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<\/p>\nA young face is defined by an overall “V” shape given by full cheeks and well-marked cheekbones associated with a well-defined facial oval.<\/p>\n
Facial aging is due to sagging of the skin and stretching of the various structural ligaments but also to a relaxation of the musculoaponeurotic system (SMAS). The face sinks downwards with the appearance of nasolabial folds and jowls. This loss of elasticity leading to skin sagging is combined with a melting of the various fatty areas of the face over time, which leads to a loss of support.<\/p>\n
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When the sagging (ptosis) and excess skin are too great, surgical lifting is preferable. Non-surgical lifting with threads or hyaluronic acid (the two can also be combined) can be an interesting alternative for patients with moderate ptosis and moderate skin excess, who do not want to have the social eviction that a surgical lifting would have.<\/p>\n
The principle of the hyaluronic acid facelift (“liquid lfiting”) is to inject the support areas that have undergone tissue melting over time: lateral part of the cheekbone, pretragal area (in front of the ear), lateral part of the cheek and vertical branch of the jaw.<\/p>\n
Photos of cases with marked key points
\nThe principle of PDO (=polydioxanone) tensioning sutures is to apply a traction force opposite to the relaxation, thanks to the teeth that these tensioning sutures present. These teeth hook the subcutaneous tissue and pull the skin to restore the oval of the face.<\/p>\n
Hyaluronic acid:<\/b>
\nTopical anesthesia with cream and filling with a cannula. The cannula, with its smooth, non-sharp tip, allows for a less painful injection with less hematoma.<\/p>\n
Tensor threads:<\/b>
\nThey are inserted through micro-incisions (0.5 mm), run in tunnels under the skin to the scalp and the tension is adapted to raise the eyebrow. The procedure is performed under local anesthesia, the principle is to make a long tunnel so that the thread has a wide grip and holds longer and to anesthetize the entire path of the tunnel for maximum comfort of the patient, the procedure thus takes 45 to 60 minutes.<\/p>\nResults:<\/h3>\n
Time to final results:<\/b>
\nConcerning hyaluronic acid, the effect is immediate.
\nConcerning the tensor threads: after a social eviction of 48h, one can see immediately the result with a hypercorrection of a few mm then to see the final result it is necessary to wait approximately 1 week.<\/p>\nLongevity of results :<\/h3>\n
Hyaluronic acid:<\/b> 6 – 15 months
\nTensor threads:<\/b> 6 – 12 months<\/p>\n
Hyaluronic acid has a theoretically better longevity, but a less important “tensor” effect. The combination of the two techniques is interesting.<\/p>\n
Stop smoking 1 month before surgery
\nDo not take Aspirin 10 days before surgery, inform Dr. Lucas of any anticoagulant medication (Sintrom, Coumadin, Eliquis, etc.) to arrange for its discontinuation or replacement.<\/p>\n
Take Arnica capsules 5 times a day for 5 days before surgery to prevent hematoma.
\nContraindications hyaluronic acid: autoimmune diseases, pregnancy, breastfeeding, former silicone injection on the same site<\/p>\n
Pain:<\/b> pain during the procedure will be almost non-existent, with an appropriate anesthesia
\nDuration of procedure:<\/b> 60 minutes for each technique
\nAnesthesia:<\/b> local
\nLocation:<\/b> office
\nOutpatient (without hospitalization)<\/b><\/p>\nAfter the procedure:<\/h3>\n
Post-operative pain:<\/b> 1\/10 often responding to Dafalgan<\/p>\nSocial eviction :<\/h3>\n
Hyaluronic acid:<\/b> no (sometimes swelling for a few days)
\nTensor threads:<\/b> 24-48h
\nReturn to work:<\/b> 1 – 2 days
\nResumption of sports:<\/b> 2 days for hyaluronic acid, 10 days after for the threads<\/p>\nInstructions:<\/h3>\n
Bed rest without major effort (which can cause the opening of small vessels during effort and lead to a hematoma) for 48 hours
\nIce for 2-3 days, as often as possible, to reduce swelling
\nTake Arnica capsules 5 times a day for 5 days after surgery to prevent hematoma
\nStop smoking for good to prolong the effect of the hyaluronic acid and the threads<\/p>\n
Avoid anti-inflammatory drugs and smoking for 48 hours
\nMassage areas the next day if you feel irregularities or hard areas for 1 week
\nDr Lucas control 2 weeks, 3 months<\/p>\n
Preventive antibiotic Augmentin 1 g twice a day for 3 days after the operation
\nAvoid opening the mouth wide and movements that put the threads in traction for 1 week
\nDisinfection with spray twice a day for 3 days at the entry point of the thread.
\nControl Dr Lucas D7, 3 weeks, 3 months<\/p>\n
Hyaluronic acid:<\/b>
\n– Infection, hematoma, asymmetry, under- or over-correction
\n– Intravascular injection: necrosis, blindness<\/p>\n
Tensor threads:<\/b>
\n-Secondary displacement of the thread: the thread, if stimulated too hard during the 7 days following the procedure, may come off.
\nNerve or vessel damage: the placement of tension wires must be performed by a doctor with a good knowledge of anatomy, with whom the risk of nerve damage is almost non-existent.
\n-Hematoma: there may be bruising, which generally disappears within 4 to 5 days maximum.
\n-Asymmetry
\n– Discreet folds of the skin: this sometimes happens when the eyebrow has to be significantly raised or when there is a lack of flexibility in the tissues. These folds will disappear in 7 days on average.
\n– Infection: often treated with antibiotics and local care. Exceptionally, it is necessary to remove the threads when the infection is not controlled despite the previous measures.<\/p>\nAlternative:<\/h3>\n
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