Kungava kuwanazve kupenya kwouduku hwomunhu, kururamisa kuremara kwechiso kana kuvandudza chitarisiko chechiso pashure pemajekiseni echigarire, kukwidziridzwa kwechiso kunogona kuomesa ganda uye dzimwe nguva kunyange tsandanyama dzechiso. Asi ndeapi maitiro akasiyana? Oparesheni iri kufamba sei? Tarisa pane zvakasiyana maitiro.

Yakagadzirwa nachiremba wechiFrench Suzanne Noël mumakore ekuma1920, cervico-facial lift inovimbisa kudzorera inzwi uye vechidiki kumeso nemutsipa. 

Iwo akasiyana facelift matekiniki

"Kune akati wandei maitiro ekusimudza chiso:

• subcutaneous;
• subcutaneous nekudzokororwa kweSMAS (superficial musculo-aponeurotic system, iri pasi peganda uye yakabatana nemhasuru dzemutsipa nechiso);
• kusimudza composite.

Iyo yemazuva ano facelift haichakwanise kunzwisiswa pasina kuwedzera kweanoti nzira dzakadai selaser, lipofilling (kuwedzerwa kwemafuta kuti agadzirise mavhoriyamu) kana kunyange peeling ”anotsanangura Dr. Michael Atlan, mapurasitiki uye aesthetic surgeon paAPHP.

Dzimwe nzira dzakareruka uye dzisinganyanyi kupindira dzakaita seshinda dzetensor dzinogona kubatsira kudzoreredza humwe hudiki kumeso, asi hadzina kusimba pane yekusimudza kumeso ivo pachavo.

The subcutaneous kusimudza 

Chiremba anovhiya kubva paganda reSMAS, mushure mekuchekwa pedyo nenzeve. Ganda rinobva ratambanudzwa vertically kana obliquely. Dzimwe nguva kushushikana uku kunokonzera kutama kwemucheto wemiromo. “Nyaya iyi inoshandiswa zvishoma pane yakare. Mhedzisiro yacho haina kugara nekuti ganda rinogona kudonha ”anowedzera Chiremba.

Subcutaneous kusimudza neSMAS

Iyo ganda uyezve iyo SMAS yakavharirwa yakazvimirira, kuti yobva yasimbiswa zvinoenderana nemavheji akasiyana. "Iyi ndiyo nzira inoshandiswa zvakanyanya uye inobvumira mhedzisiro inoenderana nekufambisa tsandanyama kunzvimbo yavo yekutanga. Inogara yakasimba pane nyore subcutaneous lift ”inotsanangura chiremba anovhiya.

Le lifting composite

Pano, ganda rinongobviswa masendimita mashoma, izvo zvinobvumira SMAS uye ganda kuti ribvise pamwe chete. Ganda uye SMAS zvinounganidzwa uye zvakatambanudzwa panguva imwe chete uye zvinoenderana nemavheji akafanana. Kuna Michael Atlan, "mugumisiro unowirirana uye kana uchishanda ganda neSMAS panguva imwe chete, hematomas uye necrosis zvishoma sezvo zvakabatana nekudzivirira kweganda, zvishoma munyaya iyi".

Kuvhiya kunoitika pasi peanesthesia yakawanda uye kunotora maawa anopfuura maviri. Murwere anochekwa kutenderedza nzeve muchimiro cheU. Ganda neSMAS zvinopepetwa kana kwete zvichienderana nehunyanzvi hunoshandiswa. Iyo platysma, tsandanyama inobatanidza SMAS kune collarbones uye kazhinji yakasununguka nezera, inosimbiswa kutsanangura kona yeshaya.

Zvichienderana nekuoma kwemutsipa kudonha, kupfupika kupfupi pakati pemutsipa dzimwe nguva kunodiwa kuwedzera kushushikana kune platysma. Kazhinji chiremba anovhiya anowedzera mafuta (lipofilling) kuvandudza huwandu uye kutaridzika kweganda. Mamwe mapindiro anogona kubatanidzwa, seaya emaziso kunyanya. "Masutures anogadzirwa neshinda dzakanyanya kunaka kuderedza mavanga.

Kuiswa kwedhireni kunowanzoitika uye kunoramba kuri munzvimbo kwemaawa makumi maviri nemana kusvika makumi mana nemasere ekuburitsa ropa. Muzviitiko zvese, mushure memwedzi, maronda nekuda kwekuvhiyiwa apera uye murwere anogona kudzokera kuhupenyu hwemazuva ese ”.

Rare complications

“Muchikamu chimwe chete kubva muzana, kusimudzwa kwechiso kunogona kukonzera kuremara kwechinguva. Inonyangarika yega mushure memwedzi mishoma. Kana uchibata mhasuru dzechiso, muzviitiko zve subcutaneous kusimudza neSMAS kana composite, zvinogona kukonzera kukuvara kwetsinga pasi peSMAS. Asi idzi inyaya dzisingawanzo ”anosimbisa Michael Atlan.

Zvinetso zvinowanzoitika

Matambudziko anowanzoitika anoramba ari hematomas, hemorrhages, ganda necrosis (kazhinji yakabatana nefodya) kana kusagadzikana kwekunzwa. Ivo kazhinji vane hunyoro uye vanonyangarika mukati memazuva mashoma kune ekutanga uye mukati memwedzi mishoma kune yekupedzisira. “Kurwadziwa kwacho hakuna kuitika pashure pokunge wasimudzwa chiso,” anowedzera kudaro chiremba. "Zvinogoneka kunzwa kusagadzikana kana kumedza kana kumwe kushushikana, asi marwadzo anowanzo kubatanidzwa nemavanga".

"Hapana zvinopokana chaizvo pakusimudza kumeso," anotsanangura kudaro Michael Atlan. "Zvisinei, njodzi dzematambudziko dzakakura kune vanoputa vanopinza ganda necrosis". Mune varwere vakafutisa, mhedzisiro pamutsipa dzimwe nguva inoodza mwoyo. Saizvozvo, varwere vakavhiyiwa kumeso kwakawanda havafanire kutarisira mhedzisiro inogutsa sezvavakaita pakuvhiya kwekutanga.

Mutengo wekusimudza chiso unosiyana zvakanyanya uye zvinoenderana nekuoma kwemaitiro uye chiremba anovhiya. Iyo inowanzosiyana pakati pe4 euros uye 500 euros. Izvi zvinopindira hazvifukidzwe nekuchengetedzwa kwevanhu.

"Usati wasimudza chiso, unofanirwa:

• rega kusvuta kana mwedzi umwe usati wavhiyiwa.
• dzivisa majekiseni mumwedzi yapfuura kuitira kuti chiremba anovhiya aone uye arape chiso nenzira kwayo.
• dzivisa kushandisa majekiseni echigarire nokuda kwechikonzero chimwe chetecho.
• Zano rekupedzisira: gara uchiudza chiremba wako nezve akasiyana maoparesheni ekuzora uye majekiseni awakaita muhupenyu hwako ”anopedzisa Michael Atlan.