Possibilities of plastic surgery
The mystery of change that this direction of medicine gives us consists of various branches. Thus, with the help of plastic surgery, you can change almost all parts of the body, bringing their appearance to complete perfection.
An example of continuous development is new surgical techniques, as well as areas that were not previously subject to surgery. One of the most significant recent achievements has been the possibility of improving the proportions of the legs using implantation. This opportunity has become a new step in body sculpting, as it allows you to deal with anatomical features, creating a long-term effect.
Shin implantation
Corr.: What range of aesthetic problems does cruroplasty solve?
Irina Marinicheva: One of the indications for this operation is curvature of the legs. We should be clear here. There is true curvature of the legs, due to the structural features of the skeleton, and false curvature of the legs, which is expressed in a lack of soft tissue in the shin area. The use of silicone implants of various shapes is precisely aimed at compensating for defects and correcting the distribution of these missing volumes.
Corr.: Do you use lipofilling as an independent correction method or as an auxiliary one?
Irina Marinicheva: Basically, I use lipofilling as an auxiliary method that allows me to improve the results of implantation. After all, the one-time injection of a large volume of adipose tissue is sometimes fraught with serious complications.
Although, with a certain shin structure, it is sometimes impossible to select standard implants. In such cases, lipofilling is an indispensable independent method of correction.
Corr.: But fat has the ability to dissolve. Will this affect the duration of the effect after surgery?
Irina Marinicheva: If fat is administered correctly and in adequate quantities, then its lysis is minimal. In addition, we have new technologies that allow us to correctly collect and process fat, which increases the degree of its “survival”.
Corr.: While most plastic surgeons do breast surgery, not everyone does shin implantation. How can you explain this?
Irina Marinicheva: In my opinion, one of the reasons is banal ignorance of anatomy. In addition, many surgeons do not have sufficient knowledge of implantation techniques. Knowledge gleaned from scanty printed sources is insufficient, and internships in foreign clinics are not available to everyone. I was very lucky - I learned the art of shaping the ideal contours of the lower leg and buttocks from the best specialists in the USA and Brazil. I was taught something that no Russian specialist could demonstrate at the operating table. This is a powerful school of training, this complete baggage of theoretical and conceptual foundations allowed me to hone the technique of performing the operation and obtain maximum results.
Of course, skill and dexterity came with experience. Progress was also facilitated by the appearance on the market of soft gel-filled silicone implants. It is worth recalling that I took up shin surgery several years before their appearance in our country. Before this, I had to make implants from silicone blocks using individual templates in the TsNIIS laboratory. The results that we received at the dawn of the development of cruroplasty in Russia were not as good as they are now. But this only spurred him on, since the desire for perfection lives in every plastic surgeon.
Corr.: Irina Gennadievna, you studied this business abroad for a long time. What have you learned from your experience abroad?
Irina Marinicheva: I learned to operate “correctly”. Correctly means clearly, without unnecessary fuss, with planning in advance of each subsequent action. Correctly means quickly and efficiently. All this leads to a reduction in operation time.
And this is very important, first of all for the patient, because... reducing the effect of surgical trauma on the body has a beneficial effect on the processes of recovery and rehabilitation. It is necessary to realize that anesthesia only “blocks” the transmission of pain impulses to the brain, and long-term processes of alteration cause local trophic changes (sometimes irreversible), which progress every minute of the operation. Do not forget about the toxic effects of drugs during anesthesia.
My team works automatically. All actions are coordinated and polished. Therefore, I spend no more than 25 minutes on shin implants! This is despite the fact that for other specialists the operation takes at least 1.5 hours!
The influence of plastic surgery on human life
Plastic surgery can not only correct external imperfections, but also restore self-confidence, making a person fall in love with himself and his body again. Regarding such a phenomenon as “dysmorphophobia”, achieving complete relief from which is possible only by achieving the ideal, plastic surgery is the only solution that can put an end to such psychological deviations.
The path of a professional
Plastic surgeon Irina Gennadievna Marinicheva is not just a doctor. She has many operations behind her, the outcome of which can be equated to real works of art.
In the professional environment, there is a special approach to decision making. Thus, Irina Marinicheva is a plastic surgeon who can find a way out of the most difficult cases.
Irina’s career began in the Department of Oral and Maxillofacial Surgery. Having received a specialized education, she decided to expand her profile. The consequence of this decision was a diploma from New York University of Medicine.
Throughout the entire period of training, Irina’s mentors were internationally recognized professionals, whose experience was amazingly integrated into the sphere of art embodied in each operation.
Professionalism!..
What is the difference between a good plastic surgeon and just a surgeon? Firstly, an integrated approach to solving the problem. And this requires a broad outlook, experience and the ability to make the right decisions in non-standard situations. And the main thing is to understand the patient, his desires and needs.
The development of these qualities requires a long time of painstaking work on oneself.
I received an excellent academic higher medical education. Already within the walls of the institute, I decided on my choice of profession, which allowed me to choose and undergo training at the best department of reconstructive and plastic surgery in our country, specializing in maxillofacial surgery under the guidance of Professor A.I. Nerobeeva.
During my graduate studies, I completed training at the Institute of Reconstructive Plastic Surgery at New York Medical University (USA) under the guidance of the legendary Joseph G. McCarthy. It was the American school that formed my basic knowledge and skills in plastic surgery, which allows me to think outside the box in difficult situations, to operate quickly and accurately, and not to delay the time of plastic surgery.
Comprehensive training has formed in me the need for constant improvement, development and implementation of new ideas in the specialty. My dissertation is devoted to a very complex problem - the correction of the protective apparatus of the eyes in case of damage to the facial nerve.
At the same time, I managed to develop an entire section of plastic surgery dedicated to leg plastic surgery. Before the advent of factory implants, I made the first silicone endoprostheses for shin surgery myself. Then, with the arrival of Eurosilicone and Polytech products on our market, I improved the cruroplasty technique, and today I have experience with more than 500 patients (1000 implants). Currently, I am introducing plastic surgery of the inner thighs with implants into practice.
Modern plastic surgery dictates the need for widespread use of cosmetic methods of restoration and improvement of surgical results. For the professional use of these products, I have specially completed training in dermatocosmetology and additional certification in the use of preparations containing botulinum toxin, fillers, and thread lifting.
I am an active supporter of anti-age medicine, and I am convinced that after plastic surgery my patient should not only look younger, but also achieve overall rejuvenation and healing of the body.
Honored Achievements
Since Irina Marinicheva is a plastic surgeon, photos of whose work are the very standard with which patients come to doctors asking to repeat the result, her achievements can already be called legendary.
The list of awards that Irina managed to achieve include:
- highest qualification in maxillofacial surgery;
- scientific degree of candidate of medical sciences;
- membership in many professional organizations, as well as practice on an international scale.
Thus, Irina Marinicheva, a plastic surgeon for whom Moscow is the main area of activity, represents surgery from the point of view of a global professional.
Plastic surgeon Irina Marinicheva
Cruroplasty (plastic surgery to change the shape and size of the legs using implants) today is not as popular as facelift or mammoplasty, but the demand for this type of operation is constantly increasing. How did this direction develop in Russia? What defects can be corrected today using cruroplasty? Irina Marinicheva, a plastic surgeon of the highest category, Candidate of Medical Sciences, Associate Professor of the Department of Maxillofacial Surgery at the Peoples' Friendship University of Russia, spoke about this.
Corr.: Irina Gennadievna, what problems did you encounter when developing new techniques in the field of leg plastic surgery?
Irina Marinicheva: In 1998, girls who didn’t like the shape of their legs began to contact me, and then I began to think about how to help them?
For the most part, these patients wanted to compensate for the missing volume of soft tissue in the lower leg area. At that time, implants for shin plastic surgery were not yet used in Russia, but polyacrylamide gel was already used. I doubted this material and used silicone prostheses, which are made personally for each patient in the laboratory of silicone products of the Central Scientific Research Institute. However, these implants were too dense to be felt. In 1999, highly biocompatible silica gel implants, which are as similar to muscle tissue as possible, began to be used in Russia. From that moment on, it became possible to correct not only the shape of the legs, but also the contours of the hips, and since 2000, to compensate for the volume in the buttocks.
At that time, such surgical interventions were performed extremely rarely; we could not even imagine how many women were dissatisfied with their appearance. It turned out that many of them attempted to eliminate the defects on their own using external pads that were attached to the legs or buttocks. They had to constantly ensure that these pads did not move, did not fall, and that no one would see them.
With breast volume it is a little easier; you can wear a bra with special linings, and your bust size will visually increase.
With legs everything is much more complicated. Women have to wear floor-length skirts and wide trousers, and they experience discomfort on the beach and in intimacy. Corr.: How often do patients undergo cruroplasty?
Naturalness and naturalness are in fashion, so it is necessary to hide traces of surgery as much as possible.
Irina Marinicheva: The number of patients is increasing every year, because now they know that this method is safe. I studied a lot of scientific materials on plastic surgery of the legs and buttocks, worked on techniques and began operating on people with external defects in the area of the legs, buttocks and thighs. Patients began to come to me not only with aesthetic defects, but also people who had suffered spinal paralysis, surgical correction of congenital pathologies. It became possible to carry out both unilateral and bilateral corrections.
Corr.: Now is it possible to correct any shape of legs?
Irina Marinicheva: Yes, now you can eliminate any shortcomings - true and false curvature. In the first situation, the problem is in the shape of the leg bones, and in this case, orthopedic correction of the position of the leg bones is performed using compression-distraction devices.
In the second case, when the problem is caused by insufficient soft tissue volume, either the patient’s own fat cells or silicone implants are used to restore the correct contour of the leg.
Corr.: Is hip augmentation a popular procedure in Russia?
Are the implants used in this operation safe? Irina Marinicheva: Many girls who want to wear tight clothes face the problem of insufficient soft tissue in the area of the inner thighs. I perform surgeries to fill such deficiencies using silicone implants. For this technique, the same prostheses are used as for plastic surgery of the legs. The operation was completed, my scientific articles were published, reports were made at Russian and international professional conferences. We are currently training other doctors, so I believe this operation will gain popularity in the near future.
Corr.: How invisible are postoperative scars?
Irina Marinicheva: Patients now have increased demands for plastic surgery. Naturalness and naturalness are in fashion, so it is necessary to hide the traces of surgery as much as possible.
We have improved the methods of inserting implants so that they are not only invisible, but also undetectable. We make a small incision and use modern suture material so that the wound heals faster and the scar becomes invisible.
Patients now have increased demands for plastic surgery
Corr.: Do you refuse patients to undergo surgery?
Irina Marinicheva: During the consultation, I try to understand whether the patient’s expectations coincide with the actual result. I'm trying to figure out why he has a complex. And if I understand that surgical intervention will not make my patient’s life better, then, of course, I refuse to perform the operation.
Also, contraindications for correcting the shape of the legs, thighs and buttocks are problems with the general health of the patient, which we identify during the examination before surgery.
Corr.: Is examination before surgery a mandatory rule for all patients?
Irina Marinicheva: This is an absolute rule for everyone, even if minor surgery is performed.
A general clinical and laboratory examination is required. It allows you to minimize the possibility of risks and complications. People often turn to plastic surgeons with psychological problems that arise as a result of congenital or acquired aesthetic defects. And we, plastic surgeons, with the help of a scalpel, return people to social activity and relieve psychological problems. Therefore, in order not to aggravate the patient’s life with physical health problems, preoperative diagnostic examinations are always necessary.
Corr.: Have you noticed at what moments in life women decide to change their appearance? Are these changes helping them?
Irina Marinicheva: People who no longer want or cannot fight their internal dissatisfaction with certain imperfections of their body correct their appearance.
Each person is individual and decides to make changes at different stages of life, under different circumstances. Having gotten rid of complexes, people find peace of mind, internal tension is relieved, their mood improves, and the time comes to increase social activity. And all this, of course, brings them closer to achieving their goals.
Services and their features
Plastic surgery allows you to speed up the result as quickly as possible; there is a certain scheme of preoperative procedures aimed at identifying the best method of action.
The stage that sets the general tone of the work is the initial consultation. Its essence lies in the analysis and collection of information about the patient, his complaints, as well as drawing up a plan for additional procedures necessary for further work.
Next comes the preparatory stage. Depending on the operation and its features, its own line of preparation is selected. Since each operation entails certain changes in appearance, an important point will be the psychological readiness to accept these changes. In the case of patients with body dysmorphia, a doctor's opinion will be required that surgery is indicated.
Since Irina Marinicheva is a plastic surgeon who strives to create maximum use of the resources of her chosen industry, new techniques are constantly coming out from under her hands, as well as operations that have no analogues in the whole world.
Internet ombudsman Dmitry Marinichev about the scandal surrounding his speech
Marinichev’s statements were made at a meeting of the Public Chamber of the Russian Federation, where scientists discussed import substitution of technologies that were inaccessible to Russia due to Western sanctions. Of all that the ombudsman said, two theses caused indignation among netizens: about the need for Russia’s military presence to impose our technologies on the West and the pointlessness of training IT personnel.
“We will be able to provide technology to other countries only when we have (there - Gazeta.Ru) a military presence. When other countries do not have an alternative opportunity not to take it from us,” Marinichev said. This was followed by another thought:
“I honestly and openly say: if you want to harm the country, then you should invest in training IT specialists on the territory of the Russian Federation. It is impossible to cause more harm.”
The public reacted to Marinichev's statements with a hail of ridicule. Politician Alexei Navalny called the ombudsman a “militant moron” and accused the Russian authorities of “leading the nation to defeat, including by imposing technological backwardness on us.”
Gazeta.Ru tried to find out what exactly Dmitry Marinichev wanted to say, who for the first time since his appointment was subjected to truly harsh criticism.
-Did you really say what the press attributed to you?
- I subscribe to every phrase, I will not refuse a single one. But all these phrases describe only one of the possible ways. I never expected that one of the possible paths would be presented as my absolute position. It is not normal.
— It is expected that people are indignant, because instead of theses about the need to create conditions for their innovations, they heard a phrase about the military presence.
Wikipedia faces criminal charges
After blocking a page on a resource against the administration of the Russian-language version of Wikipedia, it may be...
24 August 17:58
“I said absolutely banal things that have been known since the times of the Roman Empire. First, the army comes to the territory, followed by traders, and then you get state power and the market. Only this way and no other way. That's why
if at the state level we choose the “Russia against everyone” regime, then we will have no chance to sell our products and technologies, except to carry out geopolitical expansion into the world.
And since the world is divided in any case, this will lead to inevitable confrontation with those countries that are already present in some region. This is the same thing that the Soviet Union did, spreading the ideology of socialism, technology and, in fact, its model throughout the world. And, accordingly, the BRICS countries and others should fall under the geopolitical influence of Russia as the dominant center. And I'm not being ironic at all.
So the question is: how will events develop? If there are Europe, England, the USA, Canada, and against them are Brazil, China, India, Russia - depending on whose protectorate this or that country will be - then this is one situation. If there is a third country, then there will be a third source of technological dominance.
“But there is a natural market option.” That is, simply produce a product that would be in demand regardless of the political situation. Is this not for Russia?
— I agree, and this is precisely the second option, which was not taken into account in the Kommersant article. This is an option when the markets of the future are identified and the foundation is laid in the market of the future for development and training of specialists in order to dominate there. And this option implies absolute integration of Russia into the global economy. She takes her place, knowing full well that in many ways she is giving up dominance by using foreign technology. Like, for example, processor technology.
But Russia can also have nuclear energy, aircraft manufacturing, and military equipment. This may also be a dominant technology that will be in demand abroad. This speaks of a balance of interests.
But today this balance is impossible, since there is a clearly expressed confrontation between the Western world and Russia.
Whether Russia is to blame here or not is not important. The state itself is important, and it is impossible to discuss technological exports and imports, because in this situation we must produce everything ourselves entirely. And in this situation, training IT specialists using foreign basic technologies is actually undermining Russia’s sovereignty.
I don't want to consider this option because it is unacceptable. We all managed to live as citizens of the global world, moving freely: on vacation in Italy, riding carousels in America. But it may happen that everything will change. And the question about the use of one or another method of technology transfer lies in this plane: who are we, why do we and where do we want to go?
— Russia is not capable of producing an IT product that is interesting for the whole world?
— We cannot do something breakthrough in the field of technology if we depend on the owners of the technology. For example, when Intel develops a new processor, the first person it shares its thoughts with is Microsoft. And together with her they are developing a hardware and software complex. Question: How can we develop an operating system ahead of Microsoft if we don't have a lead time because we don't have access to their knowledge? That's it, it's a vicious circle.
And there is only one option: we can make our own processor, and then whoever develops their own processor in Russia will share it with a local company.
Or - on a global scale - we are in the zone of a trusted circle, and Intel will share not only with Microsoft, but with some “Russian operating systems”. And Intel, in principle, doesn't care. The penetration of his technologies and competition are important to him. It is also not beneficial for him to have only Microsoft.
But there is always a basic technology that a company or state has. So today we need to consider all options: both pessimistic and optimistic. Moreover, it is not a fact which of them is which given our current perception of events.
— So it seems to you that it is better not to invest at all in training IT specialists, because we are playing on an obviously foreign field?
- No, that's not true. Training our programmers is a useless exercise today, but only if we do not open the market and create a comfortable market for creating creative teams and companies in Russia that will be able to sell their products to the whole world.
If we don’t do this, then all creative teams and all programmers will instantly move abroad. This has been the practice for the last two years.
This is normal. Like in the cartoon about “Nemo” - a fish from an aquarium wants to escape into the ocean.
It's impossible to argue here. The state has no other tasks than to take care of its own citizens and develop their skills. This is my tough position. Vocational education, continuous certification, participation in conferences and modernization of knowledge are the most important things that the state should do. But the question is what and where it should do.
“But we have to admit that in the current situation the state is not coping with its responsibilities well.
- Well, we don’t know everything. And even I don't talk about everything I know. And the state has good initiatives, and what is being done is quite advanced. The question relates rather to propaganda and the political situation. Americans also pursue their own selfish interests.
Just as they are trolling me now with my words, the States are trolling Russia.
Therefore, we need to talk about this here so that people understand the situation, other than simply “we need to train specialists.”
“But the fact is that in this area we have little to brag about. Do you have friends from the IT field who went abroad?
- That's enough.
- And how do you evaluate their decision?
“It is hardly possible to attract large foreign investments today”
On the role of import substitution of software in ensuring national security, prospects for creating a competitive…
10 May 20:06
— People understand that what they want to do is currently subject to a number of restrictions in Russia.
He might not have wanted to leave Russia, but the stars were so aligned that he had nowhere to go.
Professional lack of demand is worse than being in demand, but not in the homeland. This is from the point of view of a person, not a country.
— So you don’t criticize them for their decision?
- Of course not. On a human level, I cannot criticize them. The question of changing conditions within the country. And they will return one way or another, because language determines consciousness, and a person who grew up in this environment is still drawn to the society that is comfortable for him. But comfortable conditions for self-realization must be created, otherwise it is impossible.
New technologies
One of the operations that plastic surgeon Marinicheva completely created and reproduced is hip augmentation. The peculiarity of this operation is the creation of the necessary proportions by introducing an implant. This operation has an exclusively aesthetic function, but what, if not proportions, can be just as important from the point of view of visual perception!
Other techniques, analogs of which cannot be found in other clinics, include reconstruction of the lower leg using an implant.
Such techniques allow you to create the desired result using a minimum of body resources. In some cases, implantation is the only way to bring the patient’s proportions to the level he needs.
Features of choosing a doctor
Irina Marinicheva is a plastic surgeon who has become famous not only for her high professional qualities, but also for the amazing sense of beauty that she transfers to her work.
Body sculpting is one of the doctor’s most popular areas of activity. The results are truly stunning in their naturalness, which is the personification of knowledge and experience combined with feminine sensitivity. Breast implantation is a striking example of filigree work. As a woman, Irina creates an ideal visual perception, and as a doctor, she finds methods for its implementation.
Irina Marinicheva heads the Association of Women Plastic Surgeons of Russia, which naturally secures her the title of a professional in her field.
Turning to a professional of this level means creating complete confidence in the high quality of the outcome of any operation.
Word of mouth
Irina Marinicheva is a plastic surgeon whose reviews resonate widely with the audience. Among their great variety, a certain approach to work should stand out, which distinguishes the work of a given surgeon from others. After analyzing reviews collected from various sources, we were able to discover the following features in Irina’s work:
- it independently creates and certifies its own methods;
- World conferences of plastic surgeons are held based on the works of Dr. Marinicheva;
- An interesting feature of the work is the use of exclusively cosmetic seams;
- Irina is also a leading cosmetologist, whose arsenal includes many procedures aimed at improving skin condition.
Regarding the distinctive features, high speed and responsiveness are also noted, which is evidence of professionalism.
Thus, modern plastic surgery can give everyone the appearance of their dreams. Under the guidance of a professional, everything, even the most unrealistic desires, can become a reality. Entrust the creation of your amazing world with a new appearance to professionals, so that the result will not cease to delight you even for a second.
Breast augmentation
Corr.: Good afternoon, Irina Gennadievna. I would like to start our dialogue with one of the most popular plastic surgeries today - breast augmentation. Each plastic surgeon has his own beauty formula. What principles do you follow when performing breast augmentation surgery?
Irina Marinicheva: No self-respecting plastic surgeon will set himself the task of simply enlarging the breasts. Personally, I always use the principles of harmony, and it is achieved by the correct ratio of the volume and shape of the mammary gland, which will correspond to the anatomical features of the patient and her constitution. As a woman, I very well understand the desire of my patients to get “natural” breasts, and, as a professional, I prefer to perform surgery in such a way that the fact of the operation is least noticeable. Let this remain a little secret between the plastic surgeon and the woman. You will be surprised, but I have a large number of grateful patients whose husbands do not know (!!!) that the beautiful forms of their loved ones are provided by the possibilities of modern plastic surgery.
Corr.: What is more priority for patients - breast size or shape?
Irina Marinicheva: It all depends on the initial indications. If we are talking about a girl with teenage breasts, then volume is, of course, initially important for her, since it was its absence that ultimately led her to a plastic surgeon. A certain part of women are dissatisfied with the shape of their breasts, lost due to weight changes, pregnancy, breastfeeding and other factors. In such cases, I use not only implants, but also various other techniques to lift the breasts, get rid of excess altered atrophic skin, fill the upper pole of the mammary gland, etc. In general, I am trying to restore the original shape of the mammary glands in the most effective way.
Corr.: Is there a risk of problems with lactation if pregnancy occurs after breast surgery?
Irina Marinicheva: Modern techniques make it possible to preserve the integrity of the mammary gland, regardless of the access through which the implant is installed, therefore, subsequently there are no problems with breastfeeding. But you need to understand that subsequent pregnancy, long-term breastfeeding, weight changes, etc. may affect the results of the operation.
Corr.: When is it more advisable to have breast surgery - before or after childbirth?
Irina Marinicheva: If the size or shape of the breast gives rise to many complexes in a young unmarried girl, if it prevents her from feeling confident in the company of a man, causes a change in posture, then why put up with these dissatisfaction? We need to have surgery! In such cases, the question “before childbirth or after” is inappropriate, since there is a psychological problem, and there is a way to solve it!
Corr.: What is more important for you - the patient’s desire or a professional vision that runs counter to these desires?
Let this remain a secret between the plastic surgeon and the woman!
Irina Marinicheva: The main principle is do no harm. Of course, I take into account the patient’s wishes, but at the same time I try to act based on safety considerations and the ability to obtain the maximum aesthetic result. All this is discussed during the consultation. In our age of information technology, patients come to the surgeon already knowing which implant and which brand she needs, based on the knowledge received from friends, from the Internet, etc. It is often necessary to convince the patient that her solution to the problem will not give the expected results or will even lead to complications. After all, such a variety of existing implants presented on the Russian market is determined by the different thickness of the shell, its texture, the density of the silicone gel located inside... We take into account all these characteristics, including the structural features of the patient herself, in our practice.
Corr.: How easy is it to convince this category of patients?
Irina Marinicheva: Fortunately, patients listen to the recommendations, because all the specialist’s actions are aimed at the benefit of the woman, to improve her social quality of life.
Corr.: Irina Gennadievna, can you say that you pay maximum attention to your patients?
Irina Marinicheva: Of course. I take my patients to the end, even if everything is fine with them and they are happy with everything. My personal managers periodically contact patients and schedule examinations for them - at 3 months, 6 months and 12 months. This measure is necessary in order to completely eliminate the risk of any complications. During routine postoperative examinations, we conduct additional ultrasound examinations, which allow us to promptly identify unwanted processes and eliminate them. I also evaluate the results of aesthetic surgeries in patients operated on more than 5, 10, 15 years ago. This allows me to constantly think through some new subtleties in techniques that allow me to achieve not only an excellent aesthetic indicator, but also ensure its stability.
