The facial skin is directly exposed to harmful atmospheric conditions and stress every single day, and we can surely say that our facial skin is the one that ages first. The decrease in skin elasticity and relaxation , the appearance of wrinkles , emphasizing the natural folds of the face and changing facial contours are all the signs of aging .
A face lift is a surgical procedure that is typically used to give a more youthful appearance to the face. Technically, it is also called a rhytidectomy.
Effects of face lifting can last 5 or more years. Even after 5 years, face will look more beautiful than before the surgery.
After the surgery face gets “happier” and it has healthier appearance, wrinkles are softened or “pressed/flattened”, face gets the previous contours and volume . With the help of Face Lift person may achieve the look from a 10 years ago .
Face lifting is done on patients who show signs of aging: wrinkles, sagging skin, loss of muscle tone and facial contours. Most often, patients are between 40 and 80 years old. It is important to recognize when methods such as hyaluronic fillers and Botox does not work anymore or does not provide the desired results, and when to apply cosmetic surgery facelift .
For the operation to be done, it’s required standard blood and urine tests , and EKG. Use of aspirin , vitamin E and estrogen hormones before surgery is not allowed.
Full list of necessary tests that need to be done is discussed on consultation in the polyclinic Smiljanić or you can gather all the information on our website or by contacting us.
It lasts between 2-4 hours. Face lifting can be done in total anesthesia but it can also be done as local anesthesia. In most cases, patients usually decide to do face lift and neck lift together , as well as eye lid correction. Depending on needs of each patient, it can be done partial face lifting (mini lifting) face lifting of upper, middle lower part of the face and neck or all together (MACS lifting, „Short scar“ etc). The cut will depend on technique that will be used. It is usually placed in the scalp hairline, behind the eyebrows, in front of and behind the ears (so called “classic face lifting“). Smaller incisions are made under the chin in the case of neck liposuction. Then it follows raising of the skin of the subcutaneous tissue in order to tension the inner layer. After tightening the inner layer, excess skin is removed and surgically cut is stitched. If necessary we can also cut a few inches below the chin after which we do neck liposuction and tightening the neck muscles.
These procedures can be done in combination with others like eye lid correction, for example.
Complications after these procedures are usually not long lasting. If you experience swelling, hematoma and bruising, it usually retreats after a week.
In the first 48 hours we recommend cold compress on the face. Also , you will likely experience a transient feeling of numbness of the face.
In very rare cases there may be a permanent loss of hair around the incision in the scalp.
After surgery within the postoperative recovery, patients stay in the hospital for one to two days, and the stitches are removed usually between the seventh and fourteenth days .After we remove the bandage and dogwood , patient can was hair, which means the next day after surgery. Return to daily activities is possible 7-10 days after surgery, and hard physical activity is desirable to avoid a minimum for 4 weeks after the surgical procedure. The scar after surgery is located in front of and behind the ears , and in the part of the scalp. The scar in front of the ears fit with anatomical, natural folds of the face and the scars behind the ears and in the scalp are hidden in the hair .
Eyebrows represent frame of the face and are very important factor in face appereance. With aging process , the eyebrows drop lower which reflects face as tiring and more serious.
Eyebrow lifting is one of the most common aestethic interventions for face rejuvenation. It can be done along side face lifting treatment or as a separated procedure.
After the surgery, the face has brighter, younger and healthier look, the face countours are restored.
The eyebrow lifting is suitable for patients who have manifested signs of aging (wrinkles around eyes, lowered eyebrows), as well as for patients with manifested asymmetry od eyebrow position.
You must not eat or drink for six hours before the surgery.
You will receive a list of necessary tests at a consultant examination with Dr. Smiljanic.
Depending on the volume and type of the intervention, it can be performed under local or general anesthesia. The surgery can last from 20 minutes to 2 hours, depending of the condition and/ or patient’s requirements. When correcting eyebrows, the forehead skin is also being tightend and sagging eyebrows are raised by removing excess skin and fat tissue , if necessary by correcting muscles. There is multiple surgery technics, depending of patients condition and wishes and also aesthetic surgeon proposal. The simplest method takes about half an hour and involves inserting specially shaped threads, which tighten the skin and raise the eyebrows. In that way, the height of the eyebrows can be controlled, raising the eyebrows in the inner, middle, outer part or in all three areas. This method leaves no visible scars. The classic surgical technique involves an incision that is usually made from one ear to the other, just above the natural hairline. After that, the eyebrows are raised symmetrically, the skin is tightened and the excess skin is removed. The opertion can be performed endoscopically with special instruments and a camera, through several cuts in the hairy part of the head, lenght up to 2cm.
Contraindications to this procedure are usually temporary.
Mild or moderate swelling of the forehead region is common, which can also affect the eyelids, and is often accompanied by hemorrhages. The swelling gradually recedes over the next few days. In the area around the scar thinning of the hair may occur.
The patient needs to stay in the hospital for one to two days.
A bandage around the forehead is worn for seven days. The threads are removed nine days after surgery.
The patient can return to normal activities after ten days. A few weeks after the operation, it is recommended to avoid more intense physical activity, as well as longer exposure to the sun.
Although the results are visible immediately after the operation, only after two months (when the swelling and hematoma passes) can the real picture be obtained.
Is one of the most common interventions in aesthetic surgery procedures.With the aging process, skin loses it’s elasticity, especially in the eyelid area, for it being the thinniest in that area. Loss of skin elasticity leads to forming wrinkles around eyes.Excess skin in the form of ‘bags’, wrinkles or ‘pads’ appears on the eyelids over time which gives the face that tiring look. Correction of eyelids is surgical intervention performed to remove the extra skin and fat off both upper and lower eyelids.
During the consultation with Dr. Smiljanic, the doctor will suggest the best method of correction, introducing you to possible complications and will also tell you what preoperative preparation is necessary (tests and findings).
The procedure lasts between one and two hours and is performed under local anesthesia, and can also be performed under general anesthesia.
Incisions are made on the lower and / or upper eyelid that follow the natural skin folds and lines. Excess skin is removed, and excess fat is removed or remodeled.
Careful suturing ensures almost imperceptible scars after surgery.
There is a possibility of swelling with bruises that disappear within a few days, infection, or visible scars.
Surgery threads are removed 4-7 days after surgery.
Eyelid correction is often performed in combination with some other procedures (eg face lifting). After the operation, ice bags are placed on the eyes to reduce swelling.
A few days after the operation, the patient can fully return to his everyday activities.
It is necessary to use an anti-scar cream.
The facial skin is directly exposed to harmful atmospheric conditions and stress every single day, and we can surely say that our facial skin is the one that ages first. The decrease in skin elasticity and relaxation , the appearance of wrinkles , emphasizing the natural folds of the face and changing facial contours are all the signs of aging .
Liposculpture of the face is an aesthetic procedure (operation) in which fat tissue is taken from places on the body where there is excess (hips, thighs, abdomen) and injected into areas where it is missing (usually to increase the volume of cheekbones and lips, as well as to fill wrinkles).
When performing liposculpture of the face, patients usually decide to do liposculpture of the neck and décolleté.
After the surgery face gets “happier” and it has healthier appearance, wrinkles are softened or “pressed/flattened”, face gets the previous contours and volume .
Facial liposculpture is performed on patients with signs of aging: sagging skin, loss of facial tone and contour, facial asymmetry, bumps, deep wrinkles around the nose and around the lips.
You will receive a list of necessary tests at a consultant examination by Dr. Smiljanic.
The procedure usually lasts 30-45 minutes and is performed under local anesthesia.
Liposuction takes the required amount of fat tissue from the parts where there is enough of it (usually from the chin, thighs or abdomen) and after preparation it is injected subcutaneously in several layers into the desired region.
Contraindications to this procedure are usually temporary.
If swelling and bruising occur, they will recede after a few days.
Also, a transient feeling of numbness of the face may occur.
The treatment of facial liposculpture does not require hospitalization.
The patient can go home after the procedure, and after 24 hours he can return to regular daily activities. A few days after the intervention, it is necessary to refrain from excessive facial expressions. Depending on the degree of fat resorption, the procedure sometimes needs to be repeated after some time, in order to get better and more lasting result.
The skin of the neck is directly exposed to harmful atmospheric influences and stress on a daily basis, and we can freely say that the neck is one of the first regions to show signs of aging. Changes in the neck under the influence of the aging process include: deposition of fat tissue, folds of excess skin and muscle relaxation.
Neck lifting is an aesthetic procedure (operation) for tightening the muscles and skin of the neck, removing and alleviating the signs of aging, whose effects in terms of rejuvenation can last for 5 years or more.
After the surgery the neck area gets “happier” and it has healthier appearance, wrinkles are softened or “pressed/flattened”, and the contours of the neck were restored.This procedure is often combined with facelift and eyelid correction procedures.
Neck lifting is performed on patients who have signs of aging: wrinkles, sagging skin and loss of tone.
Most often, these are people between the age of 40 and 60.
The operation requires standard blood and urine tests and an ECG. You will receive a list of necessary tests at a consultant examination with Dr. Smiljanic.
The neck lifting operation takes about 1-2 hours. Neck lifting can be done under general anesthesia, and lately, it is possible to do it under local anesthesia.
In most cases, patients choose to have their face and neck lifted together. The procedure consists of tightening a relaxed muscle and tightening and removing excess skin.
Joining is usually done at the edges behind the ear and in the invisible area under the chin.
Also, during this procedure, it is possible to remove the fat tissue of the chin.
Contraindications to this procedure are usually temporary. If swelling and bruising occur, they will recede after a week.
During the first 48 hours, we recommend putting cold compresses on the face and lying in an raised position. It is mandatory to wear a compression chin corset for the first 4 weeks, 24 hours a day, and for another 4 weeks after that only at night. The threads are removed after 7 days and then the patient is able to return to his usual daily activities. Excessive physical effort should be avoided for the first 4-6 weeks.
They are done for the purpose of aesthetically emphasizing the cheekbone area. The cheekbones may fill or move.
During the consultation with Dr. Smiljanic, the doctor will suggest the best method of correction, introduce you to possible complications and tell you what preoperative preparation is necessary (tests and findings).
The procedure is performed under general anesthesia. The procedure is performed in the mouth, through the mucous membrane of the upper jaw, and in that way the cheekbone itself is reached. For this reason, no scars are visible after the operation. There are various surgical options such as: filling a bone by transplanting one’s own bone, implanting a foreign bone, using replacement bone material, or implant placement. The new position of the cheekbone or the filled bone should be fixed with small plates and screws.
There is a possibility, although rare, of infections and swelling. These are normal symptoms that subside after a week.
If pain occurs after the procedure, it is easily relieved with appropriate medication.
If severe pain occurs, a doctor should be contacted.
The threads are removed after 10 days.
is a surgery done when there is a need for corecting deviation of nasal septum which can cause breathing disorders as well as to enahnce appereance by correcting size and shape.
Surgery covers resizing expressed nasal brigde, correction nasal curves, changing the size of the nose, changing the shape of nasal tip, changing the width of nostrils as well as the corner between the base of the nose and upper lip.
During the consultation with Dr. Smiljanic, the doctor will suggest the best method of correction, give you the necessary instructions for surgery (what tests and laboratory findings are needed), introduce you to possible complications and give you instructions for recovery as soon as possible. Surgery is not recommended for patients under 18 years of age.
The neck lifting operation takes about 1-2 hours. Neck lifting can be done under general anesthesia, and lately, it is possible to do it under local anesthesia.
In most cases, patients choose to have their face and neck lifted together. The procedure consists of tightening a relaxed muscle and tightening and removing excess skin.
Joining is usually done at the edges behind the ear and in the invisible area under the chin. Also, during this procedure, it is possible to remove the fat tissue of the chin.
Certain complications are possible, such as inflammation and bleeding, which Dr. Smiljanić will inform you about during the consultation. Minor irregularities and asymmetries in the nose may occur during the postoperative period, but they usually disappear after one year of surgery.
Swelling and bruising are present in the first 24 hours, and the swelling increases in the first 48 hours after the operation. A slight headache is possible during this period.
It is recommended to avoid sneezing through the nose and blowing the nose for 2-4 weeks. Heavier physical activity should be avoided for about 6 weeks. Also, it is necessary to avoid sun exposure.
In the first 72 hours, cold compresses and raised sleeping pillow are used. The final result can be seen 12 months after the operation. The patient can usually return to daily activities after 7-14 days.
Ear correction is one of the most common procedures in cosmetic surgery. Correction (surgery) corrects various deformities of the ear shells that are congenital or have occurred as a result of injuries and infections.
In cases of partially or completely undeveloped ear shells, their reconstruction is possible. Deformities of the eardrum in terms of bulges (“pointed ears”), asymmetries and distances from the head (“clumsy ears”) can negatively affect self-confidence,
especially during puberty. By correcting the deformity of the earlobe, you can spare your child the emotional trauma that results from teasing and ridiculing peers.
During the consultation with Dr. Smiljanic, the doctor will suggest the best method of correction, introduce you to possible complications and tell you what preoperative preparation is necessary (tests and findings).
The surgery lasts about 2 hours, it all depends on the specific case. The procedure is performed under general anesthesia, in the case of small children.
Local anesthesia is suitable for older children and adults.The cosmetic surgeon makes an incision in the natural crease behind the ear, removes excess skin or cartilage, the cartilage is shaped, and the earlobe is fixed in a normal position.
Once the desired shape of the ear is obtained, the incision is sutured and the operation is complete.
After the operation, the ears are covered with a white bandage around the head, which is held for the next 5 days and serves to fix and protect the ear shells.
The tape is also worn 4 weeks after the operation during the night in order to protect the ears from unintentional injuries during sleep.
The patient can return to normal activities in about 10 days, and the children to school. It is recommended to avoid all activities that could jeopardize recovery (sports with direct contact) 4 weeks after surgery.
The threads are removed after 10 days.
The intervention is performed in a combination of local anesthesia and analgesia or, if necessary, general anesthesia. Instructions for preparation and necessary findings are obtained at the first examination.
The procedure is invasive, where anesthesia is used to remove the surface layer of the skin with certain equipment, under a constant stream of sterile fluid in order to even out the unevenness on the face after the scars from long-term acne. Usually, patients have tried all other methods that have not given results and opt for this invasive method because it is effective. After the intervention, the face is coated with a certain cream and antibiotic powder that remain on the face for 6 to 7 days. After that, the scabs fall off and young, pink, new skin appears below.
Poor general health, active inflammatory changes on the face, as in the use of Roacutan in the last year. Summer and sunny weather, the procedure is avoided in the period from May to October.
Care and controls are discussed before and after the intervention. Recovery from the intervention takes about 7 days and it is necessary to be at home. After that, makeup can be used. Redness of the face of stronger or weaker intensity can last for several months, with constant protection from the sun.