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Russia, Sochi, GAZPROM mountain resort

Periorbital rejuvenation: before/after photos

Upper and middle facelift, 45 y.o.

  1. Endoscopic lifting of upper and middle face;
  2. Circular resection blepharoplasty;
  3. Neck liposuction;
  4. Lipofilling of areas under the eyebrows.

Upper and middle face lift, 45 y.o.

The patient underwent the following types of surgery:

  1. Endoscopic lifting of upper and middle face;
  2. Circular resection blepharoplasty;

The photographs were taken at 8 months’ interval.

Upper and middle face lift, 46 y.o.

  1. Endoscopic lifting of upper and middle face;
  2. Transposition of buccal fat pads;
  3. Circular resection blepharoplasty;
  4. Neck liposuction;
  5. Lipofilling of areas under the eyebrows

The fat taken from the neck was used to fill in the areas under the eyebrows, and the buccal pads were used to fill in the cheekbone areas.

Periorbital rejuvenation + implant insertion, 35 y.o.

The plastic surgery includes:

  1. Endoscopic lift of the upper face (forehead, eyebrows, area of the temples).
  2. Endoscopic lift of the middle face
  3. Upper blepharoplasty
  4. Lower blepharoplasty
  5. Insertion of cheekbone implants (see the last slide)
  6. Trans-oral redistribution of fat deposits in the middle face.

The first picture shows the changes in the middle face relief. The cheekbone implants increased soft tissues support.

The support is necessary for long lasting results. If the fat is injected into the cheeks without creating supporting structures at first, then after a year all the fat will descend under the effect of gravitation, forming the ”malar bags”.

Periorbital rejuvenation + scars removal, 38 y.o.

  1. Endoscopic lifting of upper and middle face;
  2. Transposition of buccal fat pads;
  3. Lower blepharoplasty;
  4. Resection of the scar on the right cheek;
  5. Liposuction in the areas above the knees;
  6. Lipofilling in the areas of cheekbone and under the eyebrows.

The scar was removed from the right cheek. The new scars have not formed yet; we are monitoring the patient’s state

Endoscopic face lift

This plastic surgery includes:

  1. Endoscopic lift of the upper and middle face
  2. Enhancement of cheekbones by trans-oral insertion of Porex/Medpor implants
  3. Upper blepharoplasty
  4. Lower blepharoplasty

The implants are necessary to make up the middle face volume and to delay the changes caused by ageing.

Periorbital rejuvenation

This facelift included:

  1. Endoscopic lifting of upper and middle face with buccal pads transposition;
  2. Upper blepharoplasty;
  3. Lower blepharoplasty.

Periorbital rejuvenation in a male patient

This face lift included:

  1. Upper and lower blepharoplasty;
  2. Endoscopic lifting of upper and middle face

The complexity of the facelift in male patients is related to the facial hair that should remain in its original position.

Periorbital rejuvenation

This face lift included:

  1. Endoscopic lifting of forehead;
  2. Endoscopic lifting of upper and middle face;
  3. Upper and lower blepharoplasty.

The photograph shows the recovery process, day by day.

Periorbital rejuvenation

This plastic surgery included:

  1. Endoscopic lifting of upper face (forehead, eyebrows, temporal areas);
  2. Endoscopic lifting of middle face;
  3. Circular blepharoplasty;
  4. Transposition of buccal fat pads;
  5. Neck liposuction;
  6. Eyelids lipofilling.

The fat from the neck was used to fill in the areas around the eyes.

Periorbital rejuvenation, 40 y.o.

This plastic surgery included:

  1. Endoscopic lifting of upper face (forehead, eyebrows, temporal areas);
  2. Endoscopic lifting of middle face;
  3. Upper blepharoplasty;
  4. Lower blepharoplasty;
  5. Lipofilling of periorbital areas.

As you can see, we performed the lifting of the upper and middle face. The lower face remained intact, because there was no need in surgical correction there.

Periorbital rejuvenation + implants, 40 y.o.

The face lift includes:

  1. Endoscopic lift of the upper and middle face;
  2. Placement of Goldberg implants beneath the eyes;
  3. Circular blepharoplasty;
  4. Lipofilling of areas beneath the eyebrows

Because of deficit of the patient’s own bone tissues, the implants were inserted under the eyes. The implants are indistinguishable from the natural bone tissue, they are not felt on touch, and they serve to delay the changes caused by ageing.

Periorbital rejuvenation, 59 y.o.

This face lift included:

  1. Endoscopic lifting of upper and middle face;
  2. Circular resection blepharoplasty;
  3. Neck liposuction;
  4. Lipofilling of areas under the eyebrows;
  5. Olivari surgery to eliminate the consequences of Graves disease.

Periorbital rejuvenation, 45 y.o.

This plastic surgery included:

  1. Endoscopic lifting of upper and middle face;
  2. Transposition of buccal fat pads;
  3. Circular resection blepharoplasty;
  4. Liposuction of areas above the knees;
  5. Lipofilling of the middle face, areas under the eyebrows, and lips.

One may notice a “round eye” complication; this is a false impression caused by the camera angle. This patient is from Western Europe and she took the picture at a photographic studio, not in our clinic.

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