance or problems with the thyroid gland, and only after that go to a plastic surgeon.

Solution: While the skin is young and elastic (up to 45 years on average), bags under the eyes are operated on from the side of the mucous membrane of the eye, which means that there are no scars. The surgeon removes excess fat and the skin is tightened. True, there is a danger of removing too much fat, which in these places, unlike the hips and abdomen, is not restored. Then the look will look "sunken". But modern technologies can solve this problem too. The surgeon is also faced with the task of restoring the mechanical properties of the circular muscle of the eye, which holds the fat in its proper place.

Heavy eyelids.

With age, the eyelids droop and the gaze becomes heavy. But in fact, with age, it just becomes more noticeable, and the matter is in the shape of the eyebrows. When high, arched, the look looks open, and the eyes are large. Plastic surgeons have even determined the ideal arch of the eyebrows: the distance between the upper eyelids and the eyebrows should be at least 2.5 cm.

Solution: Surgeons reshape the eyebrows, lift the tissues, and the eyes open up. Such an operation is done endoscopically, that is, with tiny incisions (in the hair). May also disappear after surgery bags under the eyes and climb downturned corners of the eyes. When age-related changes are already noticeable before the eyes, then at the same time plastic surgery of the upper eyelid is performed: excess skin and fat are removed. By the way, “raised” eyebrows can drop over time, especially if the skin is naturally thick. And here eyelid surgery- this is forever. // grandmed.ru, shkolazhizni.ru, aif.ru, allwomens.ru