Cardiac surgery department No. 3 with resuscitation and intensive care wards

PROMOTION

Until January 31, 2022, the CONSTANTA Clinic has a special offer: “20% discount on plastic surgery”

A 20% discount applies to the second and subsequent lowest prices in the calculation. Provided to all patients of the CONSTANTA Clinic in Yaroslavl who have received consultation and a documented calculation of the cost of the operation before January 31, 2022. The calculation of the cost of the operation is valid for 30 days.

*Other promotional offers cannot be combined with this special offer from the Clinic.
Find out detailed information about the special offers of the CONSTANTA Clinic by calling (4852) 37-00-85 Daily from 8:00 to 20:00
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Even naturally flawless breasts lose their attractiveness over time and need correction. Due to age-related physiology, sudden weight loss, as a result of pregnancy and lactation, the skin becomes less elastic, breasts sag and lose shape. Specialists at the CONSTANTA Clinic in Yaroslavl offer to solve this problem with the help of mastopexy - plastic breast lift.

Areas of competence of plastic reconstructive ophthalmic surgery

Dmitry Viktorovich, what situations does plastic reconstructive ophthalmic surgery consider? What are its capabilities?

Prof. Davydov D.V. Plastic surgery and surgical reconstruction in the area of ​​the orbits, midface and eyelids is carried out for many pathologies, including:

• age-related changes in the skin of the eyelids and periorbital area;
• conditions after previously performed cosmetic interventions on the eyelids (complications after blepharoplasty);
• ptosis of the eyelids due to various reasons;
• congenital and acquired deformations of soft tissues and bone structures in the orbital area (after injuries, oncological processes and operations) - displacement and retraction of the eyeball;
• persistent lacrimation and various lacrimal drainage disorders;
• protrusion of the eyeball with endocrine ophthalmopathy;
• modern individual eye prosthetics for anophthalmia, microphthalmia, subatrophy of the eyeball (irreversible loss of a functioning eye), which allows you to maintain the external attractiveness of the face, make sure that the external prosthesis moves and at the same time correctly develops the facial skeleton, if the child has such a problem.

Please tell us a little about each of them.

The essence of the procedure and its effect

Breast plastic surgery often only means increasing volume and changing shape using implants or lipofilling. Meanwhile, the complex of corrective procedures includes an equally popular operation - surgical breast lift. This term, narrower in meaning than mammoplasty, means improving the shape of the breast by eliminating ptosis of the mammary glands and sagging skin with fixation of the result.

During this correction, several aesthetic effects are achieved at once:

• restoration of normal bust height;
• improvement of the contour of the mammary glands;
• higher nipple position;
• change in breast size and areola size.

What determines the choice of mastopexy technique?

The type and extent of surgical intervention for each woman is determined individually by the specialists of our Clinic, depending on the degree of prolapse (ptosis), skin elasticity, and tissue density. These indicators largely determine the level of complexity and duration of the operation, as well as the stability of the result obtained.

The main indication for surgery is ptosis, the severity of which affects the choice of lift method. The normal location of the nipple is at the level of the center of the humerus, above the skin fold under the breast. Deviations from the norm are divided into three degrees:

Endocrine ophthalmopathy

What help is possible for endocrine ophthalmopathy?

Prof. Davydov D.V. Endocrine ophthalmopathy is protrusion of the eyeball due to hyperthyroidism. For clarity, we can recall Nadezhda Konstantinovna Krupskaya, who suffered from this pathology. This is a really big problem. When the disease occurs, the eyes literally bulge out. Such patients often unsuccessfully “migrate” between ophthalmologists and endocrinologists, and often neither one nor the other can significantly help them.

There are different forms of endocrine ophthalmopathy, and we evaluate the form of the disease using MSCT of the orbit, the degree of activity of the process, and analyze the options and effectiveness of pharmacotherapy.

Surgical treatment of endocrine ophthalmopathy

Prof. Davydov D.V. In some cases, the effectiveness of conservative treatment of endocrine ophthalmopathy is extremely low, and the cosmetic defect is obvious, and visual functions also suffer. Therefore, indications for surgical decompression arise. This method is not aimed at eliminating the cause of the development of exophthalmos, but allows eliminating the functional and aesthetic problem. An endocrinologist is involved in normalizing hormonal levels.

As a result of the operation, we remove excess fatty tissue located around and behind the eyeball and displacing it forward. If, as a result of planning the operation, I see that the volume of soft tissue is insufficient for the full effect, I perform an operation in which I also remove fragments of the bone walls. All actions are strictly verified, parameters are calculated in advance during MSCT planning. These operations are very difficult, they require appropriate equipment, which is available in the clinic, medication, and are performed under general anesthesia.

On average, patients leave the hospital after 1–2 days, followed by outpatient observation and treatment. I give detailed recommendations on lifestyle, acceptable loads, prescribe medication, dressings are also carried out under my supervision, and dynamic observation.

How stable is the result of the operation? Does exophthalmos return after some time?

Prof. Davydov D.V. So far, no patient has returned with a relapse of this disease. We remove soft and bone tissues in doses. The treatment is almost radical, but, I repeat, it is carried out according to strict indications - in the absence of the effect of treating exophthalmos with conservative methods. The effect of surgical treatment is obvious: the eyes take the correct position in the orbit, the protrusion disappears.

What breast lift options does the Clinic offer?

For each case, we offer the most effective tightening method:

• circular (periareolar) method with an incision around the areolas and excision of excess skin - for small breast volumes;
• vertical mastopexy with downward extension of the circular incision around the areolas, partial removal of glandular tissue and fixation to the pectoral muscle;
• a lift with an anchor incision (vertical connection of the incisions around the areolas and along the inframammary fold), suturing the tissue with an anchor-shaped scar - in case of significant changes in shape.

Our surgeons will take into account whether you are only going to tighten the mammary glands or simultaneously eliminate their asymmetry, increase bust volume, change the size of the nipples and areolas. The vast experience of the specialists at the CONSTANTA Clinic and mastery of all methods of plastic surgery allow them to combine mastopexy with endoprosthetics and other types of mammoplasty.

The issue of breast skin tightening should also be approached comprehensively. To achieve an ideal result, plastic surgery alone is usually not enough. We propose to completely solve the problem of skin quality by combining surgical correction with cosmetic procedures.

Features of surgical lifting

Before surgery, the CONSTANTA Clinic performs:

• Consultation with a plastic surgeon to discuss the desired result, resolve concerns, determine the method of lifting, and the location of future incisions. If a personal meeting is not possible, a specialist will advise you online using Skype.
• Complex of laboratory tests .
• Consultation with an experienced anesthesiologist who will carefully study the data obtained and offer the best anesthesia option for you.

Simple skin surgery can be performed under local anesthesia. Other types of mastopexy require general anesthesia. The Clinic’s specialists are proficient in all types of anesthesia, have extensive experience in administering it and choose the method of pain relief that is suitable for a particular patient.

Find out more about the preparation and conduct of the operation here.

The duration of surgery varies from 1 hour for dermal mastopexy to 2-3 hours for lifting in combination with endoprosthetics. The technique for performing this operation includes the following steps:

1. Return of the nipple-areolar complex to its normal position;
2. Excision of sagging skin in the lower part of the mammary glands;
3. Displacement of glandular tissues with fixation to the pectoral muscle;
4. Aligning the edges of the wound, applying cosmetic sutures.

Rehabilitation and the resulting effect

Postoperative rehabilitation after mastopexy at the CONSTANTA Clinic includes:

• 1-2 days of stay in a hospital room with functional beds and everything necessary for comfort;
• 1-3 days of pain relief and antibacterial therapy;
• 2-3 dressings at weekly intervals;
• 4 weeks of wearing special underwear (we recommend compression hosiery (RF) and “Marena” (USA);
• 1 month of restrictions on lifting weights over 5 kg and physical activity.

According to reviews from patients of the Clinic, moderate pain is noticeable in the first 2 days after surgery, after which it noticeably decreases. Throughout the entire rehabilitation period, the surgeon who performed the mastopexy monitors the recovery process, inviting the patient for repeated examinations and dressings. If you have any concerns, he is ready to answer questions by phone at any time or see you at the Clinic unscheduled.

Complete completion of the formation of new breast contours can last from 4 months. up to six months. During this time, the seams become thin and almost invisible. The positive effect of the correction can last a lifetime. Taking into account the individual characteristics of a woman and sudden changes in weight, it is possible to repeat the correction after 5-10 years.

Restoration of lacrimal drainage disorders

Prof. Davydov D.V. Diseases in which the outflow of tears is impaired are very painful for patients. Therefore, surgical interventions that allow you to quickly solve the problem become a salvation for a person. We perform modern endonasal microsurgical endoscopic microinvasive laser interventions that restore communication between the lacrimal sac and the nasal cavity, leaving no marks on the face.

First, we perform MSCT contrast . We inject contrast into the lacrimal drainage system, immediately perform multispiral computed tomography (MSCT), obtain and analyze the resulting images in digital (that is, the highest) quality. From their analysis, we understand at what level the disruption of tear outflow occurs, and accordingly, we plan the volume and method of surgical intervention.

I perform the treatment only through the nose (endonasally and endoscopically) so that there are no skin incisions on the face or postoperative scars.

There are different methods for restoring patency. For example, in complicated cases, we install the thinnest polymer tubes and stents with a special coating in the lacrimal canal. After some time, these stents are removed, and the newly formed channel independently performs the function of tear drainage. I have been performing such operations for a long time, for more than 25 years. Recovery is fast. The method is very effective, it allows you to solve problems with lacrimation in a comprehensive manner on the internal structures of the nose, without affecting the skin, that is, while maintaining high aesthetic standards.

How long does the patient stay in the hospital after surgery?

Prof. Davydov D.V. After the intervention, the patient remains under observation in our hospital, usually overnight. After discharge, I am monitored on an outpatient basis. The patient comes for examination, undergoes medical procedures and dressings. Special drops are placed in the eyes, nose, and other measures are taken to promote tissue healing. After a day or two, the patient can go to work if she is in the office.

In fact, in a few days, a serious problem that has been causing a lot of inconvenience to the patient for a long time is solved?

Prof. Davydov D.V. Yes. It gets rid of lacrimation and suppuration, pain, the threat of the risk of developing serious complications caused by the presence of a chronic infectious inflammatory process in the orbit in the immediate vicinity of the brain.

Comfort and attention for patients

By deciding to have a plastic breast lift at the CONSTANTA Clinic, you will receive the most comfortable conditions:

1. Services of a personal manager who will help you solve organizational issues for FREE. To take advantage of this offer, call: (4852) 37-00-85 or let us know by writing to
2. Rooms with functional equipment and attentive staff for maximum comfort and receiving the necessary care in the postoperative period.
3. Online consultations for out-of-town patients , which allows you to prepare for mastopexy at your place of residence and come to Yaroslavl on the day of the breast lift or the day before, when convenient.

Biorevitalization

During biorevitalization of the face or body, hyaluronic acid is injected into the deep layers of the dermis. This substance helps retain moisture in the skin and stimulates the production of collagen and elastin.

Indications for the procedure:

• dry skin;
• chrono- and photoaging;
• exposure of the skin to aggressive substances, ultraviolet irradiation;
• decrease in turgor.

The course of therapy consists of 3–6 procedures. The effect increases gradually and lasts up to 8 months.

How much does breast lift surgery cost?

Approximate prices for mastopexy, as well as prices for additional services of the Clinic are indicated at the bottom of the page. Total cost includes:

• anesthesiologist services (consultation and anesthesia in the operating room);
• mastopexy;
• staying in the Clinic in a ward with meals;
• compression garments and full postoperative support.

You can pay for services in cash, by card or by bank transfer and subsequently receive a tax deduction.
Clinic Constant. 4 steps before surgery CONSTANTA Clinic. Information for out-of-town patients

Laser rejuvenation

Laser rejuvenation is a hardware procedure. Light quanta penetrate the skin to a depth of 1 mm, destroying injured and old cells.

Laser treatment is considered an aggressive anti-aging procedure. And an experienced doctor will suggest laser rejuvenation as a last resort, when more gentle methods no longer help.

Indications for procedures using laser:

• chrono- and photoaging;
• pronounced age-related changes;
• mite infestation - demodicosis;
• acne, extensive scarring after acne treatment.

All manipulations are performed with anesthesia. In some cases, general anesthesia is indicated. The duration of the procedure is about an hour. The number of sessions is determined by the doctor.

Massage

Rejuvenating massage is a complex of manual effects on the skin. Includes tapping, stroking, vibration techniques in a certain rhythm.

After the procedure, tissue trophism improves, swelling goes away, and fine wrinkles are smoothed out. By actively influencing the deep layers of the skin and subcutaneous tissue, a kind of training of the facial muscles occurs. The results are visible the first time.

To obtain a lasting effect, you will need to undergo at least 10 massage sessions. Procedures are carried out 2 times a week.