SURGICAL MINIMALLY INVASIVE METHOD OF CORRECTING AGE CHANGES OF SOFT TISSUES OF FACE AND NECK Russian patent published in 2020 - IPC A61B17/00 

FIELD: medicine.

SUBSTANCE: invention relates to medicine, specifically to plastic surgery. It involves combined anesthesia including local tumescent infiltration anaesthesia and intravenous sedation. Then, using a scalpel located at an angle of less than 90° to the skin surface, a Z-shaped incision is made, an anterior incision in the anterior region along the hair growth edge in the region of the temples and a Z-shaped posterior incision in the parotid region and along the hair growth edge on the left and the right symmetrically. That is followed by direct "acute" limited dissection in the subcutaneous layer by means of surgical scissors within borders of the masticatory muscle for direct access to the superficial muscular-aponeurotic SMAS system. That is followed by the advanced "blunt" atraumatic dissection subcutaneously by means of a cannula with a flat tip from the region of the direct "acute" dissection medially and downwards in the direction from the auricle to the nasolabial triangle and further caudally on neck from outer edge of nodding muscle and submental area to clavicles on left and right. Elastic silicone sutures-implants are fixed to deep temporal fascia, mastoid and Lore's fascia and elastic silicone suture-implants are performed simultaneously through SMAS within the limits of direct "acute" dissection in technique of plication and subcutaneously within the limits of expanded "blunt" non-traumatic dissection. Threads are drawn by blunt needle-conductors, the soft tissues are lifted on the filaments to achieve the desired lifting effect, the ends of the threads are cut off and the surplus skin caused by the lifting is removed, cosmetic skin seams are applied.

EFFECT: method allows to achieve a natural harmonious lifting effect with preservation of facial muscles mobility and sensitivity, as well as prevent soft ptotic dilation over time.

1 cl, 9 dwg, 2 ex