Plastic surgery clinic in Moscow

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It is important to remember that “plastic surgery” is not a cosmetic procedure, but a real medical intervention. Ultimate success is influenced by both the skill and the patient’s body. It happens that you have to do a second operation.

More often plastic surgeons of the CM-Clinic it is necessary to eliminate age-related changes in the face, as well as to save the appearance after unsuccessful operations on the chest and nose. They have a story to tell about these operations.

Face

Endoscopic facelift – the most progressive of the currently existing plastic surgery techniques. It requires a minimum of small incisions within the hair growth area that heal well and are therefore virtually invisible.

Indications for the operation:

• drooping of the eyebrows;
• drooping of the eyelids;
• wrinkles over the bridge of the nose;
• wrinkles at the root of the nose;
• forehead wrinkles.

The lift is performed under general anesthesia using high-tech endoscopic equipment. The results of a professionally performed operation last up to 10 years.

Contraindications are loss of skin elasticity and contractility, excessive thickness and greasiness of the skin, as well as the presence of skin lesions in the upper third of the face.

Complications of endoscopic lifting are minimized and rare.

Nose

Secondary plastic surgery of the nose allows you to bring it to its proper form if the first operation was unsuccessful

Reasons for secondary rhinoplasty:

• patient dissatisfaction with the results of the primary surgery;
• unpredictable scarring (more often after closed rhinoplasty) in a long-term period with subsequent deformation of the nose;
• individual biological characteristics of the patient;
• technical errors in planning and performing the operation.

It happens that too much tissue was removed during an unsuccessful operation. Then secondary rhinoplasty of the nose can be extremely difficult and technically difficult and can only be performed by a highly qualified specialist.

Secondary rhinoplasty should be performed six months later, and preferably a year or more after the primary operation. This is due to the scar tissue that forms during these periods. Secondary intervention should be carried out with extreme caution. The result of the second operation is rather difficult to predict, since the severity of changes in the tissues and the condition of the scars are unknown. In addition, the amount of tissue removed during the first operation may not be known.

Secondary rhinoplasty often requires tissue transplantation. In this case, it is better to use the patient’s own tissue (cartilage, muscle membranes, bone). The use of foreign materials (silicone implants) increases the risk of complications, since the own tissues have already been damaged and healed.

The CM-Clinic has all the possibilities for performing secondary rhinoplasty, qualified, experienced specialists and modern microsurgical equipment.

Chest

After breast augmentation surgery with silicone or hydrogel implants, a serious complication can occur – capsular contracture… This is a formation of a dense membrane of scar tissue around the implant. The fact is that the implant is perceived by the body as a foreign body, from which it is necessary to defend itself. A capsule of connective tissue is formed. Thickening, it becomes noticeable and spoils all the beauty. Contracture can occur as a result of incorrectly performed surgery or due to the patient’s individual response to the implant.

There are 4 stages of this process:

1. The mammary gland is soft to the touch, outwardly does not differ from healthy. This is a variant of the norm in all operated women.
2. The breast is harder to the touch than healthy, the implant can be felt, there is no visible deformation.
3. The mammary gland becomes hard to the touch, the implant is well felt, its contour is visible, or the breast changes shape.
4. The chest is very hard, inelastic, pain is felt when touched, the shape is greatly changed.

If there is a capsular contracture of 3-4 degrees, then surgical treatment is indicated – removal of the fibrous capsule and replacement of the implant. The operation is performed through the existing scar in an open way.

In SM-Clinic, endoscopic capsulotomy is successfully used for intact implants (contracture of stages 2-3). With this technology, the instrumentation is inserted through a small incision under visual control, and then the capsule and implant are examined using magnifying optics. If the implant is not significantly deformed, the capsule is dissected in various directions under optical control. The implant remains in place.

Advantages of endoscopic capsulotomy: low trauma, short operation time and low scarring.