Perhaps one of the techniques that evolved from most dramatically is the rhytidoplasty, because although the history of the facial procedures can be traced back to the documented history of plastic surgery in India at least the year 500 a. C. when public Sushruta the Sushruta Shamita, who was the precursor to the front flap to reconstruct the nose; that we know today as the Indian flap and remains in use. Due to that the nose was considered as a component of reputation and respect, therefore it was frequent amputating the nose, or ears to punish criminals and to the inhabitants of peoples defeated in a war. It is only in the growth of the cosmetic surgery and treatments for facial rejuvenation that the Rhytidoplasty gives a huge leap. Evolve quickly and novel supported by science and by big names of the plastic surgery. 


Unfortunately the passage of time, the face begins to suffer noticeable effects of gravity, exposure to solar radiation and the stress of everyday life. In this way, start be in evidence wrinkles and marks of expression in the area of the mouth and nose. Also, we noticed that the cheeks become loose, and in certain sectors, are beginning to form small localised adiposities. Patients regardless of age who present with these disorders so relevant should be evaluated by the plastic surgeon. 


The techniques rely on the main need of the patient, since the facial aging sometimes has a predominant area, because if we divide the face into three parts we will notice that the upper third has quite different features to the lower third. The incisions usually begins in the temple behind the hair line, following a natural line in front of the ear (or within the cartilage at the front of the ear) to continue behind the lobe, toward the scalp. In case of correct the neck, could also be made a small incision under the chin. And in most cases it is necessary to treat the superficial muscular aponeurotic system (SMAS). 


Although we can discuss between technical and types we can say that the rhytidoplasty may be accompanied by lipoaspiration or/and the use of injectable material such as hyaluronic acid or Lipografting. Undoubtedly, there are different types of approach of the treatment of the SMAS that can define the type of result obtained. They may at times be necessary cuts on the back of the insertion line of hair.


The use of ice packs pos surgery are part of the protocol, the use of sunglasses, and anti-inflammatory facilitate recovery. As in any surgical procedure adequate food, rest and follow the recommendations of its Galen are fundamental, a particularly rigorous hygiene, the use of antibiotics and analgesics are part of the protocol. In case of correct the neck, could also be made a small incision under the chin. And in most cases it is necessary to treat the muscle aponeurotic system face surface (SMAS).

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