Круговая блефаропластика
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Круговая блефаропластика – операция одновременно на верхних и нижних веках для достижения лучшего эстетического результата. Круговая блефаропластика направлена на укрепление круговой мышцы глаза, положительным эффектом которого становится легкое разглаживание выраженных статических морщин, что подтверждается отзывами пациентов и фото до и после блефаропластики лица. Ждать полного исчезновения морщин после операции не стоит.
Показания
Обвисание век происходит последовательно. Сначала образуются небольшие мешки под глазами, которые удается устранить за счет локальной блефаропластики глаз. Если операция вовремя не была выполнена, то грыжевые мешки усиливаются. Они начинают выпячивать сквозь кожу, образуя так называемые дуги на скуловой дуге. Кожа верхнего века растягивается и ложится на подвижное веко, практически полностью его закрывая. К тому же бровная дуга опускается. Круговая мышца ослабевает, поэтому наружные уголки глаз опускаются, а взгляд становится поникшим и грустным. Из-за тяжести грыжевого выпячивания удерживающие глазное яблоко связки растягиваются, поэтому оголяются склеры. Исправить ситуацию способна круговая пластика век, при которой хирург работает и над нижним, и над верхнем веком.
Итак, круговая блефаропластика показана в следующих случаях:
- опущение латерального края глаз;
- полное закрытие подвижного века;
- сильные выпячивания жировой клетчатки в латеральной части нижнего века;
- западения в медиальной части глаза и деформация носослезной борозды;
- частичное оголение склер.
Исходя их практики, операция чаще проводится пациентам после 40-45 лет, когда инволютивные изменения существенные. Однако из-за индивидуальных особенностей круговая подтяжка век может быть показана и раньше.
Если избыток кожи на верхних веках обусловлен опущением бровной дуги, то блефаропластика глаз комбинируется с пластикой лба/бровей.
Подготовка
Сначала на первичном осмотре хирург определяет необходимость проведения круговой блефаропластики. Проводится тест для определения состояния круговой мышцы. Для этого доктор оттягивает наружный уголок нижнего века и следит за тем, как пропадает выпячивание. Если оно остается, то необходимо удалять жировые пакеты. Если выпячивание пропадает, блефаропластика глаз выполняется с сохранением жировой клетчатки. Судя по времени возвращения тканей после щипка в исходное состояние, врач определяет степень растяжения круговой мышцы.
Следующий этап подготовки к операции – прохождение комплексного обследования. Круговая пластика век выполняется под общим наркозом, поэтому нужно убедиться в отсутствии противопоказаний к хирургическому вмешательству. Обязательна консультация офтальмолога и терапевта. Специалисты направляют на сдачу анализов – общего и расширенного анализа крови, коагулограммы, определение резус-фактора и группы крови, анализа крови на ВИЧ, гепатит, сифилис, ЭКГ, флюорографию.
Проведение операции
Круговая подтяжка век начинается с дезинфекции периорбитальной зоны и защиты глазных яблок. По размеченным линиям выполняются разрезы. На верхнем веке разрезы проходят в естественной складке кожи, на нижнем – под ресницами, отступив несколько миллиметров от края. Редко во время круговой блефаропластики нижние веки оперируются трансконъюнктивально, потому что для укрепления септы нужен открытый доступ.
Если нет необходимости рассекать жировые пакеты и удалять часть подкожно-жировой клетчатки, то внутриглазничная клетчатка остается целостной. Соответственно период восстановления сокращается, послеоперационный отек небольшой. Чтобы не спровоцировать лагофтальм, впалость век после операции, жировые мешки на нижних веках удаляются последовательно. Нельзя иссекать жировую капсулу сразу.
Операция завершается наложением швов и фиксирующей повязки.
Реабилитация
В течение суток пациент находится под наблюдением медиков в клинике. Через три-пять часов снимают повязку с глаз.
Минимальный срок восстановления после круговой пластики век – две недели. В течение этого времени важно соблюдать ряд ограничений, чтобы отеки быстрее сошли, самочувствие нормализовалось. Швы снимают на пятые сутки. До этого нужно как можно чаще прикладывать холодный компресс. Пик отека фиксируется на третьи сутки после операции. Из-за отека обзор становится меньше, но переживать не стоит. Состояние с каждым днем будет лучше.
Первая реабилитационная недель наиболее важная. Нельзя долгое время пребывать за компьютером, смотреть в телефон и ТВ. Стоит избегать ярких солнечных лучей или яркого искусственного освещения. Перед выходом на улицу после блефаропластики лица глаза должны быть защищены темными очками.
Нельзя после круговой подтяжки век наклоняться, носить линзы, спать на боку или животе. Нельзя заниматься спортом и физически нагружать организм. Любая активность провоцирует усиленное кровоснабжение, поэтому вероятность отеков и гематом повышается.
Важно соблюдать правила ухода за глазами во время восстановления после круговой блефаропластики. Первые 5-7 дней нужно закапывать антибактериальные капли. Если есть жалобы на сухость или наоборот повышенное слезоотделение, то врач назначает искусственные слезозаменители. Несколько раз в день надо закапывать антисептики. После того, как швы снимут, приступают к нанесению противовоспалительных и обеззараживающих мазей. Наносятся средства легкими похлопываниями пальцев. Размазывать и втирать в веки крем не нужно.
Результаты
В сравнении с другими видами блефаропластики глаз, круговая подтяжка век преимущественна более выраженными результатами. Так, на фото до и после многих пациентов видно, что после операции улучшен внешний вид верхних век (удален грыжевой валик по линии роста ресниц, иссечен избыток кожи, нормализована эластичность кожи), нижних век (переход от век к скулам более плавный, нет выпячивания грыжевых мешков, сохранен рельеф после блефаропластики лица, восполнен объем носослезной борозды).
Кроме того, за счет укрепления круговой мышцы результаты круговой пластики век сохраняются в течение длительного периода времени – около 10 лет.
Отзывы прооперированных
Совершенно не устраивал внешний вид зоны вокруг глаз. Нависания век сверху, мешки под глазами снизу. С помощью косметики не удается компенсировать и скрыть возраст. Обратилась к Александру Соколову. Он предложил оперировать сразу и верхние, и нижние веки. Результаты блефаропластики глаз оценивала уже через три месяца. Сравнивая фото до и после, разницу сразу видно.
Стоимость
Цены на круговую подтяжку век зависят от опыта и мастерства пластического хирурга, технического оснащения клиники. В среднем круговая блефаропластика обходится в 150 тыс. рублей. На усмотрение пациента можно пройти обследование перед операцией, стоимость которого примерно 15-18 тыс. рублей, в одном месте.
Список литературы:
- [URL] Круговая блефаропластика при жировых грыжах верхних и нижних век с перераспределением жировых карманов – Курбанова А.З., 2023.
Цены
| Наименование операции | Стоимость | Что включено в стоимость? |
|---|---|---|
|
Блефаропластика
Наименование операции
|
от 75.000 - до 150.000 руб.
Стоимость
|
Операция, анестезия, 1 день пребывания в стационаре.
Что включено в стоимость?
|
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[1] => Array
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[DEPTH_LEVEL] => 3
[IS_PARENT] => 1
[CHILD] => Array
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[0] => Array
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[TEXT] => Гематома после подтяжки груди
[LINK] => /plastika-grudi/podtyazhka-grudi/vozmozhnye-oslozhneniya-posle-podtyazhki-grudi/gematoma-posle-podtyazhki-grudi/
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[1] => Array
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[TEXT] => Грубые рубцы после подтяжки груди
[LINK] => /plastika-grudi/podtyazhka-grudi/vozmozhnye-oslozhneniya-posle-podtyazhki-grudi/grubye-rubcy-posle-podtyazhki-grudi/
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[2] => Array
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[TEXT] => Нагноение после подтяжки груди
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[1] => Array
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[TEXT] => Договор на подтяжку груди
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[2] => Array
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[TEXT] => Информированное согласие на подтяжку груди
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[4] => Array
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[TEXT] => Противопоказания к подтяжке груди
[LINK] => /plastika-grudi/podtyazhka-grudi/protivopokazaniya-k-podtyazhke-grudi/
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[TEXT] => Уменьшение груди
[LINK] => /plastika-grudi/umenshenie-grudi/
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[TEXT] => Информированное согласие на уменьшение груди
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[1] => Array
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[TEXT] => Пластика лица
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[CHILD] => Array
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[0] => Array
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[TEXT] => Безоперационная блефаропластика
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[TEXT] => Бесшовная блефаропластика
[LINK] => /plastika-lica/blefaroplastikaplastika/besshovnaya-blefaroplastika/
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[2] => Array
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[TEXT] => Блефаропластика азиатских глаз (сингапури)
[LINK] => /plastika-lica/blefaroplastikaplastika/blefaroplastika-aziatskikh-glaz-singapuri/
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[TEXT] => Блефаропластика верхних век
[LINK] => /plastika-lica/blefaroplastikaplastika/blefaroplastika-verkhnikh-vek/
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[5] => Array
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[TEXT] => Блефаропластика носослезной борозды
[LINK] => /plastika-lica/blefaroplastikaplastika/blefaroplastika-nososleznoy-borozdy/
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[TEXT] => Договор на блефаропластику
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[TEXT] => Жиросберегающая блефаропластика
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[8] => Array
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[TEXT] => Информированное согласие на блефаропластику
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[10] => Array
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[TEXT] => Коррекция нависшего века
[LINK] => /plastika-lica/blefaroplastikaplastika/korrektsiya-navisshego-veka/
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[11] => Array
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[LINK] => /plastika-lica/blefaroplastikaplastika/lazernaya-blefaroplastika/
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[14] => Array
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[TEXT] => Ориентальная пластика век
[LINK] => /plastika-lica/blefaroplastikaplastika/orientalnaya-plastika-vek/
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[15] => Array
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[TEXT] => Осложнения после блефаропластики
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[CHILD] => Array
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[0] => Array
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[TEXT] => Выворот нижнего века после блефаропластики
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[1] => Array
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[TEXT] => Круглый глаз после блефаропластики
[LINK] => /plastika-lica/blefaroplastikaplastika/oslozhneniya-posle-blefaroplastiki/kruglyy-glaz-posle-blefaroplastiki/
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[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 4
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5080
)
[DEPTH_LEVEL] => 4
[IS_PARENT] => 0
)
[2] => Array
(
[TEXT] => Не закрывается глаз после блефаропластики
[LINK] => /plastika-lica/blefaroplastikaplastika/oslozhneniya-posle-blefaroplastiki/ne-zakryvaetsya-glaz-posle-blefaroplastiki/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 49
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 4
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5082
)
[DEPTH_LEVEL] => 4
[IS_PARENT] => 0
)
[3] => Array
(
[TEXT] => Опускаются брови после блефаропластики
[LINK] => /plastika-lica/blefaroplastikaplastika/oslozhneniya-posle-blefaroplastiki/opuskayutsya-brovi-posle-blefaroplastiki/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 50
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 4
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5088
)
[DEPTH_LEVEL] => 4
[IS_PARENT] => 0
)
[4] => Array
(
[TEXT] => Отек после блефаропластики
[LINK] => /plastika-lica/blefaroplastikaplastika/oslozhneniya-posle-blefaroplastiki/otek-posle-blefaroplastiki/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 51
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 4
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5079
)
[DEPTH_LEVEL] => 4
[IS_PARENT] => 0
)
[5] => Array
(
[TEXT] => Разные глаза после блефаропластики
[LINK] => /plastika-lica/blefaroplastikaplastika/oslozhneniya-posle-blefaroplastiki/raznye-glaza-posle-blefaroplastiki/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 52
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 4
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5081
)
[DEPTH_LEVEL] => 4
[IS_PARENT] => 0
)
[6] => Array
(
[TEXT] => Синяки после блефаропластики
[LINK] => /plastika-lica/blefaroplastikaplastika/oslozhneniya-posle-blefaroplastiki/sinyaki-posle-blefaroplastiki/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 53
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 4
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5078
)
[DEPTH_LEVEL] => 4
[IS_PARENT] => 0
)
[7] => Array
(
[TEXT] => Слезятся глаза после блефаропластики
[LINK] => /plastika-lica/blefaroplastikaplastika/oslozhneniya-posle-blefaroplastiki/slezyatsya-glaza-posle-blefaroplastiki/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 54
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 4
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5083
)
[DEPTH_LEVEL] => 4
[IS_PARENT] => 0
)
[8] => Array
(
[TEXT] => Сухость глаза после блефаропластики
[LINK] => /plastika-lica/blefaroplastikaplastika/oslozhneniya-posle-blefaroplastiki/sukhost-glaza-posle-blefaroplastiki/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 55
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 4
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5087
)
[DEPTH_LEVEL] => 4
[IS_PARENT] => 0
)
[9] => Array
(
[TEXT] => Уплотнение после блефаропластики
[LINK] => /plastika-lica/blefaroplastikaplastika/oslozhneniya-posle-blefaroplastiki/uplotnenie-posle-blefaroplastiki/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 56
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 4
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5085
)
[DEPTH_LEVEL] => 4
[IS_PARENT] => 0
)
[10] => Array
(
[TEXT] => Эпикантус после блефаропластики
[LINK] => /plastika-lica/blefaroplastikaplastika/oslozhneniya-posle-blefaroplastiki/epikantus-posle-blefaroplastiki/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 57
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 4
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5084
)
[DEPTH_LEVEL] => 4
[IS_PARENT] => 0
)
)
)
[16] => Array
(
[TEXT] => Пинч-блефаропластика
[LINK] => /plastika-lica/blefaroplastikaplastika/pinch-blefaroplastika/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 58
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 3
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5098
)
[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
)
[17] => Array
(
[TEXT] => Плазменная блефаропластика век
[LINK] => /plastika-lica/blefaroplastikaplastika/plazmennaya-blefaroplastika-vek/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 59
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 3
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5105
)
[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
)
[18] => Array
(
[TEXT] => Реабилитация после блефаропластики
[LINK] => /plastika-lica/blefaroplastikaplastika/reabilitatsiya-posle-blefaroplastiki/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 60
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 3
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 1
[PICTURE] => 5071
)
[DEPTH_LEVEL] => 3
[IS_PARENT] => 1
[CHILD] => Array
(
[0] => Array
(
[TEXT] => Капли в глаза после блефаропластики
[LINK] => /plastika-lica/blefaroplastikaplastika/reabilitatsiya-posle-blefaroplastiki/kapli-v-glaza-posle-blefaroplastiki/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 61
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 4
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5076
)
[DEPTH_LEVEL] => 4
[IS_PARENT] => 0
)
[1] => Array
(
[TEXT] => Когда виден окончательный результат после блефаропластики?
[LINK] => /plastika-lica/blefaroplastikaplastika/reabilitatsiya-posle-blefaroplastiki/kogda-viden-okonchatelnyy-rezultat-posle-blefaroplastiki/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 62
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 4
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5074
)
[DEPTH_LEVEL] => 4
[IS_PARENT] => 0
)
[2] => Array
(
[TEXT] => Мазь после блефаропластики
[LINK] => /plastika-lica/blefaroplastikaplastika/reabilitatsiya-posle-blefaroplastiki/maz-posle-blefaroplastiki/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 63
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 4
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5075
)
[DEPTH_LEVEL] => 4
[IS_PARENT] => 0
)
[3] => Array
(
[TEXT] => Микротоки после блефаропластики
[LINK] => /plastika-lica/blefaroplastikaplastika/reabilitatsiya-posle-blefaroplastiki/mikrotoki-posle-blefaroplastiki/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 64
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 4
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5070
)
[DEPTH_LEVEL] => 4
[IS_PARENT] => 0
)
[4] => Array
(
[TEXT] => Рубцы после блефаропластики
[LINK] => /plastika-lica/blefaroplastikaplastika/reabilitatsiya-posle-blefaroplastiki/rubtsy-posle-blefaroplastiki/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 65
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 4
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5073
)
[DEPTH_LEVEL] => 4
[IS_PARENT] => 0
)
[5] => Array
(
[TEXT] => Швы после блефаропластики
[LINK] => /plastika-lica/blefaroplastikaplastika/reabilitatsiya-posle-blefaroplastiki/shvy-posle-blefaroplastiki/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 66
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 4
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5072
)
[DEPTH_LEVEL] => 4
[IS_PARENT] => 0
)
)
)
[19] => Array
(
[TEXT] => Трансконъюктивальная блефаропластика
[LINK] => /plastika-lica/blefaroplastikaplastika/transkonyuktivalnaya-blefaroplastika/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 67
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 3
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5104
)
[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
)
[20] => Array
(
[TEXT] => Эндоскопическая блефаропластика
[LINK] => /plastika-lica/blefaroplastikaplastika/endoskopicheskaya-blefaroplastika/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 68
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 3
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 5094
)
[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
)
)
)
[1] => Array
(
[TEXT] => Золотые нити (нитевой лифтинг)
[LINK] => /plastika-lica/zolotie-niti/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 69
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 2
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 1
[PICTURE] => 4909
)
[DEPTH_LEVEL] => 2
[IS_PARENT] => 1
[CHILD] => Array
(
[0] => Array
(
[TEXT] => Договор на нитевой лифтинг
[LINK] => /plastika-lica/zolotie-niti/dogovor-na-nitevoy-lifting/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 70
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 3
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 4910
)
[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
)
[1] => Array
(
[TEXT] => Информированное согласие на нитевой лифтинг
[LINK] => /plastika-lica/zolotie-niti/informirovannoe-soglasie-na-nitevoy-lifting/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 71
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 3
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 4911
)
[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
)
)
)
[2] => Array
(
[TEXT] => Ментопластика
[LINK] => /plastika-lica/mentoplastika/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 72
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 2
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 1
[PICTURE] => 4913
)
[DEPTH_LEVEL] => 2
[IS_PARENT] => 1
[CHILD] => Array
(
[0] => Array
(
[TEXT] => Договор на отопластику ментопластику
[LINK] => /plastika-lica/mentoplastika/dogovor-na-otoplastiku-mentoplastiku/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 73
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 3
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 4914
)
[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
)
)
)
[3] => Array
(
[TEXT] => Отопластика
[LINK] => /plastika-lica/otoplastika/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 74
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 2
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 1
[PICTURE] => 4915
)
[DEPTH_LEVEL] => 2
[IS_PARENT] => 1
[CHILD] => Array
(
[0] => Array
(
[TEXT] => Договор на отопластику
[LINK] => /plastika-lica/otoplastika/dogovor-na-otoplastiku/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 75
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 3
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 4916
)
[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
)
[1] => Array
(
[TEXT] => Информированное согласие на отопластику
[LINK] => /plastika-lica/otoplastika/informirovannoe-soglasie-na-otoplastiku/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 76
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 3
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 4917
)
[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
)
)
)
[4] => Array
(
[TEXT] => Пластика лба
[LINK] => /plastika-lica/plastika-lba/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 77
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 2
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 1
[PICTURE] => 4918
)
[DEPTH_LEVEL] => 2
[IS_PARENT] => 1
[CHILD] => Array
(
[0] => Array
(
[TEXT] => Договор на пластику лба
[LINK] => /plastika-lica/plastika-lba/dogovor-na-plastiku-lba/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 78
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 3
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 4919
)
[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
)
[1] => Array
(
[TEXT] => Информированное согласие на пластику лба
[LINK] => /plastika-lica/plastika-lba/informirovannoe-soglasie-na-plastiku-lba/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 79
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 3
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 4920
)
[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
)
)
)
[5] => Array
(
[TEXT] => Ринопластика
[LINK] => /plastika-lica/rinoplastika/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 80
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 2
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 1
[PICTURE] => 4921
)
[DEPTH_LEVEL] => 2
[IS_PARENT] => 1
[CHILD] => Array
(
[0] => Array
(
[TEXT] => Договор на ринопластику
[LINK] => /plastika-lica/rinoplastika/dogovor-na-rinoplastiku/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 81
[PARAMS] => Array
(
[FROM_IBLOCK] => 1
[DEPTH_LEVEL] => 3
[SORT] => 500
[UF_TOP_SEO] =>
[ICON] =>
[TRANSPARENT_PICTURE] =>
[IS_PARENT] => 0
[PICTURE] => 4922
)
[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
)
[1] => Array
(
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[TEXT] => Вакуумная липосакция
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[1] => Array
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[TEXT] => Вибрационная липосакция
[LINK] => /plastika-tela/liposakciya/vibratsionnaya-liposaktsiya/
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[PERMISSION] => R
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[2] => Array
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[TEXT] => Водоструйная липосакция Body-Jet
[LINK] => /plastika-tela/liposakciya/vodostruynaya-liposaktsiya-body-jet/
[SELECTED] =>
[PERMISSION] => R
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[3] => Array
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[TEXT] => Договор на липосакцию
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[4] => Array
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[TEXT] => Информированное согласие на липосакцию
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[5] => Array
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[TEXT] => Инъекционная липосакция
[LINK] => /plastika-tela/liposakciya/inektsionnaya-liposaktsiya/
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[6] => Array
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[TEXT] => Лазерная липосакция
[LINK] => /plastika-tela/liposakciya/lazernaya-liposaktsiya/
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[ADDITIONAL_LINKS] => Array
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[7] => Array
(
[TEXT] => Лазерная липосакция подбородка
[LINK] => /plastika-tela/liposakciya/lazernaya-liposaktsiya-podborodka/
[SELECTED] =>
[PERMISSION] => R
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[8] => Array
(
[TEXT] => Липосакция VASER
[LINK] => /plastika-tela/liposakciya/liposaktsiya-vaser/
[SELECTED] =>
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[ADDITIONAL_LINKS] => Array
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[9] => Array
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[TEXT] => Липосакция холодной плазмой
[LINK] => /plastika-tela/liposakciya/liposaktsiya-kholodnoy-plazmoy/
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[PERMISSION] => R
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[10] => Array
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[TEXT] => Неинвазивная липосакция
[LINK] => /plastika-tela/liposakciya/neinvazivnaya-liposaktsiya/
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[11] => Array
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[TEXT] => Ультразвуковая липосакция
[LINK] => /plastika-tela/liposakciya/ultrazvukovaya-liposaktsiya/
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[12] => Array
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[TEXT] => Шприцевая липосакция
[LINK] => /plastika-tela/liposakciya/shpritsevaya-liposaktsiya/
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[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
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[4] => Array
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[TEXT] => Липофилинг
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[0] => Array
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[TEXT] => Липофилинг груди
[LINK] => /plastika-tela/lipofiling/lipofiling-grudi/
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[1] => Array
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[TEXT] => Липофилинг лица
[LINK] => /plastika-tela/lipofiling/lipofiling-litsa/
[SELECTED] =>
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[2] => Array
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[TEXT] => Липофилинг под глазами
[LINK] => /plastika-tela/lipofiling/lipofiling-pod-glazami/
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[ADDITIONAL_LINKS] => Array
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[3] => Array
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[TEXT] => Липофилинг ягодиц
[LINK] => /plastika-tela/lipofiling/lipofiling-yagodits/
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[TEXT] => Подтяжка бедер
[LINK] => /plastika-tela/podtyazhka-beder/
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[TEXT] => Договор на подтяжку бедер
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[1] => Array
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[LINK] => /plastika-tela/podtyazhka-beder/informirovannoe-soglasie-na-podtyazhku-beder/
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[6] => Array
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[LINK] => /plastika-tela/udalenie-rubcov/
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[0] => Array
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[1] => Array
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[TEXT] => Информированное согласие на удаление рубцов
[LINK] => /plastika-tela/udalenie-rubcov/informirovannoe-soglasie-na-udalenie-rubcov/
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Полезные статьи
Опубликовано: 09.05.2024
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О докторе
За 20 лет в пластической хирургии я выполнил сотни различных операций и выработал собственный подход и техники их исполнения.
