Hello I’m Yang Seong-hyuk a head doctor
at Hugo Plastic Surgery TV who put people first
(Putting)
(People)
(First)
(Hugo Plastic Surgery Clinic)
In today's episode, we'll talk about this magical procedure where we can get
our once beautiful face back to how it was 5 to 10 years ago
I'm going to tell you more about face lifts
(Hugo Plastic Surgery TV)
The purpose of face lift is
to lift the facial features that has been sagging due to old age
However, its a shame that the skin’s enlarged pores
or speckled pigmentation etc
related to old age skin texture
cannot be solved by face lifts
However, if you feel that your face is overall heavy
or you feel your face structure sagging
or at a sudden point in time, you feel your face looking a bit hollow or there are bulging fats
you can find out more about the face lifts
(Hugo Plastic Surgery TV)
The facial skin has a muscle components above the bones that help to make facial expressions
And there is a fascia covering that muscle
and above that there’s fats and after that the skin
so we have the components that lay on top of each other part by part
Due to old age when we lose elasticity of skin
The middle and lower part of the face area extensively become saggy and start to have wrinkles
At this point the unique thing is that its not saggy like how the overall area flows down but
there’s especially one part that could be affected
and there you will have a large wrinkle or skin furrows
Very commonly we see it at the nasolabial folds or the lower part of the cheekbones and area below the lips
we might have wrinkles or furrows at those areas mentioned
Because in those places, if you see this as a bone
there’s a strong part that holds the bone all the way to the surface of the skin
called the retaining ligaments
What you can think of is
There's a tree that's rooted in the bone
Think of it as a branch spreading out and holding onto the skin
Then the skin wouldn't be able to sag
In other words, the tissue that's drooping over the retaining ligaments
Gets stuck in this hard, tough ligament tissue and hangs on it
So the more it sags, the more it folds
So, the smile lines, the Indian lines, the marionette lines that we're talking about
Are so good at preventing this retaining ligament from sagging
But if you don't cut off the retaining ligament and instead just lift them
In the end, deep wrinkles can't be solved
So releasing the retaining ligament safely
Is the first key to facial lifts
But here I said something wrong
I said we pull the the skin layer after cutting off the retaining ligament
But actually, if we just pull only the skin layer
It doesn't improve the saggy cheeks
And it's less effective for pulling
If the skin is pulled forcibly, it will result into bad scarring as well
So then what do you do?
As I mentioned before
Facial muscles on the bones
The fascial layer that surrounds the muscle
We call them SMAS
We pull this structure
Because the fascial layer itself is very thin
But it's much harder than the skin
So even if we pull this structure, we can pull it really hard
So pulling the SMAS fascial layer
Is the second key to face lifts
Even just by just pulling this hard SMAS layer
The layer of skin that's covered on top of it naturally lifts
Also, by pulling the fascia layer to lift it
The area that is sagged due to aging stretches out
So it's more effective
After that, the naturally elevated skin layer should be trimmed
To have a high-quality face lift
(Hugo Plastic Surgery TV)
Most of these procedures take approximately 2 to 2 and a half hours
As the most common side effect after surgery
Include hematoma and temporary lip paralysis
In order to prevent this hematoma, in my case, I will have drain tubes in placed
And one or two days after surgery, if the blood from the drain tubes runs low
I'll remove it
And the second inconvenience that I mentioned is
Lip paralysis
Mostly due to the effects of topical anesthetics
And in this case, it'll return to normal the next day
But if it's been three, five days and a week since the surgery
There are times where there's only a little movement
In this case, it might be different depending on the surgery areas
But if you wait for 3 months to up to 6 months
You can rest assured that the movement will return sufficiently
And swelling and bruising after the surgery
Usually goes away a month after surgery
From then on, you'll be able to feel
The unabated outline of your face 5 or 10 years ago
(Hugo Plastic Surgery TV)
When I consult with patients about face lifts
There are two things that tend to be worrying them
Those who really want to do it but can't afford it
Or those who really want to do it, but are scared of the surgery
But I understand how they feel
How about solving those problems with me, who fully understands how you feel?
I was Dr. Yang Seong-hyuk, a plastic surgeon
(Hugo Plastic Surgery TV that puts people first)