Plastic surgery

Face Lift

Facial ageing is a complex process involving thinning and loss of elasticity of the skin, appearance of wrinkles caused by shrinking of facial mimetic muscles, deepening of the folds between anatomical areas – tear trough, nasolabial folds, marionette lines. The soft tissues of the face begin to sag which leads to a loss in facial volume in the upper parts and excess tissue in the area of the jaw and neck.

Facelift is a procedure to lift and improve the contour of the face by reducing excess skin on the cheeks and neck and to lift and tighten the SMAS layer (superficial musculo aponeurotic system) of the face. Incisions are hidden in the hair, as well as in front of and behind the ear.

The surgery is performed under IV sedation or under general anaesthesia. Sutures are removed on the 7th-14th postoperative day. Swelling and bruising of the treatment area is possible and may last up to three weeks.

The surgery is performed on patients who are in general good shape and have normal lab results.

Contraindications to the surgery

  • unrealistic expectations of the patient
  • active infectious disease
  • mental illness
  • untreated hypertension
  • untreated heart diseases
  • untreated diabetes
  • untreated hormonal imbalances
  • untreated bronchial asthma
  • venous thrombosis
  • menstrual bleeding
  • pregnancy

Lab tests required

General anaesthesia:

  • blood group
  • CBC
  • coagulation parameters (PT/INR, APTT)
  • electrolytes (Na, K)
  • glucose
  • creatinine
  • anti-HCV and anti-HIV antibodies
  • urinalysis
  • electrocardiogram
  • chest X-ray

 

Local anaesthesia:

  • blood group
  • CBC
  • coagulation parameters (PT/INR, APTT)
  • electrolytes (Na, K)

The patient must be vaccinated against hepatitis B virus.

Preparation for the surgery

Before the scheduled surgery, you have to inform the doctor about any existing medical conditions as well as about any medications you are taking or allergies you have.

  • at least 4 weeks before the scheduled surgery you have to stop taking any hormonal contraception or replacement therapy (HRT);
  • at least 3 weeks before the scheduled surgery you must refrain from smoking
  • 14 days prior to the surgery you should not take any salicylates (Aspirin, Polopiryna, etc.) or other substances affecting blood coagulation (e.g. herbs, garlic);
  • 3 days before the surgery you must refrain from taking pain medication: paracetamol, pyralgin and NSAID drugs (e.g. Ketonal, Ibuprofen, Naproxen, etc.);
  • 6 hours before the surgery you must refrain from eating, drinking or chewing gum;
  • you must take your chronic medication with a small amount of water.