Удаление рубцов
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Старые и свежие послеоперационные рубцы, следы после ветрянки и акне сейчас можно удалить с помощью современных технологий. Аппарат для удаления рубцовой деформации кожи есть практически в каждой клинике косметологии. Однако нужно разобраться, какой вид лазера подходит для косметического устранения разных видов дефектов, а может стоит прибегнуть к пластике швов и записаться на хирургическое удаление.
Виды рубцов
Атрофические рубцы – дефект, при котором медиаторы воспаления активизируются, а эластиновые и коллагеновые волокна в результате воспаления исчезают. В основном атрофические рубцы развиваются после ветрянки, туберкулеза кожи, угревой болезни. Выглядят как ямки и провалы на тонкой и светлой коже.
Келоидные рубцы – дефект, при котором рост коллагена усиливается. Формируются узелки, разрастаются за границы раны. Ярко-красные образования выпирают над кожей, зудят и вызывают дискомфорт. Гипертрофические рубцы – плотные светло-желтые образования с развитой кровеносной системой. Гипертрофические и келоидные рубцы образуются в результате нарушенного процесса деления фибропластов кожи и неконтролируемого синтеза коллагена. Возникают после операции. Рекомендуется проводить коррекцию рубцов сразу, но старые рубцы тоже поддаются лазерному удалению, но требуется большее количество процедур.
Удаление рубцов лазером
Эрбиевый лазер – разновидность аблятивных лазеров, подходящих для удаления рубцов и шрамов келоидного и гипертрофического типа. Луч проникает на глубину 1 мкм, то есть работает поверхностно. Достаточно одной процедуры для лазерного удаления рубцов на лице и двух сеансов для борьбы с рубцом на руке и теле. Удаление рубцов лазером основывается на ремоделировании структуры кожи и запуска процесса выработки коллагеновых волокон. Отмершая кожа испаряется. Через один-два года структура кожи полностью обновляется, а рубец на коже исчезает. Атрофические рубцы и нормотрофические рубцы тоже эффективно устраняются в процессе лазерной коррекции рубцов. Луч лазера структурно сглаживает образования.
Углекислотный (СО2) лазер – еще один аблятивный аппарат для удаления рубцов. Луч проникает глубже, чем эрбиевый лазер. Подходит для удаления рубцов атрофического типа. Со временем после косметической процедуры улучшается эластичность кожи, сокращается размер рубцовой ткани. Из-за теплового воздействия удаление рубцов и шрамов проводится под местной анестезией.
Шлифовка рубцов в последнее время стала популярной процедурой. После операции сразу делать нельзя. Нужно выждать не меньше полугода для того, чтобы рубец полностью состоялся и остановился рост соединительной ткани. Шлифовка рубцов означает, что кожа точечно обрабатывается лучом. Фракция за фракцией участки старого рубца термически повреждаются. Воздействие ограниченное, поэтому реабилитация после удаления рубцов быстрая, а результаты существенные, что подтверждают фото до и после.
Лазерное удаление рубцов на лице келоидного типа рекомендуется проводить неаблятивным лазером. Импульсный лазер на красителях – один из аппаратов для удаления. После воздействия на свежий или старый рубец ухудшается его питание, цвет и яркость тускнеет, при этом ожога не случается. Лазерная коррекция рубцов после первого сеанса истончает патологическую ткань. Фракционный неаблятивный лазер подходит для косметического устранения послеоперационных рубцов. Их толщина и пигментация изменяется после первой обработки.
Диодный и неодимовый аппарат для удаления используется для коррекции рубцов с атрофией. Однако надо отметить, что рубец на руке сходит только спустя полгода.
Ход процедуры
Шлифовка рубцов, удаление рубцов и шрамов лазером любым аппаратом для удаления – все эти процедуры проводятся под местным обезболиванием. Сначала врач очищает кожу и воздействует лучом поверхностно. Потом он еще раз обезболивает поверхность и проводит косметологическое удаление послеоперационных рубцов в глубоких слоях. Во время процедуры пациент чувствует тепло.
После лазерной коррекции рубцов обязательно нужно избегать длительного пребывания на солнце, потому что есть риск гиперпигментации из-за повышения чувствительности кожи к ультрафиолетовым лучам. После удаления рубцов на лице и теле кожу следует обрабатывать антисептиками и пользоваться кремом с SPF50.
Хирургическое удаление рубцов и шрамов
Лазерное удаление рубцов келоидного типа на 100% невозможно. Если стоит задача полностью очистить кожу от старого рубца, то стоит прибегнуть к пластике швов.
Хирургическое удаление показано в следующих случаях:
- шрамы после ожогов;
- послеоперационные рубцы;
- рубец беспокоит, зудит, из него выделяется гной или мутная жидкость;
- шрамы после ранений и глубоких порезов.
Хирургическое удаление предполагает иссечение соединительнотканного образования в ширину и длину, исправление рельефа тканей. Пластика швов проводится под местной анестезией. В зависимости от глубины залегания старого рубца хирург выполняет:
- тангенциальное иссечение. Подходит для шрамов, которые лежат на поверхности кожи. Скальпель держит параллельно поверхности кожи и иссекает образование. Важно сохранить подкожно-жировой слой с кровеносными сосудами. После операции кровоточащие сосуды коагулируются. В дальнейшем рана вторично стягивается и заживает;
- веретенообразное иссечение. Так удаляют атрофические рубцы. Скальпель держит под наклоном. Кожу удаляет вместе с подкожной клетчаткой и сопоставляет края раны. Накладывает глубокие швы и дополнительные поддерживающие швы. Если хирургическое удаление рубцов на лице проводится, то швы всегда внутрикожные косметические;
- поэтапное иссечение. Проводится для удаления глубокого старого рубца, серьезных ожогов и келоидных рубцов. Операция проводится в несколько этапов. Хирург сначала удаляет поверхностный слой. Выжидается одна-две недели. Затем кожным лоскутом прикрывается участок, накладываются швы.
После операции накладывается стерильная повязка.
Список используемой литературы:
- [URL] Использование лазерных технологий в косметологии. Фракционная абляционная лазерная шлифовка – Полянская А.А., Стерлева Е.А., Гиркина Д.Б., Лакомова Е.Е., 2022.
- [URL] Эффективность комбинированного применения неодимового (1064 нм) лазера и фракционного фототермолиза в коррекции гормонально-зависимых атрофических рубцов – Талыбова А.П., Стенько А.Г., 2017.
- [URL] Зависимость результата лазерного лечения гипертрофических рубцов от исходной реактивности организма – Кобец М.В., Васильева Л.С., 2016.
- [URL] Сравнительная оценка клинической эффективности лазерной шлифовки и лазерной перфорации поверхности рубца при лечении гипертрофических рубцов – Кобец М.В., 2011.
- [URL] Фракционный лазерный фототермолиз в лечении кожных дефектов: возможности и эффективность – Карабут М.М., Гладкова Н.Д., Фельдштейн Ф.И., 2016.
- [URL] Успешное лечение обширного рецидивирующего келоидного рубца – Ломакин В.И., Кузьмичев А.С., Акинчев А.Л., 2020.
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[DEPTH_LEVEL] => 2
[IS_PARENT] => 1
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[0] => Array
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[TEXT] => Договор на коррекцию формы ареол и сосков
[LINK] => /plastika-grudi/korrekciya-formi-areol-i-soskov/dogovor-na-korrekciyu-formy-areol-i-soskov/
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[TEXT] => Подтяжка груди
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[DEPTH_LEVEL] => 2
[IS_PARENT] => 1
[CHILD] => Array
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[0] => Array
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[TEXT] => Возможные осложнения после подтяжки груди
[LINK] => /plastika-grudi/podtyazhka-grudi/vozmozhnye-oslozhneniya-posle-podtyazhki-grudi/
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[DEPTH_LEVEL] => 3
[IS_PARENT] => 1
[CHILD] => Array
(
[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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[DEPTH_LEVEL] => 4
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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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[DEPTH_LEVEL] => 4
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[2] => Array
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[TEXT] => Нагноение после подтяжки груди
[LINK] => /plastika-grudi/podtyazhka-grudi/vozmozhnye-oslozhneniya-posle-podtyazhki-grudi/nagnoenie-posle-podtyazhki-grudi/
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[1] => Array
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[TEXT] => Договор на подтяжку груди
[LINK] => /plastika-grudi/podtyazhka-grudi/dogovor-na-podtyazhku-grudi/
[SELECTED] =>
[PERMISSION] => R
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[2] => Array
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[TEXT] => Информированное согласие на подтяжку груди
[LINK] => /plastika-grudi/podtyazhka-grudi/informirovannoe-soglasie-na-podtyazhku-grudi/
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[IS_PARENT] => 0
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[DEPTH_LEVEL] => 3
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[3] => Array
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[TEXT] => Показания к подтяжке груди
[LINK] => /plastika-grudi/podtyazhka-grudi/pokazaniya-k-podtyazhke-grudi/
[SELECTED] =>
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[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
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[4] => Array
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[TEXT] => Противопоказания к подтяжке груди
[LINK] => /plastika-grudi/podtyazhka-grudi/protivopokazaniya-k-podtyazhke-grudi/
[SELECTED] =>
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[DEPTH_LEVEL] => 3
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[3] => Array
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[TEXT] => Уменьшение груди
[LINK] => /plastika-grudi/umenshenie-grudi/
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[0] => Array
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[TEXT] => Договор на уменьшение груди
[LINK] => /plastika-grudi/umenshenie-grudi/dogovor-na-umenshenie-grudi/
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[PERMISSION] => R
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[1] => Array
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[TEXT] => Информированное согласие на уменьшение груди
[LINK] => /plastika-grudi/umenshenie-grudi/informirovannoe-soglasie-na-umenshenie-grudi/
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[1] => Array
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[TEXT] => Пластика лица
[LINK] => /plastika-lica/
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)
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[CHILD] => Array
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[0] => Array
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[TEXT] => Блефаропластика
[LINK] => /plastika-lica/blefaroplastikaplastika/
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[IS_PARENT] => 1
[CHILD] => Array
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[0] => Array
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[TEXT] => Безоперационная блефаропластика
[LINK] => /plastika-lica/blefaroplastikaplastika/bezoperatsionnaya-blefaroplastika/
[SELECTED] =>
[PERMISSION] => R
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[ITEM_TYPE] => D
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[1] => Array
(
[TEXT] => Бесшовная блефаропластика
[LINK] => /plastika-lica/blefaroplastikaplastika/besshovnaya-blefaroplastika/
[SELECTED] =>
[PERMISSION] => R
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[IS_PARENT] => 0
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[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
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[2] => Array
(
[TEXT] => Блефаропластика азиатских глаз (сингапури)
[LINK] => /plastika-lica/blefaroplastikaplastika/blefaroplastika-aziatskikh-glaz-singapuri/
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[ITEM_INDEX] => 33
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[IS_PARENT] => 0
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[3] => Array
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[TEXT] => Блефаропластика верхних век
[LINK] => /plastika-lica/blefaroplastikaplastika/blefaroplastika-verkhnikh-vek/
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[PERMISSION] => R
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[4] => Array
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[TEXT] => Блефаропластика нижних век
[LINK] => /plastika-lica/blefaroplastikaplastika/blefaroplastika-nizhnikh-vek/
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[PERMISSION] => R
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[5] => Array
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[TEXT] => Блефаропластика носослезной борозды
[LINK] => /plastika-lica/blefaroplastikaplastika/blefaroplastika-nososleznoy-borozdy/
[SELECTED] =>
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[IS_PARENT] => 0
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[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
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[6] => Array
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[TEXT] => Договор на блефаропластику
[LINK] => /plastika-lica/blefaroplastikaplastika/dogovor-na-blefaroplastiku/
[SELECTED] =>
[PERMISSION] => R
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[7] => Array
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[TEXT] => Жиросберегающая блефаропластика
[LINK] => /plastika-lica/blefaroplastikaplastika/zhirosberegayushchaya-blefaroplastika/
[SELECTED] =>
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[IS_PARENT] => 0
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[DEPTH_LEVEL] => 3
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[8] => Array
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[TEXT] => Информированное согласие на блефаропластику
[LINK] => /plastika-lica/blefaroplastikaplastika/informirovannoe-soglasie-na-blefaroplastiku/
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[9] => Array
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[TEXT] => Контурная пластика век
[LINK] => /plastika-lica/blefaroplastikaplastika/konturnaya-plastika-vek/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
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[IS_PARENT] => 0
[PICTURE] => 5091
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[DEPTH_LEVEL] => 3
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[10] => Array
(
[TEXT] => Коррекция нависшего века
[LINK] => /plastika-lica/blefaroplastikaplastika/korrektsiya-navisshego-veka/
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[PERMISSION] => R
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[IS_PARENT] => 0
[PICTURE] => 5095
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[DEPTH_LEVEL] => 3
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[11] => Array
(
[TEXT] => Круговая блефаропластика
[LINK] => /plastika-lica/blefaroplastikaplastika/krugovaya-blefaroplastika/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
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[IS_PARENT] => 0
[PICTURE] => 5102
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[12] => Array
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[TEXT] => Лазерная блефаропластика
[LINK] => /plastika-lica/blefaroplastikaplastika/lazernaya-blefaroplastika/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
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[ITEM_INDEX] => 43
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[IS_PARENT] => 0
[PICTURE] => 5103
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[DEPTH_LEVEL] => 3
[IS_PARENT] => 0
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[13] => Array
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[TEXT] => Нитевая блефаропластика
[LINK] => /plastika-lica/blefaroplastikaplastika/nitevaya-blefaroplastika/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
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[ITEM_INDEX] => 44
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[IS_PARENT] => 0
[PICTURE] => 5093
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[DEPTH_LEVEL] => 3
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[14] => Array
(
[TEXT] => Ориентальная пластика век
[LINK] => /plastika-lica/blefaroplastikaplastika/orientalnaya-plastika-vek/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
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[ITEM_INDEX] => 45
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[IS_PARENT] => 0
[PICTURE] => 5101
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[DEPTH_LEVEL] => 3
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[15] => Array
(
[TEXT] => Осложнения после блефаропластики
[LINK] => /plastika-lica/blefaroplastikaplastika/oslozhneniya-posle-blefaroplastiki/
[SELECTED] =>
[PERMISSION] => R
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[DEPTH_LEVEL] => 3
[IS_PARENT] => 1
[CHILD] => Array
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[0] => Array
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[TEXT] => Выворот нижнего века после блефаропластики
[LINK] => /plastika-lica/blefaroplastikaplastika/oslozhneniya-posle-blefaroplastiki/vyvorot-nizhnego-veka-posle-blefaroplastiki/
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[IS_PARENT] => 0
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[DEPTH_LEVEL] => 4
[IS_PARENT] => 0
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[1] => Array
(
[TEXT] => Круглый глаз после блефаропластики
[LINK] => /plastika-lica/blefaroplastikaplastika/oslozhneniya-posle-blefaroplastiki/kruglyy-glaz-posle-blefaroplastiki/
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[ITEM_INDEX] => 48
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[IS_PARENT] => 0
[PICTURE] => 5080
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[DEPTH_LEVEL] => 4
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[2] => Array
(
[TEXT] => Не закрывается глаз после блефаропластики
[LINK] => /plastika-lica/blefaroplastikaplastika/oslozhneniya-posle-blefaroplastiki/ne-zakryvaetsya-glaz-posle-blefaroplastiki/
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[PERMISSION] => R
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(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 49
[PARAMS] => Array
(
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[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
(
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[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
(
[TEXT] => Информированное согласие на ринопластику
[LINK] => /plastika-lica/rinoplastika/informirovannoe-soglasie-na-rinoplastiku/
[SELECTED] =>
[PERMISSION] => R
[ADDITIONAL_LINKS] => Array
(
)
[ITEM_TYPE] => D
[ITEM_INDEX] => 82
[PARAMS] => 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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[2] => Array
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[TEXT] => Водоструйная липосакция Body-Jet
[LINK] => /plastika-tela/liposakciya/vodostruynaya-liposaktsiya-body-jet/
[SELECTED] =>
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[4] => Array
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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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[7] => Array
(
[TEXT] => Лазерная липосакция подбородка
[LINK] => /plastika-tela/liposakciya/lazernaya-liposaktsiya-podborodka/
[SELECTED] =>
[PERMISSION] => R
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[8] => Array
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[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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[10] => Array
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[TEXT] => Неинвазивная липосакция
[LINK] => /plastika-tela/liposakciya/neinvazivnaya-liposaktsiya/
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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
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[4] => Array
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[TEXT] => Липофилинг
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[TEXT] => Липофилинг груди
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[1] => Array
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[TEXT] => Липофилинг лица
[LINK] => /plastika-tela/lipofiling/lipofiling-litsa/
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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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[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
[LINK] => /plastika-tela/podtyazhka-beder/dogovor-na-podtyazhku-beder/
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[1] => Array
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[LINK] => /plastika-tela/podtyazhka-beder/informirovannoe-soglasie-na-podtyazhku-beder/
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[LINK] => /plastika-tela/udalenie-rubcov/
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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.
