Kungakhathaliseki ukuthi ukubuyisela ukukhazimula kobusha, ukulungisa ukukhubazeka kobuso noma ukuthuthukisa ukubukeka kobuso ngemva kokujova unomphela, i-facelift ingaqinisa isikhumba futhi ngezinye izikhathi ngisho nemisipha yobuso. Kodwa yimaphi amasu ahlukene? Kuhamba kanjani ukuhlinzwa? Gxila kumasu ahlukene.

Yaqanjwa udokotela ohlinzayo ongumFulentshi u-Suzanne Noël ngeminyaka yawo-1920, ukuphakamisa isibeletho sobuso kuthembisa ukubuyisela ithoni nobusha ebusweni nasentanyeni. 

Izindlela ezahlukene zokuphakamisa ubuso

"Kukhona izindlela eziningi zokuphakamisa ubuso:

• i-subcutaneous;
• i-subcutaneous ne-re-tensioning ye-SMAS (uhlelo lwe-musculo-aponeurotic oluphezulu, olutholakala ngaphansi kwesikhumba futhi luxhunywe emisipha yentamo nobuso);
• ukuphakamisa okuhlanganisiwe.

Ukuphakanyiswa kobuso besimanje akusakwazi ukuqondakala ngaphandle kokungezwa kwamasu asizayo afana ne-laser, i-lipofilling (ukwengeza amafutha ekushintsheni amavolumu) noma ukuhluba ”kuchaza uDkt. Michael Atlan, udokotela ohlinzayo oplastiki nobuhle e-APHP.

Ezinye izindlela ezilula nezingahlaseli kangako njengezintambo zokuqina zingasiza ekubuyiseleni ubusha obuthile ebusweni, kepha azinamandla kangako kunokwakhiwa kobuso ngokwazo.

Ukuphakanyiswa kwe-subcutaneous 

Udokotela ohlinzayo uxebula isikhumba se-SMAS, ngemva kokusikwa eduze kwendlebe. Isikhumba sibe sesinwetshwa sibheke phezulu noma sibheke phansi. Kwesinye isikhathi lokhu kushuba kubangela ukugudluka komphetho wezindebe. “Le ndlela isetshenziswa kancane kunakuqala. Imiphumela ayihlali isikhathi eside ngoba isikhumba siyakwazi ukugcwala ”kunezela uDokotela.

Ukuphakamisa okungaphansi nge-SMAS

Isikhumba kanye ne-SMAS zihlukaniswa ngokuzimela, ukuze bese ziqiniswa ngokuya ngama-vector ahlukene. “Lena yindlela esetshenziswa kakhulu futhi ivumela umphumela ovumelanayo ngokuhambisa imisipha endaweni yayo yasekuqaleni. Ihlala isikhathi eside kune-subcutaneous lift elula ”kucacisa udokotela ohlinzayo.

Inhlanganisela ye-le lifting

Lapha, isikhumba sihlutshiwe kuphela ngamasentimitha ambalwa, okuvumela i-SMAS kanye nesikhumba ukuba sixove ndawonye. Isikhumba kanye nama-SMAS ayahlanganiswa futhi enwetswe ngasikhathi sinye nangokuya ngemithambo efanayo. KuMichael Atlan, "umphumela uyahambisana futhi lapho kusebenza isikhumba kanye ne-SMAS ngasikhathi sinye, ama-hematomas ne-necrosis mancane ngoba axhumene nokuhlangana kwesikhumba, kuncane kulokhu".

Ukuhlinzwa kwenzeka ngaphansi kwe-anesthesia ejwayelekile futhi kuthatha amahora angaphezu kwamabili. Isiguli sinqunywe indlebe nxazonke ngendlela engu-U. Isikhumba kanye ne-SMAS ziyaxebulwa noma hhayi ngokuya ngenqubo esetshenzisiwe. I-platysma, umsipha oxhuma i-SMAS kuma-collarbones futhi evame ukukhululeka ngenxa yobudala, iyaqiniswa ukuze ichaze i-engeli yomhlathi.

Ngokuya ngobunzima bokugoqa kwentamo, ukusika okufushane phakathi kwentamo kwesinye isikhathi kuyadingeka ukwengeza ukungezwani ku-platysma. Ngokuvamile udokotela ohlinzayo wengeza amafutha (i-lipofilling) ukuze athuthukise ivolumu nokubukeka kwesikhumba. Okunye ukungenelela kungahlotshaniswa, njengalezo zamajwabu amehlo ikakhulukazi. “Izinsimbi zenziwa ngemicu emihle kakhulu ukuze kukhawulwe izibazi.

Ukufakwa komsele kuvame futhi kuhlala kusendaweni amahora angama-24 kuye kwangama-48 ukuze kuphume igazi. Kuzo zonke izimo, ngemuva kwenyanga, izilonda ngenxa yokusebenza ziye zaphela futhi isiguli singabuyela empilweni ejwayelekile yansuku zonke ”.

Izinkinga ezingavamile

“Ezimweni ezingu-1%, ukususwa kobuso kungaholela ekukhubazekeni kobuso okwesikhashana. Iyanyamalala yodwa emva kwezinyanga ezimbalwa. Lapho uthinta imisipha yobuso, ezimweni zokuphakanyiswa kwesikhumba nge-SMAS noma okuhlanganisiwe, kungaholela ekulimaleni kwemizwa ngaphansi kwe-SMAS. Kepha lezi yizimo ezingavamile ” kuqinisekisa uMichael Atlan.

Izinkinga ezivame kakhulu

Izinkinga ezivame kakhulu zihlala ziyi-hematomas, ukopha, i-necrosis yesikhumba (evame ukuxhunyaniswa nogwayi) noma ukuphazamiseka kokuzwela. Ngokuvamile azinasizotha futhi ziyanyamalala phakathi nezinsuku ezimbalwa kwezangaphambili futhi phakathi nezinyanga ezimbalwa zamuva. “Ubuhlungu abujwayelekile ngemva kokususwa kobuso,” kunezela udokotela. "Kungenzeka ukuthi uzizwe ungakhululekile lapho ugwinya noma ukucindezeleka okuthile, kodwa izinhlungu zivame ukuhlotshaniswa nemihuzuko".

"Azikho izinto eziphikisana nangempela zokuphakamisa ubuso," kuchaza uMichael Atlan. "Kodwa-ke, izingozi zezinkinga zinkulu kubantu ababhemayo abathola i-necrosis yesikhumba". Ezigulini ezikhuluphele, imiphumela entanyeni ngezinye izikhathi iyadumaza. Ngokunjalo, iziguli ezinokuhlinzwa okuningi ebusweni akufanele zilindele ukuthi imiphumela yanelise njengoba zenzile ngokuhlinzwa kokuqala.

Intengo ye-facelift iyahlukahluka kakhulu futhi incike ekuxakakeni kwenqubo kanye nodokotela ohlinzayo. Ngokuvamile iba phakathi kwama-euro ama-4 nama-euro angama-500. Lezi zinhlelo zokungenelela azikho ngaphansi kwezokuphepha komphakathi.

"Ngaphambi kokuphakamisa ubuso, kufanele:

• yeka ukubhema okungenani inyanga eyodwa ngaphambi kokuhlinzwa.
• gwema imijovo ezinyangeni ezedlule ukuze udokotela ohlinzayo akwazi ukubona nokuphatha ubuso ngokwemvelo.
• gwema ukusebenzisa imijovo engapheli ngesizathu esifanayo.
• Iseluleko sokugcina: hlala utshela udokotela wakho mayelana nokuhlinzwa okuhlukahlukene kwezimonyo nemijovo oye waba nayo phakathi nokuphila kwakho ”kuphetha uMichael Atlan.