SMAS-lifting Doublo: drawing up an individual procedure protocol for complex categories of patients

The device for ultrasonic SMAS lifting Doublo HIFU combines high energy of working manipulas - up to 2 J/cm2 (the energy can be adjusted by selecting individual parameters for each patient) and high-resolution ultrasound diagnostics - to draw up an effective and safe procedure protocol. This makes the device stand out on the HIFU SMAS lifting market and allows you to achieve good results even in difficult categories of patients.

All patients can be divided into two categories

: optimal and non-optimal.

Optimal patients give a pronounced clinical response without combination with other methods when performing a single HIFU SMAS lifting procedure.

Facial aging mechanism

The SMAS consists of two layers—the superficial fascia and the facial muscles. Time has a negative impact on each of them. In the superficial fascia, the production of collagen and elastin decreases, their existing fibers stretch and lose their elasticity. The muscles, in turn, weaken and can no longer keep the underlying tissues from falling or sagging. This is how deep folds form and the contours of the face lose clarity.

HIFU vs Thermage

Thermage is a non-surgical procedure that uses focused energy radiofrequency to stimulate collagen production in the deeper layers of the skin, resulting in firmer, smoother skin. Promising visible results after just one treatment, it is a popular choice for treating a variety of wrinkles. Uneven or dimpled skin and even cellulite. Treatments take about 90 minutes, making Thermage an ideal treatment for those. Who is looking for great results with a busy schedule.

How hardware face lift erases age-related changes


The method of operation of the Doublo System device is called ultrasonic lifting, or HIFU technology. High intensity focused ultrasound radiation is sent to the treated area.

Under its action, SMAS cells in the soft tissues of the face contract and become denser. Due to contraction, tightening (skin lifting) occurs; the results are comparable to the effect of plastic surgery. The double chin disappears, the gaze becomes open (the eyelids rise), and clear cheekbones are formed. In terms of price, ultrasonic lifting is becoming more and more affordable, without losing the quality of the result - minus 10-15 years

.

What is endoscopic SMAS lifting?

Another type of lifting is endoscopic. It is much less traumatic, since it does not require incisions, and therefore no stitches. True, this is still an operation and it is performed under general anesthesia. The duration of this procedure is about 3 hours.

The endoscopic method is recommended for people under forty, since its results last only five years. In addition to a more gentle procedure, this method of restoring youth is affordable, especially compared to the classical procedure, the cost of which can reach many hundreds of thousands of rubles.

Despite the absence of incisions, the operation is performed with violation of the integrity of the skin; the endoscope is inserted through pinhole punctures in the temple area on the scalp. Recovery after surgery also requires at least 1.5-2 months, but the likelihood of damage to nerve tissue is minimal. And there will be no significant swelling after the operation.

Why we chose Doublo System lifting

One of the rules of the PRAGA clinic is to offer clients the most modern equipment, which makes it possible to provide services with an optimal price-quality ratio. The innovative Doublo System device has proven itself in the following indicators:

  • power - quickly achieve the desired result after ultrasound facelift;
  • accuracy - an image sensor is built into the scanning ultrasound head, from which data is displayed on a color display monitor.

Device evaluation criteria

Naturally, I cannot say unfoundedly that this device is better than that one over there. This will be at the very least incorrect. Therefore, I decided to highlight several criteria by which I will characterize the main devices used by our clinics.

  • Type of radiation

It determines the technology of influence. Modern devices use HIFU technology, which involves ultrasound.

  • Wavelength

The wavelength determines the depth of impact. The functionality of the device depends on this.

  • Range of applications

The devices differ in possible areas of application. Some are only suitable for a facelift. Others can also be used to model body contours.

  • Dimensions

Compact devices are more mobile and easy to use.

  • Price

Ultrasonic lifting: indications for the procedure

Ultrasound facelift is both an excellent prevention of age-related changes and a way to eliminate existing defects:

  • remove ptosis (drooping) of the upper eyelids;
  • raise the corners of the mouth and eyebrows;
  • smooth out facial wrinkles;
  • reduce the depth of nasolabial folds;
  • return clear shapes to the oval of the face;
  • tighten the skin under the chin.

SMAS-lift shows an excellent effect even in cases where hardware cosmetology (photorejuvenation, laser resurfacing, etc.) no longer gives the desired results.

It is acceptable and useful to combine SMAS lifting with mesotherapy, biorevitalization, and plasma lifting. Using ultrasound, you can tighten the tissues of not only the face, but also the neck.

Ultraformer

Radiation type: HIFU

Wavelength: 5-25mm

Range of applications: correction of facial contours, correction of nasolabial folds, elimination of facial ptosis, correction of the abdomen after childbirth, modeling of body contours.

Dimensions: 500x515x1310 cm, 35 kg

One of the most popular devices. Experts value it for its high efficiency and versatility.

During operation, the device uses sound waves to heat selected areas of the body to a temperature of 60-70 degrees. This effect provokes the synthesis of collagen fibers.

Can be used for both face and body.

How a non-surgical face and neck lift occurs at the PRAGA clinic


The depth of the SMAS varies from patient to patient. To ensure the required parameters of ultrasound radiation, the doctor selects a replacement cartridge, which is installed in the device’s handpiece.

  • The lines along which the “firmware” is carried out with ultrasonic pulses are marked in advance. Since our specialists are very familiar with the anatomy of the face, they accurately determine the directions in which the tissues need to be lifted. The face after non-surgical lifting looks natural.
  • An LCD display helps the doctor track the tightening process, which shows everything that happens in the SMAS. If necessary, the treatment protocol is immediately adjusted.
  • After half of the face has been treated with the manipulator, the patient will definitely be able to look at his own reflection in the mirror and compare the results “before” and “after”.

Contraindications

Despite the fact that the procedure is safe and non-invasive, there are contraindications, since the body is still exposed to ultrasound. The procedure should not be done:

  • Pregnant or breastfeeding women;
  • People with a pacemaker;
  • If there are metal implants implanted in the face (dental implants are an exception);
  • Suffering from diabetes or cancer;
  • Recent surgery;
  • Connective tissue diseases.

Even without obvious contraindications, the client may be denied the procedure; this is at the discretion of the doctor. To avoid surprises, the doctor may ask the patient to send a photo before the visit. The specialist first assesses whether the potential patient needs such a procedure, whether there are indications, studies the anatomical features of the face, and then gives the go-ahead or refusal.

How safe is hardware facial lifting?

The capabilities of the Doublo System device allow you to adjust the depth and intensity of penetration of ultrasound radiation. Therefore, the impulses affect only superficial tissues, but not deep-lying muscles. If the patient complains of discomfort, the doctor will be able to immediately reduce the radiation power. This eliminates the risk of burns.

With ultrasonic SMAS lifting, the skin remains unharmed, which guarantees the absence of infection. There is no rehabilitation period required after the procedure. Unpleasant consequences boil down to slight swelling, which goes away in three to four days, and mild pain in the facial muscles, which can be compared to the sensations after physical exercise. There are few contraindications to the procedure:

  • acute purulent processes and open wounds on the skin;
  • mental illness;
  • skin oncology;
  • blood diseases;
  • thrombophlebitis;
  • the presence of implants under the skin;
  • wearing a pacemaker.

Is it possible to combine the procedure with other hardware techniques?

What is SMAS face lifting and what is it combined with? Surgical rejuvenation methods practically exclude the possibility of using non-invasive methods to improve the condition of the face. At the same time, SMAS lifting using ultrasound is perfectly combined with other anti-aging techniques.

The complex effect significantly enhances the positive effect of the procedures and helps to significantly prolong the youth of the skin. When performing an ultrasonic facial lift, it is also possible to:

  • introduction of fillers for more effective plastic surgery and restoration of facial contour;
  • application of biorevitalization and mesotherapy techniques;
  • improving the condition of the skin and complexion through microdermabrasion.

The list of contraindications for ultrasonic SMAS lifting includes:

  • pregnancy and breastfeeding;
  • presence of a pacemaker;
  • installation of metal implants in any part of the body;
  • hormonal disorders;
  • complicated central nervous system diseases;
  • multiple foci of inflammation on the skin;
  • diseases of the cardiovascular system;
  • oncological diseases;
  • taking medications that affect blood clotting;
  • chronic and acute infectious diseases;
  • scleroderma and lupus erythematosus;
  • age under 18 years.

How natural rejuvenation processes start after SMAS lifting

Under the influence of ultrasound radiation, spot coagulation of proteins is carried out. Collagen and elastin fibers decrease in length and become thicker. As a result, the skin of the face is tightened and its texture is smoothed.

Facial muscles undergo cycles of contraction and relaxation under the influence of ultrasound. This increases their tone and relieves tension. The soft tissues of the face are tightened: the corners of the eyes, eyebrows, mouth are raised, folds are smoothed out, small wrinkles disappear.

Ultrasonic SMAS lifting does not act directly on the skin. However, the procedure also provokes accelerated renewal in skin cells. Thanks to high-frequency vibrations of molecules, tissues heat up and the lumens in blood vessels expand. Cells receive more oxygen and nutrients. Lymph carries all toxins to the lymph nodes. The skin becomes fresh, radiant and velvety.

The rejuvenation effect lasts three years, and if you provide the person with proper care, even longer.

HIFU vs RF

Fractional RF plumps and repairs the skin through a combination of radiofrequency and microneedling. This treatment induces a natural healing process and stimulates cell regeneration and collagen production. Unlike HIFU or Thermage, this procedure does more than just improve skin tightening. And reduces the appearance of fine lines and sagging skin. But also improves the signs of scars, stretch marks and large pores. These added benefits make it an extremely versatile treatment for a range of skin problems associated with the aging process.

What's right for you?

The main goal of most skin tightening procedures is to produce collagen to improve skin elasticity and firmness. Because collagen production declines sharply after age 25, these treatments reverse the aging process and are popular among men and women over 30.

If you are at that stage of your skin care journey. When you feel the need to reduce the visible signs of aging. A skin tightening procedure may be right for you. Depending on which areas you want to focus on: face, neck, décolleté. Or the body and what exactly you want to achieve reducing the appearance of fine lines. Double chin or jowls, procedures will vary in suitability.

Talk to a professional at the Moscow Cosmetology Skin Clinic today. To find out which treatment is right for you. Find a local skin clinic in Strogino.

We invite everyone who wants to become more beautiful to our clinic!

The PRAGA clinic is improving its work, being one of the first in the capital to master the latest technologies in aesthetic medicine. We do not skimp on purchasing modern, efficient equipment and training qualified employees. That is why you can confidently trust our doctors.

Doctors at the PRAGA Aesthetic Medicine Clinic prescribe procedures only after a comprehensive examination to exclude possible complications and side effects. Our rule is not to make empty promises. On the contrary, there are very frequent cases when, for example, a non-surgical facelift allows one to achieve excellent results - better than those predicted by a specialist.

The pleasant atmosphere in the clinic allows you to completely disconnect from everyday worries. Soft music puts you in a positive mood and lifts your spirits.

At your first request, the administration of the Aesthetic Medicine Clinic “PRAGA” is ready to provide documents that confirm the medical qualifications of any of our doctors.

What is HIFU?

HIFU uses ultrasound energy to heat cells deep below the surface of the skin, stimulating the production of more collagen. This increase in collagen, the protein responsible for the elasticity and firmness of the skin, leads to this. That skin appears firmer, with fewer wrinkles and improved smoothness. HIFU is fast, non-invasive and relatively painless. Since the top layers of skin are not damaged, there is no downtime required for the procedure. And clients can spend their day as after the procedure.

Radiofrequency or ultrasonic lifting

HIFU may be the newest skin tightening technology on the market, but there are many tried and tested options. Available for those looking for youthful, renewed skin. Treatments such as Thermage and Fractional Radiofrequency (RF) are two such options that are popular due to their convenience, versatility, and long-term results.

What symptoms may be the basis for turning to the HIFU method?

  • First of all, it is itching, often unbearable, in the area of ​​the external genitalia, which can worsen at night, after hot baths, or physical activity.
  • Pain during sexual intercourse (dyspareunia)
  • Disorders of urination and defecation.

Indications for the use of focused ultrasound are:

  1. kraurosis of the vulva (lichen sclerosus)
  2. vulvar dystrophy
  3. leukoplakia of the vulva, lichen of the vulva
  4. genital warts of the vulva, vagina and perineum
  5. papillomas, mild vulvar dysplasia
  6. benign diseases of the vagina and cervix: chronic cervicitis, Nabothian cysts (ov.Nabotii), cervical endometriosis, ectopia (erosion) of the cervix, cysts, ectropion, mild cervical dysplasia; HPV-associated infections, LSIL (mild dysplasia), vulvodynia.
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