0 00:00:00.000 --> 00:00:02.240 Hello I’m Yang Seong-hyuk a head doctor 1 00:00:02.240 --> 00:00:06.240 at Hugo Plastic Surgery TV who put people first 2 00:00:07.122 --> 00:00:07.966 (Putting) 3 00:00:07.966 --> 00:00:09.266 (People) 4 00:00:09.266 --> 00:00:10.291 (First) 5 00:00:10.291 --> 00:00:11.570 (Hugo Plastic Surgery Clinic) 6 00:00:16.240 --> 00:00:19.840 In today's episode, we'll talk about this magical procedure where we can get 7 00:00:19.840 --> 00:00:24.120 our once beautiful face back to how it was 5 to 10 years ago 8 00:00:24.120 --> 00:00:27.360 I'm going to tell you more about face lifts 9 00:00:27.360 --> 00:00:29.360 (Hugo Plastic Surgery TV) 10 00:00:29.360 --> 00:00:31.360 The purpose of face lift is 11 00:00:31.360 --> 00:00:35.360 to lift the facial features that has been sagging due to old age 12 00:00:35.360 --> 00:00:38.360 However, its a shame that the skin’s enlarged pores 13 00:00:38.360 --> 00:00:41.360 or speckled pigmentation etc 14 00:00:41.360 --> 00:00:43.360 related to old age skin texture 15 00:00:43.360 --> 00:00:46.320 cannot be solved by face lifts 16 00:00:46.320 --> 00:00:48.560 However, if you feel that your face is overall heavy 17 00:00:48.560 --> 00:00:51.560 or you feel your face structure sagging 18 00:00:51.560 --> 00:00:56.360 or at a sudden point in time, you feel your face looking a bit hollow or there are bulging fats 19 00:00:56.360 --> 00:00:59.760 you can find out more about the face lifts 20 00:00:59.760 --> 00:01:01.840 (Hugo Plastic Surgery TV) 21 00:01:01.840 --> 00:01:06.890 The facial skin has a muscle components above the bones that help to make facial expressions 22 00:01:06.890 --> 00:01:09.460 And there is a fascia covering that muscle 23 00:01:09.460 --> 00:01:13.360 and above that there’s fats and after that the skin 24 00:01:13.360 --> 00:01:16.360 so we have the components that lay on top of each other part by part 25 00:01:16.360 --> 00:01:19.360 Due to old age when we lose elasticity of skin 26 00:01:19.360 --> 00:01:24.360 The middle and lower part of the face area extensively become saggy and start to have wrinkles 27 00:01:24.360 --> 00:01:29.360 At this point the unique thing is that its not saggy like how the overall area flows down but 28 00:01:29.360 --> 00:01:31.360 there’s especially one part that could be affected 29 00:01:31.360 --> 00:01:36.510 and there you will have a large wrinkle or skin furrows 30 00:01:36.510 --> 00:01:41.860 Very commonly we see it at the nasolabial folds or the lower part of the cheekbones and area below the lips 31 00:01:41.860 --> 00:01:45.610 we might have wrinkles or furrows at those areas mentioned 32 00:01:45.610 --> 00:01:48.360 Because in those places, if you see this as a bone 33 00:01:48.360 --> 00:01:52.360 there’s a strong part that holds the bone all the way to the surface of the skin 34 00:01:52.360 --> 00:01:55.360 called the retaining ligaments 35 00:01:55.360 --> 00:01:56.760 What you can think of is 36 00:01:56.760 --> 00:02:00.360 There's a tree that's rooted in the bone 37 00:02:00.360 --> 00:02:04.360 Think of it as a branch spreading out and holding onto the skin 38 00:02:04.360 --> 00:02:08.360 Then the skin wouldn't be able to sag 39 00:02:08.360 --> 00:02:13.010 In other words, the tissue that's drooping over the retaining ligaments 40 00:02:13.010 --> 00:02:16.660 Gets stuck in this hard, tough ligament tissue and hangs on it 41 00:02:16.660 --> 00:02:22.460 So the more it sags, the more it folds 42 00:02:22.460 --> 00:02:27.810 So, the smile lines, the Indian lines, the marionette lines that we're talking about 43 00:02:27.810 --> 00:02:32.360 Are so good at preventing this retaining ligament from sagging 44 00:02:32.360 --> 00:02:36.260 But if you don't cut off the retaining ligament and instead just lift them 45 00:02:36.260 --> 00:02:39.360 In the end, deep wrinkles can't be solved 46 00:02:39.360 --> 00:02:42.360 So releasing the retaining ligament safely 47 00:02:42.360 --> 00:02:45.460 Is the first key to facial lifts 48 00:02:45.460 --> 00:02:48.860 But here I said something wrong 49 00:02:48.860 --> 00:02:53.360 I said we pull the the skin layer after cutting off the retaining ligament 50 00:02:53.360 --> 00:02:55.960 But actually, if we just pull only the skin layer 51 00:02:55.960 --> 00:02:58.210 It doesn't improve the saggy cheeks 52 00:02:58.210 --> 00:03:00.460 And it's less effective for pulling 53 00:03:00.460 --> 00:03:05.360 If the skin is pulled forcibly, it will result into bad scarring as well 54 00:03:05.360 --> 00:03:06.960 So then what do you do? 55 00:03:06.960 --> 00:03:08.810 As I mentioned before 56 00:03:08.810 --> 00:03:11.210 Facial muscles on the bones 57 00:03:11.210 --> 00:03:13.860 The fascial layer that surrounds the muscle 58 00:03:13.860 --> 00:03:17.360 We call them SMAS 59 00:03:17.360 --> 00:03:20.010 We pull this structure 60 00:03:20.010 --> 00:03:24.760 Because the fascial layer itself is very thin 61 00:03:24.760 --> 00:03:27.360 But it's much harder than the skin 62 00:03:27.360 --> 00:03:32.160 So even if we pull this structure, we can pull it really hard 63 00:03:32.160 --> 00:03:36.360 So pulling the SMAS fascial layer 64 00:03:36.360 --> 00:03:39.060 Is the second key to face lifts 65 00:03:39.060 --> 00:03:43.360 Even just by just pulling this hard SMAS layer 66 00:03:43.360 --> 00:03:47.460 The layer of skin that's covered on top of it naturally lifts 67 00:03:47.460 --> 00:03:50.810 Also, by pulling the fascia layer to lift it 68 00:03:50.810 --> 00:03:55.360 The area that is sagged due to aging stretches out 69 00:03:55.360 --> 00:03:58.460 So it's more effective 70 00:03:58.460 --> 00:04:03.260 After that, the naturally elevated skin layer should be trimmed 71 00:04:03.260 --> 00:04:06.567 To have a high-quality face lift 72 00:04:06.567 --> 00:04:08.810 (Hugo Plastic Surgery TV) 73 00:04:08.810 --> 00:04:15.010 Most of these procedures take approximately 2 to 2 and a half hours 74 00:04:15.010 --> 00:04:18.360 As the most common side effect after surgery 75 00:04:18.360 --> 00:04:22.510 Include hematoma and temporary lip paralysis 76 00:04:22.510 --> 00:04:27.060 In order to prevent this hematoma, in my case, I will have drain tubes in placed 77 00:04:27.060 --> 00:04:33.257 And one or two days after surgery, if the blood from the drain tubes runs low 78 00:04:33.257 --> 00:04:35.057 I'll remove it 79 00:04:35.057 --> 00:04:37.802 And the second inconvenience that I mentioned is 80 00:04:37.802 --> 00:04:40.002 Lip paralysis 81 00:04:40.002 --> 00:04:43.360 Mostly due to the effects of topical anesthetics 82 00:04:43.360 --> 00:04:48.410 And in this case, it'll return to normal the next day 83 00:04:48.410 --> 00:04:52.873 But if it's been three, five days and a week since the surgery 84 00:04:52.873 --> 00:04:55.473 There are times where there's only a little movement 85 00:04:55.473 --> 00:04:59.510 In this case, it might be different depending on the surgery areas 86 00:04:59.510 --> 00:05:03.428 But if you wait for 3 months to up to 6 months 87 00:05:03.428 --> 00:05:07.477 You can rest assured that the movement will return sufficiently 88 00:05:07.477 --> 00:05:10.125 And swelling and bruising after the surgery 89 00:05:10.125 --> 00:05:13.575 Usually goes away a month after surgery 90 00:05:13.575 --> 00:05:16.441 From then on, you'll be able to feel 91 00:05:16.441 --> 00:05:22.294 The unabated outline of your face 5 or 10 years ago 92 00:05:22.294 --> 00:05:24.190 (Hugo Plastic Surgery TV) 93 00:05:24.190 --> 00:05:28.060 When I consult with patients about face lifts 94 00:05:28.060 --> 00:05:31.060 There are two things that tend to be worrying them 95 00:05:31.060 --> 00:05:34.510 Those who really want to do it but can't afford it 96 00:05:34.510 --> 00:05:39.360 Or those who really want to do it, but are scared of the surgery 97 00:05:39.360 --> 00:05:43.610 But I understand how they feel 98 00:05:43.610 --> 00:05:49.060 How about solving those problems with me, who fully understands how you feel? 99 00:05:49.060 --> 00:05:54.027 I was Dr. Yang Seong-hyuk, a plastic surgeon 100 00:05:54.027 --> 00:05:58.677 (Hugo Plastic Surgery TV that puts people first)