홍진주성형외과

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[ Facelift ]
Multiplane Facelift
A multiplane facelift is an incisional lifting to improve sagging facial soft tissue, the main effect of the aging process, by reconstructing the youthfulness of the skin as well as underlying soft tissue and the SMAS layer. This procedure differs significantly from previous simple skin lifting. It can restore the tissue into its original young state through reconstruction of the deep tissues, which enforces dramatic and long-lasting effects. JJ plastic surgery has decades of experience in this procedure. This meticulous procedure can be standardized and simplified through further experience. It takes about 3 hours under shallow sedations (not deep general anesthesia) monitored by special anesthesiologist, followed by dressing removal after 4 days, and suture removal at 7 days after the procedure. Return to normal daily life is possible within 7 days

"JJ plastic surgery's Multiplane facelift"

  1. JJ Team's Multiplane facelift procedure has already been published in the journal of Plastic and Reconstructive Surgery (USA) in 1999.

  2. Customized procedures using precise measurements and 3 dimensional CT scanning.



  3. Prescreening and a health check-up in our own facilities, such as the blood test lab and chest X-ray equipment for a safe procedure, so you can check your precise health status immediately.
  4. Safe Anesthesia by experienced anesthesiologist specialists.
    All procedures are performed under deep sedation via the venous Precedex administration.

    The whole process of deep sleep anesthesia is carried out by experienced specialist anesthesiologists, so a safe and quick recovery is possible.
  5. Hyperbaric oxygen therapy to facilitate the safe and rapid recovery.
Indications
  1. Becoming bigger face than previous young original face.
    Tissue, fat, and muscles lose firm attachment to the bone as aging while they are hidden densely under the zygomatic arch when they young. The loosening tissue droops both sides of the face, which becomes rectangular face with losing previous v-line jawline. This is not a change of the facial bone but the soft tissue. These serial changes of the facial soft tissue at the lower border of the jaw form the stepping deformity and wider lower facial width. Lower facial widening can be corrected partially by “thread lift”, however, for more effective and secure improvement, a multiplane facelift is the best procedure of choice.
  2. Those who had frequent cosmetic injections such as fat, filler, etc. under cheekbones.
    Most of the facial soft tissue is hanging beneath the cheekbones. Usually, the cheek depression is the first sign of aging process which makes soft tissue drooping downward. So, fillers or fat injection is performed to fix the depression. However, as aging progresses, transferred fat or filler itself droops and makes the aging progress worse. The foreign substances or unwanted transplanted fat injected into the cheek should be removed by the incisional approach. (Degree of removal depends on the nature and distribution of foreign matter.)
  3. Sagging after facial contouring surgery or Orthognathic surgery
    Multiplane face lifting can reduce unnecessary excess tissue and correct the disproportion of the bone and soft tissue ratio after the facial bone surgery, which reduces the skeleton only, Facelift can be done simultaneously or separately with facial bone contouring surgery to remove or correct the soft tissue overloading those break the facial V-line along the jawline. Elasticum lifting can also improve that kind of deformity after facial bone surgery. However, tissue reduction cannot be done with Elasticum lifting to manipulate the ratio of tissue and bone.
  4. Neck, jawline, and chin drooping
    The chin and neck are attached to the mobile mandible. The lower part of the chin has many fat layers, so it could sag earlier than other tissue because there is no part directly fixed to the bone. In addition, when the platysmal fascia connected to the SMAS layer falls down to form thick vertical wrinkles, it can be effectively improved with neck incision lifting. (In the case of horizontal wrinkles, you can expect only about 60 ~ 70% of the effect.) Furthermore, simple drooping of the fat layers and soft tissues without sagging platysma fascia can be improved simply by neck liposuction and Elasticum insertion.
  5. Nasolabial fold
    The cheek fat pad over the upper lip is drooping over to deep crease or fold, which makes stepping deformity or furrow like shape. Nasolabial fold
    It is the borderline between cheek(mainly soft fat) and upper lip(mainly muscle) than even young people form the fold when she or he makes an expression. Therefore, normal folding of young people does not require any correction. Since it is also the matter of dropping of soft tissue, the non-incision thread lifting is effective. However, the duration and the degree of pull are somewhat short and weak.
  6. Jowl
    Jowl can be improved some extent with non-incisional lifting, but the jaw line is constantly moving and located below the lower part of the retaining ligament, so the effect does not last long enough. The drooping below the retaining ligament could be corrected only when the ligaments are freed with meticulous dissection.
Incisional lifting (multiplane facelift) vs thread lifting using Elasticum
Since thread lifting raises soft tissue only by the thread, dimple or not even irregularity may occur where the force of the thread is concentrated. Furthermore, when the tension is reduced or rigidity of the thread itself diminishes, the lifting effect can disappear easily.

Facial lifting, which relocates fixed ligaments that firmly fixate the skin, fat, and muscle of the face to the skeleton, and then moves the entire affected soft tissue, is only by a multiplane facelift with incision.
Incisional lifting (Multiplane facelift) VS Elastic thread lifting (Elasticum)
2 to 3 hours Operation time Within 1 hour
5 to 7 days Recovery period 2 days
In the hair, around the ears scar none
5-7 years Duration Melting thread lifting: Within 1 year
Elasticum: 2-3 years
Including neck, jaw line,
wrinkles Omnidirectional effect
However, in the case of the horizontal wrinkles of the neck and the fine wrinkles of the mouth Limited effect
effect Upper part, jaw line, neck sagging improvement
Partial effect rather than omnidirectional effect
Non-incisional thread lifting
Non-incisional thread lifting is a relatively simple procedure using either absorbable or non-absorbable threads, as well as a self-dissolving plate (soft tissue Endotine, etc.). Due to minimal dissection or incision, early recovery is possible with 2 or 3 days.
For thread lifting, the thread has spur which distribute the loading evenly to prevent tissue distortion during lifting. However, the protuberances of the thread are hard and sharp, which makes patients feel a foreign body sensations and sometimes evokes protrusions. The tissue close to the thread is pulled hard but the part far from the thread is not pulled, so it feels like a dimple around the part where the thread is pulled. Since the projections do not form a surgical adhesion, the force holding the tissue naturally weakens through massages and daily life.

Pulling a soft tissue into a thread is like pulling something that is not solid like soft cheese or tofu into a thread, and over time the thread will lose its ability to hold soft tissue. In particular, the tissues around the mouth and cheeks constantly exercise, which is inevitable for a long time while holding the thread. These days, a thread with elasticity like Elasticum, its effect can last longer up to 3 years.
The effect of thread lifting is minimal in the area such as cheek, chin line, and the around the mouth because they are located in the lower part of the fixed ligament.
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Because the fundamentally loosened skeleton and soft tissue relationship should be reconstructed by dissection and new tissue regenerations, the lifting effect without dissection can last limitedly (cf. In the case of Elasticum, it is known to be about two to three years.)

Also, in case of non-incisional lifting, the surface may become bent and unnatural due to the tension difference between the part where the force is high and the part where it is not. On the other hand, in the case of incisional lifting, all of the force acts on the soft tissues continuously, so the effect is natural and last much longer. Therefore, for a more natural and long-lasting lifting, it is necessary to consider incisional lifting.
Multiplane Facelift vs Simple Facelift
Classic facelift only with a skin incision is frequently performed before. But, proper soft tissue improvement cannot be done, but only relieve the skin crease. Furthermore, a scar may be prominent due to excessive tension at the incision site.
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(Lifting only pulling on the skin cannot overcome the weight of the SMAS and deep tissues, so the effect is limited and scar might be prominent.)
Therefore, underlying soft tissue including superficial muscular aponeurotic system (SMAS) should be redraped into the original young shape to provide a natural and long-lasting effect.
The delicate facial expression muscles, fascia, and fat layers just beneath the skin, forming a net volume of soft tissues is called the SMAS layer. It is made up of a simple tendon, fat layer in part, linked to the facial expression muscles and makes the face look alive and dynamic. It also contributes most of the thick volume of the facial soft tissue. Aging is a phenomenon in which the center of gravity moves downward in the form of teardrop spreading from the young original inverted triangular structure. (The wrinkles that occur are actually secondary, and sagging is the most important.) The incisional lifting has evolved to improve the deep tissues sagging from simple skin wrinkle pulling.

The retaining ligament should be freed to improve sagging around the mouth.
Soft tissues such as skin, fat, and muscles of the face are fixed firmly on the facial skeleton and on the front of the masticatory muscle under the cheekbones. The ligaments are located regularly and fix the facial tissue firmly at those points than others. Complete and successful lifting needs relocation of those points with incisional approach. Lower part of the face below the ligaments cannot definitely lifted with simple thread lifting or simple skin facial rejuvenation procedure especially tissues near chin and mouth.

"It is important to pull Skin, SMAS fascia, periosteum at the same time"

If you only pull the skin, sagging recur or scar widening at incision sites, due to sagging of the inner structures.
Multiplane facelift reconstructs the young Original inner inverted triangular structure for a long-lasting natural result.
Incision line from incisional lifting
There may present a scar along the incision line. However, scars located inside and around the ears and hair are not noticeable.
To improve the anterior portion of the face and upper jaw line, the nasolabial line and the anterior sagging, a mini facelift is used to incise the anterior portion (including the earlobe). To improve the lower portion of the jaw line and neck, hidden facelift helps avoid unnecessary scars.
Depending on where you need to lift, the incision might vary, but unnoticeable

Mini-lifting (short scar lift)
Lifting face front

Hidden lifting(hidden lift)
Lifting neck and lower jaw line

Multiplane Facelift(full facelift + neck lift)
Full lifting
Facial nerves
The most important thing in an incisional lifting is to preserve the facial nerve. Because of this fear, many Surgeons who practice lifting recommend thread lifting, or simple lifting, which is less effective than incisional lifting. However, since the facial nerve is basically located beneath the SMAS layer deeply, there is no damage to the facial nerve in a normal facelift.

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    Weekdays
    09:30~19:00
    Tue., Thr.
    09:30~20:00(Night Operations)
    Saturdays
    09:30~16:30
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    (+82)2.544.8807

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