Departments | Olymp Clinic

What is the difference between SMAS facelifts and endoscopic facelifts?

The difference lies in the depth of the impact on the musculoskeletal aponeurotic system (SMAS) and the areas of the face that are affected during the operation.

The SMAS lift focuses on the surface layers of the musculoaponeurotic system. The main purpose of this operation is to rejuvenate the peripheral oval of the face. During the SMAS lift, correction and fixation of surface tissues are performed, which eliminates age-related changes such as sagging cheeks and the formation of "flaps".

Endoscopic facelift works with deeper sections of the muscular-aponeurotic system. This technique is designed to rejuvenate the upper and middle thirds of the face. An endoscopic lift allows you to achieve a more pronounced lifting in the forehead, eyebrows and the middle third of the face, with minimal incisions and, as a result, with less injury.

Doctor: Agapov Denis Genrikhovich

Which is better — open or closed rhinoplasty?

Open rhinoplasty may be preferable in some cases, as it allows the surgeon to see all the structures of the nose in an almost unchanged state, which facilitates accurate correction and symmetry. In closed rhinoplasty, the columella (the anterior part of the nasal septum) is preserved, and the surgeon is forced to look at the structures of the nose from different sides, which can complicate the achievement of symmetry.

However, the most important thing is not the access method, but how carefully all the structures that were changed during the operation are restored. The choice of method depends on the specific anatomical features and goals of the patient.

Doctor: Agapov Denis Genrikhovich

Is it possible to have breast surgery before giving birth?

Yes, breast surgery can be done before childbirth, but with some important nuances.

First, it is necessary to understand that surgery can affect lactation. In some cases, this may make breastfeeding difficult. Secondly, after childbirth and lactation, the breast may change in size and shape, which sometimes requires repeated correction. During lactation, an additional load is placed on the breast, since both the implant and the enlarged breast are present, which can affect the appearance of the breast.

Therefore, before deciding on surgery before childbirth, it is important to weigh all possible consequences and be prepared for possible changes in the future.

Doctor: Agapov Denis Genrikhovich

Is it possible to get rid of post-acne scars using laser techniques?

Yes, laser resurfacing and fractional laser help smooth out the skin relief. Depending on the depth of the scars, a course of several procedures may be necessary, but after the first sessions the skin becomes more even.

Doctor: Severova Anna Gennadievna

Is Cooltech cryomodeling suitable for sensitive skin?

This procedure is quite delicate and does not cause damage to the surface layers of the skin, so it is also suitable for sensitive skin. The main effect is on fat cells, which are destroyed under the influence of low temperatures, while the skin and surrounding tissues remain safe.

Doctor: Severova Anna Gennadievna

I have problem skin with acne, can I have peels?

It all depends on the stage of inflammation. With active inflammation, mechanical peels cannot be done, but soft peels can be used, for example, with salicylic acid, which help reduce rashes and clear pores. For post-acne, scars or irregularities, more intensive peels like TSA are suitable. But before the procedure, a consultation is always conducted to choose the safest and most effective option for your skin.

Doctor: Severova Anna Gennadievna

How often should I brush my teeth at the dentist?

Cleaning is recommended to be done once every 6 months, and for patients who undergo orthodontic treatment or have difficulties with home hygiene, more often - once every 3-4 months.

Doctor: Titova Yana Olegovna

Is it necessary to have wisdom teeth removed?

Not obligatory. If they have erupted correctly and are in contact with each other, if they are not affected by caries, if they do not interfere with orthodontic treatment and do not injure the cheek mucosa, then you can save

Doctor: Titova Yana Olegovna

Is it necessary to treat caries at the initial stage if the tooth does not hurt?

It is not necessary if the caries is in the stage of a spot, then you can monitor it and start treatment when a carious cavity begins to form in place of the spot.

Doctor: Tereshchenko Ekaterina Sergeevna

Which bleaching method is the safest?

Philips ZOOM 4th generation bleaching is considered the safest at the moment.

Doctor: Tereshchenko Ekaterina Sergeevna

What can plaque on the tongue say?

A pathological plaque on the tongue is formed due to malfunctions of internal organs, taking antibiotics and smoking.

The appearance of plaque can be facilitated by infectious diseases (scarlet fever, diphtheria), stomach ulcer, liver pathology, lichen planus, diabetes mellitus, bronchitis, pneumonia and others.

Doctor: Tereshchenko Ekaterina Sergeevna

Do visible scars remain after mammoplasty?

Scars after mammoplasty are usually very delicate and placed in such a way that they are difficult to notice. For example, an incision in the crease under the breast or along the edge of the areola makes the scars almost invisible even in a swimsuit. After a year or two, with proper care, the scars become thin, and they are almost invisible to others. Laser resurfacing also helps a little if the patient wants to speed up the healing process.

Doctor: Terezanov Oleg Yuryevich

How much breast volume can be increased at a time?

It is important that the breasts fit harmoniously into the proportions of your body. Surgery is not a race for volume, and too large an implant can lead to complications and discomfort. We usually increase our breasts by one or two sizes at a time.

Doctor: Terezanov Oleg Yuryevich

How will skin sensitivity change after liposuction or abdominoplasty?

After liposuction or abdominoplasty, there may be a temporary decrease in sensitivity in the area of surgery. This is due to the fact that nerve endings are affected during the procedure. Sensitivity usually recovers after a few months.

Doctor: Terezanov Oleg Yuryevich

How often should I brush my teeth at the dentist?

Cleaning is recommended to be done once every 6 months, and for patients who undergo orthodontic treatment or have difficulties with home hygiene, more often - once every 3-4 months.

Doctor: Rukavitsina Tatiana Grigorievna

What can plaque on the tongue say?

A pathological plaque on the tongue is formed due to malfunctions of internal organs, taking antibiotics and smoking.

The appearance of plaque can be facilitated by infectious diseases (scarlet fever, diphtheria), stomach ulcer, liver pathology, lichen planus, diabetes mellitus, bronchitis, pneumonia and others.

Doctor: Rukavitsina Tatiana Grigorievna

Can diastasis go away on its own?

In mild cases, and if the exercise recommendations are followed, diastasis may decrease or disappear.

Doctor: Cherepanin Ivan Andreevich

When should I see a doctor for diastasis?

If diastasis causes significant discomfort, pain, or functional problems, or if conservative treatments do not work, you should consult a doctor.

Doctor: Cherepanin Ivan Andreevich

What exercises are most effective for the treatment of diastasis?

Exercises to strengthen the transverse and oblique abdominal muscles, such as Kegel exercises.

Doctor: Cherepanin Ivan Andreevich

How long does the blepharoplasty result last?

The results of blepharoplasty, or eyelid correction surgery, can last from several years to decades, depending on various factors such as age, skin type, cosmetic care, lifestyle.

Doctor: Khrustaleva Irina Eduardovna

Are the scars visible after blepharoplasty?

The scars after blepharoplasty are almost invisible, since the incisions are made along the natural folds of the eyelids. On the upper eyelid, they are located in a fold that hides a scar with open eyes, and on the lower eyelid, an incision is made directly under the lash line or through the conjunctiva, which allows you to hide traces of interference.

Doctor: Khrustaleva Irina Eduardovna

How can I prevent varicose veins?

Regular physical activity, weight control, wearing compression underwear, and avoiding prolonged standing and sitting will help reduce the risk of developing varicose veins.

Doctor: Khachatryan Meline Sarkisovna

Is it necessary to treat varicose veins if it does not cause inconvenience?

Yes, treatment of varicose veins is necessary, as the disease can progress and cause serious complications, even if the symptoms are insignificant in the early stages.

Doctor: Khachatryan Meline Sarkisovna

Is it possible to cure varicose veins without surgery?

Conservative treatment helps slow down the development of varicose veins and alleviate symptoms, but does not eliminate the cause of the disease.

Doctor: Khachatryan Meline Sarkisovna

Is varicose veins life-threatening?

Varicose veins are not dangerous in themselves, but their complications, such as thrombophlebitis and thromboembolism, can be life-threatening.

Doctor: Khachatryan Meline Sarkisovna

When do I need to see a phlebologist?

You should contact a phlebologist in the following cases: if you experience pain, heaviness or discomfort in your legs, especially after standing or sitting for a long time. The appearance of varicose veins, dilated or convoluted veins, as well as skin discoloration on the legs. If you notice swelling in the ankles or shins, especially if they do not go away after rest.

Doctor: Khachatryan Meline Sarkisovna

Is a recurrence possible after laser treatment of varicose veins?

Yes, a recurrence is possible after laser treatment of varicose veins. Although laser therapy is an effective method for eliminating varicose veins, it does not guarantee the complete absence of recurrence. To reduce the risk of recurrence, it is recommended to follow the doctor's recommendations after laser surgery, lead an active lifestyle, control weight, and use compression stockings as needed. Regular checkups with a phlebologist will also help identify problems at an early stage.

Doctor: Khachatryan Meline Sarkisovna

Is it possible to cure varicose veins without surgery?

Varicose veins can be treated without surgery, but the effectiveness of such methods depends on the stage of the disease and the individual characteristics of the patient. It is important to consult with a phlebologist to choose the most appropriate treatment method in your particular case.

Doctor: Khachatryan Meline Sarkisovna

What is the difference between SMAS facelifts and endoscopic facelifts?

SMAS facelift is aimed at rejuvenating the peripheral oval of the face (below the line connecting the corner of the mouth and the tip of the mouth guard). Endoscopic facelift (SMAS) affects the deep sections of the musculoaponeurotic system of the face and affects the sections above the line connecting the corner of the mouth and the tip of the mouth guard.

Doctor: Anastasia Shugufa

How do weight fluctuations affect liposuction results?

Significant weight fluctuations can lead to deterioration of the contours of the area where surgery was performed.

Doctor: Anastasia Shugufa

What procedures are suitable for improving the shape and volume of lips with a minimal recovery period?

There are various ways to correct the shape of the lips. If we consider surgical methods of correction, then, depending on the indications and wishes of the patient, you can perform a Bullhorn operation, a corner lift, a V-Y lip plastic surgery, or a Kisselring operation. Sometimes, a combination of these techniques is possible.

Doctor: Anastasia Shugufa

Is Cooltech cryomodulation suitable for sensitive skin?

Yes, you can

Patients may feel only mild discomfort — mild tingling, tingling, and numbness.

Doctor: Shvetsova Tatyana Alekseevna

If you start having laser hair removal, will you always have to do it later?

The average number of procedures is 6-10.

It is important to complete a full course of laser hair removal with a certain frequency between procedures.

Then all the hairs will have time to activate and the laser will destroy them. You may need 1-2 maintenance procedures once a year.

Doctor: Shvetsova Tatyana Alekseevna

I have problematic skin with acne, can I have peels?

It is possible, but it is necessary to take into account the severity of acne.

Doctor: Shvetsova Tatyana Alekseevna

Is it possible to have surgery to change the shape of the ears at any age?

Surgery to change the shape of the ears (otoplasty) can be performed at almost any age. In children, it is recommended to do it from the age of 5-6, when the ears are already fully formed. In adults, otoplasty is also safe and effective, and recovery is faster.

Doctor: Sharov Ilya

Are the scars visible after blepharoplasty?

The scars after blepharoplasty are almost invisible, since the incisions are made along the natural folds of the eyelids. On the upper eyelid, they are located in a fold that hides a scar with open eyes, and on the lower eyelid, an incision is made directly under the lash line or through the conjunctiva, which allows you to hide traces of interference.

Doctor: Sharov Ilya

How do I determine if I need a facelift or if injection procedures are enough?

It all depends on the severity of age-related changes. If the main complaints are related to small wrinkles, loss of volume or dull skin tone, then injection procedures can give excellent results. However, if the face has lost its clear contours, deep folds and excess skin have appeared, especially in the cheeks and neck, then facelifting may be a more effective option.

Doctor: Sharov Ilya

What are the advantages of an endoscopic lift at a young age?

Patients often ask questions about endoscopic lifting of the middle zone, namely: "How can the cheekbone area and the area under the lower eyelid be improved?". Sometimes these are young patients from 30 to 45 years old. In such cases, an endoscopic facelift of two thirds of the face is perfect. With the help of an endoscope, we lift tissues deeply without visible incisions, which allows us to obtain a pronounced lifting effect. The result looks natural, as if the operation never happened.

Doctor: Sharov Ilya

How safe is ultrasound for adults and children?

Safe for children and adults

Doctor: Shalimova Inessa Gennadievna

Can any pathology be seen on ultrasound?

Ultrasound cannot be done after gastro and colonoscopy.

Doctor: Shalimova Inessa Gennadievna

Is it true that an ultrasound cannot be done on the same day as some other tests?

Ultrasound can show almost any pathology, but a full assessment of the condition is possible in combination with other studies.

Doctor: Shalimova Inessa Gennadievna

Is it possible to completely cure snoring?

Snoring can be eliminated by surgical treatment, weight loss, and orthodontic treatment.

Doctor: Chuprikov Roman Sergeevich

How to deal with persistent dryness in the throat?

To cope with a dry throat, you need to find its cause and act on it.

Doctor: Chuprikov Roman Sergeevich

How to get rid of stuffy ears during air travel?

During the flight, vasoconstrictor drops should be instilled into the nose and the auditory tubes should be purged when descending.

Doctor: Chuprikov Roman Sergeevich

How are sinus polyps diagnosed?

A doctor's examination plays an important role in the diagnosis of polypous changes in the nasal mucosa. Endoscopic examination is the gold standard in diagnostics. Also, the main additional diagnostic method, of course, is computed tomography (CT) of the paranasal sinuses. In certain cases, magnetic resonance imaging (MRI) may come to the rescue. Joint examinations by an allergist, immunologist, pulmonologist, and of course certain laboratory diagnostic tests can play an important role in the final diagnosis of the nature of polyps.

Doctor: Tymoshenko Kristina Viktorovna

What complications can occur with untreated otitis media?

Otitis media can have various etiologies (bacterial, viral, fungal, manifestations of systemic diseases, specific inflammations in the body), depending on which certain negative scenarios may develop. As a rule, the aggressive development of otitis media can affect neighboring areas such as intracranial spaces, neck tissues, as well as nasal structures. Lack of attention to the inflammation of the patient and the doctor can also form a sluggish process and lead to chronicling of the process, which leads to a decrease in ear function. A quick determination of the cause of inflammation and the early appointment of proper treatment leaves no pathophysiological chance for changes in the structures of the ear, leading to the formation of chronic otitis media.

Doctor: Tymoshenko Kristina Viktorovna

How to deal with persistent dryness in the throat?

Persistent dryness in the throat can be a consequence of both an ENT problem and the effect of problems in other systems and organs. The task of an otorhinolaryngologist is to understand the nature of the condition. If this is due to inflammation, then the appointment of local, possibly systemic, medications eliminates unpleasant sensations. The role of additional diagnostic methods is great. This can be a blood test, a study of the microflora of the mucous membrane, determination of the cell population of the mucous membranes of the upper respiratory tract. Also, the cause of dry throat can be concomitant diseases of the endocrine glands, hormonal imbalance, digestive tract problems, problems of the maxillary system, nervous and musculoskeletal systems. The attention of accompanying specialists: a gastroenterologist, an endocrinologist, a dentist, a neurologist can help answer questions about the causes of dry throat.

Doctor: Tymoshenko Kristina Viktorovna

Why do I need to consult an anesthesiologist before surgery?

Consultation with an anesthesiologist before surgery is no less important than an appointment with the attending physician. Each anesthesiologist should study in detail the anamnesis and the prehospital examinations passed in order to accurately select the method of anesthesia and individually calculate the dosages of the drugs administered.

Doctor: Chibisov Nikita Sergeevich

What is the harm of general anesthesia?

Modern practical anesthesiology is as safe as possible and practically harmless for patients. If the patient underwent an examination before the planned hospitalization and followed all the prescriptions of the attending physician and anesthesiologist, then any unforeseen risks tend to zero.

Doctor: Chibisov Nikita Sergeevich

How do I choose the anesthetic dose?

The doses of any drug from the practice of an anesthesiologist are selected individually, depending on age, gender, physiological parameters and the intended operation.

Doctor: Chibisov Nikita Sergeevich

What factors increase the risk of cervical dysplasia?

The most significant factor is infection with human papillomavirus (HPV), especially oncogenic types. Other risk factors include immunodeficiency, chronic inflammatory processes, smoking and cervical injuries.

Doctor: Chernysheva Yulia Viktorovna

Is it possible to completely cure cervical dysplasia?

Yes, cervical dysplasia in the early stages is a reversible process. Timely treatment and elimination of dysplasia can completely prevent the development of cancer.

Doctor: Chernysheva Yulia Viktorovna

What can cause abnormal uterine bleeding?

AMC can occur for various reasons, including hormonal disorders, inflammatory processes in the uterus, fibroids, polyps, blood clotting disorders and even malignant tumors. It is important to consult a doctor for accurate diagnosis and treatment.

Doctor: Chernysheva Yulia Viktorovna

What diagnostic methods are used in AMC?

To diagnose AMC, a gynecological examination, ultrasound examination of the pelvic organs, blood tests to exclude anemia and clotting disorders, as well as an endometrial biopsy or hysteroscopy to assess the condition of the uterine mucosa are usually performed.

Doctor: Chernysheva Yulia Viktorovna

Is it necessary to treat caries at an early stage if the tooth does not hurt?

If the diagnosis is caries, treatment is essential.

Doctor: Yarmak Victoria Fedorovna

Which whitening method is the safest?

At the moment, all types of professional whitening are safe. But the "cold" ZOOM4 lamp and the rich composition of the whitening gel allow this procedure to be carried out as comfortably as possible for patients.

Doctor: Yarmak Victoria Fedorovna

What can a coating on the tongue indicate?

A coating on the tongue may indicate bad habits or gastrointestinal diseases. A tongue scraper helps in this case, but is not a cure.

Doctor: Yarmak Victoria Fedorovna

What is the difference between SMAS facelifts and endoscopic facelifts?

The human face can be divided into the central and lateral sections of the face.

The fat packs of the face are concentrated in the central part of the face. They tend to decrease with age. Due to this, nasolabial folds, labial folds, relief in the eye area and lowering of the eyebrows appear. Endoscopic techniques help to cope with all these changes.

The lateral parts of the face are mainly represented by ligamentous structures that relax and sag with age. Here, patients may be concerned about such manifestations as blisters, "excess skin" in front of the ears. In this case, it is necessary to perform SMAS face lifting.

Age-related changes in the sides of the face are often accompanied by age-related changes in the neck. And this is manifested by an indistinct cervical-facial angle, sagging skin in the chin area, visualization of muscle strands and contouring of the rings of Venus. In such cases, SMAS plastic surgery of the face and neck is performed simultaneously.

Thus, different anatomical areas of the face have different surgical approaches.

Doctor: Yakovleva Olga Gennadyevna

Is it possible to have surgery to change the shape of the ears at any age?

The main growth of the cartilage of the ear is completed at about 6-8 years of age. From this moment on, otoplasty can be performed. Of course, it is recommended to perform this operation in childhood. This will help to avoid psychoemotional injuries associated with the appearance of the ears of a young schoolboy. However, if for some reason, otoplasty was not performed in childhood, and the patient has a request to change the shape of the ears, age is not an obstacle to performing otoplasty.

Doctor: Yakovleva Olga Gennadyevna

Is it possible to combine several anti-aging facial treatments in one surgical procedure?

Depending on the patient's request and assessment of the safety of surgical intervention, a combination of different operations is possible.

The most popular combinations of operations:

Upper and/or lower blepharoplasty + Endoscopic face lifting

Endoscopic lifting+ SMAS plastic surgery of the face and neck.

Upper and lower blepharoplasty + SMAS plastic surgery of the face and neck.

Endoscopic face lifting + facial lipofilling.

Endoscopic face lifting + chin plastic surgery.

There may be different options. For some, it is easier to divide the volume into several surgical procedures, for others it is easier to do everything at once. The main thing is that it does not contradict the principles of patient safety.

Doctor: Yakovleva Olga Gennadyevna

How often should I brush my teeth at the dentist?

Cleaning is recommended to be done once every 6 months, and for patients who undergo orthodontic treatment or have difficulties with home hygiene, more often - once every 3-4 months.

Doctor: Ekazheva Marianna Solekhovna

Is it necessary to have wisdom teeth removed?

Not obligatory. If they have erupted correctly and are in contact with each other, if they are not affected by caries, if they do not interfere with orthodontic treatment and do not injure the cheek mucosa, then you can save

Doctor: Ekazheva Marianna Solekhovna

What are the advantages of the FESS method?

A modified surgical approach to the treatment of sinus diseases. The advantages include a targeted minimally invasive solution to the problem of diseases of the sinuses using endoscopic techniques and specialized micro instruments. When using the fess technique, a low traumatic surgical method is achieved, preserving the structures of the nasal cavity and tissues that are not involved in inflammatory processes. It has been proven that shortening rehabilitation periods after surgical treatment for certain types of diseases is a radical solution to the problem, reducing the likelihood of complications, and improving the quality of life of patients, unlike classical surgical interventions in the nasal cavity.

Doctor: Smirnov Alexey Vladimirovich

How are sinus polyps diagnosed?

A doctor's examination plays an important role in the diagnosis of polypous changes in the nasal mucosa. Endoscopic examination is the gold standard in diagnostics. Also, the main additional diagnostic method, of course, is computed tomography (CT) of the paranasal sinuses. In certain cases, magnetic resonance imaging (MRI) may come to the rescue. Joint examinations by an allergist, immunologist, pulmonologist, and of course certain laboratory diagnostic tests can play an important role in the final diagnosis of the nature of polyps.

Doctor: Smirnov Alexey Vladimirovich

What is the difference between SMAS facelifts and endoscopic facelifts?

The human face can be divided into the central and lateral sections of the face.

The fat packs of the face are concentrated in the central part of the face. They tend to decrease with age. Due to this, nasolabial folds, labial folds, relief in the eye area and lowering of the eyebrows appear. Endoscopic techniques help to cope with all these changes.

The lateral parts of the face are mainly represented by ligamentous structures that relax and sag with age. Here, patients may be concerned about such manifestations as blisters, "excess skin" in front of the ears. In this case, it is necessary to perform SMAS face lifting.

Age-related changes in the sides of the face are often accompanied by age-related changes in the neck. And this is manifested by an indistinct cervical-facial angle, sagging skin in the chin area, visualization of muscle strands and contouring of the rings of Venus. In such cases, SMAS plastic surgery of the face and neck is performed simultaneously.

Thus, different anatomical areas of the face have different surgical approaches.

Doctor: Nikolaeva Elena Viktorovna

What are the advantages of an endoscopic lift at a young age?

Patients often ask questions about endoscopic lifting of the middle zone, namely: "How can the cheekbone area and the area under the lower eyelid be improved?". Sometimes these are young patients from 30 to 45 years old. In such cases, an endoscopic facelift of two thirds of the face is perfect. With the help of an endoscope, we lift tissues deeply without visible incisions, which allows us to obtain a pronounced lifting effect. The result looks natural, as if the operation never happened.

Doctor: Nikolaeva Elena Viktorovna

What rejuvenation methods do you recommend to combat sagging skin on the neck and face?

The methods are selected depending on the condition of the skin and the severity of age-related changes. The variability of rejuvenation methods is extremely wide: from injection and hardware cosmetology to surgical intervention.

Doctor: Nikolaeva Elena Viktorovna

How do weight fluctuations affect liposuction results?

How do weight fluctuations affect liposuction results?
If the patient gains weight after the procedure, the fat deposits may return, but the fat distribution may change. Because of this, fat can accumulate unevenly in different areas. Therefore, in order to preserve the result of liposuction, it is important to maintain a stable weight and lead an active lifestyle.

Doctor: Nemanov Boris Alexandrovich

What tasks does female intimate contouring solve?

These are mainly procedures for correcting the shape, volume and symmetry of the labia, as well as improving the elasticity of tissues in the perineal area. These procedures help eliminate discomfort when wearing tight underwear or exercising, as well as increase sensitivity and improve the quality of sexual life. In addition, some procedures (for example, injections of hyaluronic acid) they promote tissue hydration, which is especially important during menopause or with age-related changes.

Doctor: Nemanov Boris Alexandrovich

What is the Manchester operation?

This is a surgical treatment of pelvic organ prolapse in women, which is indicated when the uterus and anterior vaginal wall are lowered. During surgery, the cervix is shortened and strengthened. It is fixed to the ligamentous apparatus of the pelvis and the elimination of excess tissue is performed in order to restore the normal position of the uterus and prevent its further prolapse. The Manchester operation allows you to save the uterus and helps eliminate discomfort, a feeling of heaviness in the lower abdomen, urinary incontinence and pain during physical activity.

Doctor: Nemanov Boris Alexandrovich

Why do I need to consult an anesthesiologist before surgery?

Consultation with an anesthesiologist before surgery is no less important than an appointment with the attending physician. Each anesthesiologist should study in detail the anamnesis and the prehospital examinations passed in order to accurately select the method of anesthesia and individually calculate the dosages of the drugs administered.

Doctor: Neznanov Igor Valentinovich

What is the harm of general ane

What is the harm of general anesthesia?

Modern practical anesthesiology is as safe as possible and practically harmless for patients. If the patient underwent an examination before the planned hospitalization and followed all the prescriptions of the attending physician and anesthesiologist, then any unforeseen risks tend to zero.

Doctor: Neznanov Igor Valentinovich

How do I choose the anesthetic dose?

The doses of any drug from the practice of an anesthesiologist are selected individually, depending on age, gender, physiological parameters and the intended operation.

Doctor: Neznanov Igor Valentinovich

Which is better — open or closed rhinoplasty?

What should I choose: to have open or closed nose surgery? We determine this regardless of your preferences. In our practice, we are guided only by how to achieve predictable and long-lasting results most effectively and with the least effort. There is no template path to achieve this. The approach to each person is individual. Neither one nor the other surgical approach will reduce the healing time, the severity of edema and make your rehabilitation after rhinoplasty easier or harder, both involve the separation of soft tissues in the most bloodless layers- subcostally and subcostally. This minimizes injury and blood loss during rhinoplasty, and also ensures comfortable work for the surgeon.

Doctor: Malakhov Alexander Andreevich

How to choose the ideal nose shape for rhinoplasty?

In this case, it can be noted that the ideals of beauty can be completely different. What unites people? If you look closely, there are many beautiful people, but they all differ from each other. They are united by a normal anatomy — something that does not catch the eye, but harmoniously combines with facial features. It is these nuances, these facial features, that the doctor analyzes, determining which points require correction and what deviates from the normal anatomy. In the future, the doctor explains what needs to be done to achieve a balanced result.: both in relation to all parts of the nose and in combination of the nose and facial features. Of course, the opinion of the patient also plays an important role, since there may be certain individual requests. Again, within the framework of normal anatomy, some variations of parameters are allowed, so it is important to discuss these points with the patient together.

Doctor: Malakhov Alexander Andreevich

Is it possible to have rhinoplasty at any age?

In general, as far as aesthetic surgeries are concerned, they are usually available fr om the age of eighteen. Why? Because before this age, the human skeletal and facial skeleton is actively formed. To obtain predictable results on an already formed face, this age is always taken into account. Until adulthood, only functional operations can be performed in the nasal area, for example, if the child has breathing problems.

As for the upper age limits, they don't really exist as such. There are certain contraindications due to the fact that age imposes its own limitations. They are expressed in the form of chronic diseases, which can play a role both in preparing the patient for surgery (making it impossible) and negatively affect the rehabilitation period. Therefore, I would say that the average upper lim it is up to about seventy years of age, when a person is still quite active in society. Why this particular age? Because, as a rule, a critical mass of chronic diseases has not yet accumulated by this time, which could interfere with the preparation of the patient for surgery and his management in the postoperative period.

Doctor: Malakhov Alexander Andreevich

Can rhinoplasty improve facial symmetry if the nose is slightly tilted to the side?

It should be mentioned here that the asymmetry of any living being is inherent in us by nature and is natural. Perfectly smooth shapes force others to look closely and analyze what exactly caused this result. It is very rare for patients to come to my consultation with a request for strict perfection. Therefore, slight asymmetry gives personality and reflects certain qualities of a person. It is important, however small, to preserve it, rather than trying to fit each nose to a single sketch.

But with excessive asymmetry, which is quite common, improving the visual characteristics of the nose really helps to perceive the face as a whole as more organic and attractive.

Doctor: Maksimenko Maria Alexandrovna

Is there a risk that after a facelift your face will look "stretched"?

The key to a successful plastic surgery is the naturalness of the result and the absence of so-called "stigmas" - visible traces of the surgeon's work. As a rule, I use methods of anti-aging facial surgery that do not lead to a state of hypercorrection, which is subconsciously read by patients as "overstretched". At first, there is really quite a strong swelling of the soft tissues, seals and bruises - this is an absolutely expected and correct stage after the manipulations that we carry out. Subsequently, the body heals and adapts to changes, these phenomena pass.

Doctor: Maksimenko Maria Alexandrovna

I.M. Sechenov First Moscow State Medical University

Do visible scars remain after mammoplasty?

How do weight fluctuations affect liposuction results?

Significant weight fluctuations can lead to deterioration of the contours of the area where surgery was performed.

Doctor: Rychkova Maria Andreevna

How to choose the ideal nose shape for rhinoplasty?

The choice of the ideal nose shape depends on the individual preferences of the patient and the anatomical features of the facial structure. The most optimal result of the operation can be obtained only if the proportions of the nose are in accordance with the proportions of the face.

Doctor: Rychkova Maria Andreevna

How long does swelling go after hip liposuction?

The most noticeable swelling goes away within 2-4 weeks. It usually takes 3-6 months to fully recover from surgery. It is important to follow the recommendations and wear compression underwear in the postoperative period.

Doctor: Rychkova Maria Andreevna

Why do I need to consult an anesthesiologist before surgery?

Consultation with an anesthesiologist before surgery is no less important than an appointment with the attending physician. Each anesthesiologist should study in detail the anamnesis and the prehospital examinations passed in order to accurately select the method of anesthesia and individually calculate the dosages of the drugs administered.

Doctor: Rybalkina Alina Alimzhanovna

What is the harm of general anesthesia?

Modern practical anesthesiology is as safe as possible and practically harmless for patients. If the patient underwent an examination before the planned hospitalization and followed all the prescriptions of the attending physician and anesthesiologist, then any unforeseen risks tend to zero.

Doctor: Rybalkina Alina Alimzhanovna

How do I choose the anesthetic dose?

The doses of any drug from the practice of an anesthesiologist are selected individually, depending on age, gender, physiological parameters and the intended operation.

Doctor: Rybalkina Alina Alimzhanovna

Is it better to do the bullhorn procedure before or after rhinoplasty?

Bullhorn can be done before and after rhinoplasty, according to indications (increasing the distance from the base of the nose to the red border of the lips). The only thing is, if both operations are initially planned, it is better to start with rhinoplasty, since it has a greater effect on the change in the face and its perception.

Doctor: Sanosyan Lena Samvelovna

At what breast size can reduction be done?

Most often, this operation is requested for sizes over the fifth, but the procedure is performed according to the individual preferences of the patient.

Doctor: Sanosyan Lena Samvelovna

What areas of the face can be rejuvenated with endoscopic lifting?

Endoscopic lifting allows you to rejuvenate the upper 2/3 of the face, since there aging is more due to the sagging of soft tissues without noticeable excess skin, unlike the lower third of the face and neck.

Doctor: Sanosyan Lena Samvelovna

Is it possible to plan a pregnancy with an ovarian cyst?

If pregnancy has already occurred against the background of an existing ovarian cyst, then, of course, this pregnancy should never be interrupted. Careful monitoring of your condition and the dynamics of the cyst is required: whether it grows, worries, or causes pain. Unfortunately, emergency surgery may sometimes be required during pregnancy for a cyst twist or rupture.

If you have an ovarian cyst, the diagnosis is established and you are planning a pregnancy, then you should understand that the cyst can prevent pregnancy by disrupting ovarian function. Therefore, purposefully going into pregnancy with a cyst is absolutely the wrong decision. The best and safest solution for health is to remove the cyst before the planned pregnancy.

A cyst can behave unpredictably during pregnancy. Some cysts do not grow and do not cause concern, others can increase significantly in size. It is also possible to twist the cyst during pregnancy with the development of a serious condition, rupture of the cyst, and, in rare cases, suppuration of the cyst, which will entail emergency surgery.

Doctor: Maivandi Elena Dmitrievna

What is the necessary preparation for infertility treatment?

When discussing infertility in women under the age of thirty-five, a diagnosis is made if an absolutely healthy couple leads a regular open sex life without contraception for a year. For women over the age of thirty-five, this period is reduced to six months. If pregnancy does not occur during this time, active measures for examination and treatment begin. The infertility situation is unique and individual for each woman and for each couple. According to statistics, on average, 50% of cases are attributed to female infertility and 50% to male infertility. Therefore, both partners are subject to examination. Before starting treatment for a woman, it is necessary to verify the fertility of her partner, that is, his ability to conceive.

The infertility examination and treatment plan is drawn up individually for each woman, taking into account the identified infertility factors. For some, it can only be drug therapy, correction of the menstrual cycle and identified disorders. Someone may need surgical treatment, for example, therapeutic and diagnostic laparoscopy for infertility with reconstruction of the fallopian tubes, elimination of adhesions, ovarian resection or excision of foci of endometriosis – depending on what exactly is the cause of infertility.

Doctor: Maivandi Elena Dmitrievna

Is it possible to cure cysts non-surgically?

As a rule, functional ovarian cysts that can regress on their own do not require surgical intervention. In some cases, hormone therapy may be prescribed to accelerate their regression. However, true benign ovarian tumors, which include some cysts, do not respond to conservative therapy. Any cyst that exists in the body for a long time, even if it is initially benign, can transform into malignant over time. It is for this reason that ovarian cysts must be surgically removed.

It should be noted that acupuncture, hirudotherapy (treatment with leeches), traditional medicine methods, osteopathy, the use of lotions and therapeutic tampons do not have a therapeutic effect on ovarian cysts. Moreover, in some cases they can be dangerous treatments.

Doctor: Maivandi Elena Dmitrievna

Which is better — open or closed rhinoplasty?

The choice between open and closed rhinoplasty depends on the complexity of the upcoming surgery. The open method is preferred when performing complex primary operations on the nose. For example, with post-traumatic rhinoseptoplasty, severely curved nose, repeated and reconstructive rhinoseptoplasty. The closed method is preferred if the patient has a primary (intact) nose, a not very complicated source, and is also preferred in patients with thick skin. Its advantages are that there is no incision in the columella, and rehabilitation is faster than with the open method.

Doctor: Magomedova Madina Magomedovna

How to choose the ideal nose shape for rhinoplasty?

The perfect shape is the one that fits your face! We start from such parameters as

* Face type: For a round face, noses with a narrower back and a neat tip are suitable. For an elongated face, noses with smooth lines and a slightly rounded tip are better suited.

* Nasolabial junction angle:

For women, an angle of 95-105° is usually optimal.

For men — 90-95°.

•The ratio of the width of the nose to the width of the face: The bridge of the nose should be approximately 1/5 of the width of the face.

* Nose tip projection: it's more individual here, depending on the patient's preferences and the surgeon's vision.

Doctor: Magomedova Madina Magomedovna

Is it possible to have rhinoplasty at any age?

Aesthetic rhinoplasty can only be done after the age of 18. Rhinoseptoplasty is performed at any age, if there are indications for it, for example, a serious injury to the nose, or a congenital deformity.

Doctor: Magomedova Madina Magomedovna

What is sinus lifting for?

To increase the bone volume in the upper jaw, in the area of large molars (most often), so that dental implants can be installed later.

Doctor: Lyashev Ilya Nikolaevich

Is it possible to get rid of jaw clicks when chewing?

It is possible to get rid of clicks, but not always. It is often possible to reduce their intensity. And the click itself most often does not require treatment. If, in addition to clicking, the patient complains of pain, then it is worth contacting a hepatologist (more often it is an orthopedic dentist or orthodontist).

Doctor: Lyashev Ilya Nikolaevich

Is overbite corrected for adults?

Malocclusion can be caused by uneven teeth, then it can only be corrected with braces (we are talking about adults). Or it may be caused by an abnormality in the development of the jaws, and then braces (dental preparation) and orthognathic surgery are needed to correct it.

Doctor: Lyashev Ilya Nikolaevich

Is it necessary to treat caries at the initial stage if the tooth does not hurt?

It is not necessary, if caries is in the stage of a spot, then you can monitor it and start treatment when a carious cavity begins to form in place of the spot.

Doctor: Lvova Tatiana Sergeevna

Which bleaching method is the safest?

Philips ZOOM 4th generation bleaching is considered the safest at the moment.

Doctor: Lvova Tatiana Sergeevna

What can plaque on the tongue say?

A pathological plaque on the tongue is formed due to malfunctions of internal organs, taking antibiotics and smoking.

The appearance of plaque can be facilitated by infectious diseases (scarlet fever, diphtheria), stomach ulcer, liver pathology, lichen planus, diabetes mellitus, bronchitis, pneumonia and others.

Doctor: Lvova Tatiana Sergeevna

Frequently Asked Questions

What is the difference between SMAS facelifts and endoscopic facelifts?

Which is better — open or closed rhinoplasty?

Is it possible to have breast surgery before giving birth?

Is it possible to get rid of post-acne scars using laser techniques?

Is Cooltech cryomodeling suitable for sensitive skin?

I have problem skin with acne, can I have peels?

How often should I brush my teeth at the dentist?

Is it necessary to have wisdom teeth removed?

Is it necessary to treat caries at the initial stage if the tooth does not hurt?

Which bleaching method is the safest?

What can plaque on the tongue say?

Do visible scars remain after mammoplasty?

How much breast volume can be increased at a time?

How will skin sensitivity change after liposuction or abdominoplasty?

How often should I brush my teeth at the dentist?

What can plaque on the tongue say?

Can diastasis go away on its own?

When should I see a doctor for diastasis?

What exercises are most effective for the treatment of diastasis?

How long does the blepharoplasty result last?

Are the scars visible after blepharoplasty?

How can I prevent varicose veins?

Is it necessary to treat varicose veins if it does not cause inconvenience?

Is it possible to cure varicose veins without surgery?

Is varicose veins life-threatening?

When do I need to see a phlebologist?

Is a recurrence possible after laser treatment of varicose veins?

Is it possible to cure varicose veins without surgery?

What is the difference between SMAS facelifts and endoscopic facelifts?

How do weight fluctuations affect liposuction results?

What procedures are suitable for improving the shape and volume of lips with a minimal recovery period?

Is Cooltech cryomodulation suitable for sensitive skin?

If you start having laser hair removal, will you always have to do it later?

I have problematic skin with acne, can I have peels?

Is it possible to have surgery to change the shape of the ears at any age?

Are the scars visible after blepharoplasty?

How do I determine if I need a facelift or if injection procedures are enough?

What are the advantages of an endoscopic lift at a young age?

How safe is ultrasound for adults and children?

Can any pathology be seen on ultrasound?

Is it true that an ultrasound cannot be done on the same day as some other tests?

Is it possible to completely cure snoring?

How to deal with persistent dryness in the throat?

How to get rid of stuffy ears during air travel?

How are sinus polyps diagnosed?

What complications can occur with untreated otitis media?

How to deal with persistent dryness in the throat?

Why do I need to consult an anesthesiologist before surgery?

What is the harm of general anesthesia?

How do I choose the anesthetic dose?

What factors increase the risk of cervical dysplasia?

Is it possible to completely cure cervical dysplasia?

What can cause abnormal uterine bleeding?

What diagnostic methods are used in AMC?

Is it necessary to treat caries at an early stage if the tooth does not hurt?

Which whitening method is the safest?

What can a coating on the tongue indicate?

What is the difference between SMAS facelifts and endoscopic facelifts?

Is it possible to have surgery to change the shape of the ears at any age?

Is it possible to combine several anti-aging facial treatments in one surgical procedure?

How often should I brush my teeth at the dentist?

Is it necessary to have wisdom teeth removed?

What are the advantages of the FESS method?

How are sinus polyps diagnosed?

What is the difference between SMAS facelifts and endoscopic facelifts?

What are the advantages of an endoscopic lift at a young age?

What rejuvenation methods do you recommend to combat sagging skin on the neck and face?

How do weight fluctuations affect liposuction results?

What tasks does female intimate contouring solve?

What is the Manchester operation?

Why do I need to consult an anesthesiologist before surgery?

What is the harm of general anesthesia?

How do I choose the anesthetic dose?

Which is better — open or closed rhinoplasty?

How to choose the ideal nose shape for rhinoplasty?

Is it possible to have rhinoplasty at any age?

Can rhinoplasty improve facial symmetry if the nose is slightly tilted to the side?

Is there a risk that after a facelift your face will look "stretched"?

I.M. Sechenov First Moscow State Medical University